Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Theodore Anthony Kostiuk IV, DO

Individual provider Orthopaedic Surgery Physician · NPI 1952544876

Dr. Theodore Anthony Kostiuk IV, DO is an Orthopedic Surgery in Holland, Michigan. Qualified in 2009, 17 years ago. Practices with Reid Physician Associates Inc, a 423-clinician group and accepts Medicare assignment. Licensed in Indiana and Michigan.

Years since qualifying
17
Licensed in
IN, MI
In the registry since
2009
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

370 N 120th Ave Ste 20
Holland, MI 49424-2196
Phone: (616) 396-5855
Fax: (616) 396-5720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery of the Spine Physician (primary) Taxonomy 207XS0117X · Licence 5101021584 (MI)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 02004389A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1952544876
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 7, 2009
Last updated in NPPESMarch 4, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Reid Physician Associates Inc — 423 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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