Phillip Martin Kostelic
Phillip Martin Kostelic is an Anesthesiology in Winston Salem, North Carolina. Graduated from West Virginia University School of Medicine in 2018, 8 years ago. Practices with Piedmont Triad Anesthesia PA, a 39-clinician group and accepts Medicare assignment. Licensed in North Carolina.
- Years since qualifying
- 8
- Trained at
- West Virginia University School of Medicine
- Licensed in
- NC
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
Winston Salem, NCNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Anesthesiology Physician (primary) | Taxonomy 207L00000X · Licence 237835 (NC) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1336643535 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 21, 2018 |
| Last updated in NPPES | July 1, 2022 |
| Certification date | July 1, 2022 |
Medicare enrollment
| Medicare specialty | ANESTHESIOLOGY |
|---|---|
| Medical school | WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2018 (8 years in practice) |
| Group practice | Piedmont Triad Anesthesia Pa — 39 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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