DR. IVAN RODRIGO ZENDEJAS RUIZ (NPI# 1760542054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760542054 |
| Entity Type | Individual |
| Full Name | DR. IVAN RODRIGO ZENDEJAS RUIZ |
| Credential | MD |
| Practice Address |
5171 S Cottonwood St Ste 650 Murray UT 84107-5716 |
| Practice Telephone | 3522650606 |
| Practice Fax Number | 3522650678 |
| Mailing Telephone | 3522650606 |
| Mailing Fax Number | 3522650678 |
| Enumeration Date | 2006-12-09 |
| Last Update Date | 2016-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204F00000X | Transplant Surgery | 10757 | FL | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | 9580790-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | ME108537 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
5171 S COTTONWOOD ST STE 650 |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-5716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780201293 | Heather Patricia Nick | Genetic Counselor, MS | 5171 S Cottonwood St, Murray, UT 84107-5704 | 2020-06-30 |
| 1245743640 | Brigid A O'donnell | Nurse Practitioner | 5171 S Cottonwood St, Murray, UT 84107 | 2017-11-08 |
| 1568917664 | Amanda Peterson | Occupational Therapist | 5171 S Cottonwood St, Lower Level 2 Women's Center Coordinated Rehab Services, Murray, UT 84107-5704 | 2016-08-18 |
| 1336590595 | Kassie Burton | Nurse Practitioner | 5171 S Cottonwood St, Ste 740, Murray, UT 84107-5704 | 2016-06-28 |
| 1548636848 | Amy Berrigan | Nurse Practitioner | 5171 S Cottonwood St, Suite 740, Murray, UT 84107-5704 | 2015-08-20 |
| 1487042065 | Kimberly Chesney Redford | Audiologist | 5171 S Cottonwood St, Suite 140, Murray, UT 84107-5704 | 2015-01-05 |
| 1881007508 | Janelle Hayes | Physical Therapist | 5171 S Cottonwood St, Suite 810, Murray, UT 84107-5704 | 2014-06-10 |
| 1316373087 | Ihc Health Services Inc | Internal Medicine | 5171 S Cottonwood St, Ste 350, Murray, UT 84107-5733 | 2013-09-25 |
| 1376976381 | Laura K Heermann Langford | Registered Nurse | 5171 S Cottonwood St, Suite 220, Murray, UT 84107-5704 | 2013-08-13 |
| 1023459393 | Rachelle Jelosek | Nurse Practitioner | 5171 S Cottonwood St, Suite 810, Murray, UT 84107-5704 | 2013-07-15 |
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| 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 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740672641 | Randall Jones | Surgery | 1353 E Old Maple Ct, Murray, UT 84117-7303 | 2015-03-02 |
| 1811282452 | Andrew I Gagnon | Surgery | 5171 S Cottonwood St Ste 650, Murray, UT 84107-5716 | 2011-06-11 |
| 1619292745 | Nickolas Ray Byrge | Surgery | 5169 S Cottonwood St Ste 410, Murray, UT 84107-6769 | 2010-03-31 |
| 1679554141 | Tawnya Bowles | Surgery | 5169 Cottonwood St, Suite 440, Murray, UT 84107-6767 | 2005-11-10 |
| 1962401315 | Alfonso Preciado | Surgery | 4000 S 700 E, Ste 9, Murray, UT 84107-2180 | 2005-07-19 |
| 1609873595 | Sarah Dawn Majercik | Surgery | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2005-07-07 |
| 1013412568 | Ihc Health Services Inc | Surgery | 5169 S Cottonwood St Ste 640, Murray, UT 84107-6771 | 2018-03-27 |
| 1356634976 | Ute Gawlick | Surgery | 5169 S Cottonwood St, Ste 410, Murray, UT 84107-6767 | 2011-05-16 |
| 1629210216 | Brady Tyler Harris | Surgery | 300 S 8th St, Suite 401e, Murray, KY 42071-2400 | 2009-03-30 |
| 1588831861 | Shane D. Lewis | Surgery | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2008-05-14 |
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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.