JACK CRUIKSHANK MD – NPI #1720746662
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Health Care Provider Taxonomy Code for Internal Medicine

JACK CRUIKSHANK is a physician located in YUCCA VALLEY, CA. NPPES has assigned the NPI number 1720746662 to JACK CRUIKSHANK on December 07, 2021. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACK CRUIKSHANK below.

NPI Profile for
JACK CRUIKSHANK

NPI Number
1720746662
Enumeration Date

(more than 4 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JACK CRUIKSHANK
Credentials
MD
Primary location
MORONGO BASIN COMMUNITY HEALTH CENTER
58375 29 PALMS HWY
YUCCA VALLEY, CA 92284
Phone: (760) 820-9229 Fax:
Mailing address
1111 E PALM CANYON DR UNIT 120
PALM SPRINGS, CA 92264-9199
Phone: (403) 835-9023 Fax:
Sole Proprietor
No
Updated
Certification Date
Nov 29, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)		 CA C174737

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF CALGARY, FACULTY OF MEDICINE - Graduated 2006
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JACK CRUIKSHANK is affiliated with the following medical group(s):
  • HOSPITAL
    • HI-DESERT MEDICAL CENTER
      6601 WHITE FEATHER ROAD
      JOSHUA TREE, CA 92252

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