Crossroads Healing Arts LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CROSSROADS HEALING ARTS LLC

Practice address

21764 Omega CT
Goshen, IN 46528-7809

Phone

(574) 875-4227

Fax

(574) 875-7828

NPI assigned

Oct 5, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tammy L Geurkink Born, DO

Title

Owner

Phone

(616) 656-3700

Specialties & licenses 1

Addresses

Locations

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.

• Arden B Andersen, DO

  • General Practice Physician
  • Lansing, KS
  • NPI 1093800716
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528154895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 52ND ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495129637",
            "telephone_number": "616-656-3700",
            "fax_number": "616-656-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21764 OMEGA CT",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465287809",
            "telephone_number": "574-875-4227",
            "fax_number": "574-875-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS HEALING ARTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEURKINK BORN",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-656-3700",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Crawford
• Cynthia S Creighton, OTR
• Alyssa Danielle Cripe, FNP-C
• David Lyle Cripe, O.D.
• Stephanie Lynn Cross, NP
• Crossroads Health & Cosmetic Center PC
• Crossroads Pediatric Dentistry PC
• Crossroads Therapy Practice LLC
• Cara Culp
• Judy M. Culp

• General Practice Physician in Goshen, IN
• Providers in Goshen, IN by specialty
• General Practice Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.