Crossroads Pediatrics PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

16602 Issued in AZ

Legal business name

CROSSROADS PEDIATRICS PLLC

Practice address

655 S. Dobson Rd.
Suite B-218
Chandler, AZ 85224-5671

Phone

(480) 722-1180

Fax

(480) 722-1187

NPI assigned

Aug 19, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Edward J. Madrid, M.D.NPI 1558528042

Title

Member Owner/Physician

Phone

(480) 722-1180

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pax Lumena Pediatrics PLLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward J Madrid, MD.

  • Pediatrics Physician
  • Chandler, AZ
  • NPI 1558528042
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1083606529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 S. DOBSON RD",
            "address_2": "SUITE B-218",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245671",
            "telephone_number": "480-722-1180",
            "fax_number": "480-722-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 S. DOBSON RD.",
            "address_2": "SUITE B-218",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245671",
            "telephone_number": "480-722-1180",
            "fax_number": "480-722-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-19",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "MADRID",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MEMBER OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "480-722-1180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "16602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "247454001",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pax Lumena Pediatrics PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sean Alexander Cross
• Crossroads Chandler
• Crossroads Chandler
• Crossroads Dental Group, LLP
• Crossroads Orthopedic PT
• David W Crouthamel, DDS
• William A. Crum, O.D.
• Anna Cruz
• Jill Kristin Cruz, LMFT
• Nicole Cryer

• Pediatrics Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.