| Crossover Health Services Inc | |
| 
					940 E 36th St N Tulsa OK 74106-1953  | |
| (918) 398-9460 | |
| (918) 398-9460 | 
| Full Name | Crossover Health Services Inc | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 940 E 36th St N, Tulsa, Oklahoma | 
| Authorized Official Name and Position | Sharmien Charnisette Watkins (CFO) | 
| Authorized Official Contact | 9183989460 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Crossover Health Services Inc 940 E 36th St N Tulsa OK 74106-1953 Ph: (918) 398-9460  | Crossover Health Services Inc 940 E 36th St N Tulsa OK 74106-1953 Ph: (918) 398-9460  | 
| NPI Number | 1407297963 | 
|---|---|
| Provider Enumeration Date | 07/12/2013 | 
| Last Update Date | 03/26/2025 | 
| Medicare PECOS PAC ID | 0345468625 | 
|---|---|
| Medicare Enrollment ID | O20140828000563 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1407297963 | NPI | - | NPPES | 
| 200514040A | Medicaid | OK | |
| 100089530C | Medicaid | OK | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261Q00000X | Clinic/center | 14202 (Oklahoma) | Secondary | 
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary | 
| Provider Name | Nancy L Wespetal | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1457679573 PECOS PAC ID: 4880616424 Enrollment ID: I20060110000444  | 
| Provider Name | Kent G Farish | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1831176601 PECOS PAC ID: 2668562216 Enrollment ID: I20071219000532  | 
| Provider Name | John T Whitaker | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1205195443 PECOS PAC ID: 8628207040 Enrollment ID: I20140206000436  | 
| Provider Name | John Abraham | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1962634535 PECOS PAC ID: 6901027812 Enrollment ID: I20141017001471  | 
| Provider Name | Holly E Bennett | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1972826659 PECOS PAC ID: 4981732963 Enrollment ID: I20150609000168  | 
| Provider Name | Sarah Janssen | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1821418773 PECOS PAC ID: 9931409125 Enrollment ID: I20151119000929  | 
| Provider Name | Cynthia (cyndi) A Schneider | 
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional | 
| Provider Identifiers | NPI Number: 1952747768 PECOS PAC ID: 3274890413 Enrollment ID: I20171127001751  | 
| Provider Name | Glenna Wong Johnson | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1013571256 PECOS PAC ID: 3072924414 Enrollment ID: I20201116002567  | 
| Provider Name | Crystal L Gazda | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1982255352 PECOS PAC ID: 7113332594 Enrollment ID: I20210217000733  | 
| Provider Name | Natalie K Schaller | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1265753669 PECOS PAC ID: 8325275282 Enrollment ID: I20230811002384  | 
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