Jonah Marcel Costello

General Practice Physician · Dayton, OH

Individual Active NPI

NPI number 1770334336

Practice location

4881 Sugar Maple Dr
Dayton, OH 45433-5529
Phone
(937) 257-9926

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NPI record

NPI
1770334336
Entity type
Individual (Type 1)
Enumeration date
April 1, 2024
Last updated
April 18, 2026
Certified
April 18, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X 82122-21 WI
Student in an Organized Health Care Education/Training Program 390200000X — OH

About Jonah Costello

Jonah Marcel Costello is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 4881 Sugar Maple Dr, Dayton, OH 45433-5529. The NPI number 1770334336 was assigned on April 1, 2024 and the record was last updated on April 18, 2026.

Jonah Costello lists a license in the registry: #82122-21 (WI) for General Practice Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jonah Marcel Costello?

The NPI number is 1770334336.

What is the phone number of Jonah Costello?

The phone number listed for the practice location is (937) 257-9926.

Where is Jonah Costello located?

4881 Sugar Maple Dr, Dayton, OH 45433-5529.

What is the taxonomy code for Jonah Costello?

The primary taxonomy code is 208D00000X – General Practice Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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