Centerwell Senior Primary Care (nv) PC is a Internal Medicine Physician (organization) practicing in Las Vegas, Nevada. The National Provider Identifier (NPI) is #1831765692, which was assigned on June 2, 2021, and the registration record was last updated on February 15, 2024. The practitioner's main practice location is at 6360 Boulder Hwy, Las Vegas, NV 89122-7301; the contact telephone number is 7252284520, and the fax number is 8778895390. The primary taxonomy of Centerwell Senior Primary Care (nv) PC is Internal Medicine Physician (207R00000X). The authorized official for Centerwell Senior Primary Care (nv) PC is Angie Martinez (Senior Credentialing Professional).
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
| NPI | 1831765692 |
| Entity Type | Organization |
| Organization Name | CENTERWELL SENIOR PRIMARY CARE (NV) PC |
| Provider Name | CENTERWELL SENIOR PRIMARY CARE (NV) PC |
| Other Organization Name |
CENTERWELL SENIOR PRIMARY CARE-BOULDER HIGHWAY (Doing Business As Name) |
| Other Name | CENTERWELL SENIOR PRIMARY CARE-BOULDER HIGHWAY |
| Practice Address |
6360 Boulder Hwy Las Vegas NV 89122-7301 |
| Practice Telephone | 7252284520 |
| Practice Fax Number | 8778895390 |
| Mailing Address |
4700 Millenia Blvd Ste 650 Orlando FL 32839-6013 |
| Mailing Telephone | 4074477120 |
| Mailing Fax Number | 4077700661 |
| Certification Date | 2024-02-15 |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2024-02-15 |
| Is Organization Subpart | Y |
| Parent Organization Legal Business Name | CENTERWELL SENIOR PRIMARY CARE (NV) PC |
| Official Name | ANGIE MARTINEZ |
| Official Title | SENIOR CREDENTIALING PROFESSIONAL |
| Telephone | 4074477120 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 193200000X MULTI-SPECIALTY GROUP | |||
| Y | 207R00000X | Internal Medicine | 193200000X MULTI-SPECIALTY GROUP | |||
| N | 207RI0011X | Internal Medicine | Interventional Cardiology | 193200000X MULTI-SPECIALTY GROUP | ||
| N | 208D00000X | General Practice | 193200000X MULTI-SPECIALTY GROUP |
| Other Organization Name | Type |
|---|---|
| CenterWell Senior Primary Care-Boulder Highway | Doing Business As Name |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Centerwell Senior Primary Care (nv) PC · Centerwell Senior Primary Care-Spring Valley | 4001 S Decatur Blvd Ste 25, Las Vegas, NV 89103-5857 | Family Medicine Physician | 2020-05-20 |
| Centerwell Senior Primary Care (nv) PC · Centerwell Senior Primary Care-North Rainbow | 3129 N Rainbow Blvd, Las Vegas, NV 89108-4578 | Family Medicine Physician | 2020-05-20 |
| Centerwell Senior Primary Care (nv) PC · Centerwell Senior Primary Care-Bonanza | 691 N Nellis Blvd, Las Vegas, NV 89110-5383 | Family Medicine Physician | 2023-09-25 |
| Centerwell Senior Primary Care (nv) PC · Partners In Primary Care Nv PC | 390 W Lake Mead Pkwy Ste 120, Henderson, NV 89015-7417 | Family Medicine Physician | 2020-05-20 |
| Centerwell Senior Primary Care (nv) PC · Centerwell Senior Primary Care- Anthem | 2629 W Horizon Ridge Pkwy Ste 140, Henderson, NV 89052-4831 | Family Medicine Physician | 2023-09-27 |
| Centerwell Senior Primary Care (nv) PC · Centerwell Senior Primary Care-Red Rock | 5701 W Charleston Blvd Ste 100, Las Vegas, NV 89146-1256 | Family Medicine Physician | 2023-09-25 |
| Centerwell Senior Primary Care (nv) PC · Centerwell Senior Primary Care-Blue Diamond | 4517 Blue Diamond Rd, Las Vegas, NV 89139-7620 | Family Medicine Physician | 2023-01-26 |
| Centerwell Senior Primary Care (nv) PC · Centerwell Senior Primary Care-North Las Vegas | 2335 E Lake Mead Blvd, North Las Vegas, NV 89030-7141 | Family Medicine Physician | 2023-09-27 |
| Centerwell Senior Primary Care (nv) PC · Centerwell Senior Primary Care-Green Valley | 2381 E Windmill Ln Ste 14, Las Vegas, NV 89123-2069 | Family Medicine Physician | 2022-11-15 |
| Centerwell Senior Primary Care (nv) PC · Centerwell Senior Primary Care-E. Tropicana | 3265 E Tropicana Ave Ste B, Las Vegas, NV 89121-7386 | Family Medicine Physician | 2023-09-27 |
| Find all providers with the same name | |||
| Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| Classification | Internal Medicine |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| Classification | Family Medicine |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| Code | 207RI0011X |
| Taxonomy | Interventional Cardiology Physician |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| Code | 208D00000X |
| Taxonomy | General Practice Physician |
| Classification | General Practice |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: Definition to come... |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Mohamad Khaled Abouelnaaj | 1500 Red River St, Austin, TX 78701-1918 | Internal Medicine Physician | 2024-04-04 |
| Stephen Allen Chun | Po Box 661180, Arcadia, CA 91066-1180 | Internal Medicine Physician | 2024-04-05 |
