PATRICK TICMAN (NPI# 1306935473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306935473 |
| Entity Type | Individual |
| Full Name | PATRICK TICMAN |
| Credential | MD |
| Practice Address |
4475 S Eastern Ave Las Vegas NV 89119 |
| Mailing Address |
Po Box 15645 Las Vegas NV 89114-5645 |
| Practice Telephone | 7027371880 |
| Practice Fax Number | 7026502458 |
| Mailing Telephone | 7027371880 |
| Mailing Fax Number | 7026502458 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2018-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 12055 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1306935473 | 05 | |
| NV | 100511024 | 05 | |
| NV | 100511025 | 05 |
| Street Address |
4475 S EASTERN AVE |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245232750 | Paul Parcon | Family Medicine | 4475 S Eastern Ave, Las Vegas, NV 89119-7826 | 2005-08-15 |
| 1073114906 | Jacob A Parks | Student in an Organized Health Care Education/Training Program | 4475 S Eastern Ave, Las Vegas, NV 89119-7826 | 2020-11-06 |
| 1649871567 | Spencer Fleek | Student in an Organized Health Care Education/Training Program | 4475 S Eastern Ave, Las Vegas, NV 89119-7826 | 2020-11-06 |
| 1245831338 | Lauren Belove | Student in an Organized Health Care Education/Training Program | 4475 S Eastern Ave, Las Vegas, NV 89119-7826 | 2020-11-04 |
| 1396201414 | Robin Suzanne Branham | Nurse Practitioner | 4475 S Eastern Ave, Las Vegas, NV 89119-7826 | 2019-02-13 |
| 1558838136 | Daniel Thane Winward | Physician Assistant | 4475 S Eastern Ave, Las Vegas, NV 89119-7826 | 2018-10-31 |
| 1588189021 | Sandra Ramsey | Nurse Practitioner | 4475 S Eastern Ave, Las Vegas, NV 89119-7826 | 2017-08-05 |
| 1669996567 | Stacy Wayne Slade | Physician Assistant | 4475 S Eastern Ave, Las Vegas, NV 89119-7826 | 2017-08-01 |
| 1992236145 | Scarlett Cavalli | Family Medicine | 4475 S Eastern Ave, Las Vegas, NV 89119-7826 | 2017-03-21 |
| 1619418472 | Cameron Hunter | Physician Assistant | 4475 S Eastern Ave, Las Vegas, NV 89119-7826 | 2017-03-13 |
| Find all providers in the same location | ||||
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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. |
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| 1376160291 | Qazi, Ribeiro, and Shah Pllc | Internal Medicine | 1925 Village Center Cir Ste 150, Las Vegas, NV 89134-6261 | 2020-06-26 |
| 1639791791 | Spring Mountain Medical Center Pllc | Internal Medicine | 4276 Spring Mountain Rd Unit 211, Las Vegas, NV 89102-8781 | 2020-05-12 |
| 1720609555 | Alia Parveen Inc | Internal Medicine | 337 Rezzo St, Las Vegas, NV 89138-4624 | 2020-05-04 |
| 1225658982 | Ejo Mannaparambil John Md Pllc | Internal Medicine | 3217 Grayson Lake Ct, Las Vegas, NV 89129-6614 | 2020-04-23 |
| 1780203869 | Curry Pllc | Internal Medicine | 8535 Edna Ave, Las Vegas, NV 89117-4413 | 2020-04-09 |
| 1073142980 | Fajar Corp LLC | Internal Medicine | 2991 Raywood Ash Dr, Las Vegas, NV 89138-6143 | 2020-04-02 |
| 1912534348 | Garrison Medical Consultants Pllc | Internal Medicine | 6852 Sumatra St, Las Vegas, NV 89166-7001 | 2020-03-25 |
| 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.