Provider Demographics
NPI:1902839855
Name:COSTA, CLAUDIA H (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:H
Last Name:COSTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:901 HEARTLAND RD STE 2800
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-6201
Mailing Address - Country:US
Mailing Address - Phone:816-271-1005
Mailing Address - Fax:816-271-1217
Practice Address - Street 1:901 HEARTLAND RD STE 2800
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-6201
Practice Address - Country:US
Practice Address - Phone:816-271-1005
Practice Address - Fax:816-271-1217
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004011868207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO208381806Medicaid
P0015191OtherRAILROAD MEDICARE
KS200264110AMedicaid
MO465452OtherCHILDRENS MERCY FAMILY HEALTH
440545289H011OtherTRICARE/CHAMPUS
MO34261011OtherBLUE CROSS BLUE SHIELD
10001703500OtherCOMMUNITY HEALTH PLAN
41826OtherFIRSTGUARD
440545289H011OtherTRICARE/CHAMPUS
MO208381806Medicaid