DR. JOHN CRISOLOGO (NPI# 1720158843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720158843 |
| Entity Type | Individual |
| Full Name | DR. JOHN CRISOLOGO |
| Credential | M.D. |
| Practice Address |
Beaufort Memorial Lowcountry Medical Group 300 Midtown Drive Beaufort SC 29906-5200 |
| Mailing Address |
955 Ribaut Rd Bmac Credentialing Beaufort SC 29902-5441 |
| Practice Telephone | 8437700404 |
| Practice Fax Number | 8442962309 |
| Mailing Telephone | 8435225674 |
| Mailing Fax Number | 8435225678 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2019-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
24000 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | T81480 | 05 |
| Street Address |
BEAUFORT MEMORIAL LOWCOUNTRY MEDICAL GROUP 300 MIDTOWN DRIVE |
| City | BEAUFORT |
| State | SC |
| Zip Code | 29906-5200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285673327 | James A Swenson | Specialist | Beaufort Memorial Lowcountry Medical Group, 300 Midtown Drive, Beaufort, SC 29906-5200 | 2006-06-05 |
| 1801269303 | Margaret Tanner Miler | Physician Assistant | Beaufort Memorial Lowcountry Medical Group, 300 Midtown Dr, Beaufort, SC 29906-5200 | 2015-11-05 |
| 1417342247 | Emi Michelle Rendon Pope | Internal Medicine | Beaufort Memorial Lowcountry Medical Group, 300 Midtown Drive, Beaufort, SC 29906 | 2015-03-30 |
| 1144599929 | Erin Royal Scott | Nurse Practitioner | Beaufort Memorial Lowcountry Medical Group, 300 Midtown Drive, Beaufort, SC 29906-5200 | 2011-12-22 |
| 1336300078 | Kristen C Johnson | Physician Assistant | Beaufort Memorial Lowcountry Medical Group, 300 Midtown Drive, Beaufort, SC 29906-5200 | 2008-06-24 |
| 1942370200 | John Craig Floyd | Family Medicine | Beaufort Memorial Lowcountry Medical Group, 300 Midtown Drive, Beaufort, SC 29906-5200 | 2006-11-08 |
| 1932279197 | Richard Preston Stewart | Internal Medicine | Beaufort Memorial Lowcountry Medical Group, 300 Midtown Dr, Beaufort, SC 29906-5200 | 2006-11-08 |
| 1083784110 | Fletcher Carl Derrick IIi | Internal Medicine | Beaufort Memorial Lowcountry Medical Group, 300 Midtown Dr, Beaufort, SC 29906-5200 | 2006-11-08 |
| 1508936774 | Eve Anne Ashby | Obstetrics & Gynecology | Beaufort Memorial Lowcountry Medical Group, 300 Midtown Drive, Beaufort, SC 29906-5200 | 2006-11-08 |
| 1083723688 | Nicholas P Dardes | Internal Medicine | Beaufort Memorial Lowcountry Medical Group, 300 Midtown Drive, Beaufort, SC 29906-5200 | 2006-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376038687 | Derek Ray Dawson | Dentist | 74 Shadow Moss Dr, Beaufort, SC 29906 | 2018-06-28 |
| 1275957821 | Alan F Dinehart Jr. | Chiropractor | 30 Robert Smalls Parkway, Beaufort, SC 29906 | 2014-02-18 |
| 1699019414 | Poimen,llc | Non-emergency Medical Transport (VAN) | 75 Stanley Farm Road, Beaufort, SC 29906 | 2012-11-16 |
| 1104157569 | Jennifer L Williams | Marriage & Family Therapist | 69 Robert Smalls Pkwy Ste 2b, Beaufort, SC 29906 | 2010-01-26 |
| 1437395969 | Heather L Coker | Counselor | 62 Possum Hill Rd, Beaufort, SC 29906 | 2009-01-06 |
| 1750532115 | Sailaja Adari | Internal Medicine | 300 Mid Town Drive, Beaufort, SC 29906 | 2008-10-03 |
| 1245443241 | A Community Caring for Children | Dental Hygienist | 120 Shanklin Road, Beaufort, SC 29906 | 2007-05-07 |
| 1871672485 | Cathy Lorraine Bagley | Obstetrics & Gynecology | 330 Robert Smalls Pkwy Ste 24-344, Beaufort, SC 29906 | 2006-11-03 |
| 1073521662 | Bertram Dodson Garrett | Family Medicine | 10 Fort Lyttleton, Beaufort, SC 29906 | 2006-08-03 |
| 1568401099 | Lee O Butterfield | Internal Medicine | Beaufort Memorial Heart Specialist, 300 Midtown Dr, Beaufort, SC 29906 | 2006-06-06 |
| Find all providers in zip 29906 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1497838742 | Kevin Kearney | Internal Medicine | 1051 Ribaut Rd, Beaufort, SC 29902-5436 | 2006-10-23 |
| 1932279197 | Richard Preston Stewart | Internal Medicine | Beaufort Memorial Lowcountry Medical Group, 300 Midtown Dr, Beaufort, SC 29906-5200 | 2006-11-08 |
| 1972566149 | Joel Michael Ingegno | Internal Medicine | 1051 Ribaut Rd, Beaufort, SC 29902-5436 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007163 | Ppcp Specialty Physicians, LLC | Internal Medicine | 5500 Front St Ste 260, Summerville, SC 29486-7735 | 2020-09-14 |
| 1497398721 | Brooke Alexa Brooks | Internal Medicine | 25 Courtenay Dr # 7018, Charleston, SC 29425-8911 | 2019-10-18 |
| 1437566510 | Tides Gastroenterology, LLC | Internal Medicine | 159 E Shipyard Rd, Mt Pleasant, SC 29464-2677 | 2014-07-21 |
| 1912326893 | Gastroenterology Consultants of Savannah, PC | Internal Medicine | 10 Oak Forest Rd Ste B, Bluffton, SC 29910-4974 | 2014-04-08 |
| 1457616401 | Christopher Robert Brown | Internal Medicine | 4040 Highway 17 Unit 302, Murrells Inlet, SC 29576 | 2012-07-05 |
| 1326304478 | Madeline Rhea Russell | Internal Medicine | 1010 Medical Center Dr Ste 100, Hardeeville, SC 29927-3452 | 2012-04-03 |
| 1083909402 | Andrew Jonathan Motlis | Internal Medicine | 853 N Church St Ste 620, Spartanburg, SC 29303-3070 | 2011-06-14 |
| 1518250414 | Georgia Gastroenterology,llc. | Internal Medicine | 35 Varden Dr, Suite C, Aiken, SC 29803 | 2011-05-25 |
| 1811296239 | South Coast Gastroenterology | Internal Medicine | 2891 Tricom St Ste B, N Charleston, SC 29406-7110 | 2011-03-24 |
| 1235430745 | Beaufort County Memorial Hospital | Internal Medicine | 1716 Ribaut Rd, Port Royal, SC 29935-1927 | 2010-11-15 |
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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.