Crossroads Surgery Center

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

CROSSROADS SURGERY CENTER

Practice address

4150 Barrett Boulevard
Ephrata, PA 17522

Phone

(717) 859-4300

Fax

(717) 859-4301

NPI assigned

Apr 2, 2009

Organization subpart

No

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

Authorized official

Name

Miss Angela M Shade

Title

Biller

Phone

(717) 859-5064

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1689816878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 BARRETT BOULEVARD",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "17522",
            "telephone_number": "717-859-4300",
            "fax_number": "717-859-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 BARRETT BOULEVARD",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "17522",
            "telephone_number": "717-859-4300",
            "fax_number": "717-859-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-04-02",
        "status": "A",
        "authorized_official_last_name": "SHADE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "717-859-5064",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Common Ground Relationship Therapy, LLC
• Lori Jean Conley, CNM
• Peter C. Cote, M.D.
• Hannah Cox
• Alina Mae Crimmins, OTA/L
• Crossroads Surgery Center, LLC
• Karen Ann Crouse, CNM
• Sarah E Crowther, DPT
• Rizalino S Cruz, MD
• Callie Tucker Dagen, MD

• Certified Registered Nurse Anesthetist in Ephrata, PA
• Providers in Ephrata, PA by specialty
• Certified Registered Nurse Anesthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.