MR. LOUIS T DECRISTOFARO


Address: 1100 Tunnel Road, Va Medical Center, Asheville, NC 28805-2043
Phone: 8282738149

MR. LOUIS T DECRISTOFARO (NPI# 1588659387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588659387
Entity Type Individual
Full Name MR. LOUIS T DECRISTOFARO
Credential PHYSICIAN ASSISTANT
Practice Address 1100 Tunnel Road
Va Medical Center
Asheville
NC 28805-2043
Mailing Address Po Box 18029
Asheville
NC 28814-0029
Practice Telephone 8282738149
Mailing Telephone 8282738149
Enumeration Date 2005-09-18
Last Update Date 2009-12-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant 2669 GA Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant 0009 TN Physician Assistants & Advanced Practice Nursing Providers
Y 363A00000X Physician Assistant 103541 NC Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant A398 SC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC AAPA MEMBER ID 0018629 01
NC NCCPA MEMBER ID 1012656 01
TN TN PA LICENSE PHYS ASSIST 0009 01
NC NC PA CERTIFICATION NO 111717 01
GA GA PA LICENSE PHYS ASSIST 2669 01
NC NC PA LICENSE PHYS ASSIST 103541 01
SC SC PA LICENSE PHYS ASSIST A398 01

Office Location

Street Address 1100 TUNNEL ROAD
VA MEDICAL CENTER
City ASHEVILLE
State NC
Zip Code 28805-2043

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053665034 Marie Diana Barker Clinical Neuropsychologist 1100 Tunnel Road, Va Medical Center, Asheville, NC 28805 2012-10-30
1265748875 Philip Reid Nelson Pharmacist 1100 Tunnel Road, Asheville, NC 28805 2010-08-20
1285801860 Vernon Fuller Mitchell Lll Respiratory Therapist, Registered 1100 Tunnel Road, Va Medical Center, Asheville, NC 28805 2008-05-13
1497954150 Lori J Benson Specialist 1100 Tunnel Road, Vamc/ecrc, Asheville, NC 28805 2007-07-13
1578604559 Sarah Elizabeth Bushore Radiology 1100 Tunnel Road, Veterans Affairs Medical Center, Asheville, NC 28805 2007-02-10
1578662052 Dawn Jackson Felder Pharmacist 1100 Tunnel Road, Asheville, NC 28805-2043 2006-09-21
1447367719 Judith Brown Connelly Psychologist 1100 Tunnel Road, Charles George Vamc, Asheville, NC 28805 2006-08-24
1043324825 Molly Mcgaughey Family Medicine 1100 Tunnel Road, Asheville, NC 28805 2006-08-18
1033142138 Ashfaq Ahsanuddin Internal Medicine 1100 Tunnel Road, Charles George Vamc- Asheville, Asheville, NC 28805-1334 2006-07-09
1275583890 Bruce Budney Physical Therapist 1100 Tunnel Road, Va Medical Center, Asheville, NC 28805 2006-05-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497266373 Rhianna Appel Counselor 552 New Haw Creek Rd Ste A, Asheville, NC 28805 2017-10-18
1215468475 Elizabeth Torres Biebinger Hearing Instrument Specialist 437 Swannanoa River Rd, Asheville, NC 28805 2017-03-21
1366998932 Raneem A Mubaslat Pharmacist 81 S Tunnel Rd, Asheville, NC 28805 2016-09-01
1578911400 Holli Cherubino Counselor 19 Tunnel Road Suite D, Asheville, NC 28805 2016-06-01
1023405511 Michael Racine Counselor 119 Tunnel Road, Suite D, Asheville, NC 28805 2015-04-22
1336491174 Allyson A. Stone Counselor 1100tunnel Rd, Charles George Va Medical Center, Asheville, NC 28805 2012-10-03
1841593068 Linda Lynn Stroud Physical Therapist 39 Botany Dr, Asheville, NC 28805 2010-12-09
1336458926 Derry Catherine O'kane Counselor 20 Riverbend Drive, Asherville, NC 28805 2010-09-29
1447434568 Elsa C Barnes Dietitian, Registered 4 Spring Lawn Way, Asheville, NC 28805 2007-12-26
1194929141 Linda Marie Lentz Internal Medicine Asheville Va Medical Center, 1100 Tunnel Road, Asheville, NC 28805 2007-06-13
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821635830 Fosnight Center for Sexual Health, Pllc Physician Assistant 6 Yorkshire St Ste D, Asheville, NC 28803-2768 2019-12-09
1275188096 Taylor Pilgrim Physician Assistant 71 Dunkirk Rd, Asheville, NC 28803-2243 2019-08-08
1457837569 Haley Ellison Ward Physician Assistant 3 Walden Ridge Dr Ste 100, Asheville, NC 28803 2018-07-12
1669991717 Daniel Jason Fredericks Physician Assistant 5 Kitchin Pl # 220, Asheville, NC 28803 2017-09-10
1073039913 Edward Jordan Doyle Physician Assistant 7 Brad St, Asheville, NC 28803-1607 2017-08-22
1952712952 Melissa King Physician Assistant 372 Depot St Ste 10, Asheville, NC 28801-4370 2014-05-13
1881025484 Meredith Chivers Rinehart Physician Assistant 513 Mcdowell St, Asheville, NC 28803-0381 2013-12-06
1760667463 Susan Metius Hamrick Physician Assistant 100 Ridgefield Court Hope Women's Ca.ctr & Mission, Asheville, NC 28806-2270 2008-01-02
1033315395 Kellye Rabb Bookout Physician Assistant 1119 Hendersonville Rd, Suite 200, Asheville, NC 28803-1803 2007-06-25
1730305681 Ashley Suzanne Wilson Physician Assistant 264 Thetford St, Suite 120, Asheville, NC 28803-5064 2007-04-18
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Competitor

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City ASHEVILLE
Zip Code 28805

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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