Individual
DR. JOHN J COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9280 W SUNSET RD, LAS VEGAS, NV 89148-4860
(702) 535-5464
(702) 534-5465
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
22723
NV
207RC0000X
Cardiovascular Disease Physician
35-06-9453
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2197313
—
OH
01
—
22723
STATE LICENSE
NV
01
—
311211539033
CARESOURCE
OH
Enumeration date
07/20/2005
Last updated
09/12/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us