Crossroads Surgery Center Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

8598271 Issued in MN

Legal business name

CROSSROADS SURGERY CENTER INC

Practice address

1575 20TH St NW Ste 203
Faribault, MN 55021-2930

Phone

(507) 332-9900

Fax

(507) 332-6800

NPI assigned

Mar 7, 2007

Last updated

May 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael George Richie, M.D.NPI 1679594972

Title

Owner

Phone

(507) 332-9900

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Listed as

Crossroads Surgery Center IncCCN 24C0001058

Medicare certification status

ActiveFrom the Provider of Services file

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 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael G Richie, M.D.

  • Ophthalmology Physician
  • Faribault, MN
  • NPI 1679594972
  NPD (past) Authorized official
• Cory Jay Miller

  • Ophthalmology Physician
  • Faribault, MN
  • NPI 1114451259
  NPD
• Michael Lee Reinsbach, M.D.

  • Student in an Organized Health Care Education/Training Program
  • La Crosse, WI
  • NPI 1952712861
  NPD
• Michelle Muench, M.D.

  • Ophthalmology Physician
  • Faribault, MN
  • NPI 1093733966
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1114057023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 20TH ST NW STE 203",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550212930",
            "telephone_number": "507-332-9900",
            "fax_number": "507-332-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 20TH ST NW STE 203",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550212930",
            "telephone_number": "507-332-9900",
            "fax_number": "507-332-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "RICHIE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-332-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MN",
            "license": "8598271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "957902000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00411252",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin James Cooper, PHARMD
• Hallie Costello
• County of Rice (Rice County Public Health Nursing Service)
• Mary Crandall
• Michelle Crosby, NP
• Ashwaq Dagane
• Safwaan Dagane
• Suhayb Dagane
• Ann Dahl, OT
• Nimo Dakane

• Ambulatory Surgical Clinic/Center in Faribault, MN
• Providers in Faribault, MN by specialty
• Ambulatory Surgical Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.