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CRISOSTOMO J CARLOS MD
NPI 1790700573
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Munster, IN

Active since July 13, 2006
801 MACARTHUR BLVD, SUITE 305, MUNSTER, IN 46321(219) 703-2401(219) 703-6687 Get Directions Write a Review

NPPES record last updated: January 10, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crisostomo J Carlos Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRISOSTOMO J CARLOS MD (NPI 1790700573) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Munster, Indiana, licensed in Indiana (01026571A) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1790700573
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameCRISOSTOMO J CARLOSCredential: MD
Location Address801 MACARTHUR BLVD, SUITE 305Munster, IN 46321-2915
Mailing Address801 Macarthur Blvd, Suite 305Munster, IN 46321-2915 · (219) 703-2401 · Fax (219) 703-6687
Phone(219) 703-2401
Fax(219) 703-6687
Sole ProprietorNo
Enumeration DateJuly 13, 2006
Last NPPES UpdateJanuary 10, 2017
✔ NPI 1790700573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in IN · 01026571A
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
801 MACARTHUR BLVD, Munster, IN 46321
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Other Identifiers 3

Medicare ID-Type Unspecified875160AIN
Medicare UPIND69599
Medicaid100349730IN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONROE MEDICAL ASSOCIATES, SC
Internal Medicine (Hematology & Oncology)
801 MACARTHUR BLVD, SUITE 401
MUNSTER, IN 46321
Lake County (219) 836-2860
NORTHWEST INDIANA NEUROLOGICAL ASSOCIATES, PC
Psychiatry & Neurology (Neurology)
801 MACARTHUR BLVD, STE 404
MUNSTER, IN 46321
Lake County (219) 836-2995
MRS. BARBARA WEISBAUM ROZENFELD L.C.S.W.
Social Worker (Clinical)
801 MACARTHUR BLVD, STE 404
MUNSTER, IN 46321
Lake County (219) 836-2995
MISS DANIELLE RENEE DOBKOWSKI
Pharmacy Technician
801 MACARTHUR BLVD
MUNSTER, IN 46321
Lake County (219) 836-2480
JULIE MARIE PRUIM NP-C
Nurse Practitioner
801 MACARTHUR BLVD, SUITE 304
MUNSTER, IN 46321
Lake County (219) 836-1060
MS. ERIN KATHLEEN MARTIN PA-C
Physician Assistant
801 MACARTHUR BLVD, SUITE 204
MUNSTER, IN 46321
Lake County (219) 836-4220
MUNSTER MEDICAL RESEARCH FOUNDATION, INC.
Pharmacy (Community/Retail Pharmacy)
801 MACARTHUR BLVD
MUNSTER, IN 46321
Lake County (219) 836-2480
DR. ANDREA JOY DELEO D.O., M.S.E.
Psychiatry & Neurology (Neurology)
801 MACARTHUR BLVD, STE 404
MUNSTER, IN 46321
Lake County (219) 836-2995

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crisostomo Carlos's NPI number?

The NPI number for Crisostomo Carlos is 1790700573. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Crisostomo Carlos located?

Crisostomo Carlos practices at 801 Macarthur Blvd Suite 305, Munster, IN 46321. The listed phone number is (219) 703-2401.

What is Crisostomo Carlos's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

When was this NPI record last updated?

The NPPES record for Crisostomo Carlos was last updated on January 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.