DENNIS D COSTERISAN D.O., NPI 1578565701
Family Medicine in DECATUR, IL
Last Updated on : Jan 25,2022
About DENNIS D COSTERISAN (NPI 1578565701)
DENNIS D COSTERISAN is a Family Medicine provider in DECATUR, United States. His medical specialization is Family Medicine .
1578565701 is NPI number of DENNIS D COSTERISAN.
DENNIS D COSTERISAN's primary taxonomy code based on NPI Lookup is 207Q00000X with license number 036071025. This taxonomy code refers to Family Medicine.
DENNIS D COSTERISAN has more than 17 years of experience.
DENNIS D COSTERISAN current practice location address is 320 E CENTRAL AVE, DECATUR, IL. DENNIS D COSTERISAN can be reached out via phone at 217-877-9117 and via fax at 217-877-3078 .
You can also correspond with DENNIS D COSTERISAN through mail at mailing address 320 E CENTRAL AVE, DECATUR, IL, United States. Mailing address contact number is 217-877-9117.
The enumeration date of DENNIS D COSTERISAN is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 1 years ago.1578565701 NPI Information
Basic NPI information of DENNIS D COSTERISAN (NPI 1578565701) is provided below.
| Name | DENNIS D COSTERISAN |
|---|---|
| National Provider Id (NPI) | 1578565701 |
| Entity Type | Individual |
| Gender | M |
| Credential | D.O. |
| Practice Address | 320 E CENTRAL AVE,
DECATUR, IL, United States |
| Practice Telephone | 217-877-9117 |
| Practice Fax Number | 217-877-3078 |
| Mailing Address | 320 E CENTRAL AVE ,
DECATUR, IL, United States |
| Mailing Telephone | 217-877-9117 |
| Mailing Fax Number | 217-728-2580 |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 25-Jan-2022 |
DENNIS D COSTERISAN (NPI 1578565701) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036071025 | IL |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0007005197 | Other (non-Medicare) (01) | IL | BLUE CROSS BLUE SHIELD |
| 0360710252 | MEDICAID (05) | IL | |
| 080105720 | Other (non-Medicare) (01) | IL | RAILROAD MEDICARE |
| 178026 | Other (non-Medicare) (01) | IL | HEALTHLINK |
DENNIS D COSTERISAN (NPI 1578565701) Office Location
Office location of DENNIS D COSTERISAN is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1457819484 | 100 PERCENT ORTIZ VALLE LLC | Chiropractor | 1585 CHURCH ST STE 665,
DECATUR, GA, United States |
08-Mar-2019 |
| 1770298515 | 1REGAL TRANSPORTATION LLC | Non-emergency Medical Transport (VAN) | 128 NEVADA DR,
DECATUR, IL, United States |
17-Jan-2023 |
| 1801089917 | 1ST CHOICE HEALTHCARE CENTER, LLC | Physical Therapist | 1423 CHURCH ST,
DECATUR, GA, United States |
22-Aug-2007 |
| 1285162800 | 1ST CHOICE SPORTS CHIROPRACTIC | Chiropractor, Sports Physician | 2545 LAWRENCEVILLE HWY STE 100,
DECATUR, GA, United States |
26-May-2017 |
| 1801208921 | 1ST CHOICE SPORTS REHABILITATION CENTER | Chiropractor | 2545 LAWRENCEVILLE HWY STE 100,
DECATUR, GA, United States |
22-May-2014 |
| 1760990246 | 2136 TOTAL PHARMACY LLC | Pharmacy | 2136 CANDLER RD,
DECATUR, GA, United States |
18-Jan-2018 |
| 1497411680 | 2M BIZ VENTURE INC | Nurse Anesthetist, Certified Registered | PO BOX 1889,
MUNCIE, IN, United States |
11-Nov-2021 |
| 1942743687 | 3D PSYCHOTHERAPY, LLC | Counselor, Professional | 1 W COURT SQ,
SUITE 750 DECATUR, GA, United States |
29-Nov-2016 |
| 1134273345 | 4MD2 IN PATIENT PHYSICIAN SERVICES OF DECATUR LLC | Contractor | 1028 HIGHLAND LAKES TRCE,
BIRMINGHAM, AL, United States |
23-Jan-2007 |
| 1699372094 | 5678DANCENOW.INC | Counselor, Professional | 4645 JACKYBELL TRL,
DECATUR, GA, United States |
08-Oct-2020 |
| 1023171006 | A & E BEHAVIORAL HEALTH CARE ASSOCIATES PC | Counselor | 2570 FEDERAL DRIVE,
DECATUR, IL, United States |
19-Dec-2006 |
| 1508102419 | A & K HEAVENLY HOMES INC | Community/Behavioral Health | 3304 SANDLIN RD SW,
DECATUR, AL, United States |
20-Dec-2012 |
| 1982193215 | A BETTER LIFE TREATMENT INC. | Counselor, Addiction (Substance Use Disorder) | 1755 THE EXCHANGE SE STE 365,
ATLANTA, GA, United States |
02-May-2018 |
| 1265741557 | A CARING PLACE | Home Health | 432 MOULTON STREET, E,
DECATUR, AL, United States |
04-Oct-2010 |
| 1366149155 | A DAUGHTERS LOVE PRIVATE HOME CARE LLC | Nursing Care | 4555 FLAT SHOALS PKWY STE 106,
DECATUR, GA, United States |
13-Feb-2023 |
| 1598013658 | A DIFFERENT KIND OF PERFECT PEDIATRIC THERAPY LLC | Home Health | 1555 W. HWY. 380,
SUITE #2 DECATUR, TX, United States |
21-Aug-2012 |
| 1710361829 | A HEARTBEAT AWAY | Point of Service | 1416 6TH AVE SE,
DECATUR, AL, United States |
17-Jul-2015 |
| 1518230473 | A LOVE COUNSELING CENTER, LLC | Counselor, Mental Health | 3013 RAINBOW DR,
SUITE 112B DECATUR, GA, United States |
22-Feb-2012 |
| 1447687454 | A NEW DAY ADULT DAYCAREANDOUTPATIENTTREATMENT CENTER LLC | Counselor | 4286 MEMORIAL DR,
STE B DECATUR, GA, United States |
04-Oct-2013 |
| 1942746540 | A PASSION FOR HEALTH & HEARTS HCA, LLC | Home Health | 160 CLAIREMONT AVE,
SUITE 200 DECATUR, GA, United States |
06-Jan-2017 |
How to check whether NPI 1063496693 is valid?
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
FAQs
Whose NPI Number is 1578565701?1578565701 is the NPI number of DENNIS D COSTERISAN.
What is the specialty for DENNIS D COSTERISAN?The Specialty of DENNIS D COSTERISAN is Family Medicine.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|