| CH Specialty Services NV Requeijo PC | |
|
1001 Mountain St Carson City NV 89703-3848 | |
| (337) 408-0797 | |
| Not Available |
| Full Name | CH Specialty Services NV Requeijo PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1001 Mountain St, Carson City, Nevada |
| Authorized Official Name and Position | Nicole Howard (SR VP OF ADMINISTRATIVE SERVICES) |
| Authorized Official Contact | 3374080797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| CH Specialty Services NV Requeijo PC 5750 Johnston St Ste 205 Lafayette LA 70503-5345 Ph: (337) 408-0797 | CH Specialty Services NV Requeijo PC 1001 Mountain St Carson City NV 89703-3848 Ph: (337) 408-0797 |
| NPI Number | 1598464406 |
|---|---|
| Provider Enumeration Date | 02/28/2023 |
| Last Update Date | 03/21/2025 |
| Certification Date | 03/21/2025 |
| Medicare PECOS PAC ID | 7618341926 |
|---|---|
| Medicare Enrollment ID | O20230327002668 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598464406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Joseph J Teichgraeber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023070091 PECOS PAC ID: 7113919689 Enrollment ID: I20040823000595 |
| Provider Name | Kori L Singleton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205807005 PECOS PAC ID: 7416915632 Enrollment ID: I20041220001005 |
| Provider Name | Edward V Schelert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033294079 PECOS PAC ID: 7113029919 Enrollment ID: I20070226000345 |
| Provider Name | Olivia P Baugh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457478604 PECOS PAC ID: 2466523709 Enrollment ID: I20080614000018 |
| Provider Name | Denver Miller |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1326059254 PECOS PAC ID: 1153375712 Enrollment ID: I20090303000537 |
| Provider Name | Pamela Hassler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841411212 PECOS PAC ID: 6406999721 Enrollment ID: I20100208000640 |
| Provider Name | Jennifer Renee Snidow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013913763 PECOS PAC ID: 6305897224 Enrollment ID: I20120625000578 |
| Provider Name | Mark Daryl Canty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962573626 PECOS PAC ID: 0840180113 Enrollment ID: I20160208000618 |
| Provider Name | Alyssa Nishihira |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265880637 PECOS PAC ID: 5991090193 Enrollment ID: I20160826002370 |
| Provider Name | Amani Nasser H. Altamimi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699025171 PECOS PAC ID: 8820307226 Enrollment ID: I20170127001905 |
| Provider Name | Jayson Weir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518257138 PECOS PAC ID: 2163647355 Enrollment ID: I20170824003504 |
| Provider Name | Vivian L Cayabyab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780183129 PECOS PAC ID: 1355605353 Enrollment ID: I20180427000271 |
| Provider Name | Paula Requeijo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427084763 PECOS PAC ID: 8325003742 Enrollment ID: I20190329001882 |
| Provider Name | Brian Cooper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366678963 PECOS PAC ID: 0547426223 Enrollment ID: I20190522003367 |
| Provider Name | Kathryn Grace Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093376675 PECOS PAC ID: 8022345891 Enrollment ID: I20190816001395 |
| Provider Name | Jenny Singh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982180527 PECOS PAC ID: 5496097966 Enrollment ID: I20190909003537 |
| Provider Name | Deanna Whitehorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265081756 PECOS PAC ID: 6507197290 Enrollment ID: I20191010001721 |
| Provider Name | Alice S Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497144620 PECOS PAC ID: 8123344751 Enrollment ID: I20191015003532 |
| Provider Name | Michael Edward Callahan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902465321 PECOS PAC ID: 8426480393 Enrollment ID: I20191114000843 |
| Provider Name | Ryan Monti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629496880 PECOS PAC ID: 7214201037 Enrollment ID: I20200415003062 |
| Provider Name | Danielle Dyan Burian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821619727 PECOS PAC ID: 3072938679 Enrollment ID: I20200729003381 |
| Provider Name | Rachel Potvin Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114527710 PECOS PAC ID: 6507277241 Enrollment ID: I20201201001754 |
| Provider Name | Irtqa Ilyas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396249124 PECOS PAC ID: 6406108505 Enrollment ID: I20210727003880 |
| Provider Name | John Albert Maldonado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124517412 PECOS PAC ID: 3072917749 Enrollment ID: I20210803003335 |
