Active NPI
Cross Lanes Family Practice, Inc.
- Family Medicine Physician
- Cross Lanes, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CROSS LANES FAMILY PRACTICE, INC.
- Practice address
- 5480 Big Tyler Rd
Cross Lanes, WV 25313-1116 - Phone
- (304) 776-2409
- Fax
- (304) 776-2023
- NPI assigned
- Nov 9, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory C Stonestreet, MD
- Title
- President
- Phone
- (304) 776-2409
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
5480 Big Tyler Rd
Cross Lanes, WV 25313-1116
Mailing address
5480 Big Tyler Rd
Cross Lanes, WV 25313-1116
Phone (304) 776-2409
National Provider Directory
National Provider DirectoryLocations
5480 Big Tyler Rd
Cross Lanes, WV 25313
Phone (304) 776-2311
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Cross Lanes, WV
- NPI 1881692671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1205906625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5480 BIG TYLER RD",
"city": "CROSS LANES",
"state": "WV",
"postal_code": "253131116",
"telephone_number": "304-776-2409",
"fax_number": "304-776-2023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5480 BIG TYLER RD",
"city": "CROSS LANES",
"state": "WV",
"postal_code": "253131116",
"telephone_number": "304-776-2409",
"fax_number": "304-776-2023"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROSS LANES FAMILY PRACTICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "STONESTREET",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "304-776-2409",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cross Lanes, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.