Edgardo A Crisostomo (NPI# 1730141466, PAC ID# 0749316974) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1730141466 |
| PAC ID by PECOS | 0749316974 |
| Professional Enrollment ID | I20190907000401 |
| Full Name | Edgardo A Crisostomo |
| Organization Legal Name | VIBRA PHYSICIANS LLC |
| Address |
9509 Georgia St Crown Point IN 46307-6518 |
| Phone Number | 2194722200 |
| Gender | M |
| Graduation Year | 1976 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 8921233933 |
| Number of Group Practice Members | 138 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150044 | BAPTIST HEALTH FLOYD |
| 150009 | CLARK MEMORIAL HOSPITAL |
| 180141 | UNIVERSITY OF LOUISVILLE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 9509 Georgia St, Crown Point, IN 46307-6518 | 2194722200 | VIBRA PHYSICIANS LLC |
| 3104 Blackiston Blvd, New Albany, IN 47150-9579 | 8129418300 | VIBRA PHYSICIANS LLC |
| Organization Legal Name | VIBRA PHYSICIANS LLC |
| Physicians | 73 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda S Freeman Bosco | Nurse Practitioner | Vibra Physicians LLC | 1200 Hospital Dr, Mount Pleasant, SC 29464-3251 |
| Matthew L Jordan | Nurse Practitioner | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Hector Juan Stella Estevez | Pulmonary Disease | Vibra Physicians LLC | 3528 Gabel Rd, Billings, MT 59102-7307 |
| Dena Montgomery | Nurse Practitioner | Vibra Physicians LLC | 1023 N Belt Line Rd, Mesquite Rehabilitation Institute, Mesquite, TX 75149-1788 |
| Anita Denise Schwab | Nurse Practitioner | Vibra Physicians LLC | 701 N Walnut St, Springfield, IL 62702-4931 |
| June L Jia | Internal Medicine | Vibra Physicians LLC | 10300 Ne Hancock St, Portland, OR 97220-3831 |
| Magdy Badereldin | Physician Assistant | Vibra Physicians LLC | 111 Huntoon Memorial Hwy, Rochdale, MA 01542-1305 |
| Monica J Sligh | Nurse Practitioner | Vibra Physicians LLC | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 |
| Albert M Loerinc | Pulmonary Disease | Vibra Physicians LLC | 4499 Acushnet Ave, New Bedford, MA 02745-4707 |
| Boyd F Addy | Family Medicine | Vibra Physicians LLC | 1000 18th St Nw 2nd and 3rd Floors, Mandan, ND 58554-1612 |
| Street Address |
9509 GEORGIA ST |
| City | CROWN POINT |
| State | IN |
| Zip | 46307-6518 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William A Zato | Family Medicine | Advanced Care Medical Specialists PC | 1555 S Main St, Symphony of Crown Point, Crown Point, IN 46307-0114 |
| Kathleen J Decorte | Nurse Practitioner | Allergy Asthma Care P.C. | 5521 W Lincoln Hwy 100, Crown Point, IN 46307-1098 |
| Rebekah Jennifer Vega | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Julie Ann Derosa | Family Practice | Aberdeen Ventures, Ltd. | 5521 W Lincoln Hwy 1a, Immediate Care Center, Crown Point, IN 46307-1098 |
| Miyako S Streeter | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Dana Joy Hiskes | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Kenneth W Blumenthal | Allergy/immunology | Allergy Asthma Care P.C. | 5521 W Lincoln Hwy 100, Crown Point, IN 46307-1098 |
| Margaret Bazarko | Qualified Speech Language Pathologist | Allergy Asthma Care P.C. | 5521 W Lincoln Hwy 100, Crown Point, IN 46307-1098 |
| Kerry Ann Kanaley | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Akeela Benson | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Find all physicians in zip 46307 | |||
| City | CROWN POINT |
| Zip Code | 46307 |
| Specialty | NEUROLOGY |
| City + Specialty | CROWN POINT + NEUROLOGY |
Please comment or provide details below to improve the information on Edgardo A Crisostomo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.