Angela Faye Crisp, M.D.
Individual provider Active NPI Ophthalmology Physician · Horseheads, NY
NPI 1376547273 · NPPES record last updated Sep 5, 2013
Key facts
- NPI
- 1376547273
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 271510 (NY)
- Practice address
- 31 Arnot Rd
Horseheads, NY 14845-8533 - Phone
- (607) 795-5182
- Fax
- (607) 795-5195
- NPI assigned
- Jun 8, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131024001402 | PA | Practitioner - Ophthalmology | 3678585973 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie Medical Group, P.C. | Ophthalmology | Current |
Accepting new patients |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Angela F Crisp MD PC | Ophthalmology | Past |
Accepting new patients |
Locations
1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106
Interoperability endpoints
- acrisp48220@direct-guthrie.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 271510 | NY | Yes |
Addresses
Primary practice location
31 Arnot Rd
Horseheads, NY 14845-8533
Mailing address
1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858
Other providers in Horseheads, NY
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- Cameron James Cowburn
- Creative Orthotics & Prosthetics, Inc.
- Kathleen Anne Crimmins
- Jansen Crossley
- Celestina G. Cunningham
- Amanda Elinor Curren
- Erica Darmstadt
- Shannon Daugherty
All providers in Horseheads, NY · Ophthalmology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.