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

Crossroads Medical Management LLC

Organization Family Medicine Physician · NPI 1780011874

Crossroads Medical Management LLC provides Family Medicine Physician services 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.

See every abbreviation used in this directory →

Practice location Address checks out

2508 N Harrison St
Shawnee, OK 74804-3131
Phone: (405) 585-2030
Fax: (405) 585-0318
Show map & directions

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

Other providers in Shawnee