BRIAN C CRISP (NPI# 1982616264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982616264 |
Entity Type | Individual |
Full Name | BRIAN C CRISP |
Credential | PA |
Practice Address |
1005 E Cheves St Florence SC 29506-2707 |
Mailing Address |
Po Box 3239 Florence SC 29502-3239 |
Practice Telephone | 8437777900 |
Practice Fax Number | 8437777925 |
Mailing Telephone | 8437777092 |
Mailing Fax Number | 8437777102 |
Enumeration Date | 2006-08-13 |
Last Update Date | 2018-04-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1130 | SC | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
800 E Cheves St, Suite 480, Florence, SC 295062650 | 8437777900 | 8437777340 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861446262 | Brian Joseph Crisp | Family Medicine | 1400 East Church Street, Department of Ob/gyn, Santa Maria, CA 93454-5906 | 2006-05-20 |
Street Address |
1005 E CHEVES ST |
City | FLORENCE |
State | SC |
Zip Code | 29506-2707 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073513180 | Meredith M Banner | Nurse Practitioner | 1005 E Cheves St, Florence, SC 29506-2707 | 2005-07-29 |
1750853255 | Michael Brandon Maksin | Physician Assistant | 1005 E Cheves St, Florence, SC 29506-2707 | 2018-12-20 |
1205359544 | Robert A. Stevenson | Physician Assistant | 1005 E Cheves St, Florence, SC 29506-2707 | 2017-07-19 |
1396272696 | George Emory Edwards IIi | Physician Assistant | 1005 E Cheves St, Florence, SC 29506-2707 | 2017-05-17 |
1467999565 | Melanie Samples Bramblett | Physician Assistant | 1005 E Cheves St, Florence, SC 29506-2707 | 2017-01-26 |
1922555739 | Mcleod Physician Associates II | Orthopaedic Surgery | 1005 E Cheves St, Florence, SC 29506-2707 | 2016-09-09 |
1548642325 | Arthur Buist Jordan V | Family Medicine | 1005 E Cheves St, Florence, SC 29506-2707 | 2015-06-29 |
1437578259 | Bryan M. Alford | Physician Assistant | 1005 E Cheves St, Florence, SC 29506-2707 | 2014-04-09 |
1437575883 | Jeremy Sparkman | Orthopaedic Surgery | 1005 E Cheves St, Florence, SC 29506-2707 | 2014-03-10 |
1457786113 | Allison O. Gosnell | Physician Assistant | 1005 E Cheves St, Florence, SC 29506-2707 | 2013-09-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871001693 | Med Way Ambulance Service, LLC | Ambulance | 1627 E Palmetto St, Florence, SC 29506 | 2018-01-15 |
1851810261 | Daijavon Jaquita Mccall | Specialist/Technologist | 1207 Malloy Street, Florence, SC 29506 | 2017-09-18 |
1629453873 | Rebecca Diboni | Pharmacist | 501 E Cheves St, Suite D, Florence, SC 29506 | 2015-07-29 |
1710365846 | Tiffany Joann Williams | Counselor | 205 Pearl Cir Florence, Sc, SC 29506 | 2015-05-08 |
1275925091 | Joe Brice Williamson Jr. | Pharmacist | 501 E. Cheves St., Suite D, Florence, SC 29506 | 2015-03-03 |
1528474632 | La'keisha Coker | Dietitian, Registered | 145 E. Cheves St., Florence County Health Department, Florence, SC 29506 | 2014-07-09 |
1275948085 | Patrick Kevin Mccarthy | Dietitian, Registered | 145 East Cheves Street, Florence County Health Dept., Florence, SC 29506 | 2014-07-01 |
1073931655 | Gwen A Davis | Registered Nurse | 145 E Cheves Street, Sc Dhec Pee Dee Region, Florence, SC 29506 | 2014-04-01 |
1205267879 | Jessica Turner | Physical Therapist | 555 E Cheves St., Inpatient Rehab Department, Florence, SC 29506 | 2013-12-09 |
1700213923 | Pamela Orange | Nurse's Aide | 2501 Sparklberry Lane, Florence, SC 29506 | 2013-10-02 |
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Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790769313 | Ralph Todd Johansen | Physician Assistant | 530 Ninth Street, Florence, OR 97439 | 2005-12-06 |
1205359544 | Robert A. Stevenson | Physician Assistant | 1005 E Cheves St, Florence, SC 29506-2707 | 2017-07-19 |
1396272696 | George Emory Edwards IIi | Physician Assistant | 1005 E Cheves St, Florence, SC 29506-2707 | 2017-05-17 |
1467999565 | Melanie Samples Bramblett | Physician Assistant | 1005 E Cheves St, Florence, SC 29506-2707 | 2017-01-26 |
1215485685 | Laura Timmons Strickland | Physician Assistant | 800 E Cheves St Ste 480-b, Florence, SC 29506-2650 | 2016-09-14 |
1811444664 | Sonia Thomas Wicker | Physician Assistant | 800 E Cheves St Ste 480, Florence, SC 29506-2653 | 2016-09-08 |
1639548555 | Jeffrey Hughes | Physician Assistant | 380 9th St, Florence, OR 97439-9470 | 2015-09-22 |
1356730865 | Robert Bowen | Physician Assistant | 2129 Helton Dr, Florence, AL 35630-1069 | 2015-01-21 |
1437578259 | Bryan M. Alford | Physician Assistant | 1005 E Cheves St, Florence, SC 29506-2707 | 2014-04-09 |
1972882306 | Jocie Patterson | Physician Assistant | 800 E Cheves St Ste 480, Florence, SC 29506-2653 | 2011-08-16 |
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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.