Active NPI
Crossroads Clinic Volunteers in Medicine
- General Practice Physician
- Lake St Louis, MO
National Provider Identifier
1053117598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- CROSSROADS CLINIC VOLUNTEERS IN MEDICINE
- Practice address
- 10890 Veterans Memorial Parkway
Lake St. Louis, MO 63367 - Phone
- (636) 561-3133
- Fax
- (636) 625-3534
- NPI assigned
- Feb 24, 2025
- Last updated
- Feb 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maimuna Baig, M.D.
- Title
- Medical Director
- Phone
- (636) 561-3133
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
10890 Veterans Memorial Parkway
Lake St. Louis, MO 63367
Mailing address
10890 Veterans Memorial Parkway
Lake St. Louis, MO 63367
Phone (636) 561-3133
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740355200000",
"number": "1053117598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10890 VETERANS MEMORIAL PARKWAY",
"city": "LAKE ST. LOUIS",
"state": "MO",
"postal_code": "63367",
"telephone_number": "636-561-3133",
"fax_number": "636-625-3534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10890 VETERANS MEMORIAL PARKWAY",
"city": "LAKE ST. LOUIS",
"state": "MO",
"postal_code": "63367",
"telephone_number": "636-561-3133",
"fax_number": "636-625-3534"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROSSROADS CLINIC VOLUNTEERS IN MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-24",
"last_updated": "2025-02-24",
"status": "A",
"authorized_official_last_name": "BAIG",
"authorized_official_first_name": "MAIMUNA",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "636-561-3133",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake St Louis, MO
- Cornerstone First Assisting
- Brittany Jessica Counterman, MPT
- Hannah Cowin
- Crestview Medical Associates, LLC
- Crislip Speech Therapy, LLC (Crislip Speech Therapy)
- Yunhee Choi Cruse, CNP, FNP-BC
- John Michael Curtin, D.C.
- Jessica Lynn Daniels, LCSW
- Sara Jane Daniels, M.A., CCC-SLP
- Reama T Darwish, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.