Dispatchhealth Nv Wagner Pc | |
376 E Warm Springs Rd Ste 110 Las Vegas NV 89119-4241 | |
(702) 848-4443 | |
Not Available |
Full Name | Dispatchhealth Nv Wagner Pc |
---|---|
Speciality | Emergency Medicine |
Location | 376 E Warm Springs Rd Ste 110, Las Vegas, Nevada |
Authorized Official Name and Position | Bruce Allen Johnson (VICE PRESIDENT) |
Authorized Official Contact | 3035894149 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Dispatchhealth Nv Wagner Pc 3825 N Lafayette St Denver CO 80205-3316 Ph: (303) 500-1518 | Dispatchhealth Nv Wagner Pc 376 E Warm Springs Rd Ste 110 Las Vegas NV 89119-4241 Ph: (702) 848-4443 |
NPI Number | 1023538790 |
---|---|
Provider Enumeration Date | 06/23/2017 |
Last Update Date | 10/03/2023 |
Medicare PECOS PAC ID | 5193090298 |
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Medicare Enrollment ID | O20170928003257 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023538790 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Secondary |
207P00000X | Emergency Medicine | (* (Not Available)) | Primary |
Provider Name | Cari L Croghan |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1760441901 PECOS PAC ID: 8729973474 Enrollment ID: I20040220000253 |
Provider Name | John Mccourt |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1265504021 PECOS PAC ID: 3173575842 Enrollment ID: I20050210000983 |
Provider Name | Tawni J Christensen |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1881640662 PECOS PAC ID: 5193737138 Enrollment ID: I20060612000294 |
Provider Name | Vicki Mazzorana |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1609821180 PECOS PAC ID: 5991798092 Enrollment ID: I20061020000547 |
Provider Name | Roland Pua |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215009782 PECOS PAC ID: 2961403035 Enrollment ID: I20070117000107 |
Provider Name | Jason Jones |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1104972207 PECOS PAC ID: 0345341459 Enrollment ID: I20081121000195 |
Provider Name | Graceann Freeman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124227244 PECOS PAC ID: 4082776562 Enrollment ID: I20081217000202 |
Provider Name | Alejandro S Navarro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528203643 PECOS PAC ID: 9931255817 Enrollment ID: I20090917000360 |
Provider Name | Stefanie D Remson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083981955 PECOS PAC ID: 8325295561 Enrollment ID: I20120823000418 |
Provider Name | Amy Marie Barats |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487909321 PECOS PAC ID: 2163670696 Enrollment ID: I20120907000164 |
Provider Name | Jose Robert Gaticales |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982948295 PECOS PAC ID: 9830343607 Enrollment ID: I20130201000115 |
Provider Name | Andrew J Wagner |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1215154018 PECOS PAC ID: 5597817957 Enrollment ID: I20130402000195 |
Provider Name | Zoya Qureshi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770828899 PECOS PAC ID: 0547409500 Enrollment ID: I20130624000261 |
Provider Name | Jann S Pickens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003250143 PECOS PAC ID: 3072752898 Enrollment ID: I20130626000601 |
Provider Name | Kerstin Noel Margiotti |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316289317 PECOS PAC ID: 6305071390 Enrollment ID: I20131029000937 |
Provider Name | Jennifer M Cochran |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316372451 PECOS PAC ID: 8022246198 Enrollment ID: I20140117000083 |
Provider Name | Terry L Bartmus |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376966192 PECOS PAC ID: 1850514340 Enrollment ID: I20140602002142 |
Provider Name | Belinda Orden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902150840 PECOS PAC ID: 6800010224 Enrollment ID: I20140604002340 |
Provider Name | Gemma Lim Go |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538585005 PECOS PAC ID: 6709002546 Enrollment ID: I20140730002833 |
Provider Name | Erin M Healey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760890354 PECOS PAC ID: 7113146853 Enrollment ID: I20141014002229 |
Provider Name | Jennifer A Bailey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801211180 PECOS PAC ID: 2860714599 Enrollment ID: I20141208000173 |
Provider Name | Maritess Nabong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174925788 PECOS PAC ID: 3971820259 Enrollment ID: I20150325001888 |
Provider Name | Kara A Paszek |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205219698 PECOS PAC ID: 1658689971 Enrollment ID: I20151006000668 |
Provider Name | Jose Rene Gonzalez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831564046 PECOS PAC ID: 5092018358 Enrollment ID: I20160120000627 |
Provider Name | Linda Bernarda Ruiz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710344759 PECOS PAC ID: 8325347438 Enrollment ID: I20160425000578 |
Provider Name | Latricia Lacy-juste |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073975090 PECOS PAC ID: 5698074904 Enrollment ID: I20160506001994 |
