Dr. Theodore Anthony Kostiuk Iv

D.O. | Orthopedic Surgery | 15+ years Exp


  
370 N 120th Ave Ste 20, Holland
Michigan, 49424-2196

 616-396-5855     616-396-5720Maps & Directions
Dr. Theodore Anthony Kostiuk Iv is a Holland, Michigan based male orthopedic surgeon with 15 years of experience in Orthopedic Surgery. He completed his graduation from Other in 2009. He is also affiliated with hospitals like Holland Community Hospital and Reid Hospital & Health Care Services. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Theodore Anthony Kostiuk Iv is 5101021584 for Orthopaedic Surgery of the Spine in Michigan.
Dr. Theodore Anthony Kostiuk Iv is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means including the patients with musculoskeletal problems which include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. Patients with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system are also concerned.
Complete Profile:
Dr. Theodore Anthony Kostiuk Iv speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Orthopedic - Orthopedic Surgery
Credentials: D.O.
Experience: 15+ years
Medical School Attended:Other
Graduation Year:2009
Gender:Male
Accepts Medicare Assignment:Yes
Practice Address:370 N 120th Ave Ste 20, Holland,
Michigan, 49424-2196
Phone:616-396-5855
Fax:616-396-5720

Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 3678799251
Enrollment ID: I20140717001934
NPI Number: 1952544876
NPI Enumeration Date: 07 Apr, 2009
NPI Last Update On: 04 Mar, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Theodore Anthony Kostiuk Iv are as mentioned below.
License NumberSpecializationStateStatus
5101021584Orthopaedic Surgery of the Spine MichiganPrimary
02004389AOrthopedic Surgery IndianaSecondary
Student in an Organized Health Care Education/Training Program Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
Holland Community Hospital (230072)Holland, MIAcute Care Hospital
Reid Hospital & Health Care Services (150048)Richmond, INAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Theodore Anthony Kostiuk Iv is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Reid Physician Associates, Inc. (6406910769)308
Shoreline Orthopaedic And Sports Medicine Clinic,plc (6002891926)18
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Theodore Anthony Kostiuk Iv such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
201244390MedicaidIndiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 370 N 120th Ave Ste 20,
Holland, Michigan
Zip: 49424-2196
Phone Number: 616-396-5855
Fax Number: 616-396-5720
Patients can reach Dr. Theodore Anthony Kostiuk Iv at 370 N 120th Ave Ste 20, Holland, Michigan or can call to book an appointment on 616-396-5855. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.

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