DR. JOHN JOSEPH CRISCUOLO III (NPI# 1346653136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346653136 |
| Entity Type | Individual |
| Full Name | DR. JOHN JOSEPH CRISCUOLO III |
| Credential | D.O. |
| Practice Address |
1524 Pinto Ln Fl 2 Las Vegas NV 89106-4195 |
| Practice Telephone | 7026716444 |
| Mailing Telephone | 7026716444 |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | DO2283 | NV | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 450 Clarkson Ave, Box 59, Brooklyn, NY 112032012 | 7182702078 | 7186138677 |
| Street Address |
1524 PINTO LN FL 2 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89106-4195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942283734 | David G Weismiller | Family Medicine | 1524 Pinto Ln Fl 2, Las Vegas, NV 89106-4195 | 2005-11-25 |
| 1295399590 | Matthew Evans | Student in an Organized Health Care Education/Training Program | 1524 Pinto Ln Fl 2, Las Vegas, NV 89106-4195 | 2019-04-23 |
| 1407419526 | Cherry Choong | Student in an Organized Health Care Education/Training Program | 1524 Pinto Ln Fl 2, Las Vegas, NV 89106-4195 | 2019-04-15 |
| 1154884476 | Jessica Budiaman | Student in an Organized Health Care Education/Training Program | 1524 Pinto Ln Fl 2, Las Vegas, NV 89106-4195 | 2019-04-12 |
| 1306309844 | Zachary Featherstone | Student in an Organized Health Care Education/Training Program | 1524 Pinto Ln Fl 2, Las Vegas, NV 89106-4195 | 2019-04-11 |
| 1487116117 | Kirandeep Chahal | Student in an Organized Health Care Education/Training Program | 1524 Pinto Ln Fl 2, Las Vegas, NV 89106-4195 | 2019-04-02 |
| 1760943898 | Maral Alisse Banan | Student in an Organized Health Care Education/Training Program | 1524 Pinto Ln Fl 2, Las Vegas, NV 89106-4195 | 2019-03-29 |
| 1295295541 | Brooke Esther Prince | Student in an Organized Health Care Education/Training Program | 1524 Pinto Ln Fl 2, Las Vegas, NV 89106-4195 | 2019-03-22 |
| 1477012276 | William Vu Quach | Student in an Organized Health Care Education/Training Program | 1524 Pinto Ln Fl 2, Las Vegas, NV 89106-4195 | 2019-03-19 |
| 1346709573 | Evins Clauther | Student in an Organized Health Care Education/Training Program | 1524 Pinto Ln Fl 2, Las Vegas, NV 89106-4195 | 2019-03-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555772 | Graciela Miranda Cocorpio | Technician | 820 Rancho Ln Suite #40, Las Vegas, NV 89106 | 2020-10-09 |
| 1679101679 | A Better You Wellness Center | Counselor | 320 W Monroe Street, Las Vegas, NV 89106 | 2020-03-27 |
| 1730725177 | Mariah La'neese Jones | Rehabilitation Practitioner | 400 Shadow Lane Ste 106, Las Vegas, NV 89106 | 2019-11-20 |
| 1417592841 | Lourdes Rita Apumayta-paredes | Technician | 820 Rancho Lane, Suite #40, Las Vegas, NV 89106 | 2019-11-08 |
| 1902456551 | Marisela Pena | Technician | 820 Rancho Ln., 25, Las Vegas, NV 89106 | 2019-09-16 |
| 1992368724 | Amber Nicole Mahajan | Nurse Practitioner | 2020 Wellness Way, Suite 300, Las Vegas, NV 89106 | 2019-04-17 |
| 1568924215 | Arlandrea Tarvins | Behavioral Analyst | 1048 Miller Ave, Las Vegas, NV 89106 | 2019-04-02 |
| 1427510361 | Erik Pennell | Student in an Organized Health Care Education/Training Program | 1542 Pinto Ln, 2nd Floor, Las Vegas, NV 89106 | 2019-04-01 |
| 1245702729 | Bruce Mark Babb | Technician | 820 Rancho Lane Ste #40, Las Vegas, NV 89106 | 2018-12-21 |
| 1639649213 | Antonio Ruiz Pelfort | Technician | 1951 Stella Lake St Suite 36, Las Vegas, NV 89106 | 2018-11-27 |
| Find all providers in zip 89106 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624592 | Brookes Pediatrics LLC | Pediatrics | 8440 W Lake Mead Blvd Ste 104, Las Vegas, NV 89128-7648 | 2020-06-19 |
| 1972079937 | Ching's Pediatrics, Pllc. | Pediatrics | 9260 W Sunset Rd Ste 205, Las Vegas, NV 89148-4903 | 2018-10-17 |
| 1912429093 | Rock & Rowles Pediatrics PC | Pediatrics | 2380 N Buffalo Dr Ste 145, Las Vegas, NV 89128-4807 | 2017-07-11 |
| 1104280783 | Aadil Mohammed Rahman | Pediatrics | 3186 S. Maryland Parkway, Las Vegas, NV 89109-2317 | 2016-04-08 |
| 1508257676 | Susan R Fernandez PC | Pediatrics | 6843 W Tropicana Ave, Suite 100, Las Vegas, NV 89103-4922 | 2015-02-11 |
| 1447592506 | Tina Vikki Desai | Pediatrics | 2040 W Charleston Blvd Ste 402, Las Vegas, NV 89102-2250 | 2013-03-26 |
| 1699014365 | Bond Pediatrics Ltd | Pediatrics | 5751 S Fort Apache Rd Ste A, Las Vegas, NV 89148-5624 | 2013-01-31 |
| 1891057519 | Rabbi Zia | Pediatrics | 10105 Banburry Cross Dr Ste 370, Las Vegas, NV 89144-6649 | 2012-06-08 |
| 1730445099 | William Edward Bannen | Pediatrics | 10 Wild Dunes Court, Las Vegas, NV 89113-1332 | 2012-04-11 |
| 1255622577 | Sanjay Kandoth Md PC | Pediatrics | 7875 S Rainbow Blvd, Suite 102, Las Vegas, NV 89139-6469 | 2011-04-20 |
| Find all providers in LAS VEGAS | ||||
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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.