Active NPI
James McCriskin, DO
- Cardiovascular Disease Physician
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 2015-02136
- Practice address
- 1415 Physicians Dr
Wilmington, NC 28401-7338 - Phone
- (910) 662-9500
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 2015-02136 | NC | Primary |
Addresses
Primary practice location
1415 Physicians Dr
Wilmington, NC 28401-7338
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
584 Hospital Dr NE
Suite E
Bolivia, NC 28422-0019
Phone (910) 754-5453
Other practice location 2
2000 Brabham Ave
Jacksonville, NC 28546-0201
Phone (910) 662-9500
Other practice location 3
2000 Brabham Ave
Jacksonville, NC 28546-0201
Phone (980) 376-3030
Other practice location 4
800 Jefferson St
Suite 112
Whiteville, NC 28472-3710
Phone (910) 642-8164
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bromenn Healthcare, Inc. | Past | Accepting new patients | |
| Illinois Cardiac Surgery Associates SC | Past | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Normal, IL
- NPI 1184808404
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Peoria, IL
- NPI 1114018439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560902400000",
"number": "1700826617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 PHYSICIANS DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017338",
"telephone_number": "910-662-9500"
}
],
"practiceLocations": [
{
"address_1": "584 Hospital Dr NE",
"address_2": "Suite E",
"address_purpose": "LOCATION",
"city": "Bolivia",
"state": "NC",
"postal_code": "284220019",
"country_code": "US",
"telephone_number": "910-754-5453",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2000 Brabham Ave",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "NC",
"postal_code": "285460201",
"country_code": "US",
"telephone_number": "910-662-9500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2000 Brabham Ave",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "NC",
"postal_code": "285460201",
"country_code": "US",
"telephone_number": "980-376-3030",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 Jefferson St",
"address_2": "Suite 112",
"address_purpose": "LOCATION",
"city": "Whiteville",
"state": "NC",
"postal_code": "284723710",
"country_code": "US",
"telephone_number": "910-642-8164",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCRISKIN",
"first_name": "JAMES",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2019-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "2015-02136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.