| 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 1509 Dulles Dr Lafayette LA 70506-3718 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 | 10/24/2023 |
| Medicare PECOS PAC ID | 7618341926 |
|---|---|
| Medicare Enrollment ID | O20230327002668 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598464406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | 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 | 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 | Jennifer Renee Snidow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013913763 PECOS PAC ID: 6305897224 Enrollment ID: I20120625000578 |
| Provider Name | Pamela K Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124013206 PECOS PAC ID: 5496936304 Enrollment ID: I20140313000611 |
| Provider Name | Mark Daryl Canty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962573626 PECOS PAC ID: 0840180113 Enrollment ID: I20160208000618 |
| Provider Name | Amani N 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 - Hospitalist |
| Provider Identifiers | NPI Number: 1518257138 PECOS PAC ID: 2163647355 Enrollment ID: I20170824003504 |
| 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 | Alice Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497144620 PECOS PAC ID: 8123344751 Enrollment ID: I20191015003532 |
| Provider Name | Rachel Potvin Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114527710 PECOS PAC ID: 6507277241 Enrollment ID: I20201201001754 |
| 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 | 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 | Whitney Cutler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548935794 PECOS PAC ID: 1456757665 Enrollment ID: I20231102001040 |
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