Individual provider · Type 1 NPI

Andrew Costerisan, PA-C

Physician Assistant · Dayton, OH

NPI number 1477825651 Active

Practice location

101 E Alex Bell Rd Ste 190
Dayton, OH 45459-2752

Call (937) 425-4030 Map

Mailing address

2801 Mathers Rd
Springfield, IL 62711-7064

Other practice locations

  • 2801 Mathers Rd, Springfield, IL 62711-7064 · (217) 789-3600

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA 9106409 (FL)
Physician Assistant Primary 363A00000X50.008187RX (OH)
Physician Assistant 363A00000X085004969 (IL)

Physician Assistant: 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, orde…

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About NPI 1477825651

Andrew Costerisan, PA-C's National Provider Identifier is 1477825651, issued on Feb 2, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Dayton, OH. The record was last updated on Oct 1, 2025.