Provider Name | Judith L Trevisano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760842512 PECOS PAC ID: 5890092688 Enrollment ID: I20161014001098 |
Provider Name | Susan K Hancock |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770027724 PECOS PAC ID: 3577846401 Enrollment ID: I20170220000896 |
Provider Name | Mia Mccallum-crawford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043675325 PECOS PAC ID: 7810276680 Enrollment ID: I20170306001061 |
Provider Name | Cornell V Calinescu |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1457339004 PECOS PAC ID: 6406768878 Enrollment ID: I20170329001567 |
Provider Name | Tynara Sarybashova |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811358732 PECOS PAC ID: 5092091975 Enrollment ID: I20170406002455 |
Provider Name | Aryeh Z Lapin |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1609294974 PECOS PAC ID: 2769782671 Enrollment ID: I20170809003959 |
Provider Name | Bailey Zhao |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1407273766 PECOS PAC ID: 3173895075 Enrollment ID: I20170825003242 |
Provider Name | Aurora M Hunt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588614903 PECOS PAC ID: 2668456229 Enrollment ID: I20170921001469 |
Provider Name | Ashley Juste |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063959229 PECOS PAC ID: 8022383033 Enrollment ID: I20171002000673 |
Provider Name | Violeta Yeager |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518488204 PECOS PAC ID: 5395002414 Enrollment ID: I20171128002225 |
Provider Name | Julie Federico Palacios |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245758341 PECOS PAC ID: 7618236001 Enrollment ID: I20180110000707 |
Provider Name | Harmony J Mckee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992203533 PECOS PAC ID: 6305106121 Enrollment ID: I20180215001999 |
Provider Name | Claudette Rhoades |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194975003 PECOS PAC ID: 4587818984 Enrollment ID: I20180226002671 |
Provider Name | Nicole Nelson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104354810 PECOS PAC ID: 9335400886 Enrollment ID: I20180226002797 |
Provider Name | Melissa Bounds |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831630458 PECOS PAC ID: 5496023988 Enrollment ID: I20180709003309 |
Provider Name | Theresa Hilton-berger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326292624 PECOS PAC ID: 7012071772 Enrollment ID: I20180912001165 |
Provider Name | Nicholas Caruso |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669919452 PECOS PAC ID: 6901173962 Enrollment ID: I20180920000585 |
Provider Name | Leslie Echols |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174028617 PECOS PAC ID: 2668724469 Enrollment ID: I20181005000945 |
Provider Name | Ronald Adlaon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851874713 PECOS PAC ID: 7911242326 Enrollment ID: I20181212002951 |
Provider Name | Teresa M Foss |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891770004 PECOS PAC ID: 0143254185 Enrollment ID: I20181214001759 |
Provider Name | Julie Westwood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124598818 PECOS PAC ID: 7315285699 Enrollment ID: I20190212001215 |
Provider Name | Mary Elizabeth Wardle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235624388 PECOS PAC ID: 5193064707 Enrollment ID: I20190226001994 |
Provider Name | Dana Masako Soma |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083194476 PECOS PAC ID: 3173864998 Enrollment ID: I20190404001184 |
Provider Name | Ronnie Malalay Bordador |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659840270 PECOS PAC ID: 8224379813 Enrollment ID: I20190409000704 |
Provider Name | Christina L Flores |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912456609 PECOS PAC ID: 5294015814 Enrollment ID: I20190509001972 |
Provider Name | Manal Jourdan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942766001 PECOS PAC ID: 8921341629 Enrollment ID: I20190521001958 |
Provider Name | Gabriel Bayi Ekortarh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922478890 PECOS PAC ID: 3476853250 Enrollment ID: I20190528001707 |
Provider Name | Chasity Travis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760045868 PECOS PAC ID: 6709111800 Enrollment ID: I20190711002192 |
Provider Name | Cassandra R Orosz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225693526 PECOS PAC ID: 9234467226 Enrollment ID: I20190829001096 |
Provider Name | Denise Marie Horvath |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174164404 PECOS PAC ID: 3072946425 Enrollment ID: I20191126000837 |
Provider Name | Cynthia Kay Combs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457904146 PECOS PAC ID: 5890128607 Enrollment ID: I20191210001062 |
Provider Name | Heather A Bettencourt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093054843 PECOS PAC ID: 2567896921 Enrollment ID: I20191218002211 |
