Active NPI
Joy Cruz Chesnut, MD
- Family Medicine Physician
- Marietta, OH
National Provider Identifier
1194793885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35.121478
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00072644 | Other | RAILROAD MEDICARE | |
| 1812506000 | Medicaid | WV | |
| 2342290 | Medicaid | OH | |
| P01414936 | Other | OH | RAILROAD MEDICARE PTAN - MHCPI |
| P00744174 | Other | WV | RAILROAD MEDICARE |
Other names 1
- Joy Cruz
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200630001278 | WV | Order and Referring Only - Family Practice | 6608772454 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20586 | WV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Emergency Medicine Physician
- Parkersburg, WV
- NPI 1295787349
-
- Urgent Care Clinic/Center
- Morgantown, WV
- NPI 1235138280
Emergency Medicine
-
- Family Medicine Physician
- Parkersburg, WV
- NPI 1154387223
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.