Crossroads Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CROSSROADS SURGERY CENTER, LLC

Practice address

4150 Barrett Boulevard
Ephrata, PA 17522-0001

Phone

(267) 960-1409

Fax

(215) 443-9622

NPI assigned

May 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Matthew E. Midcap, M.D.

Title

Chairman of the Board of Directors

Phone

(717) 569-9636

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1295901445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 BARRETT BOULEVARD",
            "address_2": "P. O. BOX 544",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175220001",
            "telephone_number": "267-960-1409",
            "fax_number": "215-443-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 BARRETT BOULEVARD",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175220001",
            "telephone_number": "267-960-1409",
            "fax_number": "215-443-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "MIDCAP",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "717-569-9636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Jean Conley, CNM
• Peter C. Cote, M.D.
• Hannah Cox
• Alina Mae Crimmins, OTA/L
• Crossroads Surgery Center
• Karen Ann Crouse, CNM
• Sarah E Crowther, DPT
• Rizalino S Cruz, MD
• Callie Tucker Dagen, MD
• Juliana McKenney Dailey

• Ambulatory Surgical Clinic/Center in Ephrata, PA
• Providers in Ephrata, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.