Patients Choice Primary Care | |
6720 Via Austi Pkwy Ste 250 Las Vegas NV 89119-3568 | |
(702) 463-4050 | |
(702) 463-7881 |
Full Name | Patients Choice Primary Care |
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Speciality | Clinic/Center |
Location | 6720 Via Austi Pkwy Ste 250, Las Vegas, Nevada |
Authorized Official Name and Position | Porschia Purvis (DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 7024634050 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Patients Choice Primary Care 6720 Via Austi Pkwy Ste 250 Las Vegas NV 89119-3568 Ph: (702) 463-4050 | Patients Choice Primary Care 6720 Via Austi Pkwy Ste 250 Las Vegas NV 89119-3568 Ph: (702) 463-4050 |
NPI Number | 1841647666 |
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Provider Enumeration Date | 05/23/2016 |
Last Update Date | 03/07/2024 |
Medicare PECOS PAC ID | 9032498738 |
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Medicare Enrollment ID | O20161121002355 |
Identifier | Type | State | Issuer |
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1841647666 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Upinder Singh |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1609846229 PECOS PAC ID: 9537155809 Enrollment ID: I20040422000307 |
Provider Name | Danny Joseph Sayegh |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487090981 PECOS PAC ID: 2062735962 Enrollment ID: I20170825000824 |
Provider Name | Manal Jourdan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942766001 PECOS PAC ID: 8921341629 Enrollment ID: I20190521001958 |
Provider Name | Justin Wade Mansfield |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699707059 PECOS PAC ID: 4082654124 Enrollment ID: I20200811001944 |
Provider Name | Iliana G Britt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578171864 PECOS PAC ID: 1850719295 Enrollment ID: I20200915000561 |
Provider Name | Nicole Renee Phillips |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154885150 PECOS PAC ID: 6800137357 Enrollment ID: I20210222002161 |
Provider Name | Moira C Thuney |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568053171 PECOS PAC ID: 3476950346 Enrollment ID: I20210922003536 |
Provider Name | Brittney Janee Fisher |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265166565 PECOS PAC ID: 8123401619 Enrollment ID: I20220816002666 |
Provider Name | Julie Kathline Carter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467189712 PECOS PAC ID: 8224404702 Enrollment ID: I20221025002030 |
Provider Name | Rachel C Sussman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952021867 PECOS PAC ID: 1658748975 Enrollment ID: I20221029000121 |
Provider Name | Cassandria Claudine Stephenson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073213609 PECOS PAC ID: 1052777299 Enrollment ID: I20230515000952 |
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