Frederick M Costello, MD
Frederick M Costello, MD is an Interventional Cardiology in Boise, Idaho. Graduated from University of Washington School of Medicine in 2001, 25 years ago. Practices with High Desert Heart and Vascular, a 10-clinician group and accepts Medicare assignment. Licensed in Idaho and North Carolina.
- Years since qualifying
- 25
- Trained at
- University of Washington School of Medicine
- Licensed in
- ID, NC
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
8854 W Emerald St Ste 260Boise, ID 83704-4860
Phone: (208) 398-4306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Interventional Cardiology Physician (primary) | Taxonomy 207RI0011X · Licence M10231 (ID) |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X · Licence 200400112 (NC) |
Record details
| NPI number | 1285851337 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 19, 2007 |
| Last updated in NPPES | July 19, 2023 |
| Certification date | July 19, 2023 |
| Mailing address | 8854 W Emerald St Ste 260, Boise, ID 83704-4860 |
Medicare enrollment
| Medicare specialty | INTERVENTIONAL CARDIOLOGY |
|---|---|
| Medical school | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduated | 2001 (25 years in practice) |
| Group practice | High Desert Heart And Vascular — 10 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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