Ryan Matthew Costlow, NP | |
5605 Madrid Dr, Austintown, OH 44515-4136 | |
(330) 518-2902 | |
Not Available |
Full Name | Ryan Matthew Costlow |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 5605 Madrid Dr, Austintown, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184223513 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | APRN.CNP.0026869 (Ohio) | Primary |
Entity Name | Mahoning Valley Hematology Oncology Assoc. Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215979588 PECOS PAC ID: 3971592916 Enrollment ID: O20040506001087 |
Entity Name | Quick Med Urgent Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528528726 PECOS PAC ID: 5799016358 Enrollment ID: O20191011001731 |
Mailing Address | Practice Location Address |
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Ryan Matthew Costlow, NP 5605 Madrid Dr, Austintown, OH 44515-4136 Ph: (330) 518-2902 | Ryan Matthew Costlow, NP 5605 Madrid Dr, Austintown, OH 44515-4136 Ph: (330) 518-2902 |
Mrs. Melanie Marie Klockner, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5480 Norquest Blvd, Austintown, OH 44515 Phone: 330-779-0529 | |
Mr. Joshua Steven Mcgaffic, MSN, RN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5760 Patriot Blvd # C, Austintown, OH 44515 Phone: 330-270-8610 | |
Ms. Kimberly A Tindell, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5760 Patriot Drive, Austintown, OH 44515 Phone: 330-610-6476 | |
Mrs. Shallon Tennille Johnson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5760 Patriot Blvd, Austintown, OH 44515 Phone: 330-953-0243 Fax: 330-313-3404 | |
Mr. Daniel Lee Ludwig Jr., NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 Ohltown Rd, Austintown, OH 44515 Phone: 330-884-1504 | |
Mellisa Ann Brown, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5760 Patriot Blvd, Austintown, OH 44515 Phone: 330-270-8610 |