MR. RAYMOND ANTHONY CRISIO (NPI# 1053354373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053354373 |
| Entity Type | Individual |
| Full Name | MR. RAYMOND ANTHONY CRISIO |
| Credential | DMD |
| Practice Address |
4933 Benchmark Centre Drive Suite A Swansea IL 62226 |
| Mailing Address |
Po Box 748 Belleview IL 62222 |
| Practice Telephone | 6186326100 |
| Practice Fax Number | 6186326156 |
| Mailing Telephone | 6186326100 |
| Mailing Fax Number | 6186326156 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
01923380 | IL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 109696 | 05 |
| Street Address |
4933 BENCHMARK CENTRE DRIVE SUITE A |
| City | SWANSEA |
| State | IL |
| Zip Code | 62226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1053969790 | Consistent Medical Transportation | Driver | 2012 N 17th St, Swansea, IL 62226 | 2019-08-27 |
| 1497314371 | Medi-plex Hospice of Illinois, LLC | Registered Nurse | 8 Park Place, Suite #3, Swansea, IL 62226 | 2019-06-13 |
| 1336617364 | Nicole Renee Schmidt | Speech-Language Pathologist | 150 N 27th St., Belleville, IL 62226 | 2018-11-07 |
| 1295258903 | Catherine Espino | Pharmacist | 11 Chambers Blvd, Swansea, IL 62226 | 2017-07-25 |
| 1366806838 | Kiley Faires | Nurse Practitioner | 4600 Memorial Drive Ste 360, Belleville, IL 62226 | 2016-04-11 |
| 1760857585 | Mvp Transportation | Non-emergency Medical Transport (VAN) | 1229 N 17th Street, Number 23, Belleville, IL 62226 | 2015-12-04 |
| 1275952566 | Aisha Danyale Franklin | Internal Medicine | 4261 Woodfield Pl, Belleville, IL 62226 | 2014-04-15 |
| 1396168332 | Jayne E. Ninness | Physical Therapy Assistant | 4500 Memorial Dr., Memorial Hospital, Belleville, IL 62226 | 2014-01-28 |
| 1053758193 | Gateway Foundation, Inc. | Clinic/Center | 1 Bronze Point, Suite 1, Swansea, IL 62226 | 2013-05-30 |
| Find all providers in zip 62226 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609396134 | Suthar, PC | Dentist | 533 Saint Matthews Rd, Swansea, SC 29160-8814 | 2017-06-26 |
| 1104254960 | Schreder Family Dental | Dentist | 4023 N Illinois St, Swansea, IL 62226-1931 | 2013-10-14 |
| 1528314465 | Heritage Family Dentistry, LLC | Dentist | 533 Saint Matthews Road, Swansea, SC 29160 | 2012-07-30 |
| 1538318720 | Templer Dentistry, LLC | Dentist | 1010 G.a.r. Hyghway, Swansea, MA 02777 | 2008-09-12 |
| 1366614125 | Barrington Family Dental PC | Dentist | 2302 Gar Hwy, Swansea, MA 02777-3907 | 2008-04-01 |
| 1659402899 | Mary Anne Delcupolo Dds PC | Dentist | H2 Swansea Mall, Swansea, MA 02777 | 2007-03-08 |
| 1386798247 | Kevin Lee Shelton | Dentist | 500 Fullerton Rd, Park Place Professional Centre, Swansea, IL 62226-2970 | 2007-01-22 |
| 1578617965 | Francis Edward Dowling | Dentist | H 2 Swansea Mall, Swansea, MA 02777 | 2007-01-22 |
| 1437251667 | James K Stubblefield | Dentist | 12 Park Place, Swansea, IL 62226 | 2006-09-01 |
| 1093829624 | Paul Andre Raymond | Dentist | 1010 Gar Hwy Rt 6, Swansea, MA 02777 | 2006-08-19 |
| Find all providers in SWANSEA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.