LARRY V. CRISCO MD – NPI #1952395782
Internal Medicine
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
LARRY CRISCO is a physician located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1952395782 to LARRY CRISCO on September 08, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RI0011X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Interventional Cardiology
The NPI profile was previously updated about 7 years ago on Aug 30, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LARRY CRISCO below.
NPI Profile for
LARRY V. CRISCO
(about 21 years ago)
SUITE 221
JACKSONVILLE, FL 32216-4392 Phone: (904) 423-0010 Fax: (904) 423-0012
Identifiers for LARRY CRISCO
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | NPI | 1952395782 | |
| OTHER | TAX ID# | GA | 58-1624987 |
| MEDICAID | GA | 000777686G |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207RI0011X - Internal Medicine / Interventional Cardiology (Primary) |
GA | 38457 |
| 207UN0902X - Nuclear Medicine / Nuclear Imaging & Therapy |
GA | 38457 |
| 207UN0901X - Nuclear Medicine / Nuclear Cardiology |
GA | 38457 |
| 207RC0000X - Internal Medicine / Cardiovascular Disease |
GA | 038457 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
LARRY CRISCO is affiliated with the following medical group(s):
- HOSPITAL
- FLAGLER HOSPITAL400 HEALTH PARK BLVD
SAINT AUGUSTINE, FL 32086 - FLORIDA HOSPITAL FLAGLER60 MEMORIAL MEDICAL PKWY
PALM COAST, FL 32164
- FLAGLER HOSPITAL400 HEALTH PARK BLVD
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