DR. JORGE LUIS CRESPO (NPI# 1881633568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881633568 |
| Entity Type | Individual |
| Full Name | DR. JORGE LUIS CRESPO |
| Credential | MD |
| Practice Address |
745a Route 63 Chesterfield NH 03443-3604 |
| Mailing Address |
Po Box 910 Greenfield MA 01302-0910 |
| Practice Telephone | 8003038984 |
| Practice Fax Number | 6033634450 |
| Mailing Telephone | 4137728500 |
| Mailing Fax Number | 4137728900 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 8345 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | OVN2029 | 05 | |
| VT | BC/BS VT | 8233 | 01 |
| NH | BC/BS NH | 0104793Y0VT01 | 01 |
| NH | 30003577 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710407952 | Jorge Omar Crespo Sr. | Social Worker | 7 Calle Cerromar, Bo Guaniquilla, Aguada, PR 00602-4069 | 2017-06-20 |
| 1033366455 | Jorge Luis Crespo | Dentist | 1300 Coral Way, Suite 101, Miami, FL 33145 | 2008-08-27 |
| 1760486732 | Jorge H Crespo | Internal Medicine | 33 W Rahn Rd, Dayton, OH 45429-2219 | 2005-06-08 |
| Street Address |
745A ROUTE 63 |
| City | CHESTERFIELD |
| State | NH |
| Zip Code | 03443-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558314542 | Dermatology Associates of The Northeast, PC | Dermatology | 745a Route 63, Chesterfield, NH 03443-3604 | 2006-05-18 |
| 1265703235 | Integrated Dermatology of Chesterfield LLC | Dermatology | 745a Route 63, Chesterfield, NH 03443-3604 | 2012-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154599 | Kelly Phuong Doan | Nurse Practitioner | 27327 23 Mile Rd, Chesterfield, MI 48051-2045 | 2020-11-04 |
| 1780283275 | Great Day Residential | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6606 Gills Gate Pl, Chesterfield, VA 23832-6004 | 2020-10-26 |
| 1407455074 | Medisist Inc. | Non-emergency Medical Transport (VAN) | 6001 Pleasant Pond Pl, Chesterfield, VA 23832-9210 | 2020-10-23 |
| 1932708971 | Kenjilyn Saldua Uchida | Nurse Practitioner | 8006 Hampton Glen Mews, Chesterfield, VA 23832-2003 | 2020-10-21 |
| 1407455660 | Peds First Healthcare LLC | Nurse Practitioner | 7419 Maclachlan Dr, Chesterfield, VA 23838-5345 | 2020-10-20 |
| 1851999692 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 45101 Towne Center Blvd, Chesterfield, MI 48047-6141 | 2020-10-14 |
| 1215534656 | Dsgb Construction LLC | Contractor | 14341 Generation Ln, Chesterfield, VA 23838-4200 | 2020-10-08 |
| 1083211981 | Rebecca Escamilla | Nurse Practitioner | 52867 Turnberry Dr, Chesterfield, MI 48051-3657 | 2020-10-04 |
| 1720685787 | Patricia Ann Katzfey | Counselor | 1605 Baxter Forest Ridge Ct, Chesterfield, MO 63005-4660 | 2020-10-02 |
| 1023625811 | Tianca Harris | Case Manager/Care Coordinator | 6511 Glebe Point Rd, Chesterfield, VA 23838-6167 | 2020-09-26 |
| Find all providers in CHESTERFIELD | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952757007 | Stacy Gittel Blum | Dermatology | 222 S Woods Mill Rd Ste 480, Chesterfield, MO 63017-3625 | 2016-05-08 |
| 1437229531 | Dermatology Health Center Inc | Dermatology | 224 So Woodsmill Road, Suite 570 So, Chesterfield, MO 63017 | 2006-11-08 |
| 1558314542 | Dermatology Associates of The Northeast, PC | Dermatology | 745a Route 63, Chesterfield, NH 03443-3604 | 2006-05-18 |
| 1588647747 | Helen Kim-james | Dermatology | 100 Chesterfield Business Pkwy, Suite 110, Chesterfield, MO 63005-1271 | 2005-11-22 |
| 1326034489 | Mark Charles Kory | Dermatology | 16216 Baxter Rd, Suite 200, Chesterfield, MO 63017-4770 | 2005-09-23 |
| 1104368489 | United Skin Specialists Missouri Ltd, PC | Dermatology | 1001 Chesterfield Pkwy E, Suite 201, Chesterfield, MO 63017-2167 | 2016-11-17 |
| 1366706509 | Archway Dermatology, LLC | Dermatology | 224 S Woods Mill Rd, Suite 570s, Chesterfield, MO 63017-3451 | 2012-07-03 |
| 1265703235 | Integrated Dermatology of Chesterfield LLC | Dermatology | 745a Route 63, Chesterfield, NH 03443-3604 | 2012-01-23 |
| 1548486194 | Pooja Manjula Swamy Dorward | Dermatology | 1001 Chesterfield Pkwy E, Suite 201, Chesterfield, MO 63017-2167 | 2007-04-18 |
| 1659594539 | Associates In Dermatology and Cutaneous Surgery Ltd | Dermatology | 222 S Woods Mill Rd, Chesterfield, MO 63017-3625 | 2007-04-10 |
| Find all providers in CHESTERFIELD | ||||
| City | CHESTERFIELD |
| Zip Code | 03443 |
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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.