CROSSOVER HEALTH MEDICAL GROUP (NPI# 1447643804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447643804 |
| Entity Type | Organization |
| Organization Name | CROSSOVER HEALTH MEDICAL GROUP |
| Practice Address |
806 Jackson St Columbus IN 47201-6264 |
| Mailing Address |
65 Enterprise Aliso Viejo CA 92656-2705 |
| Practice Telephone | 9498910328 |
| Practice Fax Number | 9492720159 |
| Mailing Telephone | 9498910328 |
| Mailing Fax Number | 9492720159 |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2015-03-10 |
| Authorized Official Name | ANGIE SAKIOKA (ADMINISTRATION) |
| Authorized Official Telephone | 9498910328 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A74385 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443751 | Crossover Health Medical Group | Clinic/Center | 424 E. 4th St, Suite 100, Royal Oak, MI 48067 | 2020-09-29 |
| 1184231037 | Crossover Health Medical Group | Clinic/Center | 434 Patrol Rd, Jeffersonville, IN 47130-7754 | 2020-09-24 |
| 1982211835 | Crossover Health Medical Group | Clinic/Center | 711 W 2nd St Ste A, San Bernardino, CA 92410-3262 | 2020-09-24 |
| 1619584570 | Crossover Health Medical Group | Clinic/Center | 19901 Dix Toledo Hwy, Brownstown Twp, MI 48183-1039 | 2020-09-24 |
| 1982211843 | Crossover Health Medical Group | Clinic/Center | 5379 Hamner Ave Unit 801, Eastvale, CA 91752-1042 | 2020-09-24 |
| 1992312847 | Crossover Health Medical Group | Clinic/Center | 544 Conestoga Pkwy Ste 3, Shepherdsville, KY 40165-5676 | 2020-09-24 |
| 1639786585 | Crossover Health Medical Group | Clinic/Center | 1847 E Southern Ave Ste 3, Tempe, AZ 85282-5881 | 2020-09-24 |
| 1164039020 | Crossover Health Medical Group | Clinic/Center | 14329 Frederick St Ste 7-9, Moreno Valley, CA 92553-9003 | 2020-09-24 |
| 1821605775 | Crossover Health Medical Group | Clinic/Center | 5251 W Campbell Ave Ste 200, Phoenix, AZ 85031-1719 | 2020-09-24 |
| 1649887597 | Crossover Health Medical Group | Clinic/Center | 8343 W Van Buren St Bldg C-2, Tolleson, AZ 85353-3225 | 2020-09-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CROSSOVER HEALTH MEDICAL GROUP, APC | 101 W Avenida Vista Hermosa, San Clemente, CA 92672-7706 |
| New York State Corporations | CROSSOVER HEALTH MEDICAL GROUP, APC | 99 Washington Avenue, Suite 1008, Albany, New York 12260 |
| Massachusetts Corporations | CROSSOVER HEALTH MEDICAL GROUP, APC | 65 Enterprise, Alisa Viejo, CA 92656 |
| Colorado Business Entities | CROSSOVER HEALTH MEDICAL GROUP, APC | 101 West Avenida Vista Hermosa, Suite 120, San Clemente, CA 92672 |
| Street Address |
806 JACKSON ST |
| City | COLUMBUS |
| State | IN |
| Zip Code | 47201-6264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508858960 | Denise C Fields | Pharmacist | 806 Jackson St, Columbus, IN 47201 | 2005-08-22 |
| 1265906291 | Dani Sue Becker | Nurse Practitioner | 806 Jackson St, Columbus, IN 47201-6264 | 2019-01-12 |
| 1558716878 | Tyler Sura | Preventive Medicine | 806 Jackson St, Columbus, IN 47201-6264 | 2016-04-25 |
| 1235509167 | Healthworks Med Group of Indiana PC | Clinic/Center | 806 Jackson St, Columbus, IN 47201-6264 | 2015-10-05 |
| 1174935118 | Robert Aaron Chestnut | Family Medicine | 806 Jackson St, Columbus, IN 47201 | 2014-05-27 |
