MICHAEL E CRISWELL


Address: 1500 Salem St, Lafayette, IN 47904-2164
Phone: 7654488000

MICHAEL E CRISWELL (NPI# 1679977128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679977128
Entity Type Individual
Full Name MICHAEL E CRISWELL
Credential CNS
Practice Address 1500 Salem St
Lafayette
IN 47904-2164
Mailing Address Po Box 5545
Lafayette
IN 47903-5545
Practice Telephone 7654488000
Mailing Telephone 7654488000
Enumeration Date 2014-10-13
Last Update Date 2020-03-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SM0705X Clinical Nurse Specialist
Specialization: Medical-Surgical
28074750A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN ANTHEM PROVIDER NUMBER 000000905209 01
IN 201262580 05

Other Providers MICHAEL CRISWELL

NPI Name Taxonomy Address Enumeration
1932129111 Michael David Criswell Optometrist 652 Coleman Blvd, Suite 104, Mount Pleasant, SC 29464 2006-07-20

Office Location

Street Address 1500 SALEM ST
City LAFAYETTE
State IN
Zip Code 47904-2164

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568448876 Tamara Loewen Hazbun Emergency Medicine 1500 Salem St, Lafayette, IN 47904-2164 2005-12-19
1801246467 Jacqulyn Burgess Registered Nurse 1500 Salem St, Lafayette, IN 47904-2164 2016-06-15
1942656186 Amanda Dehne Registered Nurse 1500 Salem St, Lafayette, IN 47904-2164 2016-05-06
1134527807 Rebecca J Hauck Registered Nurse 1500 Salem St, Lafayette, IN 47904-2164 2014-12-12
1962840785 Amy Sue Mclaughlin Registered Nurse 1500 Salem St, Lafayette, IN 47904-2164 2013-06-14
1487920310 Laurie L Lebegue Specialist/Technologist, Other 1500 Salem St, Lafayette, IN 47904-2164 2012-03-26
1356659403 Leslie Anne Bentinganan Family Medicine 1500 Salem St, Lafayette, IN 47904-2164 2010-09-22
1154598563 Tasbirul Islam Internal Medicine 1500 Salem St, Lafayette, IN 47904-2164 2008-05-14
1346413713 Leslie E Harshman Specialist/Technologist, Other 1500 Salem St, Lafayette, IN 47904-2164 2008-04-08
1376715631 Teri Anne Anderson Specialist/Technologist, Other 1500 Salem St, Lafayette, IN 47904-2164 2008-03-27
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568998615 Angela Hands Physical Therapy Assistant 1260 North 17th Street, Lafayette, IN 47904 2017-05-11
1366894164 Kathryn Barnett Behavioral Analyst 2785 Cason St # 2, Lafayette, IN 47904 2016-07-06
1881972917 Rest Assured, LLC Durable Medical Equipment & Medical Supplies 180 Professional Ct., Lafayette, IN 47904 2011-07-22
1144514233 Michelle Cristin Singleton Dietitian, Registered 508 N 26th St, Lafayette, IN 47904 2011-06-06
1912134438 Jean D Trammel Marriage & Family Therapist 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 2009-06-11
1902946056 Terry Richard Baker Optometrist 2300 Sagamore Parkway S, Lafayette, IN 47904 2007-02-07
1891862165 Becki A Bowditch Inc Social Worker 2201 Ferry Street, Lafayette, IN 47904 2006-11-29
1326121849 James Lowell Thomas Pediatrics 2300 Ferry St, Lafayette, IN 47904 2006-10-21
1700976719 Michael Leonard Bagnoli Dentist 2020 Union Street, Suite 200, Lafayette, IN 47904 2006-10-13
1255428801 Lynn Arlen Pestle Dentist 2550 Elmwood Avenue, Lafayette, IN 47904 2006-10-06
Find all providers in zip 47904

Taxonomy Information

Taxonomy Code 364SM0705X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Medical-Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730248030 Molly B Janovsky Clinical Nurse Specialist 901 Macarthur Blvd, Wound Ostomy Clinic, Munster, IN 46321-2901 2006-12-06
1639237407 Opal K Porras Clinical Nurse Specialist 901 Macarthur Blvd, Would Ostomy Clinic, Munster, IN 46321-2901 2006-12-05
1740230531 Lorraine Kay Widdall Clinical Nurse Specialist 8317 Calumet Ave, Munster, IN 46321-1737 2006-05-11

Competitor

Search similar providers

City LAFAYETTE
Zip Code 47904

Improve Information

Please comment or provide details below to improve the information on MICHAEL E CRISWELL.

Dataset Information

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.

Trending Searches