KARL J. CROSSEN (NPI# 1619919511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619919511 |
| Entity Type | Individual |
| Full Name | KARL J. CROSSEN |
| Credential | M.D. |
| Practice Address |
499 Gloster Creek Vlg Ste A2 Cardiology Associates of North Ms Tupelo MS 38801-4749 |
| Mailing Address |
499 Gloster Creek Vlg Ste A2 Cardiology Associates of North Ms, Pa Tupelo MS 38801-4749 |
| Practice Telephone | 6626206800 |
| Practice Fax Number | 6626206920 |
| Mailing Telephone | 6626206800 |
| Mailing Fax Number | 6626206920 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2011-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
15923 | MS | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
15923 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00119948 | 05 |
| Street Address |
499 GLOSTER CREEK VLG STE A2 CARDIOLOGY ASSOCIATES OF NORTH MS |
| City | TUPELO |
| State | MS |
| Zip Code | 38801-4749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538769161 | William Todd Sandroni | Pharmacist | 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801-4749 | 2020-11-01 |
| 1073157715 | Brandon Heath Petty | Nurse Practitioner | 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801-4749 | 2019-11-06 |
| 1023305687 | Michael Ted Boler Jr. | Internal Medicine | 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801-4749 | 2011-07-05 |
| 1366739054 | Richard Dane Ballard | Internal Medicine | 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801 | 2011-07-01 |
| 1760797781 | Karthik Venkatesh Prasad | Internal Medicine | 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801-4749 | 2010-08-13 |
| 1619174299 | Gwendolyn H Hill | Nurse Practitioner | 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801-4749 | 2007-06-28 |
| 1013114677 | Wanda Ikeda | Nurse Practitioner | 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801-4749 | 2007-06-28 |
| 1265640148 | Amit Gupta | Internal Medicine | 499 Gloster Creek Vlg Ste A2, Cardiology Associates of North Mississippi, Tupelo, MS 38801-4749 | 2007-05-21 |
| 1225190382 | Christopher M. Bell | Nurse Practitioner | 499 Gloster Creek Vlg Ste A2, Cardiology Associates of North Ms, Pa, Tupelo, MS 38801-4749 | 2006-12-15 |
| 1902971492 | Cardiology Associates of North Ms Pa | Internal Medicine | 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801-4749 | 2006-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
| Find all providers in zip 38801 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| 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 |
|---|---|---|---|---|
| 1275081754 | North Mississippi Electrophysiology, LLC | Internal Medicine | 499 Gloster Creek Village, Suite A-2, Tupelo, MS 38801-4749 | 2016-09-14 |
| 1760797781 | Karthik Venkatesh Prasad | Internal Medicine | 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801-4749 | 2010-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578557013 | Frank Nelson Haugland | Internal Medicine | 501 Marshall St Ste 104, Jackson, MS 39202-1663 | 2005-09-09 |
| 1235139866 | Santo M Borganelli | Internal Medicine | 415 South 28th Avenue, Hattiesburg, MS 39401 | 2005-07-26 |
| 1982801858 | James Howard Hamilton Iv | Internal Medicine | 2500 N State St, Jackson, MS 39216 | 2007-07-02 |
| 1730102740 | John P. Payne | Internal Medicine | 971 Lakeland Dr, Ste. 850, Jackson, MS 39216-4608 | 2006-07-25 |
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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.