| Southern Nevada Hospitalists | |
|
9975 S Eastern Ave Ste 110 Las Vegas NV 89183-7950 | |
| (702) 840-7163 | |
| (888) 288-5030 |
| Full Name | Southern Nevada Hospitalists |
|---|---|
| Speciality | Internal Medicine |
| Location | 9975 S Eastern Ave Ste 110, Las Vegas, Nevada |
| Authorized Official Name and Position | Craig M Jorgenson (PRESIDENT) |
| Authorized Official Contact | 7022796977 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Nevada Hospitalists 1000 N Green Valley Pkwy Ste 440-127 Henderson NV 89074-6170 Ph: (702) 233-3191 | Southern Nevada Hospitalists 9975 S Eastern Ave Ste 110 Las Vegas NV 89183-7950 Ph: (702) 840-7163 |
| NPI Number | 1831261460 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 10/18/2023 |
| Medicare PECOS PAC ID | 0941103303 |
|---|---|
| Medicare Enrollment ID | O20040202000087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831261460 | NPI | - | NPPES |
| Provider Name | Craig M Jorgenson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588646830 PECOS PAC ID: 9830092295 Enrollment ID: I20050929000603 |
| Provider Name | Mildred M Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578635140 PECOS PAC ID: 4880586072 Enrollment ID: I20071002000877 |
| Provider Name | Ilir Manaj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366983132 PECOS PAC ID: 1052681624 Enrollment ID: I20170714001991 |
| Provider Name | Gina Balgoyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891206983 PECOS PAC ID: 9931466190 Enrollment ID: I20171127002401 |
| Provider Name | Vickie Renee Mcpherson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376954818 PECOS PAC ID: 2365782356 Enrollment ID: I20190329001861 |
| Provider Name | Manpreet Sran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013278316 PECOS PAC ID: 3678850666 Enrollment ID: I20190405001244 |
| Provider Name | Jane Diems Sadorra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073071932 PECOS PAC ID: 4183958440 Enrollment ID: I20190620002711 |
| Provider Name | Brian Keith Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487114583 PECOS PAC ID: 7810221090 Enrollment ID: I20190621000022 |
| Provider Name | Hillary Habiger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780074153 PECOS PAC ID: 7113148800 Enrollment ID: I20190830002758 |
| Provider Name | Jimmy Cruza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063079234 PECOS PAC ID: 9830527019 Enrollment ID: I20200323000562 |
| Provider Name | Sandra Marie Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548885866 PECOS PAC ID: 5890106447 Enrollment ID: I20201202003453 |
| Provider Name | Robert L Paluay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609588433 PECOS PAC ID: 2062883580 Enrollment ID: I20230120000853 |
| Provider Name | Jennifer Roux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972129203 PECOS PAC ID: 5890101075 Enrollment ID: I20230223000753 |
| Provider Name | Jethro Apostol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467851782 PECOS PAC ID: 4284008566 Enrollment ID: I20230328002864 |
| Provider Name | Scott A Wall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659083418 PECOS PAC ID: 2062878358 Enrollment ID: I20230511000225 |
| Provider Name | Allan Michael C De Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073201257 PECOS PAC ID: 3274989371 Enrollment ID: I20231025003924 |
| Provider Name | Khadija Bilali-azzat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962114843 PECOS PAC ID: 7113379678 Enrollment ID: I20240119002813 |
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