Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619947033 Individual Practitioner Male Practitioner

Dr. Mark A Criswell , MD, FACS

Otolaryngology • Eglin Afb, FL

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Mark Criswell, MD, FACS is a registered healthcare professional specializing in Otolaryngology in Eglin Afb, FL. Official NPI practice address is registered at 307 BOATNER RD STE 114.

Practice Location & Contact Primary Location

Practice Address

307 Boatner Rd Ste 114

Eglin Afb, FL 32542

Telephone 8508838264
Associated Practice Facility / Clinic
🏢 96th Medgrp-Eglin Facility NPI 1083012223

Specialty Benchmarks & Practice Insights

Comparative analytics for Otolaryngology in Eglin Afb, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 28.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Eglin Afb, FL (715 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Otolaryngology Primary Specialty

NUCC Taxonomy Code: 207Y00000X

State License CO 00056111

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Otolaryngology

NUCC Taxonomy Code: 207Y00000X

State License IN 01046367A

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Otolaryngology - Sleep Medicine

NUCC Taxonomy Code: 207YS0012X

State License IN 01046367A

An Otolaryngologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

Otolaryngology - Plastic Surgery within the Head & Neck

NUCC Taxonomy Code: 207YX0007X

State License CO 0056111

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
21400253 (CO)
Commercial Insurance / Payer ID Kaiser Commercial Number
027034 (CO)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Brian Moore , MD

Otolaryngology - Plastic Surgery within the Head & Neck

NPI 1548248552

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location July 11, 2018

Registered at 307 BOATNER RD STE 114, EGLIN AFB, FL 32542 (Tel: 8508838264)

📍
Updated Business Mailing Address July 11, 2018

Registered at 307 BOATNER RD STE 114, EGLIN AFB, FL 325421302 (Tel: 8508838264)

NPI Profile Active September 22, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 22, 2016

Registered at 10240 PARK MEADOWS DR, LONE TREE, CO 801245425 (Tel: 3033384545)

📍
Updated Business Mailing Address September 22, 2016

Registered at 10240 PARK MEADOWS DR, LONE TREE, CO 801245425 (Tel: 3033384545)

👤
Provider Name / Credentials Updated September 22, 2016

Recorded as MARK CRISWELL, M.D., F.A.C.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2016

Otolaryngology (License #01046367A in IN)

🟢
Initial NPI Registration & Enumeration January 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1619947033
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 26, 2006
Last Update: July 11, 2018
Sole Proprietor: No

Mailing Address

307 Boatner Rd Ste 114

Eglin Afb, FL 325421302

Phone: 8508838264

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.