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LARRY VAN THOMAS CRISCO MD NPI 1952395782


NPI Information

NPI: 1952395782
Provider Name: LARRY VAN THOMAS CRISCO, MD
Classification: Internal Medicine - 207RI0011X
Entity Type: Individual

Specialization: Interventional Cardiology

Organization: FIRST COAST HEART AND VASCULAR CENTER,PA

PECOS Registration: Yes

Address:
3901 UNIVERSITY BLVD S
SUITE 221
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 423-0010
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Larry Van Thomas Crisco, MD is an interventional cardiology internal medicine in Jacksonville, FL with 33 years of experience. The provider is 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 Van Thomas Crisco, MD NPI is 1952395782. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduation Year:1991

The provider's business location address is:

3901 UNIVERSITY BLVD S
SUITE 221
JACKSONVILLE, FL
ZIP 32216-392
Phone: (904) 423-0010
Fax: (904) 423-0012

The NPI 1952395782 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • Ultrasound guidance for accessing into blood vessel (HCPCS:76937)
  • Catheter insertion of stents in major coronary artery or branch, accessed through the skin (HCPCS:92928)
  • Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart (HCPCS:93458)

The enumeration date for this NPI number is 9/8/2005 and was last updated on 8/30/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular Disease038457GEORGIANo
2207RC0000XInternal MedicineCardiovascular DiseaseME115672FLORIDANo
3207RI0011XInternal MedicineInterventional Cardiology38457GEORGIANo
4207UN0901XNuclear MedicineNuclear Cardiology38457GEORGIANo
5207UN0902XNuclear MedicineNuclear Imaging & Therapy38457GEORGIANo
6207RI0011XInternal MedicineInterventional CardiologyME115672FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000777686GMEDICAIDGEORGIA
21952395782OTHERNPI
358-1624987OTHERGEORGIATAX ID#

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.