Provider Name | Christy N Greenly |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316369002 PECOS PAC ID: 9335363175 Enrollment ID: I20200123000607 |
Provider Name | Patrick J Vides |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225679087 PECOS PAC ID: 5294160917 Enrollment ID: I20200127000921 |
Provider Name | Alisha V Alexander |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952945784 PECOS PAC ID: 4385070556 Enrollment ID: I20200206001042 |
Provider Name | Joseph C Eldridge |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588202493 PECOS PAC ID: 3476989443 Enrollment ID: I20200211001386 |
Provider Name | Maurice Sterner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528610151 PECOS PAC ID: 3072940642 Enrollment ID: I20200219002627 |
Provider Name | Andy K Nguyen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326551219 PECOS PAC ID: 2769744184 Enrollment ID: I20200224001002 |
Provider Name | Kristine M Bruning |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023640828 PECOS PAC ID: 1850720814 Enrollment ID: I20200326003456 |
Provider Name | Catherine Elizabeth Goebel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689206567 PECOS PAC ID: 8628407699 Enrollment ID: I20200327000103 |
Provider Name | Homer Yung |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295382729 PECOS PAC ID: 8628407376 Enrollment ID: I20200401002850 |
Provider Name | Stefen Michael Ammon |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1730210733 PECOS PAC ID: 8729189410 Enrollment ID: I20200403002175 |
Provider Name | Tammy Hufton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881008639 PECOS PAC ID: 2769603109 Enrollment ID: I20200406000031 |
Provider Name | Wendy Kissinger |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1568564284 PECOS PAC ID: 4688668726 Enrollment ID: I20200407000938 |
Provider Name | Allin Vesa |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1275566689 PECOS PAC ID: 3476455767 Enrollment ID: I20200409003489 |
Provider Name | Pamela Womack |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871698563 PECOS PAC ID: 0840230181 Enrollment ID: I20200602001625 |
Provider Name | Susan Hernandez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225445687 PECOS PAC ID: 5496975617 Enrollment ID: I20200616000320 |
Provider Name | Morgan Passero |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063876357 PECOS PAC ID: 6204126576 Enrollment ID: I20200717001882 |
Provider Name | Susan E Mebel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992046007 PECOS PAC ID: 5799921441 Enrollment ID: I20200723001670 |
Provider Name | Vanessa Marie Tapia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851955488 PECOS PAC ID: 4688903602 Enrollment ID: I20200810001267 |
Provider Name | Karli E Kwas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356753925 PECOS PAC ID: 2466671201 Enrollment ID: I20200824001843 |
Provider Name | Rony-nichole Quintana |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447778378 PECOS PAC ID: 8820358435 Enrollment ID: I20200908000478 |
Provider Name | John Leslie Westhoff |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1447222484 PECOS PAC ID: 9234150723 Enrollment ID: I20200914001277 |
Provider Name | Erika Liliana Coulson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053895862 PECOS PAC ID: 7810317757 Enrollment ID: I20201015001079 |
Provider Name | Patrick Huynh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982137501 PECOS PAC ID: 8022378553 Enrollment ID: I20201207000569 |
Provider Name | Stacey L Siese |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669092367 PECOS PAC ID: 9638582836 Enrollment ID: I20210107001417 |
Provider Name | Mariz L Pacumbaba |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952903833 PECOS PAC ID: 2961815899 Enrollment ID: I20210113001567 |
Provider Name | Helena Louisa Class-alexander |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841808375 PECOS PAC ID: 0345653192 Enrollment ID: I20210115001095 |
Provider Name | Ping Yang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518416429 PECOS PAC ID: 6305185000 Enrollment ID: I20210224002091 |
Provider Name | Zachary S Shell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427648070 PECOS PAC ID: 7012324064 Enrollment ID: I20210318002059 |
Provider Name | Brittany Horrigan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245716075 PECOS PAC ID: 7012265333 Enrollment ID: I20210325001292 |
Provider Name | Chui Man Carmen Hui |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548550718 PECOS PAC ID: 6901025154 Enrollment ID: I20210427003031 |
Provider Name | Tomas P Ricalde |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750671061 PECOS PAC ID: 5890914329 Enrollment ID: I20210428001506 |
Provider Name | Maranda Marie Olguin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407444839 PECOS PAC ID: 8426457045 Enrollment ID: I20210601001417 |
Provider Name | Rebecca Sequeira |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013581248 PECOS PAC ID: 2264832989 Enrollment ID: I20210616002234 |
