CROSSOVER HEALTH MEDICAL GROUP


Address: 1940 Enchanted Way Ste 101, Grapevine, TX 76051-0965
Phone: 9498910328

CROSSOVER HEALTH MEDICAL GROUP (NPI# 1689292773) 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) 1689292773
Entity Type Organization
Organization Name CROSSOVER HEALTH MEDICAL GROUP
Practice Address 1940 Enchanted Way Ste 101
Grapevine
TX 76051-0965
Mailing Address 101 W Avenida Vista Hermosa Ste 120
San Clemente
CA 92672-7707
Practice Telephone 9498910328
Mailing Telephone 9498910328
Enumeration Date 2020-07-06
Last Update Date 2020-07-06
Authorized Official Name ANGIE SAKIOKA (HR OPERATIONS SPECIALIST)
Authorized Official Telephone 9498910228
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Crossover @ Grapevine Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 1940 ENCHANTED WAY STE 101
City GRAPEVINE
State TX
Zip Code 76051-0965

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881227346 Jeffrey Joseph Cervenka Physical Therapist 2421 Ira E Woods Ave #101, Grapevine, TX 76051 2020-02-12
1871137562 Karen Lorince Counselor 2409 N. Support Road, Grapevine, TX 76051 2019-11-05
1548733785 Jessica Thorman Johnson Dietitian, Registered 1056 Texan Trail (fortis Bmi), Grapevine, TX 76051 2019-01-10
1164928958 Kristen Diou Counselor 913 S Church St Ste 103, Grapevine, TX 76051 2018-04-02
1356860597 Anissa Singratanakul D.m.d, Pllc Dentist 1231 William D Tate Suite 400, Grapevine, TX 76051 2017-09-19
1033637665 James Abraham Thomas Pharmacy 1601 W. State Hwy 114, Grapevine, TX 76051 2017-09-04
1437606563 D'anna Sims Counselor 2451 Stone Myers Parkway, #100, Grapevine, TX 76051 2016-09-07
1477006369 Melinda Jeanne Mashburn Nurse Practitioner 1600 West College St., Suite 60, Grapevine, TX 76051 2016-07-27
1437506623 Allcare Physicians Group Registered Nurse 1111 S Main St Ste 119, Grapevine, TX 76051 2016-05-18
1790141745 Colwick Counseling Clinic/Center 1400 W. Northwest Highway Suite 260, Grapevine, TX 76051 2016-01-06
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Competitor

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City GRAPEVINE
Zip Code 76051

Improve Information

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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.

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