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IAN CALVERT JOHN COSTELLO
NPI 1962375022
Student in an Organized Health Care Education/Training Program in Wright Patterson Afb, OH

Active since September 25, 2025
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433(937) 257-6877 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ian Calvert John Costello NPPES

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

IAN CALVERT JOHN COSTELLO (NPI 1962375022) is an individual student in an organized health care education/training program in Wright Patterson Afb, Ohio and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1962375022
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameIAN CALVERT JOHN COSTELLO
Location Address4881 SUGAR MAPLE DRWright Patterson Afb, OH 45433-5529
Mailing Address2203 Zink Rd Apt 5Beavercreek, OH 45324-9099 · (619) 883-6425
Phone(937) 257-6877
Sole ProprietorNo
Enumeration DateSeptember 25, 2025
NPPES CertifiedSeptember 11, 2025
✔ NPI 1962375022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4881 SUGAR MAPLE DR, Wright Patterson Afb, OH 45433
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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.

MR. JAMES REBELLO III
Pharmacist
4881 SUGAR MAPLE DR
FAIRBORN, OH 45433
Greene County (937) 257-9014
CARLA HUELSKAMP PHARMD
Pharmacist
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-9696
JOHN ALAN ARTHUR
Internal Medicine
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Greene County (937) 257-4482
ALEXIS D OWEN
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-1574
GREGORY JAMES MORSE M.D.
Radiology (Nuclear Radiology)
4881 SUGAR MAPLE DR, 88 DTS/SGQX
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-9679
KENDRA M. SCHMUCK RD LD
Dietitian, Registered
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Greene County (937) 257-8815
MATTHEW PHILIP SCULLY IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (616) 717-0169
KAREN LEWIS RTT
Radiologic Technologist (Radiation Therapy)
4881 SUGAR MAPLE DR, 88TH MDOS/SGOMR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-4159

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 Ian Costello's NPI number?

The NPI number for Ian Costello is 1962375022. It was assigned to this individual provider in the NPPES registry on September 25, 2025.

Where is Ian Costello located?

Ian Costello practices at 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433. The listed phone number is (937) 257-6877.

What is Ian Costello's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ian Costello was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.