Organization Active NPI

Crossen Family Practice PC

  • Family Medicine Physician
  • Henrico, VA
National Provider Identifier
1861425464
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CROSSEN FAMILY PRACTICE PC
Practice address
7603 Forest Ave Ste 301
Henrico, VA 23229-4937
Phone
(804) 421-7404
Fax
(804) 421-7405
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
David Keith Crossen, M.D
Title
Owner/Provider
Phone
(804) 921-1284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

7603 Forest Ave Ste 301
Henrico, VA 23229-4937

Mailing address

5805 River Rd
Richmond, VA 23226-3313
Phone (804) 421-7404

Other identifiers 2

IdentifierTypeStateIssuer
5642990MedicaidVA
117693OtherVAANTHEM BLUE SHIELD

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18583/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1861425464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 RIVER RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263313",
            "telephone_number": "804-421-7404",
            "fax_number": "804-421-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7603 FOREST AVE STE 301",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232294937",
            "telephone_number": "804-421-7404",
            "fax_number": "804-421-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSEN FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "CROSSEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "804-921-1284",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5642990",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE SHIELD",
            "identifier": "117693",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.