Marissa G Vito Cruz (NPI# 1922071448, PAC ID# 5597667857) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1922071448 |
| PAC ID by PECOS | 5597667857 |
| Professional Enrollment ID | I20040127000197 |
| Full Name | Marissa G Vito Cruz |
| Organization Legal Name | WESTERN VIRGINIA REGIONAL EMERGENCY PHYSICIANS LLC |
| Address |
312 Hospital Dr Clintwood VA 24228-6786 |
| Phone Number | 2769260300 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1994 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4183991227 |
| Number of Group Practice Members | 65 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490001 | NORTON COMMUNITY HOSPITAL |
| 490127 | BUCHANAN GENERAL HOSPITAL |
| 490114 | WELLMONT LONESOME PINE HOSPITAL |
| 440176 | INDIAN PATH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 323 Falls Nwdr, Abingdon, VA 24210-8093 | 2766282612 | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| 312 Hospital Dr, Clintwood, VA 24228-6786 | 2769260300 | WESTERN VIRGINIA REGIONAL EMERGENCY PHYSICIANS LLC |
| 1535 Slate Creek Rd, Grundy, VA 24614-6974 | 2769351000 | UNITED EMERGENCY SERVICES INC. |
| 1019 W Oakland Ave, Suite 1, Johnson City, TN 37604-2357 | 4239155000 | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| 2000 Brookside Dr, Kingsport, TN 37660-4627 | 4238575905 | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| 2000 Brookside Dr, Suite 3, Kingsport, TN 37660-4627 | 4238575905 | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| 100 15th St Nw, Norton, VA 24273-1616 | 2764391000 | WESTERN VIRGINIA REGIONAL EMERGENCY PHYSICIANS LLC |
| 100 15th St Nw, Suite A, Norton, VA 24273-1616 | 2764391840 | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| 310 3rd St Ne, Norton, VA 24273-1137 | 2766799100 | APP OF TENNESSEE ED PLLC |
| Organization Legal Name | WESTERN VIRGINIA REGIONAL EMERGENCY PHYSICIANS LLC |
| Physicians | 46 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig Stephen Graul | Emergency Medicine | Western Virginia Regional Emergency Physicians LLC | 312 Hospital Dr, Clintwood, VA 24228-6786 |
| Carl Thurman Harrison | Nurse Practitioner | Western Virginia Regional Emergency Physicians LLC | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 |
| James P Senter | Family Medicine | Western Virginia Regional Emergency Physicians LLC | 312 Hospital Dr, Clintwood, VA 24228-6786 |
| Brian Christopher Dawson | Emergency Medicine | Western Virginia Regional Emergency Physicians LLC | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 |
| Lauren Ashley Mcgee | Family Medicine | Western Virginia Regional Emergency Physicians LLC | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 |
| Renee May Miranda | Family Medicine | Western Virginia Regional Emergency Physicians LLC | 100 15th St Nw, Norton, VA 24273-1616 |
| Aaron Cho | Emergency Medicine | Western Virginia Regional Emergency Physicians LLC | 100 15th St Nw, Norton, VA 24273-1616 |
| Joshua S Puhr | Emergency Medicine | Western Virginia Regional Emergency Physicians LLC | 312 Hospital Dr, Clintwood, VA 24228-6786 |
| Gordon F Williams | Internal Medicine | Western Virginia Regional Emergency Physicians LLC | 312 Hospital Dr, Clintwood, VA 24228-6786 |
| Mary Ellen Kenworthy | Emergency Medicine | Western Virginia Regional Emergency Physicians LLC | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 |
| Street Address |
312 HOSPITAL DR |
| City | CLINTWOOD |
| State | VA |
| Zip | 24228-6786 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig Stephen Graul | Emergency Medicine | Western Virginia Regional Emergency Physicians LLC | 312 Hospital Dr, Clintwood, VA 24228-6786 |
| Jana Kaye Dreyzehner | Psychiatry | 312 Hospital Dr, Clintwood, VA 24228-6786 | |
| Kathleen A Deponte | Diagnostic Radiology | Mountain Empire Radiology Inc PC | 312 Hospital Dr, Clintwood, VA 24228-6786 |
| James P Senter | Family Medicine | Western Virginia Regional Emergency Physicians LLC | 312 Hospital Dr, Clintwood, VA 24228-6786 |
| Joshua S Puhr | Emergency Medicine | Western Virginia Regional Emergency Physicians LLC | 312 Hospital Dr, Clintwood, VA 24228-6786 |
| Gordon F Williams | Internal Medicine | Western Virginia Regional Emergency Physicians LLC | 312 Hospital Dr, Clintwood, VA 24228-6786 |
| Chirag A. Dani | Diagnostic Radiology | Mountain Empire Radiology Inc PC | 312 Hospital Dr, Clintwood, VA 24228-6786 |
| Bryan Mark Henley | Emergency Medicine | Western Virginia Regional Emergency Physicians LLC | 312 Hospital Dr, Clintwood, VA 24228-6786 |
| Christopher L Bruner | Emergency Medicine | Western Virginia Regional Emergency Physicians LLC | 312 Hospital Dr, Clintwood, VA 24228-6786 |
| Shirley Y Farmer | Nurse Practitioner | Dickenson Community Hospital, Inc. | 312 Hospital Dr, Clintwood, VA 24228-6786 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lurton B Lyle | Family Medicine | Dickenson County Behavioral Health Services | 440 Fox Town Rd, Clintwood, VA 24228-5077 |
| Kurtz E Alderman | General Practice | Dickenson County Behavioral Health | 440 Fox Town Rd, Clintwood, VA 24228-5077 |
| Roy R Deel | Osteopathic Manipulative Medicine | Dickenson Community Hospital, Inc. | 364 Hospital Dr, Clintwood, VA 24228-6786 |
| Tristan Jade Yates | Nurse Practitioner | Dickenson Community Hospital, Inc. | 364 Hospital Dr, Clintwood, VA 24228-6786 |
| Heather Dawn Blair | Nurse Practitioner | Dickenson Community Hospital, Inc. | 364 Hospital Dr, Clintwood, VA 24228-6786 |
| David Scott Reece | Diagnostic Radiology | Mountain Empire Radiology Inc PC | 312 Hospital Dr, Clintwood, VA 24228-6786 |
| Courtney P Pendergraft | Nurse Practitioner | Western Virginia Regional Emergency Physicians LLC | 312 Hospital Dr, Clintwood, VA 24228-6786 |
| Jason John Brown | Internal Medicine | Western Virginia Regional Emergency Physicians LLC | 312 Hospital Dr, Clintwood, VA 24228-6786 |
| Garland Thomas Haines | Diagnostic Radiology | Mountain Empire Radiology Inc PC | 312 Hospital Dr, Clintwood, VA 24228-6786 |
| David H Ratcliff | Family Practice | Western Virginia Regional Emergency Physicians LLC | 312 Hospital Dr, Clintwood, VA 24228-6786 |
| Find all physicians in zip 24228 | |||
| City | CLINTWOOD |
| Zip Code | 24228 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CLINTWOOD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Marissa G Vito Cruz.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.