Provider Name | Anthony Whitney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427643816 PECOS PAC ID: 0941602874 Enrollment ID: I20210714001752 |
Provider Name | Felicia Nicole Tracy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235736828 PECOS PAC ID: 6507261344 Enrollment ID: I20210817003945 |
Provider Name | Kayla Cramer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972062248 PECOS PAC ID: 6204177587 Enrollment ID: I20210818004223 |
Provider Name | Long V Tran |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821691429 PECOS PAC ID: 3870998248 Enrollment ID: I20210823002987 |
Provider Name | Shawna Doyle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811442569 PECOS PAC ID: 1153617923 Enrollment ID: I20210910001898 |
Provider Name | Gina J Azevedo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609487776 PECOS PAC ID: 1254737547 Enrollment ID: I20210913001393 |
Provider Name | Seana Rae Wishart-ng |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609494285 PECOS PAC ID: 0941606156 Enrollment ID: I20210913002442 |
Provider Name | Megan Faga |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033543350 PECOS PAC ID: 5597990622 Enrollment ID: I20210914003157 |
Provider Name | Pamela Richardson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578811097 PECOS PAC ID: 3072760917 Enrollment ID: I20211108002698 |
Provider Name | Elizabeth Diana Moura |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376157628 PECOS PAC ID: 6204225980 Enrollment ID: I20211118001385 |
Provider Name | Alfred Theodore Carreon Maniago |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255900155 PECOS PAC ID: 2860882586 Enrollment ID: I20211210001748 |
Provider Name | Ronald Montoya |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376210336 PECOS PAC ID: 6305236985 Enrollment ID: I20211214002669 |
Provider Name | Scott Lippacher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023562493 PECOS PAC ID: 4688952393 Enrollment ID: I20211217001546 |
Provider Name | Mitchell Bareng |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841952876 PECOS PAC ID: 1153713540 Enrollment ID: I20220114001236 |
Provider Name | Kathryn Hubbard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073099156 PECOS PAC ID: 4284983768 Enrollment ID: I20220127001254 |
Provider Name | Clifton Cassidy |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669892568 PECOS PAC ID: 2365662392 Enrollment ID: I20220202001400 |
Provider Name | Cameron Hofstetter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629402482 PECOS PAC ID: 8123258969 Enrollment ID: I20220211000278 |
Provider Name | Rose A Mcdonald |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609544725 PECOS PAC ID: 3779977228 Enrollment ID: I20220225000904 |
Provider Name | Allison Weed |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972048551 PECOS PAC ID: 4981987922 Enrollment ID: I20220225001112 |
Provider Name | Rayna Toncheva |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154099273 PECOS PAC ID: 7012302904 Enrollment ID: I20220310002356 |
Provider Name | Kristen Neely-gilbert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326587353 PECOS PAC ID: 4486923034 Enrollment ID: I20220310002486 |
Provider Name | Michelle Zerpa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215485362 PECOS PAC ID: 2365721800 Enrollment ID: I20220317000610 |
Provider Name | Patricia K Im |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528655412 PECOS PAC ID: 4082009352 Enrollment ID: I20220323001916 |
Provider Name | Matthew Lee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730536368 PECOS PAC ID: 6406148774 Enrollment ID: I20220621000675 |
Provider Name | Sarah Kathrine Shah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851050140 PECOS PAC ID: 8426439217 Enrollment ID: I20220726001264 |
Provider Name | Katherine Ashwell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295460376 PECOS PAC ID: 0941683015 Enrollment ID: I20220823001081 |
Provider Name | Kody Brett Allard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699376558 PECOS PAC ID: 7315313749 Enrollment ID: I20221026001012 |
Provider Name | Noah Rosenberg |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346503620 PECOS PAC ID: 6608099205 Enrollment ID: I20221027001814 |
Provider Name | Kristen Janice Cox |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841890969 PECOS PAC ID: 8022424613 Enrollment ID: I20230109002410 |
Provider Name | Steven Stephanides |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1063436012 PECOS PAC ID: 0547211856 Enrollment ID: I20230201001886 |
Provider Name | Janeen Cook |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124467873 PECOS PAC ID: 7416268727 Enrollment ID: I20230220002458 |
Provider Name | Herbert Kalen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124699293 PECOS PAC ID: 2961896774 Enrollment ID: I20230503000708 |
Provider Name | Keri Cavallo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265951727 PECOS PAC ID: 6709277122 Enrollment ID: I20230515002891 |
