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MICHAEL J COSTELLO MD PA
NPI 1114002995
Surgery in Fort Pierce, FL

Active since October 27, 2006
2215 NEBRASKA AVE, SUITE 3-D, FORT PIERCE, FL 34950(772) 461-4666(772) 464-3005 Get Directions Write a Review

NPPES record last updated: January 16, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michael J Costello Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL J COSTELLO MD PA (NPI 1114002995) is a healthcare organization registered as a surgery in Fort Pierce, Florida and active in the NPI registry since October 2006. The organization lists Michael J Costello, President, as its authorized official.

NPPES Registry Identity

NPI1114002995
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameMICHAEL J COSTELLO MD PA
Location Address2215 NEBRASKA AVE, SUITE 3-DFort Pierce, FL 34950-4864
Mailing Address2215 Nebraska Ave, Suite 3-dFort Pierce, FL 34950-4864 · (772) 461-4666 · Fax (772) 464-3005
Phone(772) 461-4666
Fax(772) 464-3005
Organization SubpartNo
Authorized OfficialMichael J CostelloPresident · (772) 461-4666
Enumeration DateOctober 27, 2006
Last NPPES UpdateJanuary 16, 2013
✔ NPI 1114002995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in FL · ME0026473
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

2215 NEBRASKA AVE, Fort Pierce, FL 34950
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Other Identifiers 3

Medicare PIN1114002995FL
Medicare PIN1366470403FL
Medicare ID-Type UnspecifiedK1505FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

AHMAD RASHID, M.D. & BABAR SHAREEF, M.D., P.A.
Internal Medicine (Interventional Cardiology)
2215 NEBRASKA AVE, SUITE 2E
FORT PIERCE, FL 34950
St. Lucie County (772) 461-6812
ROSHAN LALTA HIRA SINGH MD
Surgery
2215 NEBRASKA AVE, SUITE 1-A
FORT PIERCE, FL 34950
St. Lucie County (772) 464-8722
DR. DARSHAN C. AGGARWAL M.D.
Specialist
2215 NEBRASKA AVE, SUITE 2B
FORT PIERCE, FL 34950
St. Lucie County (772) 489-6300
SURGICAL SPECIALIST OF TREASURE COAST PA
Surgery
2215 NEBRASKA AVE, SUITE 1A
FORT PIERCE, FL 34950
St. Lucie County (772) 464-8722
SANJIV WALIA MD PA
Internal Medicine (Hematology & Oncology)
2215 NEBRASKA AVE, SUITE 1F2
FORT PIERCE, FL 34950
St. Lucie County (772) 466-1977
RICHARD J MORGAN MD PA
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2215 NEBRASKA AVE, SUITE 3C
FORT PIERCE, FL 34950
St. Lucie County (772) 429-5354
DR. SANJIV WALIA M.D.
Internal Medicine (Hematology & Oncology)
2215 NEBRASKA AVE, SUITE1F2
FORT PIERCE, FL 34950
St. Lucie County (772) 466-1977
DARSHAN AGGARWAL MD PA
Specialist
2215 NEBRASKA AVE, SUITE 2B
FORT PIERCE, FL 34950
St. Lucie County (772) 489-6300
MICHAEL J COSTELLO MD
Surgery
2215 NEBRASKA AVE, SUITE 3D
FORT PIERCE, FL 34950
St. Lucie County (772) 461-4666
DR. AHMAD RASHID M.D.
Internal Medicine (Cardiovascular Disease)
2215 NEBRASKA AVE, SUITE 2E
FORT PIERCE, FL 34950
St. Lucie County (772) 461-6812
DR. BABAR SHAREEF M.D.
Internal Medicine (Cardiovascular Disease)
2215 NEBRASKA AVE, SUITE 2E
FORT PIERCE, FL 34950
St. Lucie County (772) 461-6812
MR. ABDUL R SHADANI MD
Internal Medicine (Cardiovascular Disease)
2215 NEBRASKA AVE, STE 1B2
FORT PIERCE, FL 34950
St. Lucie County (772) 466-7171
DR. RAHEEL AHMED MD
Internal Medicine
2215 NEBRASKA AVE, SUITE 3-B
FORT PIERCE, FL 34950
St. Lucie County (772) 465-8089
DR. NANJAPPA SUBRAMANIAN MD FACS
Surgery
2215 NEBRASKA AVE, SUITE 1 E
FORT PIERCE, FL 34950
St. Lucie County (772) 461-2555
PRAMOD JOSEPH MD
Internal Medicine (Gastroenterology)
2215 NEBRASKA AVE, SUITE 1A
FORT PIERCE, FL 34950
St. Lucie County (772) 567-6181
DR. CHINTAN B SHAH MD
Family Medicine
2215 NEBRASKA AVE, STE 2B
FORT PIERCE, FL 34950
St. Lucie County (772) 464-4050
WITH WOMEN IN MIND OB/GYN
Obstetrics & Gynecology (Obstetrics)
2215 NEBRASKA AVE, STE 3E
FORT PIERCE, FL 34950
St. Lucie County (772) 466-0665
NANJAPPA SUBRAMANIAN MD
Surgery
2215 NEBRASKA AVE, SUITE #1E
FORT PIERCE, FL 34950
St. Lucie County (772) 461-2555
PRAMOD JOSEPH MD LLC
Internal Medicine (Gastroenterology)
2215 NEBRASKA AVE, STE 1A
FORT PIERCE, FL 34950
St. Lucie County (772) 567-6181
DOC AESTHETICS.LLC
Family Medicine (Adult Medicine)
2215 NEBRASKA AVE, STE 2B
FORT PIERCE, FL 34950
St. Lucie County (772) 302-3767

Frequently Asked Questions

What is MICHAEL J COSTELLO MD PA's NPI number?

The NPI number assigned to this healthcare provider is 1114002995, enumerated as an "organization" on October 27, 2006.

Where is the provider located?

The provider is located at 2215 NEBRASKA AVE SUITE 3-D FORT PIERCE, FL 34950 and the phone number is (772) 461-4666.

What is the provider's specialty?

Surgery with taxonomy code 208600000X.

What insurance does MICHAEL J COSTELLO MD PA accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.