Charlene M Crisp, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35094122 Issued in OH

Practice address

625 Africa Rd Ste 220
Westerville, OH 43082

Phone

(614) 882-2349

Fax

(614) 882-9005

NPI assigned

Oct 31, 2008

Last updated

Sep 6, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Ohio State University College of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Apogee Medical Group Ohio IncGroup PAC ID 8224082292, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southern Ohio Medical Center Hospital, Portsmouth, OH, CCN 360008
• Grant Medical Center Hospital, Columbus, OH, CCN 360017

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ccrisp18835@copcp.medicity.net

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.

• Apogee Medical Group Ohio Inc

  • Internal Medicine Physician
  • Ashtabula, OH
  • NPI 1477500999
  Medicare reassignment Care Compare group NPD
• Central Ohio Primary Care Physicians, Inc.

  • Internal Medicine Physician
  • Westerville, OH
  • NPI 1194705194

  Family Medicine

  Medicare reassignment NPD
• Central Ohio Primary Care Physicians Inc

  • Hospitalist Physician
  • Westerville, OH
  • NPI 1518398866
  NPD
• Central Ohio Primary Care Physicians, Inc.

  • Clinical Medical Laboratory
  • Westerville, OH
  • NPI 1639279045
  NPD
• Southern Ohio Medical Center

  • General Acute Care Hospital
  • Portsmouth, OH
  • NPI 1053342816
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ohiohealth Corporation

  dba Grant Medical Center

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1255377149
  Care Compare affiliation
• Southern Ohio Medical Center

  • General Acute Care Hospital
  • Portsmouth, OH
  • NPI 1053342816
  Care Compare affiliation

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1558514794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 AFRICA RD STE 220",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430829808",
            "telephone_number": "614-882-2349",
            "fax_number": "614-882-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 AFRICA RD STE 220",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "43082",
            "telephone_number": "614-882-2349",
            "fax_number": "614-882-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISP",
        "first_name": "CHARLENE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-31",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35094122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3054359",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100121040",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alex Cram
• Creeksedge Counseling & Wellness, LLC
• Victoria Cremer, CCC-SLP
• Alan M Cribb
• Clara Samantha Crick, CD
• Tonya (Nikki) Croak, LMT
• Carole Crockett-Harris, LISW
• Sevahna Crofford
• Emma Cromwell, RBT
• Troy Cross, DC

• Family Medicine Physician in Westerville, OH
• Providers in Westerville, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.