DR. GUILLERMO V CRISOLOGO (NPI# 1821106295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821106295 |
| Entity Type | Individual |
| Full Name | DR. GUILLERMO V CRISOLOGO |
| Credential | M.D. |
| Practice Address |
620 Jefferson St Port Clinton OH 43452-2413 |
| Practice Telephone | 4197343116 |
| Practice Fax Number | 4197345786 |
| Mailing Telephone | 4197343116 |
| Mailing Fax Number | 4197345786 |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 35-032803 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM BCBS OF OHIO | 25500 | 01 |
| OH | 0157397 | 05 |
| Street Address |
620 JEFFERSON ST |
| City | PORT CLINTON |
| State | OH |
| Zip Code | 43452-2413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598280612 | Sharon Kay Garber | Pharmacist | 2028 E. Harbor Road, Port Clinton, OH 43452 | 2017-08-09 |
| 1649794983 | Hannah Claire Becker | Dentist | 327 Buckeye Blvd., Port Clinton, OH 43452 | 2017-07-28 |
| 1154855674 | Taylor Anne Vanness | Nurse's Aide | 1195 W Fremont Rd Apt 11, Port Clinton, OH 43452 | 2017-04-12 |
| 1053850230 | Shari Anderson | Home Health Aide | 3850 W Harbor Rd, Port Clinton, OH 43452 | 2017-02-21 |
| 1346647146 | Nancy A. Barna | Massage Therapist | 226 Adams Street, Port Clinton, OH 43452 | 2014-11-24 |
| 1710396155 | Justa Smith | Social Worker | 126 E Perry St, Port Clinton, OH 43452 | 2014-08-11 |
| 1366871246 | Dorothy Wilken | Counselor | 335 Buckeye Blvd., Port Clinton, OH 43452 | 2013-11-01 |
| 1801224563 | Township of Erie Township Trustees | Ambulance | 5585 W. Harbor Road, Lacarne, OH 43452 | 2013-10-16 |
| 1417286527 | Independent Choices, Inc. | Day Training, Developmentally Disabled Services | 1854 E. Perry St., Port Clinotn, OH 43452 | 2009-12-18 |
| 1235314311 | Katherine Sue Turner | Physician Assistant | 615 Fulton St., Port Clinton, OH 43452 | 2008-01-08 |
| Find all providers in zip 43452 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427041391 | Donald E Reed | Surgery | 611 Fulton St Ste C, Port Clinton, OH 43452-2008 | 2005-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673839 | Omar Sallout | Surgery | 4430 N Holland Sylvania Rd Apt 4213, Toledo, OH 43623-3554 | 2020-06-11 |
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1851912935 | Comprehensive Wound Care Consultants LLC | Surgery | 5131 Beacon Hill Rd Ste 100, Columbus, OH 43228-4442 | 2020-04-30 |
| 1629603725 | Anil Vaidya | Surgery | 100 East Euclid Avenue, Cleveland, OH 44195-0001 | 2020-03-09 |
| 1205473766 | Serita Barnard | Surgery | Cleveland 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2019-12-04 |
| 1184271520 | Moska Hamidi | Surgery | 9500 Euclid Ave F20, Cleveland, OH 44195 | 2019-08-21 |
| 1760040265 | Ohio Bariatrics and Laparoscopy LLC | Surgery | 7931 Country Brook Ct, Springboro, OH 45066-8469 | 2019-05-31 |
| 1275093122 | Michael Curran | Surgery | 3140 Legacy Trce, Cincinnati, OH 45237-1724 | 2019-03-25 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1215401518 | Tina Lorenz | Surgery | 7310 Galena Ave Nw, Canal Fulton, OH 44614-8233 | 2019-01-20 |
| Find all providers with the same taxonomy | ||||
| City | PORT CLINTON |
| Zip Code | 43452 |
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| 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.