| 1275976573 | Mary Anne C. Snyder | Family Medicine | 806 Jackson St, Columbus, IN 47201-6264 | 2013-04-17 |
| 1144579848 | Melissa Ann Etchison | Nurse Practitioner | 806 Jackson St, Columbus, IN 47201 | 2012-09-10 |
| 1447509633 | Leticia Lynn Vance | Nurse Practitioner | 806 Jackson St, Columbus, IN 47201 | 2012-09-03 |
| 1467648907 | Healthworks Med Group of Indiana P C | Clinic/Center | 806 Jackson St, Columbus, IN 47201-6264 | 2007-09-19 |
| 1245361872 | Quinco Consulting Center Inc | Clinic/Center | 806 Jackson St, Columbus, IN 47201-6264 | 2007-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389569 | Ryanne Nicole Slavens | Speech-Language Pathologist | 1974 Glenmoor Drive, Columbus, IN 47201 | 2020-09-08 |
| 1023670759 | Alisha Nicole Scoville | Counselor | 2630 22nd Street, Columbus, IN 47201 | 2019-07-02 |
| 1467964718 | Columbus Radiology Physicians LLC | Radiology | 2400 E. 17th Street, Columbus, IN 47201 | 2017-10-26 |
| 1790148849 | Gabriel Woon | Specialist | 913 25th St., Columbus, IN 47201 | 2016-04-05 |
| 1144680604 | Forefront Dermatology, S.c. | Dermatology | 244 Westwood Blvd, Columbus, IN 47201 | 2016-02-26 |
| 1871832550 | Jennifer Lynn Grant | Nurse Practitioner | 836 Jackson St., Columbus, IN 47201 | 2013-01-31 |
| 1235404526 | Eric Philip Tannenbaum | Orthopaedic Surgery | 940 N Marr Rd Ste C, Columbus, IN 47201 | 2012-03-20 |
| 1881994176 | Terri Ann Brewer | Social Worker | 12000 W. Moores Vineyard Rd, Columbus, IN 47201 | 2010-11-02 |
| 1255654620 | The Kane Group LLC | Durable Medical Equipment & Medical Supplies | 927 Fourth Street, Columbus, IN 47201 | 2010-03-12 |
| 1023243771 | Allison K Royer | Otolaryngology | 2326 18th Street, Suite 230, Columbus, IN 47201 | 2009-05-26 |
| Find all providers in zip 47201 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649770801 | Denise Janine Johnson | General Practice | 1184 Polaris Pkwy, Columbus, OH 43240-2024 | 2018-02-14 |
| 1811430812 | Lifestyle Medical Solutions LLC | General Practice | 3998 Indianola Ave, Columbus, OH 43214-3158 | 2016-11-22 |
| 1023461316 | Emily Anne Devol | General Practice | 2400 Corporate Exchange Dr Ste 102, Columbus, OH 43231-7651 | 2016-07-21 |
| 1134523996 | Danielle Elaine Berry | General Practice | Tree of Life Healthcare, 1968 North Avenue, Columbus, GA 31901 | 2014-10-22 |
| 1649607318 | Athletic Medical Solutions East, LLC | General Practice | 6100 E Main St Ste 110, Columbus, OH 43213 | 2013-09-26 |
| 1073851176 | Comprehensive Contingency Task Force | General Practice | 3649 Victory Dr, Columbus, GA 31903-4553 | 2013-01-24 |
| 1962755652 | Narciso Soriano Albarracin Jr. | General Practice | 5675 Shadowbrook Dr, Columbus, OH 43235-7566 | 2012-10-18 |
| 1356624415 | John Walter Woods | General Practice | 2601 Sandover Road, Columbus, OH 43220-2867 | 2011-09-26 |
| 1932439072 | Dr. Charles G Vonder Embse LLC | General Practice | 890 Highview Dr, Columbus, OH 43235-1233 | 2010-01-13 |
| 1750523684 | Ling Dan Twohig | General Practice | 201 Independence Dr., 14th Mdg/sgq, Columbus, MS 39710-0001 | 2009-03-24 |
| Find all providers in COLUMBUS | ||||
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| 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.