CROSSROADS MEDICAL
NPI 1568248193
Family Medicine in Shawnee, OK

Q: What is Crossroads Medical's NPI number?

The NPI number for Crossroads Medical is 1568248193. It was assigned to this organization in the NPPES registry on September 8, 2023.

Q: What is Crossroads Medical's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since September 08, 2023CLIA 37D2120926 · Waiver

2508 N HARRISON ST, SHAWNEE, OK 74804(405) 585-2030 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Crossroads Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CROSSROADS MEDICAL (NPI 1568248193) is a healthcare organization registered as a family medicine in Shawnee, Oklahoma and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through October 26, 2026 and lists Lindsay Cannon, Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1568248193

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCROSSROADS MEDICAL

Location Address2508 N HARRISON STShawnee, OK 74804-3131

Mailing Address2508 N Harrison StShawnee, OK 74804-3131 · (405) 585-2030

Phone(405) 585-2030

Organization SubpartNo

Authorized OfficialLindsay CannonClinic Manager · (405) 585-2030

Enumeration DateSeptember 8, 2023

Last NPPES UpdateSeptember 20, 2023

NPPES CertifiedSeptember 20, 2023

✔ NPI 1568248193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2508 N HARRISON ST, Shawnee, OK 74804

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2120926

Crossroads Medical Management · Shawnee, OK

Active · expires Oct 26, 2026

CLIA Number37D2120926

Laboratory TypePhysician Office

Certificate Effective DateOctober 27, 2024

Certificate Expiration DateOctober 26, 2026

Laboratory DirectorKeith A. Conaway

Laboratory Phone(405) 585-2030

Laboratory LocationCrossroads Medical Management2508 N Harrison, Shawnee, OK 74804

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DUSTIN WADE

Nurse Practitioner (Family)