Ivan Rodrigo Zendejas Ruiz (NPI# 1760542054, PAC ID# 3476741851) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1760542054 |
| PAC ID by PECOS | 3476741851 |
| Professional Enrollment ID | I20160229001388 |
| Full Name | Ivan Rodrigo Zendejas Ruiz |
| Organization Legal Name | CANYON SURGICAL ASSOCIATES, LLC |
| Address |
5171 S Cottonwood St Suite 650 Murray UT 84107-5716 |
| Phone Number | 8015079600 |
| Gender | M |
| Graduation Year | 2001 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 3779580774 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460010 | INTERMOUNTAIN MEDICAL CENTER |
| 460047 | ST MARK'S HOSPITAL |
| 460049 | THE ORTHOPEDIC SPECIALTY HOSPITAL |
| 460001 | UTAH VALLEY HOSPITAL |
| 460021 | DIXIE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5171 S Cottonwood St, Suite 650, Murray, UT 84107-5716 | 8015079600 | CANYON SURGICAL ASSOCIATES, LLC |
| Organization Legal Name | CANYON SURGICAL ASSOCIATES, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shiro Fujita | General Surgery | Canyon Surgical Associates, LLC | 5171 S Cottonwood St, Suite 650, Murray, UT 84107-5716 |
| Andrew Ian Gagnon | General Surgery | Canyon Surgical Associates, LLC | 5171 S Cottonwood St, Suite 650, Murray, UT 84107-5716 |
| Street Address |
5171 S COTTONWOOD ST SUITE 650 |
| City | MURRAY |
| State | UT |
| Zip | 84107-5716 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Brennan Blackham | Physical Medicine and Rehabilitation | Ihc Health Services Inc | 5171 S Cottonwood St, Suite 810, Murray, UT 84107-5705 |
| Meghan Ashley Ward | Neurology | Ihc Health Services Inc | 5171 S Cottonwood St, Suite 810, Murray, UT 84107-5705 |
| Jody L Wixom | Physical Medicine and Rehabilitation | Ihc Health Services Inc | 5171 S Cottonwood St, Suite 810, Murray, UT 84107-5705 |
| David Michael Fantle | Neurology | Ihc Health Services Inc | 5171 S Cottonwood St, Suite 810, Murray, UT 84107-5705 |
| Shiro Fujita | General Surgery | Canyon Surgical Associates, LLC | 5171 S Cottonwood St, Suite 650, Murray, UT 84107-5716 |
| Jon Leroy Pertab | Psychologist, Clinical | Ihc Health Services Inc | 5171 S Cottonwood St, Suite 810, Murray, UT 84107-5705 |
| Samantha Allison | Psychologist, Clinical | Ihc Health Services Inc | 5171 S Cottonwood St, Suite 810, Murray, UT 84107-5705 |
| Jordan Scott Reichman | Neurology | Ihc Health Services Inc | 5171 S Cottonwood St, Suite 810, Murray, UT 84107-5705 |
| Megan Moore Donohue | Neurology | Ihc Health Services Inc | 5171 S Cottonwood St, Suite 810, Murray, UT 84107-5705 |
| Cory James Kogelschatz | Neurology | Ihc Health Services Inc | 5171 S Cottonwood St, Suite 810, Murray, UT 84107-5705 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randy B Carter | Optometry | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Darcy H Wolsey | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Zachary J Zavodni | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Robert J Cionni | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Kristin O Chapman | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Robert J Matejka | Anesthesiology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Bruce F Gladwell | Certified Registered Nurse Anesthetist (crna) | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Laura J Springhetti | Certified Registered Nurse Anesthetist (crna) | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Sally J Brush | Nurse Practitioner | 888 E 3900, Salt Lake City, UT 84107-2151 | |
| Alireza Falahati-nini | Endocrinology | Utah Endocrinology Associates Pllc | 470 E 3900, Suite 200, Salt Lake City, UT 84107-2332 |
| Find all physicians in zip 84107 | |||
| City | MURRAY |
| Zip Code | 84107 |
| Specialty | GENERAL SURGERY |
| City + Specialty | MURRAY + GENERAL SURGERY |
Please comment or provide details below to improve the information on Ivan Rodrigo Zendejas Ruiz.
| 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.