MRS. MICHELLE ELIZABETH CRUZ (NPI# 1447331459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447331459 |
Entity Type | Individual |
Full Name | MRS. MICHELLE ELIZABETH CRUZ |
Credential | PA-C |
Practice Address |
2104 E 11 Mile Rd Ste 600 Warren MI 48091-6123 |
Mailing Address |
4967 Crooks Rd Ste 130 Troy MI 48098-5801 |
Practice Telephone | 7344640887 |
Practice Fax Number | 7344020254 |
Mailing Telephone | 2489521601 |
Mailing Fax Number | 2489521614 |
Enumeration Date | 2006-10-17 |
Last Update Date | 2015-08-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601004294 | MI | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477099968 | Michelle Cruz | Behavior Technician | 2669 W Windhaven Dr, Rialto, CA 92377-3697 | 2017-01-09 |
1932552668 | Michelle Cruz | Social Worker | 450 W 22nd St, Ste 158, Lombard, IL 60148-6014 | 2016-07-18 |
1629311600 | Michelle Cruz | Occupational Therapist | 6572 Rose Bridge Dr, Roseville, CA 95678-3430 | 2013-03-28 |
1962723866 | Michelle Lizzette Cruz | Social Worker | 10600 Bloomfield Dr, Apt. 211, Orlando, FL 32825-5903 | 2010-06-15 |
1265752893 | Michelle Ayun Ayun Cruz | Physical Therapist | 13735 Connecticut Ave, Space #6, Silver Spring, MD 20906-2916 | 2010-06-05 |
1760630818 | Michelle Cruz | Case Manager/Care Coordinator | 25 Chapel St Ste 901, Brooklyn, NY 11201-1954 | 2008-09-03 |
1760089387 | Michelle Marisol Cruz | Counselor | 1661 N Raymond Ave Ste 200, Anaheim, CA 92801-1120 | 2020-10-06 |
1407418502 | Michelle Cruz | Behavior Technician | 5762 Bolsa Ave Ste 100, Huntington Beach, CA 92649-1172 | 2019-06-28 |
1679926646 | Michelle Cruz | Optometrist | 32245 Mission Trl Ste D4, Lake Elsinore, CA 92530-4528 | 2016-07-14 |
1740540137 | Michelle Cruz | Marriage & Family Therapist | 5870 Arlington Ave, Suite 100, Riverside, CA 92504-2037 | 2012-05-21 |
Street Address |
2104 E 11 MILE RD STE 600 |
City | WARREN |
State | MI |
Zip Code | 48091-6123 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548615172 | Amanda Lynn Kelsey | Nurse Practitioner | 21647 Ryan Road, Warren, MI 48091 | 2016-05-02 |
1902284474 | Daejana Maldonado | Licensed Practical Nurse | 7519 Toepfer, Warren, MI 48091 | 2015-05-15 |
1245637743 | Jerami Roy | Recreation Therapist | 7086 E 9 Mile, Warren, MI 48091 | 2014-11-26 |
1265698344 | Amanda Sarah Yousif-mansour | Dentist | 2442 E 10 Mile Road, Warren, MI 48091 | 2008-07-29 |
1326171166 | Sunshine Dental Center PC | Dentist | 21761 Ryan Rd, Warren, MI 48091 | 2007-03-13 |
1487709630 | Albert Spickers | General Practice | 26193 Meredith Drive, Warren, MI 48091 | 2007-01-25 |
1487706859 | Rita Jean Rose | Physician Assistant | 2104 E. 11 Mile Road, Suite 600, Warren, MI 48091 | 2007-01-17 |
1790835452 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 2000 Ten Mile Rd., Warren, MI 48091 | 2007-01-12 |
1942363759 | Carolyn Joan Sucaet | Physical Therapist | 20952 12 Mile Road, Suite 110, St. Clair Shores, FM 48091 | 2006-12-19 |
1013070135 | Mcnichols Xray Clinic PC | Radiology | 21230 Dequindre Road, Southeast Michigan Surgical Hospital, Warren, MI 48091 | 2006-12-19 |
Find all providers in zip 48091 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720481476 | Samantha Reidt | Physician Assistant | 30957 Lorraine Ave, Warren, MI 48093-8014 | 2014-10-08 |
1063796837 | Charmaine Scott | Physician Assistant | 436 Commerce Ave Nw, Warren, OH 44485-2501 | 2011-09-28 |
1235325226 | Kaiser Medical Center PC | Physician Assistant | 11670 Martin Rd, Warren, MI 48093-4511 | 2007-09-24 |
1487706859 | Rita Jean Rose | Physician Assistant | 2104 E. 11 Mile Road, Suite 600, Warren, MI 48091 | 2007-01-17 |
1093885204 | Christopher P Czata | Physician Assistant | 27560 Hoover, Warren, MI 48093-3400 | 2006-11-08 |
1003416165 | Alexis Rose Vavala | Physician Assistant | 1885 Market St, Warren, PA 16365-1277 | 2020-10-28 |
1538628607 | Caleb Markusic | Physician Assistant | 1997 Niles Cortland Rd Se, Warren, OH 44484-3037 | 2019-03-18 |
1245758739 | Haley Hani Matty | Physician Assistant | 26000 Hoover Rd, Warren, MI 48089 | 2017-09-05 |
1235598194 | Noor Zora | Physician Assistant | 29703 Hoover Rd, Warren, MI 48093-8901 | 2016-02-19 |
1942671169 | Stephanie Duda | Physician Assistant | 8747 Squires Ln Ne, Warren, OH 44484-1649 | 2015-10-14 |
Find all providers in WARREN |
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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.