| Priority Health Group | |
|
3425 Cliff Shadows Pkwy Ste 250 Las Vegas NV 89129-5112 | |
| (702) 382-1599 | |
| (702) 240-4962 |
| Full Name | Priority Health Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 3425 Cliff Shadows Pkwy Ste 250, Las Vegas, Nevada |
| Authorized Official Name and Position | Clifford Joel Molin (MANAGING MEMBER) |
| Authorized Official Contact | 7022755904 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Priority Health Group 3425 Cliff Shadows Pkwy Ste 250 Las Vegas NV 89129-5112 Ph: (702) 382-1599 | Priority Health Group 3425 Cliff Shadows Pkwy Ste 250 Las Vegas NV 89129-5112 Ph: (702) 382-1599 |
| NPI Number | 1932955408 |
|---|---|
| Provider Enumeration Date | 04/25/2024 |
| Last Update Date | 04/25/2024 |
| Certification Date | 04/25/2024 |
| Medicare PECOS PAC ID | 7517406994 |
|---|---|
| Medicare Enrollment ID | O20240829001268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932955408 | NPI | - | NPPES |
| Provider Name | Clifford Joel Molin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194707547 PECOS PAC ID: 3577463348 Enrollment ID: I20050615000085 |
| Provider Name | Adam Milman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912021262 PECOS PAC ID: 3173671674 Enrollment ID: I20090509000056 |
| Provider Name | Stephanie J Lehrner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275700494 PECOS PAC ID: 2567586563 Enrollment ID: I20100827000261 |
| Provider Name | Jarvis D Olsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194149146 PECOS PAC ID: 7810114477 Enrollment ID: I20140806000686 |
| Provider Name | Chad M Bullock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447642517 PECOS PAC ID: 1052630860 Enrollment ID: I20150429000970 |
| Provider Name | Ashley M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215480561 PECOS PAC ID: 5395032148 Enrollment ID: I20160922001879 |
| Provider Name | David Renton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629488739 PECOS PAC ID: 7315263225 Enrollment ID: I20170817001878 |
| Provider Name | Nipaporn T Buadaeng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366939019 PECOS PAC ID: 6709134687 Enrollment ID: I20180809000647 |
| Provider Name | Martin Shill |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467422642 PECOS PAC ID: 4587652854 Enrollment ID: I20200416001841 |
| Provider Name | Jasmine a Jou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063909877 PECOS PAC ID: 0042569501 Enrollment ID: I20210803003709 |
| Provider Name | Michele Quinones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811109465 PECOS PAC ID: 5698847127 Enrollment ID: I20231130002683 |
| Provider Name | David Huy Doan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437994977 PECOS PAC ID: 3072046713 Enrollment ID: I20241101002116 |
| Provider Name | Amber Noel Wieseckel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053122275 PECOS PAC ID: 1456861624 Enrollment ID: I20250606002079 |
| Provider Name | Deborah Cornell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801824586 PECOS PAC ID: 4880752534 Enrollment ID: I20250904001097 |
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