BENITA KRUZEL (NPI# 1952524266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952524266 |
| Entity Type | Individual |
| Full Name | BENITA KRUZEL |
| Credential | M.D. |
| Practice Address |
313 Painted Hills Dr Ivins UT 84738-6082 |
| Practice Telephone | 4356563313 |
| Mailing Telephone | 4356563313 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2011-05-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
036-085303 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | UTAH STATE LICENSE | 5132066-1205 | 01 |
| TX | TEXAS STATE LICENSE | K5135 | 01 |
| IL | ILLINOIS STATE LICENSE | 036-085303 | 01 |
| Street Address |
313 PAINTED HILLS DR |
| City | IVINS |
| State | UT |
| Zip Code | 84738-6082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366783466 | Avalon Care Center - Va Ivins, LLC | Skilled Nursing Facility | 160 North 200 East, Ivins, UT 84738 | 2013-03-14 |
| 1801063441 | Paiute Indian Tribe of Utah | Clinic/Center | 3705 N 6100 W, Ivins, UT 84738 | 2008-05-13 |
| 1639274574 | Mark Lee Wardle | Family Medicine | 255 E Center St, Ivins, UT 84738 | 2006-09-14 |
| 1083670459 | Raymond Jack Middleton | Family Medicine | 653 South 170 West, Ivins, UT 84738 | 2006-04-25 |
| 1447655063 | Heather Reynolds | Physician Assistant | 3705 N 6100 W, Ivins, UT 84738 | 2014-10-24 |
| 1558590539 | Paiute Indian Tribe of Utah | Prosthetic/Orthotic Supplier | 3705 N 6100 W, Ivins, UT 84738 | 2009-07-10 |
| 1316182678 | Scott Robert Moore | Massage Therapist | 565 S 250 E, Ivins, UT 84738-5010 | 2008-12-15 |
| 1700331162 | At Home Care and Health Services | In Home Supportive Care | 639 S 315 E, Ivins, UT 84738-5054 | 2016-08-16 |
| 1609315431 | At Home Care and Health Services LLC | Private Vehicle | 639 S 315 E, Ivins, UT 84738-5054 | 2017-02-13 |
| 1841515889 | Donna Alexander | Speech-Language Pathologist | 302 S 380 W, Ivins, UT 84738-5104 | 2010-04-01 |
| Find all providers in zip 84738 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902101892 | Chun Il Mah | Radiology | 4218 Sunrise Dr, Eden, UT 84310-6764 | 2011-01-24 |
| 1578864476 | Cleo E Dymott | Radiology | 4926 Quail Ln, Ogden, UT 84403-4436 | 2010-11-08 |
| 1194905752 | Thomas B. Skidmore | Radiology | 1250 E 3900 S Ste 10, Salt Lake City, UT 84124-1354 | 2007-11-11 |
| 1295959724 | James W Clarke | Radiology | 700 W 800 N Ste 140, Orem, UT 84057-6301 | 2007-04-13 |
| 1386724292 | Ying Jia Hitchcock | Radiology | 1950 Cicle of Hope, Salt Lake City, UT 84112 | 2006-10-16 |
| 1366534653 | Amy Amalia Strowbridge | Radiology | 6440 South Millrock Drive Suite 175, Comphealth, Salt Lake City, UT 84121 | 2006-09-28 |
| 1881612927 | William Thomas Sause | Radiology | 8th Avenue and C St, Salt Lake City, UT 84143-0001 | 2006-07-17 |
| 1972557882 | Kristine Elizabeth Kokeny | Radiology | 1950 East Circle of Hope, Ste. 1570, Salt Lake City, UT 84112-5550 | 2006-05-22 |
| 1952369829 | Gene Kopelson | Radiology | 675 E 2100 S, Suite 390, Salt Lake City, UT 84106-1887 | 2006-05-02 |
| 1679035505 | Calvin B. Rock | Radiology | 1950 Circle of Hope Dr Rm 1570, Salt Lake City, UT 84112-5500 | 2019-04-01 |
| Find all providers with the same taxonomy | ||||
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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.