Organization Active NPI

Reagan Crossnoe M.D P.a.

  • Exclusive Provider Organization
  • Amarillo, TX
National Provider Identifier
1891984696
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
K9511 Issued in TX
Legal business name
REAGAN CROSSNOE M.D P.A.
Practice address
7120 SW 9TH Ave
Amarillo, TX 79106-1704
Phone
(806) 547-0330
Fax
(806) 547-0331
NPI assigned
Oct 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Authorized official

Name
Reagan Lee Crossnoe, M.D.NPI 1083604086
Title
Physician
Phone
(806) 547-0330

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
Exclusive Provider Organization 302F00000X K9511 TX Primary

Addresses

Primary practice location

7120 SW 9TH Ave
Amarillo, TX 79106-1704

Mailing address

7120 SW 9TH Ave
Amarillo, TX 79106-1704
Phone (806) 547-0330

Other names 1

  • Crossnoe Orthopedic Surgery Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081223000310 TX Part B Supplier - Clinic/Group Practice 0840350625 Receives reassigned benefits from 2 practitioners
Practice locations: Amarillo, TX

National Provider Directory

National Provider Directory

Locations

1901 Medi Park Dr
Amarillo, TX 79106
Phone (806) 353-2101

1901 Medi Park Dr
Ste 10
Amarillo, TX 79106
Phone (806) 356-2310

Practitioners & affiliated clinicians

Practitioners 4

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": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1891984696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 SW 9TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061704",
            "telephone_number": "806-547-0330",
            "fax_number": "806-547-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 SW 9TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061704",
            "telephone_number": "806-547-0330",
            "fax_number": "806-547-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAGAN CROSSNOE M.D P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "CROSSNOE",
        "authorized_official_first_name": "REAGAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "806-547-0330",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "TX",
            "license": "K9511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossnoe Orthopedic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.