PEDRO CRUZ (NPI# 1396845129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396845129 |
| Entity Type | Individual |
| Full Name | PEDRO CRUZ |
| Credential | M.D. |
| Practice Address |
4021 S 700 E Ste 300 Salt Lake City UT 84107-2192 |
| Mailing Address |
1700 Muirfield Dr Green Cove Springs FL 32043-8012 |
| Practice Telephone | 8004231605 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
ME78638 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586526 | Pedro Cruz | Technician | 700 E Griffin Pkwy Ste 117, Mission, TX 78572-2939 | 2020-07-27 |
| 1427521749 | Pedro Cruz | Student in an Organized Health Care Education/Training Program | 95 Frank B Murray, Springfield, MA 01103 | 2019-01-09 |
| 1689604217 | Pedro A Cruz | Internal Medicine | 737 North Bishop Avenue, Dallas, TX 75208 | 2006-07-03 |
| 1720477094 | Pedro Julio Cruz | Peer Specialist | 1455 Beeler St, Aurora, CO 80010-3027 | 2015-01-09 |
| Street Address |
4021 S 700 E STE 300 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84107-2192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699729129 | Wilbert Abram Lyons | Psychiatry & Neurology | 4021 S 700 E, Suite 300, Salt Lake City, UT 84107-2192 | 2006-05-20 |
| 1629269188 | Kirit J Desai | Dermatology | 4021 S 700 E, Suite 300, Salt Lake City, UT 84107-2184 | 2007-08-08 |
| 1326251752 | Rene Brown Ledbetter Jr. | Internal Medicine | 4021 S 700 E, Suite 300, Salt Lake City, UT 84107-2192 | 2007-05-08 |
| 1275745838 | James Edward Weiss | Dermatology | 4021 S 700 E, Suite 300, Salt Lake City, UT 84107-2192 | 2007-05-04 |
| 1164558607 | Daria M Ivan | Physical Therapist | 4021 S 700 E, Ste. 300, Salt Lake City, UT 84107-2192 | 2007-02-26 |
| 1881737864 | Thomas Leo Bodensteiner | Obstetrics & Gynecology | 4021 S 700 E, Suite 300, Salt Lake City, UT 84107-2192 | 2007-02-15 |
| 1174600787 | Renee Warren | Pathology | 4021 S 700 E, #300, Salt Lake City, UT 84107-2192 | 2006-11-01 |
| 1609966423 | Thomas Martin Kilbridge | Internal Medicine | 4021 S 700 E, Suite 300, Salt Lake City, UT 84107-2192 | 2006-10-13 |
| 1518057025 | Boris Serrano Imperial | Psychiatry & Neurology | 4021 S 700 E, Suite 300, Salt Lake City, UT 84107-2192 | 2006-10-13 |
| 1164512216 | William Siegel | Internal Medicine | 4021 S 700 E, Suite 300, Salt Lake City, UT 84107-2192 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962842864 | Matthew Scott Johnson | Pathology | 2000 Circle of Hope Dr Rm N3100, Salt Lake City, UT 84112-5550 | 2013-06-25 |
| 1578852661 | Jolanta Jedrzkiewicz | Pathology | 434 2nd Ave Apt 4, Salt Lake City, UT 84103-5623 | 2011-03-30 |
| 1891922951 | Thomas Cary Wilson | Pathology | 5330 S 900 E Ste 120, Salt Lake City, UT 84117-3504 | 2009-06-16 |
| 1780822809 | Dana Claire Gingell | Pathology | 1372 S 300 E, Salt Lake City, UT 84115-1502 | 2009-01-27 |
| 1639315070 | Benjamin Lloyd Witt | Pathology | University of Utah 50 N Medical Dr, Department of Pathology, Salt Lake City, UT 84132-0001 | 2009-01-06 |
| 1164683959 | Jessica Comstock | Pathology | 100 N Mario Cappechi Dr, Primary Childrens Medical Center Dept of Pathology, Salt Lake City, UT 84113 | 2008-06-24 |
| 1932308152 | Daniel Joseph Albertson | Pathology | 1950 Circle of Hope Dr Rm N3105, Huntsman Cancer Hospitadepartment of Surgical Pathology, Salt Lake City, UT 84112-5500 | 2007-07-17 |
| 1639299324 | Edward Hubert Hart | Pathology | University of Utah Hospital Pathology, 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2007-03-29 |
| 1760547855 | Joseph P. Gormley | Pathology | 15 N Medical Dr Ste 1100, Salt Lake City, UT 84112-1100 | 2006-12-27 |
| 1912940164 | Elizabeth M Jensen | Pathology | 1200 East 3900 South, Salt Lake City, UT 84124-1300 | 2006-06-14 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84107 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.