Cross Creek Neurology PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

CROSS CREEK NEUROLOGY PLLC

Practice address

518 Beaumont Rd
Suite 101
Fayetteville, NC 28304-4447

Phone

(910) 487-5574

Fax

(910) 487-5542

NPI assigned

Jan 1, 2007

Organization subpart

No

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

Authorized official

Name

Muhammed Amir Khasru, MDNPI 1437111804

Title

Owner

Phone

(910) 487-5574

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• Muhammed A Khasru, M.D.

  • Neurology Physician
  • Fayetteville, NC
  • NPI 1437111804
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1124184247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3533 TURNBERRY CIRCLE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034665",
            "telephone_number": "910-487-5574",
            "fax_number": "910-487-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 BEAUMONT RD",
            "address_2": "SUITE 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044447",
            "telephone_number": "910-487-5574",
            "fax_number": "910-487-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS CREEK NEUROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-01",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "KHASRU",
        "authorized_official_first_name": "MUHAMMED",
        "authorized_official_middle_name": "AMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-487-5574",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891297A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cross & Crown Regenerative Care PLLC
• Cross Creek Chiropractic Clinic PA
• Cross Creek Imaging LLC
• Cross Creek Manor Assisted Living LLC
• Cross Creek Medical Clinic, PA
• Cross Creek Pediatrics
• Cross Creek Urgent Care and Family Clinic
• Elouise Cross
• Emily Cross, M.ED CCC-SLP
• Lindsey Cross, PHARM.D.

• Neurology Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Neurology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.