NPIMap

Organization Active NPI

Cross Country Holdings, P.C.

Doing business as OC Medical

  • Family Medicine Physician
  • Ogden, UT
National Provider Identifier
1578937801
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4891288-1204 Issued in UT
Legal business name
CROSS COUNTRY HOLDINGS, P.C.
Doing business as
OC Medical
Practice address
1900 Washington Blvd
Ste 104
Ogden, UT 84401-6849
Phone
(801) 612-1085
Fax
(801) 337-1104
NPI assigned
Nov 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Authorized official

Name
Jennifer Kocour, D.C.NPI 1841472610
Title
President
Phone
(801) 689-0123

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 7387084-1202 UT
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 7387085-1202 UT
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 4891288-1204 UT Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 9579184-1206 UT

Addresses

Primary practice location

1900 Washington Blvd
Ste 104
Ogden, UT 84401-6849

Mailing address

1900 Washington Blvd
Ste 104
Ogden, UT 84401-6849
Phone (801) 612-1085

Other names 1

  • OC Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160120001088 UT Part B Supplier - Clinic/Group Practice 7517260896 Receives reassigned benefits from 4 practitioners
Practice locations: Ogden, UT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1448323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1578937801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 WASHINGTON BLVD",
            "address_2": "STE 104",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844016849",
            "telephone_number": "801-612-1085",
            "fax_number": "801-337-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 WASHINGTON BLVD",
            "address_2": "STE 104",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844016849",
            "telephone_number": "801-612-1085",
            "fax_number": "801-337-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS COUNTRY HOLDINGS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-24",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "KOCOUR",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-689-0123",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "7387084-1202",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "7387085-1202",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "4891288-1204",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "9579184-1206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OC Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.