Samuel W Criswell (NPI# 1114018223, PAC ID# 9335173574) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1114018223 |
| PAC ID by PECOS | 9335173574 |
| Professional Enrollment ID | I20150127000917 |
| Full Name | Samuel W Criswell |
| Organization Legal Name | ALTRU HEALTH SYSTEM |
| Address |
607 Demers Ave East Grand Forks MN 56721-1833 |
| Phone Number | 2187730357 |
| Gender | M |
| Credential | DPM |
| Graduation Year | 1981 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 1355251604 |
| Number of Group Practice Members | 467 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 350019 | ALTRU HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 400 S Minnesota St, Crookston, MN 56716-1808 | 2182819100 | ALTRU HEALTH SYSTEM |
| 607 Demers Ave, East Grand Forks, MN 56721-1833 | 2187730357 | ALTRU HEALTH SYSTEM |
| 1380 S Columbia Rd, Grand Forks, ND 58201-4059 | 7017952000 | ALTRU HEALTH SYSTEM |
| Organization Legal Name | ALTRU HEALTH SYSTEM |
| Physicians | 472 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chukwuka O Nnoli | Physician Assistant | Altru Health System | 607 Demers Ave, East Grand Forks, MN 56721-1833 |
| Amanjit S Baadh | Diagnostic Radiology | Altru Health System | 166 4th St E, St Paul, MN 55101-1421 |
| Jessica K Hartman | Clinical Social Worker | Altru Health System | 860 S Columbia Rd, Grand Forks, ND 58201-4028 |
| Bethany A Knox | Physician Assistant | Altru Health System | 1845 Hwy 59 S, Suite 800, Thief River Falls, MN 56701-4318 |
| Rachel M Pearce | Nurse Practitioner | Altru Health System | 412 Main Ave Ne, Warroad, MN 56763-2342 |
| Erica Lynn Wiegandt | Optometry | Altru Health System | 4440 S Washington St, Grand Forks, ND 58201-7245 |
| Laura A Carlson | Nurse Practitioner | Altru Health System | 3165 Demers Ave, Grand Forks, ND 58201-4049 |
| Emuejevoke Okoh | Gastroenterology | Altru Health System | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 |
| Paul Fleissner | Family Practice | Altru Health System | 1001 7th Nest, Devils Lake, ND 58301-2719 |
| Joseph V Lazzara | Pediatric Medicine | Altru Health System | 715 Delmore Dr, Roseau, MN 56751-1534 |
| Street Address |
607 DEMERS AVE |
| City | EAST GRAND FORKS |
| State | MN |
| Zip | 56721-1833 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chukwuka O Nnoli | Physician Assistant | Altru Health System | 607 Demers Ave, East Grand Forks, MN 56721-1833 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara A Norman | Nurse Practitioner | Northwestern Mental Health Center | 1424 Central Ave Ne, Suite 142, East Grand Forks, MN 56721-1605 |
| Andrea M Kraft | Nurse Practitioner | Riverview Healthcare Association | 1428 Central Neave, East Grand Forks, MN 56721-1605 |
| Abby L Steer | Clinical Social Worker | Northwestern Mental Health Center | 1424 Central Ave Ne, Suite 142, East Grand Forks, MN 56721-1605 |
| Kari D Wessman | Obstetrics/gynecology | Riverview Healthcare Association | 1428 Central Neave, East Grand Forks, MN 56721-1605 |
| Shannon L Kronlund | Clinical Social Worker | Northwestern Mental Health Center | 1424 Central Ave Ne, Suite 142, East Grand Forks, MN 56721-1605 |
| Michael R Anderson | Clinical Social Worker | Northwestern Mental Health Center | 1424 Central Ave Ne, Suite 142, East Grand Forks, MN 56721-1605 |
| Erika M Rustad | Clinical Social Worker | Northwestern Mental Health Center | 1424 Central Ave Ne, Suite 142, East Grand Forks, MN 56721-1605 |
| Denise E Hammer | Clinical Social Worker | Northwestern Mental Health Center | 1424 Central Ave Ne, Suite 142, East Grand Forks, MN 56721-1605 |
| Clifford W Lafreniere | Physical Therapy | Achieve Therapy LLC | 406 3rd Nwst, East Grand Forks, MN 56721-1713 |
| Heather A Walsh | Physical Therapy | Achieve Therapy LLC | 406 3rd Nwst, East Grand Forks, MN 56721-1713 |
| Find all physicians in zip 56721 | |||
| City | EAST GRAND FORKS |
| Zip Code | 56721 |
| Specialty | PODIATRY |
| City + Specialty | EAST GRAND FORKS + PODIATRY |
Please comment or provide details below to improve the information on Samuel W Criswell.
| 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.