JACQUIA DE LA CRUZ (NPI# 1922269653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922269653 |
| Entity Type | Individual |
| Full Name | JACQUIA DE LA CRUZ |
| Credential | MD |
| Practice Address |
100 Manning Dr Cb 7570 Chapel Hill NC 27599-6117 |
| Practice Telephone | 9198432574 |
| Mailing Telephone | 9198432574 |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2014-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
2012-00443 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
100 MANNING DR CB 7570 |
| City | CHAPEL HILL |
| State | NC |
| Zip Code | 27599-6117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891800884 | Jerome Albert Ecker | Internal Medicine | 100 Manning Dr, Chapel Hill, NC 27599-6117 | 2006-08-20 |
| 1851954333 | Alnesha Banks | Student in an Organized Health Care Education/Training Program | 100 Manning Dr, Chapel Hill, NC 27599-6117 | 2019-04-19 |
| 1447713078 | Catherine Jachthuber Trub | Student in an Organized Health Care Education/Training Program | 100 Manning Dr, Chapel Hill, NC 27599-6117 | 2019-04-10 |
| 1619274479 | Lynn P. Mcconnell | Speech-Language Pathologist | 100 Manning Dr, Chapel Hill, NC 27599-6117 | 2011-02-14 |
| 1437315348 | Jerry S Covington | Social Worker | 100 Manning Dr, C/o Clinical Care Management, Chapel Hill, NC 27599-6117 | 2008-07-30 |
| 1790988590 | Jose Guillermo Cabanas-rivera | Emergency Medicine | 100 Manning Dr, Chapel Hill, NC 27599-6117 | 2007-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060386 | Makayla Brooke Gresham | Dentist | 120 Dental Circle, Chapel Hill, NC 27599 | 2020-07-07 |
| 1609436385 | Elnaz N/a Gharah Bash | Dentist | Unc Adams School of Dentistry, Dept of Periodontology 111 Brauer Hall, Chapel Hill, NC 27599 | 2019-06-16 |
| 1528558384 | Alexandria Sims Hart | Student in an Organized Health Care Education/Training Program | Nc2198 Unc Hospitals Cb# 7010, Chapel Hill, NC 27599 | 2018-05-16 |
| 1972091833 | Kaila Tindle Yeste | Student in an Organized Health Care Education/Training Program | 101 Manning Drive Nc Memorial Hospital, Rm N1183 To Cb 7200, Chapel Hill, NC 27599 | 2018-04-26 |
| 1457860272 | Hiromi Nakamura | Dentist | 5441g Koury Oral Health Science Bulding, Chapel Hill, NC 27599 | 2017-09-25 |
| 1902324627 | Gustavo Ernesto Mahn Arteaga | Student in an Organized Health Care Education/Training Program | 401 Brauer Hall Operative Graduate Clinic, Chapel Hill, NC 27599 | 2017-09-01 |
| 1386165736 | Susun Theresa Kim | Dentist | Dept of Prosthodontics, Unc School of Dentistry, 330 Brauer Hall, Chapel Hill, NC 27599 | 2017-07-06 |
| 1407381148 | Shelby Lauren Register | Student in an Organized Health Care Education/Training Program | 101 Manning Drive, Cb# 7160, Chapel Hill, NC 27599 | 2017-05-01 |
| 1386021723 | Andrew Coniglio | Student in an Organized Health Care Education/Training Program | 170 Manning Drive, Cb 7070, Phys Off Bldg Room G190, Chapel Hill, NC 27599 | 2015-05-06 |
| 1871970319 | Laura Parente | Pediatrics | 260 Macnider Building Cb # 7220, 321 S Columbia Street Unc School of Medicine, Chapel Hill, NC 27599 | 2015-05-05 |
| Find all providers in zip 27599 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841289824 | Samantha Pulliam | Obstetrics & Gynecology | 101 Manning Drive, Unc Hospitals, Chapel Hill, NC 27514 | 2005-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225125669 | Janet E Harris-hicks | Obstetrics & Gynecology | 108 Endo Ln Ste 1, Hamlet, NC 28345-4567 | 2006-10-06 |
| 1548876923 | Carolinas Physicians Network Inc | Obstetrics & Gynecology | 10650 Park Rd Ste 120, Charlotte, NC 28210-8539 | 2020-09-21 |
| 1598320830 | Wakemed Specialists Group, LLC | Obstetrics & Gynecology | 10010 Falls of Neuse Rd, Raleigh, NC 27614-8494 | 2019-05-02 |
| 1497119283 | Novant Medical Group, Inc | Obstetrics & Gynecology | 770 Highland Oaks Dr, Suite 100, Winston Salem, NC 27103 | 2016-04-08 |
| 1508234402 | Forsyth Memorial Hosptial Inc | Obstetrics & Gynecology | 2010 Baldwin Ln, Winston Salem, NC 27103-5846 | 2015-09-09 |
| 1760861678 | Wake Specialty Physicians, LLC | Obstetrics & Gynecology | 10010 Falls of Neuse Rd, Raleigh, NC 27614-8494 | 2015-05-26 |
| 1508251182 | Amy Liao Askew | Obstetrics & Gynecology | 4325 Lake Boone Trl Ste 315, Raleigh, NC 27607-7510 | 2015-04-01 |
| 1467790055 | Carolinas Medical Center | Obstetrics & Gynecology | 200 Medical Park Dr, Ste 250, Concord, NC 28025-2982 | 2013-01-17 |
| 1881968709 | Mcpc-7, LLC | Obstetrics & Gynecology | 108 Endo Ln, Hamlet, NC 28345-4566 | 2012-02-24 |
| 1467563593 | Catherine Ann Matthews | Obstetrics & Gynecology | 140 Charlois Blvd, Winston Salem, NC 27103-1522 | 2006-08-31 |
| Find all providers with the same taxonomy | ||||
| City | CHAPEL HILL |
| Zip Code | 27599 |
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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.