Provider Name | Manuel Diaz |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023384336 PECOS PAC ID: 7719271741 Enrollment ID: I20230524002654 |
Provider Name | Christopher Martinborough |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932608882 PECOS PAC ID: 2466717657 Enrollment ID: I20230602002577 |
Provider Name | Demeka Campbell |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780715342 PECOS PAC ID: 9335240878 Enrollment ID: I20230609002764 |
Provider Name | Lashawnda Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851827414 PECOS PAC ID: 1355691387 Enrollment ID: I20230620003158 |
Provider Name | Amy Summers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356378152 PECOS PAC ID: 9638072952 Enrollment ID: I20230705002480 |
Provider Name | Randee Green |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568963403 PECOS PAC ID: 8527305648 Enrollment ID: I20230711004226 |
Provider Name | Jennifer Keys |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396290557 PECOS PAC ID: 6406138700 Enrollment ID: I20230717002762 |
Provider Name | Phillip Mitchell |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1518932102 PECOS PAC ID: 4385620111 Enrollment ID: I20230808000617 |
Provider Name | Melissa Holton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174081905 PECOS PAC ID: 5597007997 Enrollment ID: I20230808002767 |
Provider Name | Ma Benirose Mcnaught |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821645607 PECOS PAC ID: 9335573294 Enrollment ID: I20230809003229 |
Provider Name | Victoria Rivera |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912530809 PECOS PAC ID: 7012348964 Enrollment ID: I20230817001939 |
Provider Name | Carlton Stadler |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1326241878 PECOS PAC ID: 6507919834 Enrollment ID: I20231024001413 |
Provider Name | Ari Malka |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1023122603 PECOS PAC ID: 2769488469 Enrollment ID: I20231220000282 |
Provider Name | Kei Martin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972117992 PECOS PAC ID: 4880008713 Enrollment ID: I20231220000576 |
Provider Name | Audrey Atencio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235509910 PECOS PAC ID: 5698085322 Enrollment ID: I20240131000221 |
Provider Name | Jessica Griffin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740733096 PECOS PAC ID: 6204123847 Enrollment ID: I20240131003632 |
Provider Name | Jocelyn Ko |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831478528 PECOS PAC ID: 7911129978 Enrollment ID: I20240321004215 |
Provider Name | Laura Mcabee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881895373 PECOS PAC ID: 8527307016 Enrollment ID: I20240328004021 |
Provider Name | Joseph Bennet |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992889612 PECOS PAC ID: 6406954619 Enrollment ID: I20240619001693 |
Provider Name | Sean Buck |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831695451 PECOS PAC ID: 2466716402 Enrollment ID: I20240628002511 |
Provider Name | Benjamin Beatty |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912324823 PECOS PAC ID: 7810118189 Enrollment ID: I20240701000165 |
Provider Name | Codie Glass |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033959804 PECOS PAC ID: 7810437159 Enrollment ID: I20240912002912 |
Provider Name | Tracy Arauza |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588132435 PECOS PAC ID: 7214278407 Enrollment ID: I20241024002871 |
Provider Name | Adam Perry |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467569947 PECOS PAC ID: 3072425677 Enrollment ID: I20241214000001 |
Provider Name | Marlena Benson-kelsey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164188587 PECOS PAC ID: 6507256732 Enrollment ID: I20250204001989 |
Provider Name | Braden Mogler |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1154748069 PECOS PAC ID: 0547551731 Enrollment ID: I20250210002068 |
Medical Group At Sun City, Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2601 N Tenaya Way, Las Vegas, NV 89128 Phone: 702-240-8155 Fax: 702-240-8161 | |
Viren B Patel Do A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7010 Smoke Ranch Rd, Suite 120, Las Vegas, NV 89128 Phone: 702-477-7044 Fax: 702-259-4843 | |
Shari Klein Do A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8571 W Lake Mead Blvd Ste 100, Las Vegas, NV 89128 Phone: 702-545-0283 Fax: 702-545-0285 | |
Ardeshir Rohani Md Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3824 S Jones Blvd Ste A, Las Vegas, NV 89103 Phone: 702-463-3000 Fax: 702-463-3000 | |
Mai Health And Beauty Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6771 W Charleston Blvd, Ste. B, Las Vegas, NV 89146 Phone: 702-480-2044 | |
Rebecca Garcia Fnp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9975 S Eastern Ave Ste 110, Las Vegas, NV 89183 Phone: 435-896-7944 | |
Bedrock Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2235 E Flamingo Rd Ste 144, Las Vegas, NV 89119 Phone: 702-272-9500 |