Linda L Criswell, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9101054 Issued in FL

Practice address

39 E Atwater Ave
Eustis, FL 32726-5540

Phone

(352) 483-0900

Fax

(352) 483-0822

NPI assigned

Jul 20, 2005

Last updated

Oct 23, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Florida Hospital Medical Group Inc

  dba AdventHealth Medical Group

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1225034234

  Physician Assistant

  Medicare reassignment NPD
• Florida Hospital Medical Group Inc

  dba Rothman Orthopaedics AdventHealth Medical Group at Minneola

  • Prosthetic/Orthotic Supplier
  • Minneola, FL
  • NPI 1285591545
  NPD
• Rural Medical Associates Inc

  dba Wildwood Medical Center

  • Rural Health Clinic/Center
  • Wildwood, FL
  • NPI 1770570806
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1194724146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 E ATWATER AVE",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327265540",
            "telephone_number": "352-483-0900",
            "fax_number": "352-483-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 E ATWATER AVE",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327265540",
            "telephone_number": "352-483-0900",
            "fax_number": "352-483-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISWELL",
        "first_name": "LINDA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101054",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9101054",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290816600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "Y01M6",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas K Conboy
• Jennifer Lee Cortes
• Senia Lajea Cotto-Walton
• Aundrea Couchenour
• Tamra Ann Crawford, MA-CCC-SLP
• Wheyton Barnes Crockett, MA, CCC-SLP
• Cheryl Yvonne Crosby
• Suzette Marie Crouse, M.A., LMHC
• Joseph Patrick Currid, ED.S.
• Brandy Lee Currie, LCSW

• Physician Assistant in Eustis, FL
• Providers in Eustis, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.