Provider Demographics
NPI:1285632141
Name:COSENTINO, FRANK ANTHONY (DO)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:ANTHONY
Last Name:COSENTINO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 141
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:OH
Mailing Address - Zip Code:43054-0141
Mailing Address - Country:US
Mailing Address - Phone:740-774-4340
Mailing Address - Fax:740-774-4346
Practice Address - Street 1:457 SHAWNEE LN
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-4145
Practice Address - Country:US
Practice Address - Phone:740-774-4340
Practice Address - Fax:740-774-4346
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2014-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34003733207RN0300X
OH34-00-3733-C207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0729751Medicaid
OHD97944Medicare UPIN
OHCO0630696Medicare UPIN