CROSSROADS PHYSICIANS CORP


Address: 209 Crossroads Pl, Suite 110, Mount Vernon, IL 62864-6254
Phone: 6182446710

CROSSROADS PHYSICIANS CORP (NPI# 1508850520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508850520
Entity Type Organization
Organization Name CROSSROADS PHYSICIANS CORP
Practice Address 209 Crossroads Pl
Suite 110
Mount Vernon
IL 62864-6254
Mailing Address 7100 Commerce Way
Suite 180
Brentwood
TN 37027-2829
Practice Telephone 6182446710
Practice Fax Number 6182446779
Enumeration Date 2005-09-06
Last Update Date 2009-08-25
Authorized Official Name DEBBIE T BREWER (DIRECTOR OF PROVIDER ENROLLMENT)
Authorized Official Telephone 6154657626
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QR1300X Clinic/Center
Specialization: Rural Health
Ambulatory Health Care Facilities
N 207R00000X Internal Medicine Allopathic & Osteopathic Physicians
N 208600000X Surgery Allopathic & Osteopathic Physicians
N 208800000X Urology Allopathic & Osteopathic Physicians
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036064567 05
IL BCBS IL 4132020 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1144286717 Crossroads Physicians Corp Family Medicine 203 Bailey Ln, Benton, IL 62812-1969 2006-04-24

Office Location

Street Address 209 CROSSROADS PL
SUITE 110
City MOUNT VERNON
State IL
Zip Code 62864-6254

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780678797 Crossroads Physician Corp Family Medicine 209 Crossroads Pl, Suite 120, Mount Vernon, IL 62864-6254 2005-09-06
1437698842 S Thomas Sehy Dpm LLC Podiatrist 209 Crossroads Pl, Suite 130, Mount Vernon, IL 62864-6545 2017-02-17
1407221484 Sonya Mckinney Nurse Practitioner 209 Crossroads Pl, Mount Vernon, IL 62864-6545 2015-12-02
1619214624 National Healthcare of Mt Vernon Inc Internal Medicine 209 Crossroads Pl, Suite 120, Mount Vernon, IL 62864-6545 2013-01-10
1962753277 National Healthcare of Mt Vernon Inc Clinic/Center 209 Crossroads Pl, Suite 120, Mount Vernon, IL 62864-6545 2012-09-26
1194980516 Crossroads Physician Corp Internal Medicine 209 Crossroads Pl, Suite 140, Mount Vernon, IL 62864-6545 2008-07-24
1801806039 Elizabeth D Cox Family Medicine 209 Crossroads Pl, Suite 140, Mount Vernon, IL 62864-6545 2006-08-09
1790725307 Chirag Dave Internal Medicine 209 Crossroads Pl, Suite 110, Mount Vernon, IL 62864-6545 2006-06-08
1417909060 Gary M Reagan Urology 209 Crossroads Pl, Suite 110, Mount Vernon, IL 62864-6254 2006-05-16
1912959578 Lawrence Hollander Surgery 209 Crossroads Pl, Suite #130, Mount Vernon, IL 62864-6254 2006-05-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619438892 Melissa Pryer Dietitian, Registered 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 2019-03-28
1487145454 Chiropractic Wellness Center of Mt Vernon, LLC. Chiropractor 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 2018-05-24
1851889208 Kimberly Tate Counselor 4110 North Water Place, Mt. Vernon, IL 62864 2018-05-01
1871907790 University Hematology Oncology Inc Specialist #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 2014-06-18
1457771677 Dynamic Counseling and Consultation Services Social Worker 3600 S Water Tower Pl, Mt Vernon, IL 62864 2014-04-27
1619239431 Judith C Morgan Counselor 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 2012-06-08
1073888624 James Brian Verges Counselor 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 2012-03-15
1720352271 Lucinda M. Holdren Counselor 16338 North Illinois Highway 37, Mount Vernon, IL 62864 2012-03-01
1780978627 Jamie M Orange Physical Therapy Assistant 19958 Fairfield Rd, Mt. Vernon, IL 62864 2011-06-08
1780978791 Wendy Marie Claytor Speech-Language Pathologist 600 E Il Hwy 15, Mount Vernon, IL 62864 2011-06-07
Find all providers in zip 62864

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669084299 Jean Woel Latortue Family Medicine 506 State Tx Hwy 37, Mount Vernon, TX 75457 2020-08-17
1144693250 David B. Benson, Md, Pllc Family Medicine 1603 S 3rd St, Mount Vernon, WA 98273-4909 2015-11-11
1245617828 Choudhry Nadeem Mumtaz Family Medicine 209 Crossroads Pl Ste 120, Mount Vernon, IL 62864-6545 2015-05-02
1801221403 Docrx, Inc. Family Medicine 4200 Williamson Pl, Mount Vernon, IL 62864-6705 2013-09-13
1457605909 Docrx Inc Family Medicine 209 Crossroads Pl Ste 100, Mount Vernon, IL 62864-6545 2012-11-06
1427310473 Jonathan Titus Hardin Family Medicine 1330 Coschocton Road, Mount Vernon, OH 43050 2012-06-14
1760750467 Lower Oconee Community Hospital, Inc. Family Medicine 421 W Robinson Drive, Mount Vernon, GA 30445 2011-12-08
1336435049 Benjamin Mclaughlin Family Medicine 819 S 13th St, Mount Vernon, WA 98274-4112 2011-06-21
1851600845 Janet K Christiansen Family Medicine 13301 Egbers Kalso Rd, Mount Vernon, WA 98273-8207 2010-09-25
1538483722 Lynette Marie Emery Family Medicine 17879 Valley Ridge Ln, Mount Vernon, WA 98274-7743 2010-03-17
Find all providers in MOUNT VERNON

Competitor

Search similar providers

City MOUNT VERNON
Zip Code 62864

Improve Information

Please comment or provide details below to improve the information on CROSSROADS PHYSICIANS CORP.

Dataset Information

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.

Trending Searches