| Crossroads Medical Group | |
|
4801 Dorsey Hall Dr Ste 201 Ellicott City MD 21042-7749 | |
| (410) 997-5191 | |
| (410) 997-7957 |
| Full Name | Crossroads Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 4801 Dorsey Hall Dr Ste 201, Ellicott City, Maryland |
| Authorized Official Name and Position | Joel Suldan (VICE PRESIDENT) |
| Authorized Official Contact | 4106015129 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Medical Group 4801 Dorsey Hall Dr Ste 201 Ellicott City MD 21042-7749 Ph: (410) 997-5191 | Crossroads Medical Group 4801 Dorsey Hall Dr Ste 201 Ellicott City MD 21042-7749 Ph: (410) 997-5191 |
| NPI Number | 1124433628 |
|---|---|
| Provider Enumeration Date | 06/24/2014 |
| Last Update Date | 08/17/2026 |
| Certification Date | 08/17/2026 |
| Medicare PECOS PAC ID | 0446470165 |
|---|---|
| Medicare Enrollment ID | O20141001001162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124433628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Maryland) | Primary |
| Provider Name | Melissa M Conti |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194802702 PECOS PAC ID: 7012907108 Enrollment ID: I20040512000928 |
| Provider Name | Parry a Moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760467880 PECOS PAC ID: 7416911219 Enrollment ID: I20041111001039 |
| Provider Name | Marie-alberte Boursiquot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578571618 PECOS PAC ID: 3072578962 Enrollment ID: I20041119000468 |
| Provider Name | Rupal R Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376634626 PECOS PAC ID: 8426000373 Enrollment ID: I20050218000433 |
| Provider Name | Indrayani M Karkhanis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164413852 PECOS PAC ID: 2365472388 Enrollment ID: I20080313000301 |
| Provider Name | Cheryl D Leonardi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215912332 PECOS PAC ID: 7517958408 Enrollment ID: I20100218000300 |
| Provider Name | Warren Marc Ross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770568891 PECOS PAC ID: 7810032919 Enrollment ID: I20100301000329 |
| Provider Name | Joseph J. Aleo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831176577 PECOS PAC ID: 4486799962 Enrollment ID: I20100309000157 |
| Provider Name | Steven H Eversley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144205865 PECOS PAC ID: 8628113966 Enrollment ID: I20100311000023 |
| Provider Name | Joshua Alan Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891005484 PECOS PAC ID: 2466639398 Enrollment ID: I20110602000087 |
| Provider Name | John D Bednar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720373905 PECOS PAC ID: 4183895394 Enrollment ID: I20110920000548 |
| Provider Name | Jonathan Bayer Schiller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831206283 PECOS PAC ID: 7517197882 Enrollment ID: I20140306000568 |
| Provider Name | Lauren S Cano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912395310 PECOS PAC ID: 8729305172 Enrollment ID: I20150323002024 |
| Provider Name | Kimberly Weiss |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376789859 PECOS PAC ID: 0143406165 Enrollment ID: I20160111000157 |
| Provider Name | Jamie Garonzik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710422688 PECOS PAC ID: 3274818877 Enrollment ID: I20170322001493 |
| Provider Name | Tracy Crose Hamm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023555281 PECOS PAC ID: 0648541508 Enrollment ID: I20170810002473 |
| Provider Name | Adejoke Sijuwade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811274632 PECOS PAC ID: 3779734611 Enrollment ID: I20180307000507 |
| Provider Name | Jane Kapustin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114921681 PECOS PAC ID: 0143571091 Enrollment ID: I20180917001425 |
| Provider Name | Matthew G Poffenroth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487645347 PECOS PAC ID: 4587565288 Enrollment ID: I20190102001983 |
| Provider Name | Ruth Angela Fahnestock Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144860479 PECOS PAC ID: 9436586021 Enrollment ID: I20200220000481 |
| Provider Name | Diane M Kepner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487626461 PECOS PAC ID: 5991990723 Enrollment ID: I20220215000543 |
| Provider Name | Tyeisha Wilkins Witherspoon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720800600 PECOS PAC ID: 0547799157 Enrollment ID: I20250128002197 |
| Provider Name | Sara Alysse Mills |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336373794 PECOS PAC ID: 8426204272 Enrollment ID: I20250129000429 |
| Provider Name | Sekai Chideya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174816409 PECOS PAC ID: 4385634492 Enrollment ID: I20250906000931 |
| Provider Name | Brittany Lynn Harman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639856420 PECOS PAC ID: 8729577192 Enrollment ID: I20251028000482 |
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