Randal H Colquitt, MD | |
2450 W Charleston Blvd, Las Vegas, NV 89102-2179 | |
(702) 877-8661 | |
(702) 877-5140 |
Full Name | Randal H Colquitt |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 2450 W Charleston Blvd, Las Vegas, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144298076 | NPI | - | NPPES |
2019654 | Medicaid | NV | |
1144298076 | Medicaid | NV | |
1144298076 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 7431 (Nevada) | Primary |
Entity Name | Southwest Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1174607303 PECOS PAC ID: 6103730544 Enrollment ID: O20040205001053 |
Entity Name | Freeman & Young Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013944149 PECOS PAC ID: 0446232169 Enrollment ID: O20040604000765 |
Entity Name | Optum Medical Group Ii Rhodes P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770556037 PECOS PAC ID: 4981687779 Enrollment ID: O20040611000770 |
Entity Name | Optum Medical Group Rhodes P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063458594 PECOS PAC ID: 1052390036 Enrollment ID: O20040714000813 |
Mailing Address | Practice Location Address |
---|---|
Randal H Colquitt, MD Po Box 15645, Las Vegas, NV 89114-5645 Ph: (702) 877-8661 | Randal H Colquitt, MD 2450 W Charleston Blvd, Las Vegas, NV 89102-2179 Ph: (702) 877-8661 |
Mark Livingston, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 9127 W Russell Rd Ste 110, Las Vegas, NV 89148 Phone: 702-878-0070 Fax: 702-209-2064 | |
Dr. Charles Minh, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 205 Elder View Dr, Las Vegas, NV 89138 Phone: 702-907-6464 | |
Ryan Nimer, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7160 Rafael Rivera Way Ste 210, Las Vegas, NV 89113 Phone: 702-878-0070 Fax: 702-209-2064 | |
Liam Kelly Sullivan, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 7160 Rafael Rivera Way Ste 210, Las Vegas, NV 89113 Phone: 702-878-0070 Fax: 702-805-0307 | |
James Murphy, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2635 Box Canyon Dr, Las Vegas, NV 89128 Phone: 702-386-4700 Fax: 702-386-4701 | |
Scott Young, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7250 Peak Dr Ste 100, Las Vegas, NV 89128 Phone: 702-386-4700 Fax: 702-386-4701 | |
Dr. Derek Michael Goffstein, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7160 Rafael Rivera Way Ste 210, Las Vegas, NV 89113 Phone: 702-878-0070 Fax: 702-805-0307 |