Organization Active NPI

Crossroads Family Medicine PLLC

  • Primary Care Clinic/Center
  • Concord, NH
National Provider Identifier
1891953568
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
11066 Issued in NH
Legal business name
CROSSROADS FAMILY MEDICINE PLLC
Practice address
194A Pleasant St Ste 101
Concord, NH 03301-2960
Phone
(603) 856-8828
Fax
(603) 856-8813
NPI assigned
May 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Authorized official

Name
Dr. Peter Cochrane Loeser, M.D.NPI 1831357508
Title
Manager
Phone
(603) 856-8828

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 11066 NH Primary

Addresses

Primary practice location

194A Pleasant St Ste 101
Concord, NH 03301-2960

Mailing address

194A Pleasant St Ste 101
Concord, NH 03301-2960
Phone (603) 856-8828

Other identifiers 1

IdentifierTypeStateIssuer
3078556MedicaidNH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120105000975 NH Part B Supplier - Clinic/Group Practice 8628244084 Receives reassigned benefits from 4 practitioners
Practice locations: Concord, NH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
30D1086221Crossroads Family Medicine, PLLC194 Pleasant St, Ste 9, Concord, NH 03301Provider-performed microscopyJul 7, 2026

National Provider Directory

National Provider Directory

Locations

194A Pleasant St
Ste 101
Concord, NH 03301
Phone (603) 856-8828

Practitioners & affiliated clinicians

Practitioners 5

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": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1891953568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194A PLEASANT ST STE 101",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012960",
            "telephone_number": "603-856-8828",
            "fax_number": "603-856-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194A PLEASANT ST STE 101",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012960",
            "telephone_number": "603-856-8828",
            "fax_number": "603-856-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "LOESER",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "COCHRANE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "603-856-8828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NH",
            "license": "11066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3078556",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.