LARRY VAN THOMAS CRISCO MD NPI 1952395782

NPI Information

  • NPI: 1952395782
  • Provider Name: LARRY VAN THOMAS CRISCO, MD
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3901 UNIVERSITY BLVD S
    SUITE 221
    JACKSONVILLE, FL
    ZIP 32216
  • Phone: (904) 423-0010

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NPI Details

Larry Van Thomas Crisco, MD is an interventional cardiology internal medicine in Jacksonville, FL with 35 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 electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes (HCPCS:99153)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist (HCPCS:93458)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch (HCPCS:92928)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Review by radiologist of both arms or legs arteries image (HCPCS:75716)
  • Review by radiologist of abdominal aorta image (HCPCS:75625)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel (HCPCS:92978)
  • Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel (HCPCS:93571)
  • Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist (HCPCS:93459)
  • Ultrasound evaluation of blood vessel with review by radiologist, initial vessel (HCPCS:37252)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Coronary angioplasty and stenting (HCPCS:NAN05)
  • Pacemaker insertion or repair (HCPCS:NAN10)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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