Shannon Costello
Physician Assistant

Address: 10240 W Indian School Rd Bldg 2, Phoenix, AZ 85037-5904
Phone: 3124657900

Shannon Costello (NPI# 1144865171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1144865171
Entity Type Individual
Full Name Shannon Costello
Credential PA-C
Gender Female
Practice Address 10240 W Indian School Rd Bldg 2
Phoenix
AZ 85037-5904
Practice Telephone 3124657900
Practice Fax Number 8475100772
Mailing Address 1417 E Oxford Ln
Gilbert
AZ 85295-4945
Mailing Telephone 4804324349
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2019-11-13
Last Update Date 2019-11-13

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers 7559 AZ

Providers with the same name

NPI Name Taxonomy Address Enumeration
1932131620 Shannon Rose Costello Social Worker Mcleanhospital Southeast Location, 940 Belmont Street, Brockton, MA 02301 2006-07-06

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023653573 Karina Mendez Colon Physician Assistant 2319 W Diana Ave, Phoenix, AZ 85021-4126 2019-11-07
1922642545 Megan Jade Wray Physician Assistant 1111 E Sunland Ave, Phoenix, AZ 85040-5102 2019-11-06
1447894514 Raychel Rose Schurman Physician Assistant 1313 E Osborn Rd Ste B150, Phoenix, AZ 85014-5678 2019-11-01
1891338471 Phoenicia Leah Rowe Physician Assistant 126 E Harmont Dr, Phoenix, AZ 85020-3654 2019-10-25
1962051797 Courtnie Lyn Crockett Physician Assistant 10801 N 32nd St Apt 224, Phoenix, AZ 85028-3242 2019-09-04
1386290039 Skeena Deen Physician Assistant 18811 N 19th Ave Apt 2021, Phoenix, AZ 85027-5281 2019-08-16
1770142861 Marios Mylonas Physician Assistant 1701 E Colter St Unit 209, Phoenix, AZ 85016-3374 2019-06-11
1114480159 Shane Cook Physician Assistant 1445 E Utopia Rd, Phoenix, AZ 85024-3622 2019-04-08
1528520632 Amanda Smallwood Physician Assistant 7917 S 25th Pl, Phoenix, AZ 85042-7095 2019-04-05
1306308465 Truc Hong Nguyen Physician Assistant 3917 W Oregon Ave, Phoenix, AZ 85019-2219 2019-04-05
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Office Location

Street Address 10240 W INDIAN SCHOOL RD BLDG 2
City PHOENIX
State AZ
Zip Code 85037-5904

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770126260 Medical Management Systems, Inc. Assisted Living Facility 2209 N. Rascon Loop, Phoenix, AZ 85037 2019-10-28
1346800760 Sonoran Sky Family Dentistry Dentist 9515 West Camelback Road, Suite #120, Phoenix, AZ 85037 2019-06-18
1578025136 Jennifer Natasha Kunz Nurse Practitioner Cleanslate, 8410 W. Thomas Rd, Phoenix, AZ 85037 2019-04-03
1740751320 Mariposa Phoenix Al Partners, Lp Assisted Living Facility 3100 N 91st Avenue, Phoenix, AZ 85037 2018-12-08
1417442799 Prop Anesthesia LLC Nurse Anesthetist, Certified Registered 9250 W Thomas Rd Ste 220, Phoenix, AZ 85037 2018-06-28
1922522242 Tree of Life Mental Health Systems, LLC Community/Behavioral Health 8400 W. Virginia, #1138, Phoenix, AZ 85037 2017-07-28
1720500465 Moc Phoenix, LLC Assisted Living Facility 3000 N. 91st Avenue, Phoenix, AZ 85037 2017-07-14
1407385826 Not Alone Home Care, LLC In Home Supportive Care 9422 W Palm Lane, Phoenix, AZ 85037 2017-06-08
1063953081 Karla Soward Radiologic Technologist 2015 N Rascon Loop, Phoenix, AZ 85037 2017-03-09
1326585662 Cleanslate Medical Group of Arizona Pllc Internal Medicine 8410 W Thomas, Phoenix, AZ 85037 2017-01-25
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Competitor

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City PHOENIX
Zip Code 85037

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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