John J Mccrosson
Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon
3510 N Highway 17 Ste 105
Mt Pleasant
, South Carolina 29466-8228
John J Mccrosson
Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon
3510 N Highway 17 Ste 105
Mt Pleasant
, South Carolina 29466-8228
(843) 724-2454
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About
Features
Specialties
- Orthopaedic Surgeon
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- John J Mccrosson
- Po Box 751649
- Charlotte, NC
- Zip : 28275-1649
- Fax : (843) 724-2454
- Phone : (843) 789-1620
Second Address
- John J Mccrosson
- 3510 N Highway 17 Ste 105
- Mt Pleasant, SC
- Zip : 29466-8228
- Fax : (843) 724-2551
- Phone : (843) 789-1850
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | 17878 | SC |
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 17878 | SC |
National Provider Identifier
| NPI | 1407881709 |
|---|---|
| Provider Name | John J Mccrosson |
| First Address | Charlotte, NC 28275-1649 |
| Second Address | Mt Pleasant, SC 29466-8228 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2006 |
| Last Update Date | 05/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 178783 | (05) | SC |
| 5551 | MEDICARE GROUP NUMBER (01) | |
| GP4854 | MEDICAID GROUP # (01) | SC |
| H11578 | (02) | |
| P00605881 | RAILROAD MEDICARE ID# (01) | SC |
| P00952998 | RAILROAD MC ID-RSFPN (01) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.