CROSSOVER HEALTH MEDICAL GROUP (NPI# 1821510777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821510777 |
| Entity Type | Organization |
| Organization Name | CROSSOVER HEALTH MEDICAL GROUP |
| Practice Address |
3925 159th Ave Ne Redmond WA 98052-6309 |
| Mailing Address |
101 W Avenida Vista Hermosa Ste 120 San Clemente CA 92672-7707 |
| Practice Telephone | 9498910328 |
| Mailing Telephone | 9498910328 |
| Mailing Fax Number | 9492720159 |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2017-07-12 |
| Authorized Official Name | ANGIE SAKIOKA (QUALITY AND COMPLIANCE) |
| Authorized Official Telephone | 9498910328 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443751 | Crossover Health Medical Group | Clinic/Center | 424 E. 4th St, Suite 100, Royal Oak, MI 48067 | 2020-09-29 |
| 1184231037 | Crossover Health Medical Group | Clinic/Center | 434 Patrol Rd, Jeffersonville, IN 47130-7754 | 2020-09-24 |
| 1982211835 | Crossover Health Medical Group | Clinic/Center | 711 W 2nd St Ste A, San Bernardino, CA 92410-3262 | 2020-09-24 |
| 1619584570 | Crossover Health Medical Group | Clinic/Center | 19901 Dix Toledo Hwy, Brownstown Twp, MI 48183-1039 | 2020-09-24 |
| 1982211843 | Crossover Health Medical Group | Clinic/Center | 5379 Hamner Ave Unit 801, Eastvale, CA 91752-1042 | 2020-09-24 |
| 1992312847 | Crossover Health Medical Group | Clinic/Center | 544 Conestoga Pkwy Ste 3, Shepherdsville, KY 40165-5676 | 2020-09-24 |
| 1639786585 | Crossover Health Medical Group | Clinic/Center | 1847 E Southern Ave Ste 3, Tempe, AZ 85282-5881 | 2020-09-24 |
| 1164039020 | Crossover Health Medical Group | Clinic/Center | 14329 Frederick St Ste 7-9, Moreno Valley, CA 92553-9003 | 2020-09-24 |
| 1821605775 | Crossover Health Medical Group | Clinic/Center | 5251 W Campbell Ave Ste 200, Phoenix, AZ 85031-1719 | 2020-09-24 |
| 1649887597 | Crossover Health Medical Group | Clinic/Center | 8343 W Van Buren St Bldg C-2, Tolleson, AZ 85353-3225 | 2020-09-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CROSSOVER HEALTH MEDICAL GROUP, APC | 101 W Avenida Vista Hermosa, San Clemente, CA 92672-7706 |
| New York State Corporations | CROSSOVER HEALTH MEDICAL GROUP, APC | 99 Washington Avenue, Suite 1008, Albany, New York 12260 |
| Massachusetts Corporations | CROSSOVER HEALTH MEDICAL GROUP, APC | 65 Enterprise, Alisa Viejo, CA 92656 |
| Colorado Business Entities | CROSSOVER HEALTH MEDICAL GROUP, APC | 101 West Avenida Vista Hermosa, Suite 120, San Clemente, CA 92672 |
| Street Address |
3925 159TH AVE NE |
| City | REDMOND |
| State | WA |
| Zip Code | 98052-6309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972588820 | Maria Anne Pielaet | Family Medicine | 3925 159th Ave Ne, Redmond, WA 98052-6309 | 2005-12-14 |
| 1801374814 | Danielle Bethany Dombek | Health Educator | 3925 159th Ave Ne, Redmond, WA 98052-6309 | 2018-08-01 |
| 1477041275 | Kayla Griggs | Radiologic Technologist | 3925 159th Ave Ne, Redmond, WA 98052-6309 | 2018-04-26 |
| 1679092183 | Lisa Henderson | Dietitian, Registered | 3925 159th Ave Ne, Redmond, WA 98052-6309 | 2017-09-15 |
