CROSSROADS PRIMARY CARE AND INTEGRATIVE MEDICINE (NPI# 1447513684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447513684 |
| Entity Type | Organization |
| Organization Name | CROSSROADS PRIMARY CARE AND INTEGRATIVE MEDICINE |
| Practice Address |
4801 Dorsey Hall Dr Suite 201 Ellicott City MD 21042-7766 |
| Practice Telephone | 4109977660 |
| Practice Fax Number | 4109975377 |
| Mailing Telephone | 4109977660 |
| Mailing Fax Number | 4109975377 |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2012-06-22 |
| Authorized Official Name | MS. CATHY LYNN FAGGIO (MANAGER) |
| Authorized Official Telephone | 4109977660 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
4801 DORSEY HALL DR SUITE 201 |
| City | ELLICOTT CITY |
| State | MD |
| Zip Code | 21042-7766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760485353 | James J Zalucki | Colon & Rectal Surgery | 4801 Dorsey Hall Dr, Ste 216, Ellicott City, MD 21042-7749 | 2005-05-27 |
| 1710422688 | Jamie Garonzik | Physician Assistant | 4801 Dorsey Hall Dr, Ellicott City, MD 21042-7766 | 2016-12-30 |
| 1245683093 | Sara Cooper | Nutritionist | 4801 Dorsey Hall Dr, Ellicott City, MD 21042-7766 | 2016-07-18 |
| 1174997860 | Crossroads Health Services LLC | Pharmacy | 4801 Dorsey Hall Dr, Suite 120, Ellicott City, MD 21042-7766 | 2015-11-18 |
| 1124433628 | Lifebridge Medical Associates, LLC | Internal Medicine | 4801 Dorsey Hall Dr, Suite 201, Ellicott City, MD 21042-7766 | 2014-06-24 |
| 1285067017 | Lifebridge Community Physicians, Inc | Internal Medicine | 4801 Dorsey Hall Dr, Suite 220, Ellicott City, MD 21042-7766 | 2013-08-15 |
| 1386943314 | Jeff Brett Millison | Acupuncturist | 4801 Dorsey Hall Dr, Suite 212, Ellicott City, MD 21042-7766 | 2011-03-16 |
| 1225337264 | David Bart Arconti | Physician Assistant | 4801 Dorsey Hall Dr, Suite 226, Ellicott City, MD 21042-7766 | 2011-03-16 |
| 1891005484 | Joshua Alan Anderson | Physician Assistant | 4801 Dorsey Hall Dr, Suite 201, Ellicott City, MD 21042-7766 | 2010-10-15 |
| 1295067015 | Advanced Imaging Partners,inc. | Radiologic Technologist | 4801 Dorsey Hall Dr, Suite 101, Ellicott City, MD 21042-7766 | 2010-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861950792 | Danielle Coliukos | Student in an Organized Health Care Education/Training Program | 3006 Fawnwood Dr, Ellicott City, MD 21042 | 2019-03-11 |
| 1700356110 | Sung Hee Moon | Acupuncturist | 9005 Chevrolet Dr #4, Ellicott City, MD 21042 | 2018-11-28 |
| 1902375009 | Sharon N Allen | Speech-Language Pathologist | Hcpss, 10910 Clarksville Pike, Ellicott City, MD 21042 | 2018-11-19 |
| 1043700412 | Samirawit Hailemariam | Registered Nurse | 9527 Liverpool Lane, Ellicott City, MD 21042 | 2018-05-11 |
| 1144771965 | Maryland Psychotherapy Services | Community/Behavioral Health | 7054 Dorsey Hall Dr., Suite 104, Ellicott City, MD 21042 | 2016-10-17 |
| 1861851321 | The Lutheran Village At Miller's Grant, Inc. | Skilled Nursing Facility | 9000 Fathers Legacy, Ellicott City, MD 21042 | 2016-02-12 |
| 1942676952 | Hyoung Keun Kim | Dentist | 10033 Baltimore Pike Suite 320, Ellicott City, MD 21042 | 2015-08-13 |
| 1356743553 | Cvs Pharmacy | Pharmacist | 3300a Centennial Lane, Ellicott City, MD 21042 | 2014-09-18 |
| 1821407719 | Zulema Roberts | Counselor | 3355 St. Johns Lane, Suite F, Ellicott City, MD 21042 | 2014-08-05 |
| 1548681638 | Better Life Pain Clinic, Pllc | Physical Medicine & Rehabilitation | 3459 St. John's Lane, Suite 9, Ellicott City, MD 21042 | 2013-12-17 |
| Find all providers in zip 21042 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558974543 | Dgd Healthcare Solutions,llc | Clinic/Center | 1210 Northern Lights Dr, Upper Marlboro, MD 20774-6049 | 2020-08-28 |
| 1376160382 | Trinity Family and Behavioral Health Services LLC | Clinic/Center | 15612 Norus St, Upper Marlboro, MD 20772-8253 | 2020-06-25 |
| 1255951372 | Holistic Touch Healthcare LLC | Clinic/Center | 1412 Crain Hwy N Ste 3a, Glen Burnie, MD 21061-7000 | 2020-04-18 |
| 1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
| 1629615901 | Regen Medical LLC | Clinic/Center | 3916 Hickory Ave, Baltimore, MD 21211-1834 | 2019-12-05 |
| 1427609429 | Active Spine & Rehab, LLC | Clinic/Center | 802 Cromwell Park Dr, Glen Burnie, MD 21061-2563 | 2019-09-23 |
| 1144888025 | Ethos Health Maryland 1, LLC | Clinic/Center | 4940 Campbell Blvd Ste 130, Nottingham, MD 21236-5910 | 2019-06-05 |
| 1740847201 | Swiftcare Family Clinic and Wellness Inc | Clinic/Center | 1841/1843 Brightseat Road, Landover, MD 20785-2078 | 2019-05-21 |
| 1285102764 | Black Rock Integrative Medicine | Clinic/Center | 17666 Technology Blvd, Hagerstown, MD 21740-2074 | 2018-11-02 |
| 1639664683 | The Heard Group, LLC | Clinic/Center | 6284 Hard Bargain Cir, Indian Head, MD 20640 | 2018-06-22 |
| Find all providers with the same taxonomy | ||||
| City | ELLICOTT CITY |
| Zip Code | 21042 |
Please comment or provide details below to improve the information on CROSSROADS PRIMARY CARE AND INTEGRATIVE MEDICINE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.