| Doyne Medical Clinic | |
|
1706 W Bonanza Rd Las Vegas NV 89106-4704 | |
| (702) 631-6860 | |
| (702) 631-6864 |
| Full Name | Doyne Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1706 W Bonanza Rd, Las Vegas, Nevada |
| Authorized Official Name and Position | Martin Doyne (PHYSICIAN - AUTHORIZED PERSONNEL) |
| Authorized Official Contact | 7026316860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doyne Medical Clinic 1706 W Bonanza Rd Las Vegas NV 89106-4704 Ph: (702) 631-6860 | Doyne Medical Clinic 1706 W Bonanza Rd Las Vegas NV 89106-4704 Ph: (702) 631-6860 |
| NPI Number | 1710997291 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 12/18/2007 |
| Medicare PECOS PAC ID | 1951380955 |
|---|---|
| Medicare Enrollment ID | O20100331000288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710997291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 003-00074-5-057822 (Nevada) | Primary |
| Provider Name | David H Rosenstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518001551 PECOS PAC ID: 4789644691 Enrollment ID: I20041015000496 |
| Provider Name | Paul M Mchugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558327692 PECOS PAC ID: 8729110473 Enrollment ID: I20100716000208 |
| Provider Name | Maria Zarina Diao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861732976 PECOS PAC ID: 6002051497 Enrollment ID: I20130410000225 |
| Provider Name | Angie P Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225377617 PECOS PAC ID: 8628214871 Enrollment ID: I20130415000241 |
| Provider Name | Mario O Godoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275822611 PECOS PAC ID: 6103141874 Enrollment ID: I20150223000016 |
| Provider Name | Pamela Winn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235584772 PECOS PAC ID: 5698062172 Enrollment ID: I20160927002226 |
| Provider Name | Mayra Montijo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659095735 PECOS PAC ID: 0648649228 Enrollment ID: I20221205001467 |
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