Individual provider · Type 1 NPI

John Costello, MD

Pediatric Critical Care Medicine Physician · Charleston, SC

NPI number 1053302992 Active

Practice location

171 Ashley Ave
Charleston, SC 29425

Call (843) 792-1414 Map

Mailing address

PO Box 751461
Charlotte, NC 28275-1461

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X217260 (MA)
Pediatric Cardiology Physician 2080P0202X52686 (SC)
Pediatric Critical Care Medicine Physician Primary 2080P0203X52686 (SC)

Pediatric Critical Care Medicine Physician: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates…

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About NPI 1053302992

John Costello, MD's National Provider Identifier is 1053302992, issued on Oct 31, 2005. The primary taxonomy on file is Pediatric Critical Care Medicine Physician (2080P0203X), and the practice location is in Charleston, SC. The record was last updated on Feb 18, 2022.