Crossgates Hma Medical Group, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

CROSSGATES HMA MEDICAL GROUP, LLC

Doing business as

Care Plus Pediatrics at the Reservoir

Practice address

1020 Spillway Cir
Suite 6
Brandon, MS 39047-6035

Phone

(601) 829-0214

Fax

(601) 829-0375

NPI assigned

Mar 1, 2011

Last updated

Nov 27, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

HEALTH MANAGEMENT ASSOCIATES, INC.As reported in NPPES

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

Authorized official

Name

Mr. Michael L Gingras

Title

Vice President

Phone

(239) 598-3131

Specialties & licenses 1

Addresses

Other names 1

• Care Plus Pediatrics at the Reservoir Doing business as

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1386942357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 PELICAN BAY BLVD",
            "address_2": "SUITE 500",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082733",
            "telephone_number": "239-598-3131",
            "fax_number": "239-592-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SPILLWAY CIR",
            "address_2": "SUITE 6",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390476035",
            "telephone_number": "601-829-0214",
            "fax_number": "601-829-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSGATES HMA MEDICAL GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH MANAGEMENT ASSOCIATES, INC.",
        "enumeration_date": "2011-03-01",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "GINGRAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "239-598-3131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Plus Pediatrics at the Reservoir",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• James Lewis Crosthwait, M.D.

• Pediatrics Physician in Brandon, MS
• Providers in Brandon, MS by specialty
• Pediatrics Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.