WILSON JAVIER CRUZ-LEAL (NPI# 1477644979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477644979 |
| Entity Type | Individual |
| Full Name | WILSON JAVIER CRUZ-LEAL |
| Credential | M.D. |
| Practice Address |
1480 W Center St Greenwood AR 72936-3449 |
| Mailing Address |
Po Box 11449 Belfast ME 04915-4005 |
| Practice Telephone | 4799965585 |
| Practice Fax Number | 4799965386 |
| Mailing Telephone | 4797091924 |
| Mailing Fax Number | 4797097499 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2016-11-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | E5921 | AR | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | A106916 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC71030F | 05 |
| Street Address |
1480 W CENTER ST |
| City | GREENWOOD |
| State | AR |
| Zip Code | 72936-3449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053308874 | Glenn G Gibbons | Family Medicine | 1480 W Center St, Greenwood, AR 72936-3449 | 2005-10-06 |
| 1861971830 | Baptist Health Services | Family Medicine | 1480 W Center St, Greenwood, AR 72936 | 2018-08-10 |
| 1669763371 | Ft Smith Hma Pbc Management, LLC | Family Medicine | 1480 W Center St, Greenwood, AR 72936-3449 | 2011-04-28 |
| 1558522193 | Megan L Schroyer | Internal Medicine | 1480 W Center St, Greenwood, AR 72936 | 2008-06-17 |
| 1811168768 | Sparks Regional Medical Center | Durable Medical Equipment & Medical Supplies | 1480 W Center St, Greenwood, AR 72936-3449 | 2008-03-19 |
| 1104920644 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 1480 W Center St, Greenwood, AR 72936-3449 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376022988 | Sonja Kay Cooper | Pharmacist | 2708 Old Chismville Rd, Greenwood, AR 72936 | 2018-08-14 |
| 1225585201 | Henry Counseling Services | Marriage & Family Therapist | 105 North Main St., Greenwood, AR 72936 | 2016-09-07 |
| 1720316235 | Sports Plus Physical Therapy | Physical Therapist | 250 Old Hackett Road, Greenwood, AR 72936 | 2009-11-20 |
| 1285812255 | Lisa Jan Bohne Clay | Psychologist | 2711 Shadow Lake Dr, Greenwood, AR 72936 | 2008-02-01 |
| 1366639684 | Rhonda Michele Barnes | Social Worker | 300 Westwood Ave, Greenwood, AR 72936 | 2007-10-01 |
| 1619018793 | Robert Gary Mack II | Contractor | 2712 Edgewater Drive, Greenwood, AR 72936 | 2007-02-09 |
| 1003963075 | Brent Wade Dunavin | Dentist | 7 W Center Street, Greenwood, AR 72936 | 2007-01-04 |
| 1891851804 | James A Burgess Jr. | Dentist | 7 West Center, Greenwood, AR 72936 | 2006-12-28 |
| 1467512079 | Terrell Wayne Bailey | Dentist | 520 Hamilton Lane, Greenwood, AR 72936 | 2006-12-12 |
| 1801808837 | Health Depot Pharmacies, LLC | Durable Medical Equipment & Medical Supplies | 1530 W Center, Greenwood, AR 72936 | 2006-08-11 |
| Find all providers in zip 72936 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862473 | Kristina Mckissick | Family Medicine | 805 Montague Ave, Greenwood, SC 29649-1471 | 2020-02-05 |
| 1487212130 | Self Medical Group | Family Medicine | 105 Vinecrest Ct # 510, Greenwood, SC 29646-8031 | 2019-05-29 |
| 1750800264 | Self Medical Group | Family Medicine | 110 Highway 246 N, Greenwood, SC 29649-8748 | 2017-09-15 |
| 1689066060 | Richard Glen Huber | Family Medicine | 31 N Restin Rd, Greenwood, IN 46142-8583 | 2015-02-23 |
| 1679912406 | Michael J. Mooney | Family Medicine | 965 Emerson Pkwy Ste J, Greenwood, IN 46143 | 2013-06-14 |
| 1114362639 | Sarah Ann Beeson | Family Medicine | 1000 Us Highway 31 S, Greenwood, IN 46143-2407 | 2013-05-10 |
| 1013350198 | Elise Rose Laroche | Family Medicine | 747 E County Line Rd Ste D, Greenwood, IN 46143-1082 | 2013-04-09 |
| 1548506868 | Community Health Network Inc | Family Medicine | 615 W Smith Valley Rd, Greenwood, IN 46142-3048 | 2012-12-13 |
| 1801158456 | Frank William Fortuna | Family Medicine | 461 Camby Court, Greenwood, IN 46142 | 2012-06-11 |
| 1417252636 | Self Medical Group | Family Medicine | 138 Wells Avenue, Greenwood, SC 29646-3837 | 2011-01-19 |
| Find all providers in GREENWOOD | ||||
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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.