DR. MICHAEL PHILLIP COLLETTI (NPI# 1306033931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306033931 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL PHILLIP COLLETTI |
| Credential | M.D. |
| Practice Address |
4580 S Eastern Ave #29 Las Vegas NV 89119-6100 |
| Practice Telephone | 7027342242 |
| Practice Fax Number | 7027377690 |
| Mailing Telephone | 7027342242 |
| Mailing Fax Number | 7027377690 |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2013-07-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
5563 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | MEDICARE RAILROAD | 660002079 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346407178 | Michael T Colletti | Dentist | 237 S Main St, Lombard, IL 60148-2647 | 2008-05-20 |
| 1366484339 | Michael Anthony Colletti | Social Worker | 9745 Queens Blvd, Penthouse Floor, Rego Park, NY 11374-2101 | 2006-06-12 |
| Street Address |
4580 S EASTERN AVE #29 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89119-6100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609876663 | Michael P Colletti Md PC | Internal Medicine | 4580 S Eastern Ave, #29, Las Vegas, NV 89119-6100 | 2005-07-29 |
| 1992340160 | Justin Bowman | Rehabilitation Practitioner | 4580 S Eastern Ave, Las Vegas, NV 89119-6100 | 2019-11-12 |
| 1922434786 | Jeana Rae Alvarado | Marriage & Family Therapist | 4580 S Eastern Ave, Suite 33, Las Vegas, NV 89119-6100 | 2013-09-24 |
| 1184062945 | Ericka Hulbert | Marriage & Family Therapist | 4580 S Eastern Ave, Suite 33, Las Vegas, NV 89119-6100 | 2013-06-13 |
| 1831159128 | Jeremy Wayne Wood | Podiatrist | 4580 S Eastern Ave, Suite 30, Las Vegas, NV 89119-6100 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089298 | Jennifer Chavon Cruse | Technician | [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 | 2020-09-28 |
| 1063024214 | Rosa Isela Martinez Gonzalez | Technician | 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 | 2020-08-19 |
| 1720697980 | Christian Scott | Social Worker | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
| 1245867159 | Starfruit Holdings, LLC | Skilled Nursing Facility | 4375 S Eastern Ave, Paradise, NV 89119 | 2020-03-23 |
| 1215562376 | Phyllis Eberechukwu Hunt | Adult Companion | 5160 Tamarus St Appt 17, Las Vegas, NV 89119 | 2020-03-10 |
| 1841832581 | Legna Carrillo | Adult Companion | 4325 South Bruce St Appt 63, Las Vegas, NV 89119 | 2019-10-15 |
| 1104468339 | Alma Leticia Salazar | Home Health Aide | Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 | 2019-10-09 |
| 1083260046 | Araceli Rosas Vargas | Technician | 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 | 2019-08-15 |
| 1376197707 | Bristure Clayton | Technician | Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 | 2019-07-24 |
| 1457904534 | Carmen Laura Gonzalez Valenzuela | Chore Provider | 6725-1 S. Eastern Ave, Las Vegas, NV 89119 | 2019-07-18 |
| Find all providers in zip 89119 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1225007032 | Ewa Olech | Internal Medicine | 7200 Cathedral Rock Dr Ste 110, Las Vegas, NV 89128-0439 | 2006-03-15 |
| 1265434716 | Neil A Braunstein | Internal Medicine | 4750 W Oakey Blvd Ste 3a, Las Vegas, NV 89102 | 2005-08-15 |
| 1609876663 | Michael P Colletti Md PC | Internal Medicine | 4580 S Eastern Ave, #29, Las Vegas, NV 89119-6100 | 2005-07-29 |
| 1376543843 | Michael P Colletti Md PC | Internal Medicine | 3085 E Flamingo Rd, Suite A, Las Vegas, NV 89121-4385 | 2005-07-27 |
| 1659928315 | American Arthritis Rheumatology Associates Kelly Nv Pllc | Internal Medicine | 7200 Cathedral Rock Dr Ste 110, Las Vegas, NV 89128-0439 | 2019-08-19 |
| 1891347613 | G. Timothy Kelly Md | Internal Medicine | 7200 Cathedral Rock Dr Ste 110, Las Vegas, NV 89128-0439 | 2019-07-11 |
| 1841577541 | Mckinnon Medical Group, Pllc | Internal Medicine | 7575 W Washington Ave, Suite B, Las Vegas, NV 89128-4333 | 2011-11-08 |
| 1366584013 | Michael E Clifford | Internal Medicine | 7151 Cascade Valley Ct, Suite 103, Las Vegas, NV 89128-0496 | 2007-02-12 |
| 1437247699 | Arthritis Medical Clinic | Internal Medicine | 5980 S Rainbow Blvd Ste 100, Las Vegas, NV 89118-4202 | 2006-10-11 |
| 1396737235 | Shannon Signorino | Internal Medicine | 4750 W Oakey Blvd Ste 3a, Las Vegas, NV 89102-1535 | 2005-08-17 |
| 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.