Active NPI
Crossen Family Practice PC
- Family Medicine Physician
- Henrico, VA
National Provider Identifier
1861425464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5642990 | Medicaid | VA | |
| 117693 | Other | VA | ANTHEM BLUE SHIELD |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- 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.
-
- Family Medicine Physician
- Richmond, VA
- NPI 1588821193
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.