MARK A CRISWELL M.D., F.A.C.S.
NPI 1619947033
Otolaryngology in Eglin Afb,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 26, 2006

Contact Information

307 Boatner Rd Ste 114
Eglin Afb,
Post Code: 32542
Phone: (850) 883-8264
Fax: -

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Mark A Criswell M.d., F.a.c.s. in Eglin Afb - Otolaryngology

Mark A Criswell M.d., F.a.c.s. is a Otolaryngology in Eglin Afb, . Mark A Criswell M.d., F.a.c.s. practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Mark A Criswell M.d., F.a.c.s. is 1619947033. The last update date is 2018-07-11.

Mark A Criswell M.d., F.a.c.s.'s current location address is 307 Boatner Rd Ste 114, Eglin Afb, . You can contact this provider via phone number (850) 883-8264 and fax number -. The mailing address for Mark A Criswell M.d., F.a.c.s. is 307 Boatner Rd Ste 114, Eglin Afb, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1619947033
Provider Name
MARK A CRISWELL M.D., F.A.C.S.
Gender
Male
Entity Type
Individual
Location Address
307 Boatner Rd Ste 114, Eglin Afb,
Location Phone
(850) 883-8264
Location Fax
-
Mailing Address
307 Boatner Rd Ste 114, Eglin Afb, Florida(FL)
Mailing Phone
850-883-8264
Mailing Fax
-
Enumeration Date
2006-01-26
Last Update Date
2018-07-11
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Otolaryngology

Taxonomy Code
207Y00000X
Type
-
License No.
00056111
License State
Colorado (CO)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 207Y00000X Otolaryngology Physician

Otolaryngology

01046367A (Indiana)
2 207YS0012X Sleep Medicine (Otolaryngology) Physician

01046367A (Indiana)
3 207YX0007X Plastic Surgery within the Head & Neck (Otolaryngology) Physician

Otolaryngology, Plastic Surgery within the Head & Neck

0056111 (Colorado)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
027034 Other (non-Medicare) (01) Colorado (CO) Kaiser Commercial Number
21400253 MEDICAID (05) Colorado (CO)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1619947033
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26291841406
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 26291841406
2 + 6 + 2 + 9 + 1 + 8 + 4 + 1 + 4 + 0 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 3 3

The NPI number 1619947033 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1588667638 WILLIAM C PILCHER
Individual
Internal Medicine, Cardiovascular Disease 1824 KING STREET
JACKSONVILLE, Florida (FL)
904-388-1820
1114920261 RICHARD RANDALL THACKER
Individual
Internal Medicine 2770 CAPITAL MEDICAL BLVD
TALLAHASSEE, Florida (FL)
850-878-8235
1306849336 ERIC L TOWNSEND
Individual
Dentist, General Practice 105 SOLANA RD
PONTE VEDRA, Florida (FL)
904-285-7711
1326041476 RICHARD G SCHWARTZ
Individual
Plastic Surgery 1500 N DIXIE HWY
WEST PALM BEACH, Florida (FL)
561-833-4022
1295738243 MEDFUND LLC
HORIZON COLUMBUS LLC
Organization
Clinic/Center, Magnetic Resonance Imaging (MRI) 240 N WASHINGTON BLVD
SARASOTA, Florida (FL)
941-925-3490