MS. MARCY A. KULIC (NPI# 1114003498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114003498 |
| Entity Type | Individual |
| Full Name | MS. MARCY A. KULIC |
| Credential | M.D. |
| Practice Address |
600 Whitney Ranch Dr Ste A1 Henderson NV 89014-2631 |
| Practice Telephone | 7025660333 |
| Practice Fax Number | 7025660315 |
| Mailing Telephone | 7025660333 |
| Mailing Fax Number | 7025660315 |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2012-09-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
NV7987 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 002019884 | 05 |
| Street Address |
600 WHITNEY RANCH DR STE A1 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89014-2631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740506120 | Barry Markman | Surgery | 600 Whitney Ranch Dr Ste A1, Henderson, NV 89014-2631 | 2010-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857024 | Sudheer J. Surpure, Md, Dds, Inc. | Oral & Maxillofacial Surgery | Grand Canyon Oral and Facial Surgery, 1600 W. Sunset Road, Suite B, Henderson, NV 89014 | 2020-10-06 |
| 1386271740 | Fibonacci Services LLC | Counselor | 2920 N. Green Valley Pkwy, Bulding 8 & Suite 812, Henderson, NV 89014 | 2020-03-25 |
| 1508409145 | Facial Expressions Presented By K. Thomas | Home Infusion | 1520 W. Sunset Rd. Ste 130, #205, Henderson, NV 89014 | 2019-10-27 |
| 1235794595 | Marquise D Dennis | Prosthetist | 1520 W. Sunset Rd, Henderson, NV 89014 | 2019-05-02 |
| 1609359165 | Kenisha Voncille Thomas | Family Medicine | 1520 W Sunset Rd Ste 130, Henderson, NV 89014 | 2018-09-11 |
| 1841716727 | Logan Bretney | Physical Therapist | 400 S Stephanie St, Suite 310, Building 1, Henderson, NV 89014 | 2017-08-22 |
| 1912421280 | Alan Joseph Sevy | Dentist | 1485 W Warm Springs Rd Ste 101, Henderson, NV 89014 | 2017-07-28 |
| 1659805307 | Ann Marie Echevarria | Behavior Technician | 2551 N Green Valley Parkway, 410a, Henderson, NV 89014 | 2017-04-19 |
| 1366838997 | Ladwana Retic, Lcsw LLC | Case Management | 1514 Tree Top Ct, Henderson, NV 89014 | 2015-04-10 |
| 1073958393 | Ashlyn Call | Physician Assistant | 1397 Galleria Dr Ste 100, Henderson, NV 89014 | 2013-04-30 |
| Find all providers in zip 89014 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1497088090 | Henderson Pediatrics, Psc | Pediatrics | 1035 N Elm St, Henderson, KY 42420-2712 | 2009-09-14 |
| 1659457935 | Michael L. Levin | Pediatrics | 220 E Horizon Dr Ste A, Henderson, NV 89015-8001 | 2006-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154548410 | Jose Rodriquez Simpao Jr. | Pediatrics | 6850 N Durango Dr Ste 120, Las Vegas, NV 89149-4596 | 2007-04-19 |
| 1548664386 | University of Nv School of Medicine Multi-specialty Group South | Pediatrics | 1524 Pinto Ln, 3rd Floor, Las Vegas, NV 89106-4195 | 2014-10-21 |
| 1245527753 | Patrick J Colletti | Pediatrics | 1001 Jones St, Reno, NV 89503-5512 | 2011-07-05 |
| 1154613289 | Bejal Patel | Pediatrics | 901 E 2nd St, Ste 201, Reno, NV 89502-1175 | 2011-05-08 |
| 1033436621 | University of Nv School Multispecialty Group Practice South Inc | Pediatrics | 3006 S Maryland Pkwy, 320, Las Vegas, NV 89109-2218 | 2010-04-23 |
| 1144489535 | Univy of Nv School of Medicine Multispecialty Group Practice North Inc | Pediatrics | 75 Pringle Way, 909, Reno, NV 89502-1464 | 2008-06-02 |
| 1508055260 | Nevada Children's Clinic | Pediatrics | 8352 W Warm Springs Rd, Suite 210, Las Vegas, NV 89113-3628 | 2007-10-18 |
| 1477632685 | Rosalita C Jurani | Pediatrics | 633 N Decatur Blvd, Suite A, Las Vegas, NV 89107-1943 | 2006-11-06 |
| 1649371600 | Colletti Md PC | Pediatrics | 1001 Jones St, Reno, NV 89503-5512 | 2006-09-25 |
| 1952342891 | Renu S Batra | Pediatrics | 3650 S Eastern Ave, # 230, Las Vegas, NV 89109-3379 | 2006-06-10 |
| Find all providers with the same taxonomy | ||||
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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.