Crossroads Surgical Associates – Surgery Physician, NPI 1417941436

Crossroads Surgical Associates is a healthcare provider. based in Mount vernon, Illinois. specializing in Surgery Physician. The NPI Number for Crossroads Surgical Associates is 1417941436

Main info

Organization
Name
Crossroads Surgical Associates
NPI
1417941436
Phone
(618) 242-3831
Address
209 CROSSROADS PL
Authorized Official
DEBBIE T BREWER DIRECTOR OF PROVIDER ENROLLMENT
Enumeration Date
6 September 2005
Last Update Date
30 October 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Crossroads Surgical Associates

  • 209, Crossroads Place, Mount Vernon, Jefferson County, Illinois, 62864, United States

    SUITE 130

    MOUNT VERNON, IL 628646254

    Phone: (618) 242-3831

    Fax: (618) 242-3375

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62864)

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Reviews

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Frequently asked questions

Can I verify Crossroads Surgical Associates with an NPI only?
You can start verification with NPI 1417941436 for Crossroads Surgical Associates, then check state licensing separately.
Is Crossroads Surgical Associates listed as active for patients and plans?
The listing shows Crossroads Surgical Associates as active in the NPI system.
What healthcare role does Crossroads Surgical Associates hold?
Scheduling teams often label Crossroads Surgical Associates under Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is Crossroads Surgical Associates based?
Crossroads Surgical Associates is tied to Mount Vernon, Illinois in the data we show; additional addresses may exist on the full record.
Why does Crossroads Surgical Associates have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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