BRADEN JUSTIN CRISWELL (NPI# 1851568117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851568117 |
| Entity Type | Individual |
| Full Name | BRADEN JUSTIN CRISWELL |
| Credential | M.D. |
| Practice Address |
2627 E Washington Blvd Pasadena CA 91107-1412 |
| Practice Telephone | 6267972002 |
| Practice Fax Number | 6267980567 |
| Mailing Telephone | 6267972002 |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2014-12-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | A123715 | CA | Allopathic & Osteopathic Physicians |
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
A123715 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2627 E WASHINGTON BLVD |
| City | PASADENA |
| State | CA |
| Zip Code | 91107-1412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831191410 | Donald J Norquist | Orthopaedic Surgery | 2627 E Washington Blvd, Pasadena, CA 91107-1412 | 2005-08-12 |
| 1447534508 | Amir Mostofi, M.d., Inc | Orthopaedic Surgery | 2627 E Washington Blvd, Pasadena, CA 91107-1412 | 2011-10-06 |
| 1750673638 | Jared Myers | Physical Medicine & Rehabilitation | 2627 E Washington Blvd, Pasadena, CA 91107-1412 | 2011-05-10 |
| 1518140268 | Amir Hossein Mostofi | Orthopaedic Surgery | 2627 E Washington Blvd, Pasadena, CA 91107-1412 | 2007-12-17 |
| 1346420403 | Risser Orthopaedic Group, A Medical Corp. | Durable Medical Equipment & Medical Supplies | 2627 E Washington Blvd, Pasadena, CA 91107-1412 | 2007-11-06 |
| 1659477487 | Risser Orthopaedic Group, A Medical Corporation | Physical Medicine & Rehabilitation | 2627 E Washington Blvd, Pasadena, CA 91107-1412 | 2006-09-16 |
| 1821042987 | Ben Bhupendra Pradhan | Orthopaedic Surgery | 2627 E Washington Blvd, Pasadena, CA 91107-1412 | 2006-05-20 |
| 1457353062 | Daniel R Laster | Orthopaedic Surgery | 2627 E Washington Blvd, Pasadena, CA 91107-1412 | 2005-08-12 |
| 1962404582 | Gregory D Northrop | Orthopaedic Surgery | 2627 E Washington Blvd, Pasadena, CA 91107-1412 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412002 | Kwasi Nkansa | Physical Medicine & Rehabilitation | 2585 East Washington Blvd, Pasadena, CA 91107 | 2020-06-23 |
| 1609402742 | H & S Hospice Care Inc | Hospice Care, Community Based | 2525 E Colordo Blvd Suite 109, Pasadena, CA 91107 | 2020-03-20 |
| 1013557115 | Cindy Phun | Pharmacist | 3383 E Foothill Blvd, Pasadena, CA 91107 | 2020-01-07 |
| 1184185548 | Preferred Home Health Services | Home Health | 40 N Atlandena Dr Suite 219, Pasadena, CA 91107 | 2019-03-28 |
| 1861973729 | Julia E Underwood | Doula | 2335-115 E. Colorado Blvd #339, Pasadena, CA 91107 | 2018-08-28 |
| 1982183166 | Melissa Castillo | Counselor | 26 S Kinneloa Ave, Pasadena, CA 91107 | 2018-08-09 |
| 1083109904 | Lourice Boutros | Optometrist | 3235 E Colorado Blvd Ste 101, Pasadena, CA 91107 | 2018-06-22 |
| 1902313026 | Cecily Brogdon | Marriage & Family Therapist | 2115 Lambert Drive, Pasadena, CA 91107 | 2018-01-10 |
| 1790204915 | Vanessa Nicole Contreras | Licensed Vocational Nurse | 36 S. Kinneiloa Ave., Pasadena, CA 91107 | 2017-09-19 |
| 1730614397 | Rita Mason | Behavioral Analyst | 890 S Rosemead Blvd, Ste 45, Pasadena, CA 91107 | 2017-04-20 |
| Find all providers in zip 91107 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801454665 | Orthopedic Physicians of Annapolis LLC | Orthopaedic Surgery | 8109 Ritchie Hwy Ste 200, Pasadena, MD 21122-6917 | 2019-06-05 |
| 1578985123 | Southern California Orthopedic Institute, Lp | Orthopaedic Surgery | 39 Congress St Ste 201, Pasadena, CA 91105-3021 | 2014-01-16 |
| 1467773085 | Kathleen Savage, M.d., Apc | Orthopaedic Surgery | 1180 N Arroyo Blvd, Pasadena, CA 91103-2406 | 2010-06-17 |
| 1467680793 | Kenneth Lee Caldwell | Orthopaedic Surgery | 3801 Vista Rd Ste 360, Pasadena, TX 77504-2161 | 2009-06-25 |
| 1376771980 | Micah Diaz Berry | Orthopaedic Surgery | 710 Mira Monte Pl, Pasadena, CA 91101-2521 | 2009-06-23 |
| 1770705675 | Ronald Bruce Heisey | Orthopaedic Surgery | 3222 Burke Road, Suite 108, Pasadena, TX 77504 | 2007-05-02 |
| 1164418893 | Michael J Fraipont | Orthopaedic Surgery | 800 S Raymond Ave, Pasadena, CA 91105-3229 | 2005-09-27 |
| 1831191410 | Donald J Norquist | Orthopaedic Surgery | 2627 E Washington Blvd, Pasadena, CA 91107-1412 | 2005-08-12 |
| 1447899752 | Pasadena Orthopedics Inc | Orthopaedic Surgery | 959 E Walnut St Ste 220, Pasadena, CA 91106-5363 | 2020-01-03 |
| 1114585395 | Gilead Orthopedics, Pllc | Orthopaedic Surgery | 3801 Vista Rd Ste 360, Pasadena, TX 77504-2161 | 2019-06-03 |
| Find all providers in PASADENA | ||||
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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.