Crossover Health Medical Group

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

CROSSOVER HEALTH MEDICAL GROUP

Practice address

544 Conestoga Pkwy Ste 3
Shepherdsville, KY 40165-5676

Phone

(929) 891-0328

NPI assigned

Sep 24, 2020

Organization subpart

No

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

Authorized official

Name

Angie Sakioka

Title

Operations

Phone

(949) 891-0228

Specialties & licenses 1

Addresses

Other names 1

• Crossover @ Shepherdsville Doing business as

Tax ID family

Crossover Medical Group89 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 3

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Crossover Health Medical Group

  • Specialist
  • Louisville, KY
  • NPI 1184437550
  NPD tax ID
• Crossover Health Medical Group

  • Specialist
  • Covington, KY
  • NPI 1285495515
  NPD tax ID
• Crossover Health Medical Group

  • Multi-Specialty Clinic/Center
  • Louisville, KY
  • NPI 1548877491
  NPD tax ID

Locations

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1992312847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W AVENIDA VISTA HERMOSA STE 120",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926727707",
            "telephone_number": "949-891-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 CONESTOGA PKWY STE 3",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401655676",
            "telephone_number": "929-891-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSOVER HEALTH MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "SAKIOKA",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "949-891-0228"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossover @ Shepherdsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael S. Cox, RPH.
• Lori Craven
• Matthew Sawyer Crawford
• Kelsea Creason, PA
• Lacey D. Creek, BHS
• CS Dental, PLLC
• Tyler Blaine Curry, PT, DPT
• David Edward Dahlkamp, D.C.
• Sharon Darnell, CSW
• Camille Davis

• Multi-Specialty Clinic/Center in Shepherdsville, KY
• Providers in Shepherdsville, KY by specialty
• Multi-Specialty Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.