Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Crossroads Medical Management LLC

Organization Family Medicine Physician · NPI 1780011874

Crossroads Medical Management LLC is a Family Medicine Physician in Shawnee, Oklahoma. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2508 N Harrison St
Shawnee, OK 74804-3131
Phone: (405) 585-2030
Fax: (405) 585-0318
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 19091

Record details

NPI number1780011874
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randy Kerr — Vp Of Operations · (405) 873-8268
Other names Cohesive Family Medicine
NPI enumeratedOctober 3, 2013
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025
Mailing addressPo Box 646022, Dallas, TX 75264-6022

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