| Robert Toledo DO Ltd | |
|
2598 Windmill Pkwy Ste 110 Henderson NV 89074-5476 | |
| (702) 933-5544 | |
| (702) 992-9954 |
| Full Name | Robert Toledo DO Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 2598 Windmill Pkwy Ste 110, Henderson, Nevada |
| Authorized Official Name and Position | Robert Toledo (PRESIDENT) |
| Authorized Official Contact | 7029335544 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Toledo DO Ltd 2598 Windmill Pkwy Ste 110 Henderson NV 89074-5476 Ph: (702) 933-5544 | Robert Toledo DO Ltd 2598 Windmill Pkwy Ste 110 Henderson NV 89074-5476 Ph: (702) 933-5544 |
| NPI Number | 1346573599 |
|---|---|
| Provider Enumeration Date | 09/04/2009 |
| Last Update Date | 08/21/2024 |
| Certification Date | 08/21/2024 |
| Medicare PECOS PAC ID | 6406859156 |
|---|---|
| Medicare Enrollment ID | O20060817000613 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346573599 | NPI | - | NPPES |
| 002018542 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207V00000X | Obstetrics & Gynecology | () | Secondary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | 207VG0400X (Nevada) | Secondary |
| Provider Name | Mehran Salek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558833830 PECOS PAC ID: 4183601867 Enrollment ID: I20040630000974 |
| Provider Name | Robert Toledo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598723389 PECOS PAC ID: 9739197419 Enrollment ID: I20060323000141 |
| Provider Name | Gennadiy Plotnitskiy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891011359 PECOS PAC ID: 6507133667 Enrollment ID: I20180306002420 |
| Provider Name | Stephanie N Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326562968 PECOS PAC ID: 0840556908 Enrollment ID: I20190918001669 |
| Provider Name | Connie Marie C Santiago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609412725 PECOS PAC ID: 8527495324 Enrollment ID: I20200225001333 |
| Provider Name | Richelle Dampog |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760009948 PECOS PAC ID: 7719377886 Enrollment ID: I20211203000447 |
| Provider Name | Katrina C Dado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134997273 PECOS PAC ID: 8224473004 Enrollment ID: I20240302000565 |
| Provider Name | Katrina T Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639931934 PECOS PAC ID: 8325486541 Enrollment ID: I20240409000092 |
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