| NPI | 1154944544 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2020-05-20 |
| Last Updated | 2024-07-03 |
| Authorized Official | Angie Martinez Senior Credentialing professional Phone: 4074477120 |
| Mailing Address | 6101 Blue Lagoon Dr Ste 200 Miami, FL 33126-3168 United States Phone: (305) 500-2000 📍 View Map |
| Primary Practice Address | 390 W Lake Mead Pkwy Ste 120 Henderson, NV 89015-7417 United States Phone: (725) 220-8477 | Fax: (833) 749-0360 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | NV | 250009775 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207Q00000X – Family Medicine | — | — |
| Yes | 207R00000X – Internal Medicine | — | — |
| No | 207RI0011X – Internal Medicine, Interventional Cardiology | — | — |
| No | 208D00000X – General Practice | — | — |
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About NPI 1154944544
Centerwell Senior Primary Care (nv) Pc is an organization registered in the CMS NPPES NPI Registry with NPI number 1154944544. The primary specialty listed is Internal Medicine. The organization is located in Henderson, NV. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2020-05-20. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1154944544?
NPI 1154944544 belongs to Centerwell Senior Primary Care (nv) Pc, a Internal Medicine in Henderson, NV. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1154944544 active?
The current status of NPI 1154944544 in the NPPES registry is Active. The record was last updated on 2024-07-03.
What specialty is NPI 1154944544?
NPI 1154944544 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1154944544?
You can verify NPI 1154944544 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1154944544?
The primary practice address on file for NPI 1154944544 is 390 W Lake Mead Pkwy Ste 120, Henderson, NV 89015-7417. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1154944544 issued?
NPI 1154944544 was first issued (enumerated) on 2020-05-20. The NPPES record was last updated on 2024-07-03.
Practice Location Map
Centerwell Senior Primary Care (nv) Pc is located at 390 W Lake Mead Pkwy Ste 120, Henderson, NV. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Centerwell Senior Primary Care (nv) Pc. All records sourced from the CMS NPPES registry.