NPIMap

Organization Active NPI

Crossroads Medical Associates, PLLC

  • Internal Medicine Physician
  • Fredericksburg, VA
National Provider Identifier
1346279155
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CROSSROADS MEDICAL ASSOCIATES, PLLC
Practice address
1320 Central Park Blvd
Fredericksburg, VA 22401-4942
Phone
(540) 785-9500
Fax
(540) 785-0206
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Authorized official

Name
Eneya Mulagha, M.D.NPI 1629067723
Title
Physician
Phone
(540) 785-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1320 Central Park Blvd
Fredericksburg, VA 22401-4942

Mailing address

1320 Central Park Blvd
Fredericksburg, VA 22401-4942
Phone (540) 785-9500

National Provider Directory

National Provider Directory

Locations

1320 Central Park Blvd
Fredericksburg, VA 22401
Phone (540) 785-9500

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1346279155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 CENTRAL PARK BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014942",
            "telephone_number": "540-785-9500",
            "fax_number": "540-785-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 CENTRAL PARK BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014942",
            "telephone_number": "540-785-9500",
            "fax_number": "540-785-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS MEDICAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "MULAGHA",
        "authorized_official_first_name": "ENEYA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "540-785-9500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.