Crossover Health Medical Group

Primary specialty

SpecialistTaxonomy code 174400000X

License

A62815 Issued in CA

Legal business name

CROSSOVER HEALTH MEDICAL GROUP

Practice address

35 Dory Rd
Gloucester, MA 01930-2236

Phone

(949) 891-0328

NPI assigned

Jun 3, 2013

Organization subpart

No

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

Authorized official

Name

Richard M Patragnoni, M.D

Title

Medical Director

Phone

(949) 891-0328

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Tax ID family

Crossover Medical Group89 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 3

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Crossover Health Medical Group

  • Specialist
  • Newburyport, MA
  • NPI 1104264902
  NPD tax ID
• Crossover Health Medical Group

  • Specialist
  • Boston, MA
  • NPI 1225899552
  NPD tax ID
• Crossover Health Medical Group

  • Specialist
  • Boston, MA
  • NPI 1841122546
  NPD tax ID

Locations

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1104263953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26831 ALISO CREEK RD STE 200",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565341",
            "telephone_number": "949-891-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 DORY RD",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019302236",
            "telephone_number": "949-891-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSOVER HEALTH MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "PATRAGNONI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-891-0328",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A62815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norma A Cooney, LICSW
• Eleonora Rose Costa
• Katherine Cota Macdonald
• Reilly Erin Coughlin
• William D Crosby, LIC. AC.
• Benjamin Cruz, PT
• Mary Grace Filamor Cruz, PT
• Kayla Hope Culbreth
• Sarah Curran, FNP-C
• CVS Pharmacy Inc (CVS Pharmacy #00272)

• Specialist in Gloucester, MA
• Providers in Gloucester, MA by specialty
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.