LARRY VAN THOMAS CRISCO MD
NPI 1952395782
Internal Medicine, Cardiovascular Disease in Jacksonville,


Quality Rating: 100 out of 100 score

NPI Status: Active since September 8, 2005

Contact Information

3901 University Blvd S
Jacksonville,
Post Code: 32216
Phone: (904) 423-0010
Fax: (904) 423-0012

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Larry Van Thomas Crisco Md in Jacksonville - Internal Medicine, Cardiovascular Disease

Larry Van Thomas Crisco Md is a Internal Medicine, Cardiovascular Disease in Jacksonville, . Larry Van Thomas Crisco Md practices all healthcare services and medical treatments related to Internal Medicine, Cardiovascular Disease. The NPI Number for Larry Van Thomas Crisco Md is 1952395782. The last update date is 2019-08-30.

Larry Van Thomas Crisco Md's current location address is 3901 University Blvd S, Jacksonville, . You can contact this provider via phone number (904) 423-0010 and fax number (904) 423-0012. The mailing address for Larry Van Thomas Crisco Md is 3901 University Blvd S, Jacksonville, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1952395782
Provider Name
LARRY VAN THOMAS CRISCO MD
Gender
Male
Entity Type
Individual
Location Address
3901 University Blvd S, Jacksonville,
Location Phone
(904) 423-0010
Location Fax
(904) 423-0012
Mailing Address
3901 University Blvd S, Jacksonville, Florida(FL)
Mailing Phone
904-423-0010
Mailing Fax
904-423-0012
Enumeration Date
2005-09-08
Last Update Date
2019-08-30
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

Internal Medicine, Interventional Cardiology

Taxonomy Code
207RI0011X
Type
-
License No.
ME115672
License State
Florida (FL)
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 207RC0000X Cardiovascular Disease Physician

Internal Medicine, Cardiovascular Disease

038457 (Georgia)
2 207RC0000X Cardiovascular Disease Physician

Internal Medicine, Cardiovascular Disease

ME115672 (Florida)
3 207RI0011X Interventional Cardiology Physician

Internal Medicine, Interventional Cardiology

38457 (Georgia)
4 207UN0901X Nuclear Cardiology Physician

Nuclear Medicine, Nuclear Cardiology

38457 (Georgia)
5 207UN0902X Nuclear Imaging & Therapy Physician

Nuclear Medicine, Nuclear Imaging & Therapy

38457 (Georgia)

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
000777686G MEDICAID (05) Georgia (GA)
1952395782 Other (non-Medicare) (01) () NPI
58-1624987 Other (non-Medicare) (01) Georgia (GA) TAX ID#

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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.
1952395782
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291026910716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 291026910716
2 + 9 + 1 + 0 + 2 + 6 + 9 + 1 + 0 + 7 + 1 + 6 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 2 2

The NPI number 1952395782 is valid because the calculated check digit 2 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
1699778647 VISITING HOME HEALTH SERVICES, INC
LIFE CARE AT HOME
Organization
Home Health 3001 KEITH ST NW
CLEVELAND, Tennessee (TN)
423-473-5256
1861495814 FRANCISCO ALBERTO SMITH
Individual
Obstetrics & Gynecology, Gynecologic Oncology 1660 MEDICAL BLVD
NAPLES, Florida (FL)
239-596-1995
1306849336 ERIC L TOWNSEND
Individual
Dentist, General Practice 105 SOLANA RD
PONTE VEDRA, Florida (FL)
904-285-7711