| Provider Name | Antinea Marshella Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952987042 PECOS PAC ID: 4486050184 Enrollment ID: I20210903001433 |
| Provider Name | Lisa Ann Herring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619647831 PECOS PAC ID: 3678524964 Enrollment ID: I20211021001099 |
| Provider Name | Mandy Carol Coulsey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821769993 PECOS PAC ID: 2264822436 Enrollment ID: I20211201002415 |
| Provider Name | Rhodora Neu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427413947 PECOS PAC ID: 7911291513 Enrollment ID: I20220929002658 |
| Provider Name | David Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922435759 PECOS PAC ID: 2365673464 Enrollment ID: I20221019001506 |
| Provider Name | Blake Krek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942912076 PECOS PAC ID: 2668838376 Enrollment ID: I20230523002051 |
| Provider Name | Bylly Botanny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902326598 PECOS PAC ID: 7618331976 Enrollment ID: I20240308002550 |
| Provider Name | Maureen Lee Sheehan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215083845 PECOS PAC ID: 4880770502 Enrollment ID: I20240321001260 |
| Provider Name | Brittany Lynn Beaumier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801503800 PECOS PAC ID: 2769829852 Enrollment ID: I20240325003387 |
| Provider Name | Ruth Seeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295392421 PECOS PAC ID: 3779818737 Enrollment ID: I20240531002400 |
| Provider Name | Mia Stroble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215575956 PECOS PAC ID: 7618398918 Enrollment ID: I20240918002598 |
| Provider Name | Victoria Randall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396478830 PECOS PAC ID: 2466834023 Enrollment ID: I20241002002045 |
| Provider Name | Leslie Sheffield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538532528 PECOS PAC ID: 5799089157 Enrollment ID: I20241125003611 |
| Provider Name | Leah Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063024198 PECOS PAC ID: 0244641132 Enrollment ID: I20241231001642 |
| Provider Name | Jacqueline Kizer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588856967 PECOS PAC ID: 8224947502 Enrollment ID: I20250303003336 |
| Provider Name | Elizabeth Joye Cheatham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174310577 PECOS PAC ID: 4183143894 Enrollment ID: I20250527001949 |
| Provider Name | Coreen Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952957722 PECOS PAC ID: 6608209861 Enrollment ID: I20250702004125 |
| Provider Name | Ademola Aremu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356796916 PECOS PAC ID: 1052603768 Enrollment ID: I20250917000702 |
| Provider Name | Chinyere Okorie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689914277 PECOS PAC ID: 0446646434 Enrollment ID: I20251028004006 |
| Provider Name | Jan Winetz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790777852 PECOS PAC ID: 5991973984 Enrollment ID: I20251116000147 |
| Provider Name | Samantha Drejka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437013398 PECOS PAC ID: 5496234379 Enrollment ID: I20260210004059 |
| Provider Name | Lien T Dang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225876345 PECOS PAC ID: 2466979729 Enrollment ID: I20260407003052 |
| Provider Name | Ramon Trinidad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588211627 PECOS PAC ID: 2860829355 Enrollment ID: I20260515003558 |
| Provider Name | Jennifer Barney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245626472 PECOS PAC ID: 3072858893 Enrollment ID: I20260522003452 |
Carson Tahoe Physician Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3200 Market Street, Carson City, NV 89706 Phone: 775-445-7220 Fax: 775-888-3236 |
Aspen Family Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2874 N Carson St Ste 127, Carson City, NV 89706 Phone: 775-882-1300 Fax: 775-882-1332 |
Carson Tahoe Physician Clinics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2874 N Carson Street, Suite 200, Carson City, NV 89706 Phone: 775-883-9003 Fax: 775-883-0959 |
Usacs Long Term Care Services Osmundson PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2898 Us Highway 50 E, Carson City, NV 89701 Phone: 330-493-4443 |
Birch Medical and Skin Care PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4095 N Carson St, Carson City, NV 89706 Phone: 775-883-3953 |
Pinnacle Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 E Winnie Ln, Carson City, NV 89706 Phone: 775-204-4000 |