Individual provider Active NPI

Joy Cruz Chesnut, MD

  • Family Medicine Physician
  • Marietta, OH
National Provider Identifier
1194793885
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.121478 Issued in OH
Practice address
210 N 7TH St Ste 101
Marietta, OH 45750-2244
Phone
(740) 376-0490
Fax
(740) 376-0438
NPI assigned
Mar 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 20586 WV
Family Medicine Physician 207Q00000X 20586 WV
Family Medicine Physician 207Q00000X 35.121478 OH Primary

Addresses

Primary practice location

210 N 7TH St Ste 101
Marietta, OH 45750-2244

Mailing address

PO Box 449
Marietta, OH 45750-0449
Phone (740) 374-4500

Other practice location 1

805 Farson St
Suite 115
Belpre, OH 45714-1000
Phone (740) 423-3201

Other identifiers 5

IdentifierTypeStateIssuer
P00072644OtherRAILROAD MEDICARE
1812506000MedicaidWV
2342290MedicaidOH
P01414936OtherOHRAILROAD MEDICARE PTAN - MHCPI
P00744174OtherWVRAILROAD MEDICARE

Other names 1

  • Joy Cruz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200630001278 WV Order and Referring Only - Family PracticePractitioner - Family Practice 6608772454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20586WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
4M Emergency Systems of Parkersburg, Inc Emergency Medicine Past Accepting new patients
Medexpress Urgent Care PLLC-Morgantown Emergency Medicine Past Accepting new patients
Parkersburg Family Med Assoc PLLC Family Medicine Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194793885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 449",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457500449",
            "telephone_number": "740-374-4500",
            "fax_number": "740-374-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N 7TH ST STE 101",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502244",
            "telephone_number": "740-376-0490",
            "fax_number": "740-376-0438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 Farson St",
            "address_2": "Suite 115",
            "address_purpose": "LOCATION",
            "city": "Belpre",
            "state": "OH",
            "postal_code": "457141000",
            "country_code": "US",
            "telephone_number": "740-423-3201",
            "fax_number": "740-423-3211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHESNUT",
        "first_name": "JOY",
        "middle_name": "CRUZ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "20586",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "20586",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.121478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00072644",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1812506000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2342290",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN - MHCPI",
            "identifier": "P01414936",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00744174",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOY",
            "last_name": "CRUZ",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marietta, OH

Sources for this page

Verify at the official NPI Registry.