JOHN J MCCROSSON (NPI# 1407881709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407881709 |
| Entity Type | Individual |
| Full Name | JOHN J MCCROSSON |
| Credential | MD |
| Practice Address |
125 Doughty St Ste 680 Charleston SC 29403-5736 |
| Mailing Address |
Po Box 751649 Charlotte NC 28275-1649 |
| Practice Telephone | 8437891850 |
| Practice Fax Number | 8437242454 |
| Mailing Telephone | 8437891620 |
| Mailing Fax Number | 8437242454 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2015-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 17878 | SC | Allopathic & Osteopathic Physicians |
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
17878 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RAILROAD MEDICARE ID# | P00605881 | 01 |
| MEDICARE GROUP NUMBER | 5551 | 01 | |
| SC | MEDICAID GROUP # | GP4854 | 01 |
| SC | 178783 | 05 | |
| SC | RAILROAD MC ID-RSFPN | P00952998 | 01 |
| Street Address |
125 DOUGHTY ST STE 680 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29403-5736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548263510 | Laurel K Fox | Nurse Anesthetist, Certified Registered | 125 Doughty St, Ste 430, Charleston, SC 29403-5741 | 2005-05-24 |
| 1013409358 | Eleanor Cody | Registered Nurse | 125 Doughty St, Charleston, SC 29403-5736 | 2018-06-02 |
| 1053840769 | Cheryl Ann Allen | Nurse Practitioner | 125 Doughty St, Charleston, SC 29403-5736 | 2017-06-06 |
| 1447624218 | Alison Leigh Sherrod | Physician Assistant | 125 Doughty St, Suite 690, Charleston, SC 29403-5736 | 2015-11-17 |
| 1215314828 | Roper Saint Francis Physicians Network | Psychologist | 125 Doughty St, Charleston, SC 29403 | 2015-05-04 |
| 1841683919 | Roper Saint Francis Physicians Network | Internal Medicine | 125 Doughty St, Suite 280, Charleston, SC 29403-5736 | 2015-03-12 |
| 1235535279 | Roper Hospital, Inc. | Anesthesiology | 125 Doughty St, Suite 300, Charleston, SC 29403-5736 | 2014-11-18 |
| 1972933679 | Roper Saint Francis Physicians Network | Counselor | 125 Doughty St, Suite 280, Charleston, SC 29403 | 2013-11-15 |
| 1881943363 | Jeremy M Freitas | Physician Assistant | 125 Doughty St, Suite 680, Charleston, SC 29403 | 2012-08-30 |
| 1477811784 | Sheila Regina Hutchens | Nurse Practitioner | 125 Doughty St, Ste. 680, Charleston, SC 29403-5736 | 2012-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780210674 | Samantha Barretta | Behavior Technician | 530 Meeting St, Apt 409, Charleston, SC 29403 | 2020-03-23 |
| 1114497435 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 10 Westedge St, Suite 100, Charleston, SC 29403 | 2018-11-29 |
| 1194266072 | Ashley Rogers Albrecht | Dentist | 29 Bee St, Fourth Floor, Charleston, SC 29403 | 2017-03-13 |
| 1427467307 | Valerie Nicole Garilas | Pharmacist | 1400 Woodruff Road, Greenville, SC 29403 | 2014-08-05 |
| 1467883645 | Disabilities Board of Charleston County | Case Management | 995 Morrison Drive, Suite 100, Charleston, SC 29403 | 2013-12-12 |
| 1326487588 | Tracy Jon Tipton | Urology | 125 Doughty St Ste 300, Charleston, SC 29403 | 2013-06-21 |
| 1205171964 | Brian Sherman | Psychologist | 26a Bee St., Charleston, SC 29403 | 2012-12-06 |
| 1710291455 | Linda Ramsey Bright | Clinical Nurse Specialist | 103 Bee Street, Charleston, SC 29403 | 2010-08-05 |
| 1598990442 | Colleen Lehn Degeorge | Social Worker | 198 Rutledge Avenue, Suite 8, Charleston, SC 29403 | 2009-05-21 |
| 1164618815 | Diane Andrews | Speech-Language Pathologist | Musc Speech Language Pathology, 169 Ashley Ave Msc 335, Charleston, SC 29403 | 2007-09-17 |
| Find all providers in zip 29403 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821418690 | Erik James Hansen | Orthopaedic Surgery | 171 Ashley Ave, Charleston, SC 29425-1032 | 2014-04-21 |
| 1851542898 | Patrick James Murray | Orthopaedic Surgery | 125 Doughty St, Suite 680, Charleston, SC 29403-5736 | 2008-10-08 |
| 1700834868 | Barton Lewis Sachs | Orthopaedic Surgery | 171 Ashley Ave, Charleston, SC 29425-8908 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366556417 | Raymond Scott Corpe | Orthopaedic Surgery | 5 Richmond Medical Park, Columbia, SC 29230 | 2006-08-18 |
| 1104345594 | Vandit Sardana | Orthopaedic Surgery | Beaufort Memorial Orthopaedic Specialists, 1251 Ribaut Road, Beaufort, SC 29902-6185 | 2017-09-17 |
| 1497206478 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 3510 N Highway 17, Suite 220, Mt Pleasant, SC 29466-8227 | 2016-10-14 |
| 1487105466 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 8901 University Blvd, N Charleston, SC 29406-9116 | 2016-10-14 |
| 1871999813 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 730 Stony Landing Rd, Suite 200, Moncks Corner, SC 29461-2904 | 2014-11-18 |
| 1780080721 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 594 Lone Tree Dr, Bldg 6, Mt Pleasant, SC 29464-8170 | 2014-11-18 |
| 1104245109 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 2891 Tricom St, Suite A, North Charleston, SC 29406-7110 | 2014-04-08 |
| 1306130307 | Dustin S Hambright | Orthopaedic Surgery | 9100 Medcom St, N Charleston, SC 29406-9167 | 2011-06-07 |
| 1285946269 | Justin Gerard Brothers | Orthopaedic Surgery | 210 Village Center Blvd, Suite 200, Myrtle Beach, SC 29579-6706 | 2010-07-07 |
| 1881829844 | Eric S. Stem, M.d. | Orthopaedic Surgery | 130 E 3rd North St, Summerville, SC 29483-6810 | 2009-05-20 |
| Find all providers with the same taxonomy | ||||
| City | CHARLESTON |
| Zip Code | 29403 |
Please comment or provide details below to improve the information on JOHN J MCCROSSON.
| 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.