Theresa R. Cruthird, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

01073502A Issued in IN

Practice address

121 S Saint Louis Blvd
South Bend, IN 46617-2924

Phone

(574) 233-3123

Fax

(574) 233-3125

NPI assigned

Apr 5, 2010

Last updated

Nov 26, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Theresa Cruthird-Rudd Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• X-Ray Consultants Inc

  • Diagnostic Radiology Physician
  • South Bend, IN
  • NPI 1770536815
  NPD (past)
• XRC Clinical Radiology, LLC

  • Vascular & Interventional Radiology Physician
  • South Bend, IN
  • NPI 1154856789
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1194040048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4016",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466344016",
            "telephone_number": "574-233-3123",
            "fax_number": "574-233-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S SAINT LOUIS BLVD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172924",
            "telephone_number": "574-233-3123",
            "fax_number": "574-233-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUTHIRD",
        "first_name": "THERESA",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-05",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01073502A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201228320",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "CRUTHIRD-RUDD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amy E Crosson, NP
• Steven P. Crowell, MD
• Mary L Crowley, PT
• Robert S Crumb, M.D.
• Ardreanna Crump, RBT
• Gisselle Cruz
• Jose Cruz, MSW
• Kimberly Cruz, MSW
• Sydney Cruz
• Natalie Cudziol

• Anesthesiology Physician in South Bend, IN
• Providers in South Bend, IN by specialty
• Anesthesiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.