| South Florida Research Center LLC | 5258 Linton Blvd Ste 204, Delray Beach, FL 33484-6529 | Internal Medicine Physician | 2024-04-05 |
| Dr Tiffany M King, Inc | 336 Diablo Rd, Danville, CA 94526-3417 | Internal Medicine Physician | 2024-04-04 |
| Hussein Al Dabbagh | 8201 W Broward Blvd, Plantation, FL 33324-2701 | Internal Medicine Physician | 2024-04-05 |
| Takugo Cho | 123 Summer St, Worcester, MA 01608-1216 | Internal Medicine Physician | 2024-04-04 |
| Uday Chauhan Md PC | 11449 N Via Campagna Dr, Fresno, CA 93730-8872 | Internal Medicine Physician | 2024-04-05 |
| 211 Medical of Manhattan New York PC | 211 E 43rd St Rm 1704, New York, NY 10017-4736 | Internal Medicine Physician | 2024-04-05 |
| Rthm Medical Group of California, P.C. | 6036 Se 40th Ave, Portland, OR 97202-7616 | Internal Medicine Physician | 2024-04-04 |
| Woundcuremd | 6221 Fallbrook Ave, Woodland Hills, CA 91367-1602 | Internal Medicine Physician | 2024-04-05 |
| Find all providers with the same taxonomy | |||
| Street Address |
6360 BOULDER HWY |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89122-7301 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Charles A Wilson | 6360 Boulder Hwy, Las Vegas, NV 89122-7301 | Family Medicine Physician | 2006-05-26 |
| Weston Maximilian Krauss | 6360 Boulder Hwy, Las Vegas, NV 89122-7301 | Family Medicine Physician | 2020-05-01 |
| Kevin Ngo | 6360 Boulder Hwy, Las Vegas, NV 89122-7301 | Family Medicine Physician | 2020-03-24 |
| Pamela Lois Bellow | 6360 Boulder Hwy, Las Vegas, NV 89122-7301 | Family Nurse Practitioner | 2006-02-26 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Dezirae Wilson | 5180 E Tropicana Ave Apt 46e, Las Vegas, NV 89122 | Personal Care Attendant | 2020-04-14 |
| Saba Chatoor | 5446 Boulder Hwy Ste G3, Las Vegas, NV 89122 | Rehabilitation Practitioner | 2014-06-03 |
| Nguyen Diep | 2935 S Hollywood Blvd, Las Vegas, NV 89122 | Pharmacist | 2020-12-29 |
| Susan Marie Feneck | 5412 Boulder Highway, Las Vegas, NV 89122 | Counselor | 2016-04-29 |
| More Than Words LLC | 3430 Blue Ash Lane, Las Vegas, NV 89122 | Speech-Language Pathologist | 2019-02-15 |
| Louie Taquiqui | 3566 Tundra Swan St, Las Vegas, NE 89122 | Community/Behavioral Health Agency | 2017-08-11 |
| The Lighthouse LLC | 5710 E Tropicana Ave #2212, Las Vegas, Nevada 89122, UM | Community/Behavioral Health Agency | 2013-10-22 |
| Leslie Totress | 6368 Foxlyn Ave, Las Vegas, NV 89122 | Case Manager/Care Coordinator | 2018-10-15 |
| Easy Living Behavioral Health LLC | 5069 Sun Valley Dr, Las Vegas, NV 89122 | Mental Illness Community Based Residential Treatment Facility | 2017-08-14 |
| Danita Marie Greer | 5650 Crowbush Cove Place, Las Vegas, NV 89122 | Mental Health Counselor | 2013-03-20 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Centerwell Senior Primary Care Ky Psc · Centerwell Senior Primary Care-Richmond Road | 3101 Richmond Rd Ste 190, Lexington, KY 40509-1525 | Family Medicine Physician | 2022-10-31 |
| Centerwell Senior Primary Care (ky) Psc · Centerwell Senior Primary Care- Dixie Highway | 4917 Dixie Hwy Ste E, Louisville, KY 40216-2565 | Family Medicine Physician | 2023-11-09 |
| Centerwell Senior Primary Care Va PLLC · Centerwell Senior Primary Care-Brook Rd. | 8191 Brook Rd Ste Mn, Richmond, VA 23227-1334 | Family Medicine Physician | 2023-03-06 |
| Centerwell Senior Primary Care (tx) Pa · Centerwell Senior Primary Care- South Garland | 1205 Northwest Hwy, Garland, TX 75041-5835 | Family Medicine Physician | 2022-09-14 |
| Centerwell Senior Primary Care (tx) Pa · Centerwell Senior Primary Care-North Buckner | 3312 N Buckner Blvd Ste 213, Dallas, TX 75228-5642 | Family Medicine Physician | 2022-06-03 |
| Centerwell Senior Primary Care Sc Jv PC · Centerwell Senior Primary Care-Decker Blvd | 2738 Decker Blvd Ste A, Columbia, SC 29206-1735 | Family Medicine Physician | 2023-03-02 |
| Centerwell Senior Primary Care (tx) Pa · Centerwell Senior Primary Care- North Richland Hills | 7245 Boulevard 26, Richland Hills, TX 76180-8605 | Family Medicine Physician | 2022-06-06 |
| Centerwell Senior Primary Care (tx) Pa · Centerwell Senior Primary Care- Jacinto City | 1910 John Ralston Rd Ste 200, Houston, TX 77013-5531 | Family Medicine Physician | 2019-06-05 |
| Centerwell Senior Primary Care Ky Psc · Centerwell Senior Primary Care- Outer Loop | 4521 Outer Loop, Louisville, KY 40219-3856 | Family Medicine Physician | 2022-06-01 |
| Centerwell Senior Primary Care Va PLLC · Centerwell Senior Primary Care-Twin Hickory | 5310 Twin Hickory Rd Ste A, Glen Allen, VA 23059-5783 | Family Medicine Physician | 2023-09-27 |
Do you have more infomration about Centerwell Senior Primary Care (nv) PC? Please fill in the following form.
This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |