Archwell Health Professional Services Of Nevada, P.c. | |
1501 W Sunset Rd Henderson NV 89014-6636 | |
(888) 987-1151 | |
Not Available |
Full Name | Archwell Health Professional Services Of Nevada, P.c. |
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Speciality | Internal Medicine |
Location | 1501 W Sunset Rd, Henderson, Nevada |
Authorized Official Name and Position | Lisa Lucas (CHIEF ADMINISTRATIVE OFFICER) |
Authorized Official Contact | 6154190947 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Archwell Health Professional Services Of Nevada, P.c. 102 Woodmont Blvd Ste 600 Nashville TN 37205-5250 Ph: () - | Archwell Health Professional Services Of Nevada, P.c. 1501 W Sunset Rd Henderson NV 89014-6636 Ph: (888) 987-1151 |
NPI Number | 1487303145 |
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Provider Enumeration Date | 03/21/2022 |
Last Update Date | 04/05/2023 |
Medicare PECOS PAC ID | 3779966999 |
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Medicare Enrollment ID | O20220819001584 |
Identifier | Type | State | Issuer |
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1487303145 | NPI | - | NPPES |
Provider Name | Beata Ann Taratuta |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093761512 PECOS PAC ID: 9133014483 Enrollment ID: I20040408001435 |
Provider Name | Linda L Johnson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033182522 PECOS PAC ID: 9335109149 Enrollment ID: I20041015000674 |
Provider Name | Paul T Emery |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194798215 PECOS PAC ID: 2163520545 Enrollment ID: I20070608000049 |
Provider Name | Judith Ford |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164495206 PECOS PAC ID: 7416029491 Enrollment ID: I20080708000599 |
Provider Name | Raafat Khani |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487706180 PECOS PAC ID: 3779644620 Enrollment ID: I20081210000417 |
Provider Name | Stacey M Cadaval |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518118850 PECOS PAC ID: 5193870525 Enrollment ID: I20090908000562 |
Provider Name | Ioana M Pahlevan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659341857 PECOS PAC ID: 1355520362 Enrollment ID: I20110124000431 |
Provider Name | Karen E Laux |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497034300 PECOS PAC ID: 6103099882 Enrollment ID: I20111025000070 |
Provider Name | Hitesh Goel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164432597 PECOS PAC ID: 3173416633 Enrollment ID: I20140114000901 |
Provider Name | Lauren E Maxham |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326347154 PECOS PAC ID: 1951521582 Enrollment ID: I20141002002458 |
Provider Name | Kelly L Watters |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942214408 PECOS PAC ID: 6204834286 Enrollment ID: I20151230001267 |
Provider Name | Ted C Hanf |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114221330 PECOS PAC ID: 8022324136 Enrollment ID: I20160331001970 |
Provider Name | Matthew J Espinosa |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154704567 PECOS PAC ID: 4385950567 Enrollment ID: I20161025002757 |
Provider Name | Rebecca J O'rourke |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457415069 PECOS PAC ID: 6709772460 Enrollment ID: I20180723001733 |
Provider Name | Anansa Katrina Go |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730662909 PECOS PAC ID: 7012251879 Enrollment ID: I20181205000621 |
Provider Name | Kevin K Ogden |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518340025 PECOS PAC ID: 5991049512 Enrollment ID: I20181207000484 |
Provider Name | Mary Ann L Enriquez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801362942 PECOS PAC ID: 4880936418 Enrollment ID: I20190501002507 |
Provider Name | Ashley R Major |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962852103 PECOS PAC ID: 1557659695 Enrollment ID: I20191121001176 |
Provider Name | Jazzmine Rose Baluyot |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972092997 PECOS PAC ID: 5890041040 Enrollment ID: I20210917002567 |
Provider Name | Ellen J Wright |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033273412 PECOS PAC ID: 3577711621 Enrollment ID: I20211220001373 |
Provider Name | Jennifer Walker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437801651 PECOS PAC ID: 2365837382 Enrollment ID: I20220309002119 |
Provider Name | Christelle Laure Tchouanang |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457015760 PECOS PAC ID: 7810371416 Enrollment ID: I20220831001533 |
Provider Name | Donald Pham |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902322548 PECOS PAC ID: 7315366853 Enrollment ID: I20221219002589 |
Provider Name | Sallye Stauber |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235174806 PECOS PAC ID: 2961495205 Enrollment ID: I20230125003115 |
Provider Name | Howard Grossman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710951694 PECOS PAC ID: 4284795287 Enrollment ID: I20230717001480 |
Provider Name | Yunwei Kuo |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801425657 PECOS PAC ID: 0941660963 Enrollment ID: I20230721000905 |
Provider Name | Nadia Curren |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891443149 PECOS PAC ID: 2860887130 Enrollment ID: I20230905002169 |
Provider Name | Matthew Cockett |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598732372 PECOS PAC ID: 5193710465 Enrollment ID: I20240313004106 |
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