TRACY J WAKEFIELD (NPI# 1053369827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053369827 |
| Entity Type | Individual |
| Full Name | TRACY J WAKEFIELD |
| Other Name | TRACY J SCHIFINI |
| Credential | MD |
| Practice Address |
9077 S Pecos Rd 3800 Henderson NV 89074-7180 |
| Mailing Address |
Po Box 98978 Las Vegas NV 89193-8978 |
| Practice Telephone | 7025651007 |
| Practice Fax Number | 7029471966 |
| Mailing Telephone | 7025072486 |
| Mailing Fax Number | 7026716883 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2012-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 8072 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1053369827 | 05 |
| Street Address |
9077 S PECOS RD 3800 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074-7180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750528790 | Nocturna Sleep Therapy Lp | Durable Medical Equipment & Medical Supplies | 9077 S Pecos Rd, Suite 3710, Henderson, NV 89074-7180 | 2009-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349381 | Samuel Taylor Mulford | Physical Therapist | 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 | 2020-06-03 |
| 1407369127 | Brenda Thomas | Dental Hygienist | 234 Polar Morning Place, Henderson, NV 89074 | 2017-11-16 |
| 1174036479 | Gail E Evans Wade | Behavioral Analyst | 1445 Stone Lake Cove, Henderson, NV 89074 | 2017-11-08 |
| 1710400957 | Kimberley Houk | Behavioral Analyst | 20 Avenida Picasso, Henderson, NV 89074 | 2017-07-19 |
| 1760911846 | Colin Ono-moore | Physical Therapist | 3 Rising Sun Ct, Henderson, NV 89074 | 2017-06-12 |
| 1851825764 | Ralph Wieder | Dietitian, Registered | 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 | 2017-04-18 |
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1275994642 | Malyna Lavarias | Behavioral Analyst | 74 N Pecos Rd., Suite C, Henderson, NV 89074 | 2016-03-14 |
| 1144608290 | Matthew Roderick | Acupuncturist | 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 | 2015-05-08 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| Find all providers in zip 89074 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811521313 | Mahgerefteh Medical Pllc | Internal Medicine | 10624 S Eastern Ave Ste A-1015, Henderson, NV 89052-2982 | 2020-02-24 |
| 1780232421 | Toledo and Associates Ltd | Internal Medicine | 1546 W Warm Springs Rd Ste 100, Henderson, NV 89014-4326 | 2019-08-27 |
| 1528552379 | Snf Doctors of Henderson, Inc | Internal Medicine | 10410 S Eastern Ave Ste 100, Henderson, NV 89052-4196 | 2018-06-15 |
| 1063828226 | Premiere Home Services LLC | Internal Medicine | 688 Childrens Way, Henderson, NV 89052-4818 | 2014-07-09 |
| 1376973594 | Roy M Margallo Md | Internal Medicine | 10725 Prairie Wheat Ct, Henderson, NV 89052-8688 | 2013-11-25 |
| 1255779443 | Tiffany Therese Fonte | Internal Medicine | 108 E Lake Mead Pkwy Ste 302, Henderson, NV 89015 | 2013-06-10 |
| 1679864854 | Mpado Medical (amin) Ltd. | Internal Medicine | 11425 S Bermuda Rd, Henderson, NV 89052-8710 | 2011-04-22 |
| 1932498144 | Wendy Mojica | Internal Medicine | 10624 S Eastern Ave # A955, Henderson, NV 89052 | 2011-03-29 |
| 1912201104 | Elron Mighty | Internal Medicine | 745 S Green Valley Pkwy Ste 160, Henderson, NV 89052 | 2011-01-02 |
| 1295052322 | Joseph E. Dawa | Internal Medicine | 2900 W Horizon Ridge Pkwy Ste 221, Henderson, NV 89052-5014 | 2010-04-29 |
| Find all providers in HENDERSON | ||||
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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.