Edgar Rodriguez Delacruz, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

35043776 Issued in OH

Practice address

715 E Shafer Ave
Dover, OH 44622-2053

Phone

(330) 364-7764

Fax

(330) 343-8162

NPI assigned

Mar 25, 2006

Last updated

Nov 16, 2011By the provider in NPPES

Sex

Male

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

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edgardelacruz@edmdi.allscriptsdirect.net

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.

• Edgar R Delacruz MD Inc

  • Specialist
  • Dover, OH
  • NPI 1477868305
  Medicare reassignment NPD Authorized official
• The Union Hospital Association

  dba Union Hospital

  • Rural Acute Care Hospital
  • Dover, OH
  • NPI 1871606921
  NPD (past)

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1275593907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 E SHAFER AVE",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222053",
            "telephone_number": "330-364-7764",
            "fax_number": "330-343-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 E SHAFER AVE",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222053",
            "telephone_number": "330-364-7764",
            "fax_number": "330-343-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELACRUZ",
        "first_name": "EDGAR",
        "middle_name": "RODRIGUEZ",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35043776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0526112",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nanette E Davenport Roberson, LISW
• David M Hartman MD LTD
• Marla Davidson
• Erin Marie Deeds, RPH
• Alexandra M. Dehoust, CT
• Lori Denham
• Zachary Ryan Denham, MD
• Timothy Paul Desiato, M.D.
• Stephanie Marie Dickerson
• Discount Drug Mart Inc (Discount Drug Mart)

• Specialist in Dover, OH
• Providers in Dover, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.

Verify at the official NPI Registry.