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CROSSROADS MEDICAL MANAGEMENT LLC
NPI 1780011874
Family Medicine in Shawnee, OK

Active since October 03, 2013
2508 N HARRISON ST, SHAWNEE, OK 74804(405) 585-2030(405) 585-0318 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2025, Feb 20, 2025, Oct 16, 2018 (3 updates tracked since 2018).

About Crossroads Medical Management Llc NPPES

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

CROSSROADS MEDICAL MANAGEMENT LLC (NPI 1780011874), doing business as Cohesive Family Medicine, is a healthcare organization registered as a family medicine in Shawnee, Oklahoma and active in the NPI registry since October 2013. The organization lists Randy Kerr, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1780011874
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCROSSROADS MEDICAL MANAGEMENT LLC
Location Address2508 N HARRISON STShawnee, OK 74804-3131
Mailing AddressPo Box 646022Dallas, TX 75264-6022 · (405) 873-8291 · Fax (405) 857-3122
Phone(405) 585-2030
Fax(405) 585-0318
Organization SubpartNo
Authorized OfficialRandy KerrVp Of Operations · (405) 873-8268
Enumeration DateOctober 3, 2013
Last NPPES UpdateOctober 29, 20253 updates tracked since enumeration
NPPES CertifiedOctober 29, 2025
✔ NPI 1780011874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed · 19091
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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Other Names 1

Doing Business AsCohesive Family Medicine

Other Identifiers 1

Medicaid100131940BOK

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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)
2508 N HARRISON ST
SHAWNEE, OK 74804
Pottawatomie County (405) 585-2030
AMANDA L. WELCH APRN-CNP PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2508 N HARRISON ST
SHAWNEE, OK 74804
Pottawatomie County (405) 585-2030
CANDICE HAMRE MSN, APRN, FNP-C
Nurse Practitioner (Family)
2508 N HARRISON ST
SHAWNEE, OK 74804
Pottawatomie County (405) 585-2030
CINDY CHEATWOOD APRN
Nurse Practitioner (Primary Care)
2508 N HARRISON ST
SHAWNEE, OK 74804
Pottawatomie County (405) 585-2030
DANA GAYLE HANEBUTT NP
Nurse Practitioner
2508 N HARRISON ST
SHAWNEE, OK 74804
Pottawatomie County (405) 585-2030
CYNTHIA YERBY
Case Manager/Care Coordinator
2508 N HARRISON ST
SHAWNEE, OK 74804
Pottawatomie County (405) 275-2877
ANGELA RENEE GUNN FNP
Nurse Practitioner (Family)
2508 N HARRISON ST
SHAWNEE, OK 74804
Pottawatomie County (405) 585-2030
KEITH A. CONAWAY M.D.
Family Medicine
2508 N HARRISON ST
SHAWNEE, OK 74804
Pottawatomie County (405) 585-2030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crossroads Medical Management LLC's NPI number?

The NPI number for Crossroads Medical Management LLC is 1780011874. It was assigned to this organization in the NPPES registry on October 3, 2013. The provider is doing business as Cohesive Family Medicine.

Where is Crossroads Medical Management LLC located?

Crossroads Medical Management LLC is located at 2508 N Harrison St, Shawnee, OK 74804. The listed phone number is (405) 585-2030.

What is Crossroads Medical Management LLC's specialty?

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

What insurance does Crossroads Medical Management LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Crossroads Medical Management LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Crossroads Medical Management LLC was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.