National Healthcare of Mt Vernon Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NATIONAL HEALTHCARE OF MT VERNON INC

Doing business as

Crossroads Family Medicine of Mt Vernon

Practice address

209 Crossroads PL
Suite 120
Mount Vernon, IL 62864-6545

Phone

(618) 244-6222

Fax

(618) 244-7299

NPI assigned

Jan 10, 2013

Last updated

Mar 12, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

NATIONAL HEALTHCARE OF MT VERNON INCAs reported in NPPES

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

Authorized official

Name

James Wright

Title

Sr Director

Phone

(615) 465-7587

Specialties & licenses 3

Addresses

Other names 1

• CROSSROADS FAMILY MEDICINE OF MT VERNON Doing business as

Part of

National Healthcare of

Locations

Practitioners 2

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.

• Hamid Mahmud, MD

  • Family Medicine Physician
  • Salem, IL
  • NPI 1326084468
  NPD (past)
• Robert Parks, M.D.

  • Internal Medicine Physician
  • Benton, IL
  • NPI 1356380497
  NPD (past)

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1619214624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "800-709-7338",
            "fax_number": "615-465-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 CROSSROADS PL",
            "address_2": "SUITE 120",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646545",
            "telephone_number": "618-244-6222",
            "fax_number": "618-244-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL HEALTHCARE OF MT VERNON INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL HEALTHCARE OF MT VERNON INC",
        "enumeration_date": "2013-01-10",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "SR DIRECTOR",
        "authorized_official_telephone_number": "615-465-7587"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CROSSROADS FAMILY MEDICINE OF MT VERNON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott Murray, LCSW
• Brandon Nabors, MA, QMHP
• Sudeep Nair, MD
• National Healthcare of Mt Vernon Inc
• National Healthcare of Mt Vernon Inc (Crossroads Internal Medicine RHC)
• National Healthcare of Mt Vernon Inc (Crossroads Community Hospital)
• National Healthcare of Mt Vernon Inc (Crossroads Community Hospital)
• National Healthcare of Mt Vernon Inc (Crossroads Family Medicine of Mt Vernon)
• National Healthcare of Mt. Vernon, Inc (Crossroads Internal Medicine)
• National Imaging of Mount Vernon LLC (Southern Illinois Imaging)

• Family Medicine Physician in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; 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.