| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KIYOSHI CHRISTOPHER SCISSUM | 1407383581 | 2023-02-11 |
Kiyoshi Christopher Scissum [M] graduated in 2017 from University Of South Alabama College Of Medicine and primarily specializes in Internal Medicine.
Kiyoshi Christopher Scissum is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1407383581. Registration indicates Kiyoshi Christopher Scissum is a provider of services with a specialization in Emergency Medicine (Allopathic & Osteopathic Physicians, Emergency Medicine) (All Other Specialties & Provider Types, ) (Emergency Medicine, Allopathic & Osteopathic Physicians) Access to Adult/Geriatric Primary Care Providers (Allopathic & Osteopathic Physicians, Internal Medicine) Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine, ) (Allopathic & Osteopathic Physicians, Internal Medicine) (Primary Care/Family Planning/APRN/PA, ) (Internal Medicine, Allopathic & Osteopathic Physicians) (Student, Health Care, Student in an Organized Health Care Education/Training Program) (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine: Critical Care Medicine, ) (Specialist Network, ) (Internal Medicine Critical Care Medicine, Allopathic & Osteopathic Physicians) (Internal Medicine, )
| PECOS ID | 3577833052 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Kiyoshi Christopher Scissum MD |
| Practice Office Address | 2100 STANTONSBURG RD GREENVILLE, NC US |
| Practice Office Telephone | 2528474268 |
| Mailing Address | 2100 STANTONSBURG RD GREENVILLE, NC 278342818 US |
| Business Telephone | 2528474268 |
| Code | Practice | License No State |
|---|---|---|
| 207P00000X | Emergency Medicine Allopathic & Osteopathic Physicians Emergency Medicine All Other Specialties & Provider Types Emergency Medicine Allopathic & Osteopathic Physicians | 2020-0043
NC |
| 207R00000X | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Internal MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine Allopathic & Osteopathic Physicians Internal Medicine Primary Care/Family Planning/APRN/PA Internal Medicine Allopathic & Osteopathic Physicians | 2020-00043
NC |
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 207RC0200X PRIMARY | Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine: Critical Care Medicine Specialist Network Internal Medicine Critical Care Medicine Allopathic & Osteopathic Physicians Internal Medicine | 2020-0043
NC |