STA MARIA PEDIATRIC CLINIC LLC (NPI# 1104244011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104244011 |
| Entity Type | Organization |
| Organization Name | STA MARIA PEDIATRIC CLINIC LLC |
| Practice Address |
730 N Eastern Ave Ste 100 Las Vegas NV 89101-2885 |
| Mailing Address |
3100 W Charleston Blvd Ste 210 Las Vegas NV 89102-1900 |
| Practice Telephone | 7023884428 |
| Practice Fax Number | 7023884312 |
| Mailing Telephone | 7023884428 |
| Mailing Fax Number | 7023884312 |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2014-04-08 |
| Authorized Official Name | TERESITA LU MELOCOTON (MANAGER) |
| Authorized Official Telephone | 7023884428 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
730 N EASTERN AVE STE 100 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89101-2885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992944623 | Kathi Morissette | Counselor | 730 N Eastern Ave, Suite 130, Las Vegas, NV 89101-2883 | 2009-02-19 |
| 1134692429 | Darlene Espina Francisco | Nurse Practitioner | 730 N Eastern Ave, Las Vegas, NV 89101-2883 | 2019-01-09 |
| 1720488299 | Giant Strides Health Services | Community/Behavioral Health | 730 N Eastern Ave, Las Vegas, NV 89101-2883 | 2014-09-03 |
| 1396155107 | Leonard Sweet | Counselor | 730 N Eastern Ave, Las Vegas, NV 89101-2883 | 2014-05-01 |
| 1518395680 | Loida H Cruz | Counselor | 730 N Eastern Ave, Las Vegas, NV 89101-2883 | 2013-10-28 |
| 1730516113 | Diane Carozza | Counselor | 730 N Eastern Ave, Suite 110, Las Vegas, NV 89101-2883 | 2013-10-01 |
| 1811324239 | Bryan Quintanilla | Counselor | 730 N Eastern Ave, Suite 110, Las Vegas, NV 89101-2883 | 2013-09-30 |
| 1104253889 | Derric A Carter | Counselor | 730 N Eastern Ave, Suite 110, Las Vegas, NV 89101-2883 | 2013-09-26 |
| 1700228913 | Carmen Lazo Gomez | Counselor | 730 N Eastern Ave, Suite 120, Las Vegas, NV 89101-2883 | 2013-07-29 |
| 1518309996 | Enriqueta Ludt | Counselor | 730 N Eastern Ave, Suite 120, Las Vegas, NV 89101-2883 | 2013-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671290 | Nadhc At The Acsc, Inc. | Respite Care | 330 N. 13th Street, Las Vegas, NV 89101 | 2019-10-23 |
| 1861033730 | Militza Mares Mikovich | Case Manager/Care Coordinator | 820 S 7th Street Ste A, Las Vegas, NV 89101 | 2019-10-02 |
| 1598311862 | Catalina Ruiz-perez | Technician | 1420 James St., L, Las Vegas, NV 89101 | 2019-08-13 |
| 1053880831 | Samantha Okumura | Specialist/Technologist | 701 E Bridger Ave Ste 150, Las Vegas, NV 89101 | 2018-11-21 |
| 1447752860 | Ratref T Havlin | Technician | 1820 East Bonanza Apt 1, Las Veges, NV 89101 | 2018-03-01 |
| 1396255808 | David Markus Stevens | Technician/Technologist | 930 N. 4th Street, Las Vegas, NV 89101 | 2017-10-10 |
| 1447789888 | Dustin Douglas | Driver | 50 N 21 St #139, Las Vegas, NV 89101 | 2017-06-08 |
| 1013389535 | Direct Scripts Mail, LLC | Pharmacy | 71 N Pecos Road, Suite 104, Las Vegas, NV 89101 | 2015-10-23 |
| 1699169920 | Westcare Nevada Inc | Community/Behavioral Health | 323 N Maryland Parkway, Las Vegas, NV 89101 | 2015-03-25 |
| 1639574262 | Misty Davis | Registered Nurse | 930 N. 4th St., Las Vegas, NV 89101 | 2014-10-24 |
| Find all providers in zip 89101 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624592 | Brookes Pediatrics LLC | Pediatrics | 8440 W Lake Mead Blvd Ste 104, Las Vegas, NV 89128-7648 | 2020-06-19 |
| 1972079937 | Ching's Pediatrics, Pllc. | Pediatrics | 9260 W Sunset Rd Ste 205, Las Vegas, NV 89148-4903 | 2018-10-17 |
| 1912429093 | Rock & Rowles Pediatrics PC | Pediatrics | 2380 N Buffalo Dr Ste 145, Las Vegas, NV 89128-4807 | 2017-07-11 |
| 1104280783 | Aadil Mohammed Rahman | Pediatrics | 3186 S. Maryland Parkway, Las Vegas, NV 89109-2317 | 2016-04-08 |
| 1508257676 | Susan R Fernandez PC | Pediatrics | 6843 W Tropicana Ave, Suite 100, Las Vegas, NV 89103-4922 | 2015-02-11 |
| 1447592506 | Tina Vikki Desai | Pediatrics | 2040 W Charleston Blvd Ste 402, Las Vegas, NV 89102-2250 | 2013-03-26 |
| 1699014365 | Bond Pediatrics Ltd | Pediatrics | 5751 S Fort Apache Rd Ste A, Las Vegas, NV 89148-5624 | 2013-01-31 |
| 1891057519 | Rabbi Zia | Pediatrics | 10105 Banburry Cross Dr Ste 370, Las Vegas, NV 89144-6649 | 2012-06-08 |
| 1730445099 | William Edward Bannen | Pediatrics | 10 Wild Dunes Court, Las Vegas, NV 89113-1332 | 2012-04-11 |
| 1255622577 | Sanjay Kandoth Md PC | Pediatrics | 7875 S Rainbow Blvd, Suite 102, Las Vegas, NV 89139-6469 | 2011-04-20 |
| 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.