CAROLYN DIANE CRISPELL (NPI# 1306069265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306069265 |
| Entity Type | Individual |
| Full Name | CAROLYN DIANE CRISPELL |
| Credential | D.O. |
| Practice Address |
33-57 Harrison St Johnson City NY 13790-2107 |
| Mailing Address |
3708 Jefferson St Ste A Austin TX 78731-6206 |
| Practice Telephone | 6077636622 |
| Practice Fax Number | 6077635064 |
| Mailing Telephone | 6077298156 |
| Mailing Fax Number | 6077293982 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2018-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 239067 | NY | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | R7696 | TX | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 239067 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02886620 | 05 |
| Street Address |
33-57 HARRISON ST |
| City | JOHNSON CITY |
| State | NY |
| Zip Code | 13790-2107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669477832 | Rajesh Jayantkrishna Dave | Specialist | 33-57 Harrison St, Johnson City, NY 13790-2143 | 2005-06-15 |
| 1447851944 | Sagarkumar Patel | Nurse Practitioner | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2020-11-03 |
| 1083214332 | Justin Michael Eisenhauer | Physician Assistant | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2020-10-27 |
| 1124665849 | Jason D Oziemina | Physical Therapist | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2019-12-02 |
| 1104462472 | Cathy J Forde | Occupational Therapist | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2019-11-21 |
| 1740826361 | Marie Beth Abell | Physical Medicine & Rehabilitation | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2019-11-19 |
| 1841835675 | Jessica Lynn Mclaughlin | Occupational Therapist | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2019-11-15 |
| 1346885399 | Brianna Bruster | Speech-Language Pathologist | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2019-11-14 |
| 1689219735 | Jinfang Li | Physician Assistant | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2019-11-13 |
| 1437794781 | John Yacano | Physician Assistant | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2019-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578107645 | Thomas William Sorber | Occupational Therapist | 33 Harrison St, Johnson City, Johnson City, NY 13790 | 2019-11-01 |
| 1326534116 | Silver Linings Golden Memory Care | Clinic/Center | 4416 Watson Blvd, Johnson City, NY 13790 | 2018-07-05 |
| 1508308545 | Irene Mukeli Nzasi | Registered Nurse | 156 Corliss Ave Suite 107, Johnson City, NY 13790 | 2016-11-08 |
| 1053867754 | Tabitha Rae Toman | Physical Therapist | 34 Harrison St, Johnson City, NY 13790 | 2016-09-01 |
| 1235685066 | Dianne Brunner | Physical Therapist | 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 | 2016-08-31 |
| 1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
| 1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
| 1134464399 | Kasey Connor Folger | Speech-Language Pathologist | 3 Laurel St., Johnson City, NY 13790 | 2012-11-29 |
| 1467797571 | Bodyworks Physical Therapy LLC | Clinic/Center | 765 Harry L Drive, Johnson City, NY 13790 | 2012-11-29 |
| 1548518400 | Melissa L Korosec | Nurse Practitioner | 30 Harrison St., Suite 250, Johnson City, NY 13790 | 2012-08-27 |
| Find all providers in zip 13790 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| 1376074385 | Jonesborough Medical Center | Internal Medicine | 2811 W Market St Ste 1, Johnson City, TN 37604-5127 | 2017-03-22 |
| 1922463470 | Integrated Health Transitions, Pllc | Internal Medicine | 3107 W Market St, Suite 5, Johnson City, TN 37604-9347 | 2015-12-29 |
| 1689933301 | Jeremy Vincent Pinyard | Internal Medicine | 516 W Oakland Ave, Suite 106, Johnson City, TN 37604-1676 | 2012-05-15 |
| 1538397328 | Sirisha Jasti | Internal Medicine | 32-36 Harrison Street, Johnson City, NY 13790-2122 | 2009-06-30 |
| 1003057068 | Alan Cox | Internal Medicine | 2603 Avondale Dr, Johnson City, TN 37604-1902 | 2009-03-20 |
| 1528226016 | Mihir Patel | Internal Medicine | 408 N State of Franklin Rd Ste 24, Johnson City, TN 37604-6048 | 2008-05-30 |
| 1548481955 | Yamini Banerjee | Internal Medicine | 1403 E Oakland Ave, Johnson City, TN 37601-2655 | 2007-05-01 |
| 1013062421 | E Paul Getaz | Internal Medicine | 5 Saint Annes Ct, Johnson City, TN 37604-2279 | 2007-01-24 |
| 1841367919 | Jo G. Sweet | Internal Medicine | 415 State of Franklin Rd, Johnson City, TN 37604-6034 | 2006-11-30 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 13790 |
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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.