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

Jonah Marcel Costello

Individual provider General Practice Physician · NPI 1770334336

Jonah Marcel Costello is a General Practice Physician in Dayton, Ohio. Licensed in Ohio and Wisconsin. Registered with an NPI since 2024.

Licensed in
OH, WI
In the registry since
2024
Specialties on file
2

Practice location Address checks out

4881 Sugar Maple Dr
Dayton, OH 45433-5529
Phone: (937) 257-9926
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 82122-21 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (OH)

Record details

NPI number1770334336
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 1, 2024
Last updated in NPPESApril 18, 2026
Certification dateApril 18, 2026
Mailing address4881 Sugar Maple Dr, Dayton, OH 45433-5529

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