| Mesquite Clinic Management Company Llc | |
|
1301 Bertha Howe Ave Ste 1 Mesquite NV 89027-7503 | |
| (702) 346-0800 | |
| Not Available |
| Full Name | Mesquite Clinic Management Company Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1301 Bertha Howe Ave Ste 1, Mesquite, Nevada |
| Authorized Official Name and Position | Laura Fey (DIRECTOR PHYSICIAN PRACTICE SERVICE) |
| Authorized Official Contact | 6152213641 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mesquite Clinic Management Company Llc Po Box 5009 Brentwood TN 37024-5009 Ph: (615) 221-1400 | Mesquite Clinic Management Company Llc 1301 Bertha Howe Ave Ste 1 Mesquite NV 89027-7503 Ph: (702) 346-0800 |
| NPI Number | 1548800501 |
|---|---|
| Provider Enumeration Date | 01/08/2020 |
| Last Update Date | 01/08/2020 |
| Medicare PECOS PAC ID | 8123456456 |
|---|---|
| Medicare Enrollment ID | O20200319000698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548800501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Soon Ok Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649381153 PECOS PAC ID: 6800871179 Enrollment ID: I20040621001553 |
| Provider Name | Catherine King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225236862 PECOS PAC ID: 5991755126 Enrollment ID: I20120912000048 |
| Provider Name | Mekdelawit Aschenaki |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063679249 PECOS PAC ID: 6103942016 Enrollment ID: I20141105002616 |
| Provider Name | Brenda S Siolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750782736 PECOS PAC ID: 0547572513 Enrollment ID: I20150703000060 |
| Provider Name | Michael Isara Saiyasombat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811174089 PECOS PAC ID: 7214257559 Enrollment ID: I20150824002588 |
| Provider Name | Joseph Jeppson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063682672 PECOS PAC ID: 8426118555 Enrollment ID: I20150924000715 |
| Provider Name | Janel I Hillstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992959324 PECOS PAC ID: 8426357260 Enrollment ID: I20160429001071 |
| Provider Name | Eri Gibb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679989420 PECOS PAC ID: 2769758267 Enrollment ID: I20171028000416 |
| Provider Name | Stephanie R Nainani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326056573 PECOS PAC ID: 4284638586 Enrollment ID: I20171102003369 |
| Provider Name | April Christine Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932674579 PECOS PAC ID: 9234474255 Enrollment ID: I20181219003443 |
| Provider Name | Kurt Colter Sawyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447734751 PECOS PAC ID: 7113266750 Enrollment ID: I20190226003389 |
| Provider Name | Rita M Seck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457343576 PECOS PAC ID: 4284798067 Enrollment ID: I20190730003495 |
| Provider Name | Michael Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124134325 PECOS PAC ID: 6608762257 Enrollment ID: I20210114001638 |
| Provider Name | Nathan Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063095982 PECOS PAC ID: 1254731540 Enrollment ID: I20210608001239 |
| Provider Name | Beau J Kunzler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003495565 PECOS PAC ID: 2961805866 Enrollment ID: I20220302001425 |
| Provider Name | Alene Davis Marrott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922755560 PECOS PAC ID: 3476935271 Enrollment ID: I20220726002393 |
| Provider Name | Jill Glazier Blasdell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295465417 PECOS PAC ID: 7214308063 Enrollment ID: I20230113002164 |
| Provider Name | Justin Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336854504 PECOS PAC ID: 7618340852 Enrollment ID: I20230308002577 |
| Provider Name | Elizabeth Claire Bluemel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619675725 PECOS PAC ID: 7113391061 Enrollment ID: I20230316001654 |
| Provider Name | Dylan Rex Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881393635 PECOS PAC ID: 2860859717 Enrollment ID: I20230607003086 |
| Provider Name | Madeline Jean Richey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629781216 PECOS PAC ID: 5991165722 Enrollment ID: I20230712001768 |
| Provider Name | Sean Alton Kiesel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740817535 PECOS PAC ID: 2860887528 Enrollment ID: I20230727000853 |
| Provider Name | Dagmar Crosby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154303352 PECOS PAC ID: 4981619400 Enrollment ID: I20230922002419 |
| Provider Name | Rae Marie Delaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053769133 PECOS PAC ID: 5193006732 Enrollment ID: I20231005000664 |
| Provider Name | Jerry Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891475257 PECOS PAC ID: 2062869753 Enrollment ID: I20231117001550 |
Hartwell Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 190 E Mesquite Blvd, Mesquite, NV 89027 Phone: 702-346-4234 Fax: 702-346-4236 | |
Virgin Valley Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 N Sandhill Blvd, Mesquite, NV 89027 Phone: 702-345-5000 Fax: 702-345-2000 | |
Desert Sky Medical Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 840 Pinnacle Ct Bldg 10, Mesquite, NV 89027 Phone: 775-225-1414 Fax: 775-225-1415 | |
Mesquite Clinic Management Company Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1301 Bertha Howe Ave Ste 1, Mesquite, NV 89027 Phone: 702-346-0800 Fax: 702-346-0801 | |
Central Utah Clinic, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Falcon Ridge Pkwy Ste 400a, Mesquite, NV 89027 Phone: 801-377-5757 Fax: 801-418-0941 | |
Habib Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 N Sandhill Blvd, Mesquite, NV 89027 Phone: 702-345-5000 Fax: 702-345-2000 |