NPIMap

Organization Active NPI

Crossroads Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Ephrata, PA
National Provider Identifier
1295901445
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
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
Last updated
Aug 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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.NPI 1972602043
Title
Chairman of the Board of Directors
Phone
(717) 569-9636

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)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X PA Primary

Addresses

Primary practice location

4150 Barrett Boulevard
Ephrata, PA 17522-0001

Mailing address

4150 Barrett Boulevard
P. O. Box 544
Ephrata, PA 17522-0001
Phone (267) 960-1409

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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": []
}

Other providers in Ephrata, PA

Sources for this page

  • 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.