Zoe Kathleen Cross, M.D.
Individual provider Active NPI Family Medicine Physician · Salt Lake City, UT
NPI 1770945834 · NPPES record last updated Sep 16, 2020
Key facts
- NPI
- 1770945834
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 10518243-1205 (UT)
- Practice address
- 375 S Chipeta Way
Suite a
Salt Lake City, UT 84108-1260 - Phone
- (801) 587-3411
- NPI assigned
- Mar 28, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Washington School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Moab Valley Healthcare, Inc.
Practice addresses (Care Compare)
476 Williams Way
Moab, UT 84532-2186
Phone (435) 719-5500
Hospital & facility affiliations
- Community Nursing Services
- Moab Regional Hospital
- Intermountain Health St. Mary'S Regional Hospital
- University of Utah Hospital and Clinics
- Moab Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190702000998 | UT | Practitioner - Family Practice | 3072889500 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10518243-1205 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moab Valley Healthcare, Inc | Family Medicine | Current | Accepting new patients |
| Moab Valley Healthcare, Inc. | Current |
Accepting new patients | |
| Utah Healthcare Institute Inc | Family Medicine | Current |
Accepting new patients |
| Moab Valley Healthcare, Inc. | Current |
Accepting new patients |
Locations
476 W Williams Way
Moab, UT 84532
Phone (435) 719-3500
450 W Williams Way
Moab, UT 84532
Phone (435) 259-7191
1250 E 3900 S
Ste 260
Slc, UT 84124
Phone (801) 265-2000
1365 W 1000 N
Slc, UT 84116
Phone (801) 328-5750
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 10518243-1205 | UT | Yes |
Addresses
Primary practice location
375 S Chipeta Way
Suite a
Salt Lake City, UT 84108-1260
Mailing address
1250 E 3900 S
Ste 260
Salt Lake City, UT 84124-1371
Phone (801) 265-2000
Other providers in Salt Lake City, UT
- Alyse Crosby
- Madison L. Crosby
- Sadie Croshaw
- Brittany Marie Cross
- Rebecca Megan Cross
- Emma Crossett
- Ian Crossett
- Kyle Paul Crossett
- Shellie R Crossett
- Christine Louise Crossno
All providers in Salt Lake City, UT · Family Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.