SUMMERLIN MEDICAL (NPI# 1033743083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033743083 |
| Entity Type | Organization |
| Organization Name | SUMMERLIN MEDICAL |
| Practice Address |
10300 W. Charleston Blvd. Suite 13 Las Vegas NV 89135 |
| Practice Telephone | 7734953796 |
| Practice Fax Number | 8887750887 |
| Mailing Telephone | 7734953796 |
| Mailing Fax Number | 8887750887 |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-02-28 |
| Authorized Official Name | MR. GUSTAVO URBINA (OWNER) |
| Authorized Official Telephone | 7734953796 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
10300 W. CHARLESTON BLVD. SUITE 13 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902363344 | Arle Troy Ceniza Jumalon | Physical Therapist | 10401 West Charleston Blvd, Las Vegas, NV 89135 | 2019-02-21 |
| 1952887473 | Randon Ralph | Pharmacist | 10250 W.charleston Blvd, Las Vegas, NV 89135 | 2018-07-17 |
| 1528463981 | Century Vision Center, Chtd. | Optometrist | 10870 W. Charleston Blvd, Ste 105, Las Vegas, NV 89135 | 2014-10-28 |
| 1669808390 | Nourollah Ghahreman | Internal Medicine | 3291 Mission Creek Court, Las Vegas, NV 89135 | 2013-09-26 |
| 1033485560 | Jessica L Benesh | Speech-Language Pathologist | 11053 Crystal Crest Court, Las Vegas, NV 89135 | 2012-03-29 |
| 1053696237 | Jaclyn Latteri | Pharmacist | 5442 Nettle Way, Las Vegas, NV 89135 | 2011-10-19 |
| 1235384033 | Nancee Larson | Registered Nurse | 3418 Antique Rose Drive, Lasvegas, NV 89135 | 2008-11-20 |
| 1528250966 | Manish P Gupta | Internal Medicine | 66 Hawkridge Drive, Las Vegas, NV 89135 | 2007-08-09 |
| 1205036134 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 11720 W Charleston Blvd, Las Vegas, NV 89135 | 2007-07-19 |
| 1497883656 | James K. Rogers, D.d.s., M.s., L.t.d. | Dentist | 3575 S. Town Center Dr., Suite 110, Las Vegas, NV 89135 | 2007-03-01 |
| Find all providers in zip 89135 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595622 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2500 W Washington Ave Ste 103, Las Vegas, NV 89106-3731 | 2020-10-14 |
| 1639793698 | Amador Medical LLC | Durable Medical Equipment & Medical Supplies | 4325 Dean Martin Dr Ste 340, Las Vegas, NV 89103-4168 | 2020-06-04 |
| 1205456001 | Vitality M12 LLC | Durable Medical Equipment & Medical Supplies | 4650 Arville St Ste F, Las Vegas, NV 89103-5325 | 2020-04-21 |
| 1255951059 | Peggy Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 6355 S Durango Dr Unit 1265, Las Vegas, NV 89113-1878 | 2020-04-21 |
| 1598394801 | Total Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 200 Hoover Ave Unit 1912, Las Vegas, NV 89101-6887 | 2020-04-07 |
| 1053959791 | Wound Pros Nevada | Durable Medical Equipment & Medical Supplies | 5940 S Rainbow Blvd Ste 2007, Las Vegas, NV 89118-2506 | 2019-12-12 |
| 1841835618 | Home Front Pumps West | Durable Medical Equipment & Medical Supplies | 11239 Cactus Tower Ave Unit 101, Las Vegas, NV 89135-3449 | 2019-11-15 |
| 1568016855 | Medelite Capital, LLC | Durable Medical Equipment & Medical Supplies | 5528 S Fort Apache Rd, Las Vegas, NV 89148-7657 | 2019-07-25 |
| 1376004614 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 2780 S Jones Blvd Ste 140, Las Vegas, NV 89146-5641 | 2019-03-28 |
| 1619435997 | Dignity Select Nevada LLC | Durable Medical Equipment & Medical Supplies | 4855 Blue Diamond Rd Ste 210, Las Vegas, NV 89139-7602 | 2019-03-06 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.