The Center | |
401 S Maryland Pkwy Las Vegas NV 89101-7206 | |
(702) 733-9800 | |
(702) 733-9550 |
Full Name | The Center |
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Speciality | General Practice |
Location | 401 S Maryland Pkwy, Las Vegas, Nevada |
Authorized Official Name and Position | Latasha Pittman (CREDENTIALING MANAGER) |
Authorized Official Contact | 5126236995 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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The Center 401 S Maryland Pkwy Las Vegas NV 89101-7206 Ph: (702) 733-9800 | The Center 401 S Maryland Pkwy Las Vegas NV 89101-7206 Ph: (702) 733-9800 |
NPI Number | 1821741299 |
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Provider Enumeration Date | 01/27/2022 |
Last Update Date | 06/27/2024 |
Medicare PECOS PAC ID | 8628463635 |
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Medicare Enrollment ID | O20220309001719 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821741299 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Jerry L Cade |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346311354 PECOS PAC ID: 2264458298 Enrollment ID: I20051019000861 |
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 | Sarah Helen Sentz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659887412 PECOS PAC ID: 9335409796 Enrollment ID: I20230727002507 |
Provider Name | Emily W Browand |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548985146 PECOS PAC ID: 3375907991 Enrollment ID: I20230915001412 |
Provider Name | Thomas Christopher Mcneil |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073397592 PECOS PAC ID: 5092163352 Enrollment ID: I20231127002033 |
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