JOHN SCULLY (NPI# 1285182360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285182360 |
| Entity Type | Individual |
| Full Name | JOHN SCULLY |
| Credential | PA-C |
| Practice Address |
1800 W Charleston Blvd Las Vegas NV 89102-2329 |
| Mailing Address |
4616 Hickory Way Johnsburg IL 60051-8959 |
| Practice Telephone | 8152196743 |
| Mailing Telephone | 8152196743 |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2016-09-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659389328 | John Robert Scully | Dentist | 5 Rockcliff Pl, Asheville, NC 28801-4510 | 2006-08-04 |
| 1952693681 | John Scott Scully | Social Worker | 8303 Platt Rd, Saline, MI 48176-9773 | 2011-05-13 |
| 1548387954 | John Scully | Social Worker | 50 Sanitorium Rd, Bldg F, Pomona, NY 10970-3555 | 2007-03-23 |
| Street Address |
1800 W CHARLESTON BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-2329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194725358 | Jeanette Galicinao Tolentino | Emergency Medicine | 1800 W Charleston Blvd, Las Vegas, NV 89102-2329 | 2005-07-28 |
| 1194339218 | Jamal Ali Cunningham | Rehabilitation Counselor | 1800 W Charleston Blvd, Las Vegas, NV 89102-2329 | 2020-09-04 |
| 1013520279 | Catherine Ferguson | Registered Nurse | 1800 W Charleston Blvd, Las Vegas, NV 89102-2329 | 2020-08-27 |
| 1740808666 | Nasma Awada | Pharmacist | 1800 W Charleston Blvd, Las Vegas, NV 89102-2329 | 2020-07-07 |
| 1386262202 | Elmira Zamanpour | Pharmacist | 1800 W Charleston Blvd, Las Vegas, NV 89102-2329 | 2020-07-07 |
| 1821616749 | Daniel Timothy Cowan | Pharmacist | 1800 W Charleston Blvd, Las Vegas, NV 89102-2329 | 2020-07-07 |
| 1730707654 | Katie Marie Ronis | Pharmacist | 1800 W Charleston Blvd, Las Vegas, NV 89102-2329 | 2020-07-07 |
| 1679191597 | Anna Vong San | Pharmacist | 1800 W Charleston Blvd, Las Vegas, NV 89102-2329 | 2020-07-07 |
| 1295353118 | Justin Chung | Pharmacist | 1800 W Charleston Blvd, Las Vegas, NV 89102-2329 | 2020-07-07 |
| 1215557368 | Kimberly Cateel-antolin | Respiratory Therapist, Registered | 1800 W Charleston Blvd, Las Vegas, NV 89102-2329 | 2020-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
| 1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
| 1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
| 1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
| 1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
| 1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
| 1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
| 1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
| 1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
| 1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
| Find all providers in zip 89102 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165985 | Vanessa E R Pulido Artienda | Physician Assistant | 7829 Strong Water Ct, Las Vegas, NV 89131-8247 | 2020-05-18 |
| 1427697952 | Fabiola Capano | Physician Assistant | 6930 S Cimarron Rd Ste 260, Las Vegas, NV 89113-2135 | 2020-01-01 |
| 1588200521 | Kimberly Hunt | Physician Assistant | 2250 E Flamingo Rd Ste 100, Las Vegas, NV 89119-5170 | 2019-11-25 |
| 1104461433 | Jacqueline Emilia Lindine | Physician Assistant | 7720 W Sahara Ave Ste 103, Las Vegas, NV 89117-2754 | 2019-11-11 |
| 1255973285 | Kirstey Langston | Physician Assistant | 4475 S Eastern Ave Ste 1500, Las Vegas, NV 89119-7826 | 2019-10-10 |
| 1740834050 | Zi Wang | Physician Assistant | 5300 Spring Mountain Rd Ste 112, Las Vegas, NV 89146 | 2019-07-25 |
| 1548825094 | Victoria Ashlyn James Hinton | Physician Assistant | 5775 S Fort Apache Rd Ste 120, Las Vegas, NV 89148-5627 | 2019-05-09 |
| 1275007205 | Kathy Ann Tran | Physician Assistant | 401 N Buffalo Dr Ste 200, Las Vegas, NV 89145-0397 | 2019-01-12 |
| 1144717067 | Lynne Barbara Ulevich | Physician Assistant | 9310 S Eastern Ave Ste 122, Las Vegas, NV 89123-6844 | 2018-04-16 |
| 1104326727 | Amanda Howe Parker Bartlett | Physician Assistant | 7170 Smoke Ranch Rd Ste 110, Las Vegas, NV 89128-3208 | 2018-02-20 |
| 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.