| 1598171100 | Natalie Potts | Dietitian, Registered | 3925 159th Ave Ne, Microsoft Campus Building 22, Redmond, WA 98052-6309 | 2014-07-02 |
| 1033522057 | Monroe Therapeutic Massage | Massage Therapist | 3925 159th Ave Ne, Building 21, Redmond, WA 98052 | 2014-06-06 |
| 1013355411 | Grace Erin Oppenheim | Nurse Practitioner | 3925 159th Ave Ne, Redmond, WA 98052-6309 | 2013-06-06 |
| 1851635122 | Mustafa Muhammad Idris | Chiropractor | 3925 159th Ave Ne, Building 21, Redmond, WA 98052-6309 | 2012-11-26 |
| 1063770196 | Whole Health Medical Group Ohio Prof Corp | Clinic/Center | 3925 159th Ave Ne, Redmond, WA 98052-6309 | 2012-04-26 |
| 1366717373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3925 159th Ave Ne, Redmond, WA 98052-6309 | 2012-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396301255 | Saraa Abdulateef | Dentist | 16150 Ne 85th St., #212, Redmond, WA 98052 | 2019-05-16 |
| 1174186837 | Zeinab Birjandian | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 98052 | 2019-04-18 |
| 1023584026 | Washington Dental Corporation, PC | Dentist | 17126 Redmond Way, Redmond, WA 98052 | 2018-10-17 |
| 1275047599 | Simeon P Roth | Pharmacist | 8547 Avondale Road Ne, Redmond, WA 98052 | 2017-11-22 |
| 1427560267 | Rania Abou Shadi | Pharmacy | 8862 161st Avenue Ne, Suite 102, Redmond, WA 98052 | 2017-11-02 |
| 1376068981 | Mark W Debourke | Clinic/Center | 7579 Old Redmond Rd, Apt 6, Redmond, WA 98052 | 2017-08-04 |
| 1740712280 | Hyomi Cho | Dentist | 15165 Ne24 Th St, Redmond, WA 98052 | 2017-04-03 |
| 1871033878 | Redmond Ambulatory Surgery Center, LLC | Clinic/Center | 18100 Ne Union Hill Rd Ste 340, Redmond, WA 98052 | 2017-02-24 |
| 1346797933 | Bridger Griffin | Speech-Language Pathologist | 8301 16st Ave Ne, Redmond, WA 98052 | 2016-09-01 |
| 1508313123 | Austin Schieler | Pharmacist | 14480 Ne 24th Street, Redmond, WA 98052 | 2016-09-01 |
| Find all providers in zip 98052 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013391671 | Angela L Herget | Specialist | 716 Sw 11th St, Redmond, OR 97756-2648 | 2015-07-14 |
| 1629462494 | Docteure Ghislaine Robert, Md Inc. | Specialist | 8630 164th Ave Ne Ste 205, Redmond, WA 98052-3606 | 2015-03-19 |
| 1033516000 | Az Tech Radiology and Open Mri LLC | Specialist | 15734 Ne 117th St, Redmond, WA 98052-2298 | 2014-11-19 |
| 1740619014 | Melissa Mccall | Specialist | 1955 Sw 29th St, Redmond, OR 97756-8034 | 2013-11-06 |
| 1972863934 | Claudia Zacharias | Specialist | 13217 174th Ave Ne, Redmond, WA 98052-1139 | 2012-05-24 |
| 1295042380 | Melanie C Lefevre | Specialist | 22824 Ne 76th St, Redmond, WA 98053-7989 | 2010-09-10 |
| 1811217839 | Janet Jennes | Specialist | 8060 165th Ave Ne Suite 210, Redmond, WA 98052 | 2010-06-02 |
| 1881911022 | Mei Zheng | Specialist | 16648 Redmond Way, Redmond, WA 98052-4434 | 2010-04-28 |
| 1871810986 | Maria Yanira Mcfadden | Specialist | 15600 Redmond Way Ste 302, Redmond, WA 98052-3862 | 2010-04-28 |
| 1881837003 | Courtney Ann Landree | Specialist | 7300 243rd Ave Ne, Redmond, WA 98053-8618 | 2009-04-17 |
| Find all providers in REDMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.