Crystal M Devivo (NPI# 1265666861, PAC ID# 4183667769) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1265666861 |
| PAC ID by PECOS | 4183667769 |
| Professional Enrollment ID | I20050606000026 |
| Full Name | Crystal M Devivo |
| Organization Legal Name | FAMILY MEDICAL CTR AIKEN |
| Address |
216 Edgefield Nwave Aiken SC 29801-3910 |
| Phone Number | 8036484224 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2002 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4284813601 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420082 | AIKEN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 216 Edgefield Nwave, Aiken, SC 29801-3910 | 8036484224 | FAMILY MEDICAL CTR AIKEN |
| Organization Legal Name | FAMILY MEDICAL CTR AIKEN |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Henry Tam | Family Medicine | Family Medical Ctr Aiken | 216 Edgefield Nwave, Aiken, SC 29801-3910 |
| Stacey A Bulfinch Idica | Nurse Practitioner | Family Medical Ctr Aiken | 216 Edgefield Nwave, Aiken, SC 29801-3910 |
| Street Address |
216 EDGEFIELD NWAVE |
| City | AIKEN |
| State | SC |
| Zip | 29801-3910 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Henry Tam | Family Medicine | Family Medical Ctr Aiken | 216 Edgefield Nwave, Aiken, SC 29801-3910 |
| Stacey A Bulfinch Idica | Nurse Practitioner | Family Medical Ctr Aiken | 216 Edgefield Nwave, Aiken, SC 29801-3910 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Chesser | Dermatology | 118 Park Ave Sw, Suite 100, Aiken, SC 29801-2417 | |
| Sharon L Reardon Reeves | Nurse Practitioner | Aiken Center for Dermatology | 118 Park Ave Sw, Suite 100, Aiken, SC 29801-2417 |
| Elizabeth B Wilkes | Certified Registered Nurse Anesthetist (crna) | A and P of Aiken, LLC | 4211 Trolley Line Rd, Aiken, SC 29801-2749 |
| Allison Weaver Williams | Certified Registered Nurse Anesthetist (crna) | A and P of Aiken, LLC | 4211 Trolley Line Rd, Aiken, SC 29801-2749 |
| Rebecca Renae Deboer | Certified Registered Nurse Anesthetist (crna) | A and P of Aiken, LLC | 4211 Trolley Line Rd, Aiken, SC 29801-2749 |
| Betty Denise Kapp | Certified Registered Nurse Anesthetist (crna) | A and P of Aiken, LLC | 4211 Trolley Line Rd, Aiken, SC 29801-2749 |
| Rosalind R Crenshaw | Certified Registered Nurse Anesthetist (crna) | A and P of Aiken, LLC | 4211 Trolley Line Rd, Aiken, SC 29801-2749 |
| Rajwinder Manhiani | Internal Medicine | Dr Manhiani Pllc | 302 University Pkwy, Aiken, SC 29801-2792 |
| Patricia Hannan | Certified Registered Nurse Anesthetist (crna) | 110 Pepper Hill Way, Aiken, SC 29801-2818 | |
| Harpreet Patheja | Ophthalmology | Aiken Ophthalmology PC | 110 Pepper Hill Way, Aiken, SC 29801-2818 |
| Find all physicians in zip 29801 | |||
| City | AIKEN |
| Zip Code | 29801 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | AIKEN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Crystal M Devivo.
| 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.