Search › Ohio › 363A00000X
Andrew Costerisan, PA-C
NPI 1477825651 · on the registry since 2012
Practice
- Address
- 101 E Alex Bell Rd Ste 190
Dayton, OH 45459 - Phone
- (937) 425-4030
- Clinicians at this address
- 3
Additional practice sites
- 2801 Mathers Rd, Springfield, IL
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
363A00000X - Licence states on file
- FL, OH, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio