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ABIGAIL CRISOSTOMO MD NPI 1720347867

NPI Profile

NPI: 1720347867

Provider Name: ABIGAIL CRISOSTOMO, MD

Classification: Family Medicine - 207Q00000X

Entity Type: Individual

Organization: MERCY CLINIC SPRINGFIELD COMMUNITIES

PECOS Registration: Yes

Address:
1605 MARTIN SPRINGS DR
STE 210
ROLLA, MO
ZIP 65401

Phone: (573) 458-6326

Abigail Crisostomo, MD is a family physician in Rolla, MO with 12 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Abigail Crisostomo, MD NPI is 1720347867. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1605 MARTIN SPRINGS DR
STE 210
ROLLA, MO
ZIP 65401-931
Phone: (573) 458-6326
Fax: (573) 458-6763

The NPI 1720347867 is registered in the Medicare Provider, Enrollment, Chain and Ownership System PECOS.

The enumeration date for this NPI number is 5/10/2012 and was last updated on 12/20/2012.

Map - Location of Practice

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207Q00000X Family Medicine 2012003234 MISSOURI Yes

What is NPI?
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 7/13/2015