Crossroads Medical Management Llc

LBN: Crossroads Medical Management Llc
Crossroads Medical Management Llc is an health care organization with primary practice located at 2508 N Harrison St , Shawnee OK 74804-3131. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Crossroads Medical Management Llc can be contacted via phone (405) 585-2030, or through Kerr, Randy via phone (405) 873-8268.

Contact Information

Primary practice address
2508 N Harrison St Shawnee OK 74804-3131
Phone: (405) 585-2030
Fax: (405) 585-0318
Website:
Map and Directions
Authorized official contact:
Name: Kerr, Randy
Phone: (405) 873-8268

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 19091

Profile Details

NPI number 1780011874
LBN Legal business name Crossroads Medical Management Llc
DBA Doing business as
Authorized official Kerr, Randy
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2013
Last updated Oct 29th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780011874 NPPES
Oklahoma MEDICAID 100131940B

Popular Providers