Physicians To Home Llc | |
2900 W Horizon Ridge Pkwy Ste 101 Henderson NV 89052-5014 | |
(702) 544-0179 | |
(855) 658-1416 |
Full Name | Physicians To Home Llc |
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Speciality | Internal Medicine |
Location | 2900 W Horizon Ridge Pkwy Ste 101, Henderson, Nevada |
Authorized Official Name and Position | Catherine Jordan (OWNER) |
Authorized Official Contact | 7026300895 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Physicians To Home Llc 2900 W Horizon Ridge Pkwy Ste 101 Henderson NV 89052-5014 Ph: (702) 544-0179 | Physicians To Home Llc 2900 W Horizon Ridge Pkwy Ste 101 Henderson NV 89052-5014 Ph: (702) 544-0179 |
NPI Number | 1619276714 |
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Provider Enumeration Date | 03/15/2011 |
Last Update Date | 07/02/2024 |
Medicare PECOS PAC ID | 0941478770 |
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Medicare Enrollment ID | O20110722000226 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619276714 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Deanna L Rechtzigel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700190055 PECOS PAC ID: 4789873423 Enrollment ID: I20110111000290 |
Provider Name | Witold Iglikowski |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164412680 PECOS PAC ID: 1951580760 Enrollment ID: I20110126000369 |
Provider Name | Svetlana A Eveleigh |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497009666 PECOS PAC ID: 6305099797 Enrollment ID: I20130115000331 |
Provider Name | Alton J Walters |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902819691 PECOS PAC ID: 2365476785 Enrollment ID: I20140505002224 |
Provider Name | Kimberly Lynn Tyler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013980432 PECOS PAC ID: 4385775899 Enrollment ID: I20151222001439 |
Provider Name | Carol Woodward |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720501620 PECOS PAC ID: 4486910809 Enrollment ID: I20171117000386 |
Provider Name | Shawnna Maria Fitzwater |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962715946 PECOS PAC ID: 4385947720 Enrollment ID: I20171130001320 |
Provider Name | Kevyn A Taylor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457894313 PECOS PAC ID: 8628354958 Enrollment ID: I20180524001411 |
Provider Name | Vicki Schmidt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790281889 PECOS PAC ID: 9739434150 Enrollment ID: I20180626000664 |
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