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MICHAEL J COSTELLO MD
NPI 1366470403
Surgery in Fort Pierce, FL

Active since June 29, 2006
2215 NEBRASKA AVE, SUITE 3D, FORT PIERCE, FL 34950(772) 461-4666(772) 464-3005 Get Directions Write a Review

NPPES record last updated: January 23, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael J Costello Md NPPES

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

MICHAEL J COSTELLO MD (NPI 1366470403) is an individual surgery provider in Fort Pierce, Florida, licensed in Florida (ME0026473) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1366470403
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMICHAEL J COSTELLOCredential: MD
Location Address2215 NEBRASKA AVE, SUITE 3DFort Pierce, FL 34950-4864
Mailing Address2215 Nebraska Ave, Suite 3dFort Pierce, FL 34950-4864 · (772) 461-4666 · Fax (772) 464-3005
Phone(772) 461-4666
Fax(772) 464-3005
Sole ProprietorNo
Enumeration DateJune 29, 2006
Last NPPES UpdateJanuary 23, 2013
✔ NPI 1366470403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.

Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License ME0026473 (FL)
Also ListedColon & Rectal SurgeryTaxonomy 208C00000X · License ME0026473 (FL)
2215 NEBRASKA AVE, Fort Pierce, FL 34950
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Other Identifiers 6

Other50734FL · Blue Cross/blue Shield
Medicaid056288200FL
Other021998467FL · Railroad Medicare
Other4245215FL · Aetna
Medicare ID-Type Unspecified50734YFL
Medicare UPIND55813FL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NANJAPPA SUBRAMANIAN MD FACS
Surgery
2215 NEBRASKA AVE, SUITE 1 E
FORT PIERCE, FL 34950
St. Lucie County (772) 461-2555
MICHAEL J COSTELLO MD PA
Surgery
2215 NEBRASKA AVE, SUITE 3-D
FORT PIERCE, FL 34950
St. Lucie County (772) 461-4666
SURGICAL SPECIALIST OF TREASURE COAST PA
Surgery
2215 NEBRASKA AVE, SUITE 1A
FORT PIERCE, FL 34950
St. Lucie County (772) 464-8722
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
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
ROSHAN LALTA HIRA SINGH MD
Surgery
2215 NEBRASKA AVE, SUITE 1-A
FORT PIERCE, FL 34950
St. Lucie County (772) 464-8722

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Costello's NPI number?

The NPI number for Michael Costello is 1366470403. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Michael Costello located?

Michael Costello practices at 2215 Nebraska Ave Suite 3D, Fort Pierce, FL 34950. The listed phone number is (772) 461-4666.

What is Michael Costello's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Michael Costello was last updated on January 23, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.