MARCUS MCCOMAS (NPI# 1235607730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235607730 |
| Entity Type | Individual |
| Full Name | MARCUS MCCOMAS |
| Practice Address |
6900 N Pecos Rd North Las Vegas NV 89086-4400 |
| Mailing Address |
267 Oakbrook Ridge Ave Henderson NV 89002-3394 |
| Practice Telephone | 7027919000 |
| Mailing Telephone | 7028605388 |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2018-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
812452 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
812452 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 267 Oakbrook Ridge Ave, Henderson, NV 890023394 | 7028605388 |
| Street Address |
6900 N PECOS RD |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89086-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104424357 | Gail Oblea Manzano-cabrera | Registered Nurse | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2020-10-10 |
| 1447857271 | Ashley Rose Taylor | Psychologist | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2020-10-05 |
| 1538766506 | Eugene Olaiya | Psychologist | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2020-10-02 |
| 1568077428 | Chelsie Rae Lawter | Nurse Practitioner | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2020-09-08 |
| 1558975276 | Casey Matthew Tiefenthaler | Pharmacist | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2020-09-01 |
| 1205449501 | Katrina Pham | Pharmacist | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2020-08-26 |
| 1336750736 | Jamie Gail Lewis | Nurse Practitioner | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2020-08-11 |
| 1164032306 | Philip Brent Hale | Registered Nurse | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2020-08-03 |
| 1629687587 | Taylor Hori | Pharmacist | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2020-07-27 |
| 1285242925 | Melissa Han | Nurse Practitioner | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2020-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356961916 | Arianna Gardea | Technician | 1936 Bluff Knoll Ct, Las Vegas, NV 89086 | 2020-04-23 |
| 1891285078 | Rachelle Joy Lim | Nurse Practitioner | Va Southern Nevada, 6900 Pecos Rd, North Las Vegas, NV 89086 | 2018-05-14 |
| 1548767759 | Salena Z. Thong | Optometrist | 6900 N Pecos Rd # 123, North Las Vegas, NV 89086 | 2018-04-12 |
| 1538564372 | Anne Croker | Behavioral Analyst | 6729 Kyle Stewart Ct, North Las Vegas, NV 89086 | 2014-10-22 |
| 1730591389 | Don Pablo | Psychiatric Unit | 6900 N.pecos Rd, N.las Vegas, NV 89086 | 2014-05-29 |
| 1548556897 | Sophie Kao Chwa | Internal Medicine | 6900 N.pecos Road, Las Vegas, NV 89086 | 2011-06-24 |
| 1124258736 | Hyunseok Charlie Chi | Dentist | 640 E Deer Springs Way Ste 180, North Las Vegas, NV 89086 | 2009-07-16 |
| 1558496901 | Kelly Clair Lord | Dietitian, Registered | 6900 North Pecos Dr, North Las Vegas, NV 89086 | 2007-02-23 |
| 1861554883 | Elaine Marie Krows | Social Worker | 6900 North Pecos Road (122-crrc), Las Vegas, NV 89086 | 2006-12-15 |
| 1730257783 | Marile Hoffman | Internal Medicine | 6900 N Pecos Road Attn: Primary Care Servce, North Las Vegas, NV 89086 | 2006-11-30 |
| Find all providers in zip 89086 | ||||
| Taxonomy Code | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396184438 | Geraldine G Bent | Nurse Practitioner | 10300 W Charleston Blvd Ste 13, Las Vegas, NV 89135-5008 | 2013-06-21 |
| 1790335131 | Leilani Paz Marcelino | Nurse Practitioner | 715 Mall Ring Cir Ste 202, Henderson, NV 89014-6667 | 2019-09-18 |
| 1134555865 | Rowena Hipolito Dela Cruz | Nurse Practitioner | 10300 W Charleston Blvd Ste 13, Las Vegas, NV 89135-5008 | 2013-09-26 |
| 1356625131 | Natalie M Guevara | Nurse Practitioner | 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 | 2011-09-28 |
| City | NORTH LAS VEGAS |
| Zip Code | 89086 |
Please comment or provide details below to improve the information on MARCUS MCCOMAS.
| 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.