James P Crescuillo, DC CCSP

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

1427 Issued in OH

Practice address

210 East Chestnut St
Mt Vernon, OH 43050

Phone

(740) 397-8025

Fax

(740) 397-8025

NPI assigned

Jan 29, 2007

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780720847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 EAST CHESTNUT ST",
            "city": "MT VERNON",
            "state": "OH",
            "postal_code": "43050",
            "telephone_number": "740-397-8025",
            "fax_number": "740-397-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 EAST CHESTNUT ST",
            "city": "MT VERNON",
            "state": "OH",
            "postal_code": "43050",
            "telephone_number": "740-397-8025",
            "fax_number": "740-397-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESCUILLO",
        "first_name": "JAMES",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DC CCSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OH",
            "license": "1427",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "4189",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0856944",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith Ann Cotton, LPN
• Janet Rose Courson, LPN
• Mary Anne Cox
• Pamela L Craycraft, LISW
• Alan L Crescuillo, DC
• Donovan Shane Crisp, AA
• Cross Creek Dental Care - Mount Vernon,LLC
• Andrianna Cross, CDCA
• Kimber Cullers, NP
• Haley J Cummins

• Sports Physician Chiropractor in Mt Vernon, OH
• Providers in Mt Vernon, OH by specialty
• Sports Physician Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.