Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Larry Van Thomas Crisco, MD

Interventional Cardiology Physician in Jacksonville, FL · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1952395782

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Registry record

Entity type Individual (Type 1)

Name Larry Van Thomas Crisco

Credential MD

Sex Male

Practice address 3901 University Blvd S, Suite 221, Jacksonville, FL, 32216

Phone (904) 423-0010

Fax (904) 423-0012

Enumeration date Sep 8, 2005

Last updated in NPPES Aug 30, 2019

Taxonomy & licenses

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians · License 038457 (GA) Secondary

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians · License ME115672 (FL) Secondary

207RI0011X Interventional Cardiology Physician Allopathic & Osteopathic Physicians · License 38457 (GA) Secondary

207UN0901X Nuclear Cardiology Physician Allopathic & Osteopathic Physicians · License 38457 (GA) Secondary

207UN0902X Nuclear Imaging & Therapy Physician Allopathic & Osteopathic Physicians · License 38457 (GA) Secondary

207RI0011X Interventional Cardiology Physician Allopathic & Osteopathic Physicians · License ME115672 (FL) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
000777686G	Medicaid	GA	-
58-1624987	Other	GA	TAX ID#
1952395782	Other	-	NPI

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Larry Crisco?

Larry Crisco is registered in NPPES with the primary taxonomy of Interventional Cardiology Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-08-30.