MRS. JENNIFER ANN CRUZ (NPI# 1710184940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710184940 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER ANN CRUZ |
| Other Name | JENNIFER ANN BOWMAN |
| Credential | PA-C |
| Practice Address |
1001 Bellefontaine Ave Fl 7 Lima OH 45804-2800 |
| Mailing Address |
1001 Bellefontaine Ave Lima OH 45804-2800 |
| Practice Telephone | 4199984496 |
| Practice Fax Number | 4199984463 |
| Mailing Telephone | 4199984575 |
| Mailing Fax Number | 4199984586 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2019-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA 9105529 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
50.004138 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 507 N Main St, Bowling Green, OH 434022044 | 5174201462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356872287 | Jennifer Cruz | Specialist | 1402 W 4th St Apt A9, Brooklyn, NY 11204-4005 | 2017-03-22 |
| 1891150322 | Jennifer Cruz | Case Manager/Care Coordinator | 14940 85th St, Howard Beach, NY 11414-1201 | 2015-12-29 |
| 1457603896 | Jennifer Cruz | Speech-Language Pathologist | Street Esteban Ramos #82, Salinas, PR 00751 | 2012-10-10 |
| 1093012767 | Jennifer Nicole Cruz | Occupational Therapist | 1512 Cerro Vista Rd Sw, Albuquerque, NM 87105-3006 | 2011-02-16 |
| 1235397910 | Jennifer Cruz | Acupuncturist | 100 Nw 82nd Ave Ste 405, Plantation, FL 33324-1835 | 2008-05-29 |
| 1588201867 | Jennifer Cruz | Counselor | 1255 Golfview Ave, Bartow, FL 33830-6736 | 2019-12-05 |
| 1881235984 | Jennifer L Cruz | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2019-10-01 |
| 1417507096 | Jennifer Cruz | Behavior Technician | 15501 Weston Pkwy Ste 130, Cary, NC 27513-8641 | 2019-09-16 |
| 1124686852 | Jennifer M Cruz | Behavior Technician | 275 W Natick Rd Ste 400, Warwick, RI 02886-1161 | 2019-05-29 |
| 1407311376 | Jennifer Cruz | Behavior Technician | 848 Executive Dr, Oviedo, FL 32765-7699 | 2019-02-05 |
| Street Address |
1001 BELLEFONTAINE AVE FL 7 |
| City | LIMA |
| State | OH |
| Zip Code | 45804-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568428217 | Xiusheng Qin | Internal Medicine | 1001 Bellefontaine Ave Fl 7, Lima, OH 45804-2800 | 2006-04-21 |
| 1710373667 | April Ellen Coughlan | Nurse Practitioner | 1001 Bellefontaine Ave Fl 7, Lima, OH 45804-2800 | 2015-04-07 |
| 1386931434 | Jennifer Leigh Hatton | Internal Medicine | 1001 Bellefontaine Ave Fl 7, Lima, OH 45804-2800 | 2011-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729817 | Luke Holliday | Pharmacist | Sams Club Pharmacy, 1150 Greely Chapel Rd, Lima, OH 45804 | 2020-10-30 |
| 1306482393 | Olympia Monik Johnson | Case Manager/Care Coordinator | 799 S. Main St, Lima, OH 45804 | 2019-11-25 |
| 1982260139 | Jenna Renee Warnecke | Speech-Language Pathologist | Shawnee Manor, 2535 Fort Amanda Rd, Lima, OH 45804 | 2019-05-14 |
| 1942728282 | Premier Care of Ohio, LLC. | Community/Behavioral Health | 2727 St. Johns Rd, Ste D, Lima, OH 45804 | 2017-09-07 |
| 1093250078 | Gevette Love | Counselor | 311 E. Market St., Lima, OH 45804 | 2016-12-29 |
| 1134595416 | Rewa A Banks | Nurse Practitioner | 2895 Harding Hwy Ste C, Lima, OH 45804 | 2015-08-20 |
| 1295148195 | Adaptive Medical Marketing, Inc | Durable Medical Equipment & Medical Supplies | 1378 Bellefontaine Ave, Lima, OH 45804 | 2014-06-09 |
| 1265771869 | Laura B Hile | Nurse Practitioner | 1875 South Dixie Highway, Lima, OH 45804 | 2013-02-04 |
| 1184960593 | Jenna L Kimmel | Nurse Practitioner | 799 S. Main St., Lima, OH 45804 | 2012-12-13 |
| 1437398054 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2450 Mandolin Drive, Lima, OH 45804 | 2009-02-05 |
| Find all providers in zip 45804 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104259985 | Christina D Hagerty | Physician Assistant | 770 West Hight Street, Ste 300, Lima, OH 45801-3971 | 2013-08-15 |
| 1447258983 | Cheryl L Kern-buell | Physician Assistant | 770 W High St Ste 350, Lima, OH 45801-5901 | 2005-07-08 |
| 1730722133 | Jessica M Schierloh | Physician Assistant | 1001 Bellefontaine Ave, Lima, OH 45804-2800 | 2019-10-18 |
| 1083266902 | Emily K Recker | Physician Assistant | 1003 Bellefontaine Ave Ste 200, Lima, OH 45804-2868 | 2019-07-11 |
| 1144768383 | Cody Jones | Physician Assistant | 1001 Bellefontaine Ave, Lima, OH 45804-2800 | 2017-02-08 |
| 1962850479 | Danielle Lutton | Physician Assistant | 730 W Market St, Lima, OH 45801-4602 | 2016-05-25 |
| 1093103038 | Brooke A Lange | Physician Assistant | 830 W High St Ste 360, Lima, OH 45801-3985 | 2014-12-29 |
| 1043648868 | Jamie Chaffee | Physician Assistant | 730 W Market St, Lima, OH 45801-4602 | 2013-10-15 |
| 1326370115 | Jill M Kuhlman | Physician Assistant | 2740 W Market St, Lima, OH 45805-2120 | 2010-02-04 |
| 1700010014 | Christopher D Frick | Physician Assistant | 1003 Bellefontaine Ave Ste 200, Lima, OH 45804-1803 | 2009-05-14 |
| Find all providers in LIMA | ||||
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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.