Individual provider Active NPI

David C Crosswhite, D.O

  • Family Medicine Physician
  • Norman, OK
National Provider Identifier
1477515054
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3255 Issued in OK
Practice address
700 24TH Ave NW
Norman, OK 73069-6232
Phone
(405) 364-0555
Fax
(405) 573-5464
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3255 OK Primary

Addresses

Primary practice location

700 24TH Ave NW
Norman, OK 73069-6232

Mailing address

5300 N Independence Ave Ste 280
Oklahoma City, OK 73112-5555
Phone (405) 364-0555

Other practice location 1

700 24th Ave NW
Norman, OK 73069-6232
Phone (405) 364-0555

Other identifiers 1

IdentifierTypeStateIssuer
100102550 AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070227000230 OK Practitioner - Family Practice 1153423827 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians

Practice addresses (Care Compare)

2361 36TH Ave NW
Norman, OK 73072-2908
Phone (404) 364-0555

Hospital & facility affiliations

  • Integris Canadian Valley Hospital Hospital, Yukon, OK, CCN 370211
  • Integris Southwest Medical Center Hospital, Oklahoma City, OK, CCN 370106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3255OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Services of Oklahoma PC CurrentSince Jan 1, 2011 Accepting new patients
Integris Ambulatory Care Corporation Family Medicine CurrentSince Nov 15, 2017 Accepting new patients
Integris Ambulatory Care C Orporation Family Medicine Past Accepting new patients

Locations

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

700 24th Ave NW
Norman, OK 73069
Phone (405) 364-0555

2361 36th Ave NW
Norman, OK 73072

5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

4401 S Western Ave
Oklahoma City, OK 73109
Phone (405) 636-7000

2929 S Mustang Rd
Yukon, OK 73099
Phone (405) 376-1800

Interoperability endpoints

  • Direct secure messaging: dcrosswhite22592@direct.integrisok.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1477515054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N INDEPENDENCE AVE STE 280",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125555",
            "telephone_number": "405-364-0555",
            "fax_number": "405-573-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 24TH AVE NW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696232",
            "telephone_number": "405-364-0555",
            "fax_number": "405-573-5464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 24th Ave NW",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730696232",
            "country_code": "US",
            "telephone_number": "405-364-0555",
            "fax_number": "405-573-5464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSSWHITE",
        "first_name": "DAVID",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "3255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100102550 A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.