NPIMap

Organization Active NPI

Crossover Health Medical Group

  • Specialist
  • Newburyport, MA
National Provider Identifier
1104264902
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A73842 Issued in CA
Legal business name
CROSSOVER HEALTH MEDICAL GROUP
Practice address
4 Stanley Tucker Dr
Newburyport, MA 01950-4039
Phone
(949) 891-0328
NPI assigned
Jun 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Authorized official

Name
Andrea Sullivan, M.D
Title
Physician
Phone
(949) 891-0328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A73842 CA Primary

Addresses

Primary practice location

4 Stanley Tucker Dr
Newburyport, MA 01950-4039

Mailing address

26831 Aliso Creek Rd Ste 200
Aliso Viejo, CA 92656-5341
Phone (949) 891-0328

National Provider Directory

National Provider Directory
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.

Locations

4 Stanley Tucker Dr
Newburyport, MA 01950
Phone (978) 282-2220

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1104264902",
    "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": "4 STANLEY TUCKER DR",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019504039",
            "telephone_number": "949-891-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSOVER HEALTH MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "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": "A73842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.