PASSPORT HEALTH HOLDINGS, LLC.


Address: 3211 N. Tenaya Way, Las Vegas, NV 85255
Phone: 8889096551

PASSPORT HEALTH HOLDINGS, LLC. (NPI# 1336557685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336557685
Entity Type Organization
Organization Name PASSPORT HEALTH HOLDINGS, LLC.
Other Organization Name PPH GLOBAL SERVICES, LLC.
Practice Address 3211 N. Tenaya Way
Las Vegas
NV 85255
Mailing Address 8324 E. Hartford Dr #200
Scottsdale
AZ 85255
Practice Telephone 8889096551
Practice Fax Number 4803836567
Mailing Telephone 8889096551
Mailing Fax Number 4803836567
Enumeration Date 2014-07-31
Last Update Date 2016-03-18
Authorized Official Name DOUG SHACKELL (DIRECTOR OF FINANCE)
Authorized Official Telephone 4806469024
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2083P0901X Preventive Medicine
Specialization: Public Health & General Preventive Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
PPH Global Services, LLC. Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1811313943 Passport Health Holdings, LLC. Preventive Medicine 2812 Emerywood Parkway, #160, Richmond, VA 23294 2014-03-13
1649696766 Passport Health Holdings, LLC. Preventive Medicine 9190 Double Diamond Parkway, # 131, Reno, NV 89521 2014-03-13
1477970192 Passport Health Holdings, LLC. Clinic/Center 29 Plantation Park Dr, B100 #117, Bluffton, SC 29910 2014-03-19
1447676572 Passport Health Holdings, LLC. Preventive Medicine 1600 University Ave W, #207, Saint Paul, MN 55104 2014-03-13
1710303839 Passport Health Holdings, LLC. Preventive Medicine 200 Bartlett Dr, # 105, El Paso, TX 79912 2014-03-13
1720404858 Passport Health Holdings, LLC. Preventive Medicine 7003 Chadwick Dr, #227, Brentwood, TN 37027 2014-03-13

Other Data Sources

Entity Type Entity Name Entity Address
Massachusetts Corporations PASSPORT HEALTH HOLDINGS, LLC 8324 E. Hartford Dr. Ste. 200, Scottsdale, AZ 85255

Office Location

Street Address 3211 N. TENAYA WAY
City LAS VEGAS
State NV
Zip Code 85255

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679660484 Dominic Do Dentist 3211 N. Tenaya Way, Ste 122, Las Vegas, NV 89129 2006-10-05
1043422546 Lin Zhang Acupuncturist 3211 N. Tenaya Way, Suite 106, Las Vegas, NV 89129 2007-05-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417427865 Inpatient Health LLC Internal Medicine 17470 Pacesetter Way, Scottsdale, AZ 85255 2018-11-28
1003391764 Daniel Andrew Wool Family Medicine 20801 N Scottsdale Rd Suite 205, Scottsdale, AZ 85255 2018-09-28
1225533953 Nona Lynel Dasenbrock Dietitian, Registered 10912 E Butherus Dr, Scottsdale, AZ 85255 2018-03-26
1376044248 Brandon A Hunter Physician Assistant 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 2018-02-26
1235644048 Harmony Dental Partners, LLC Dentist 21809 N. Scottsdale Rd., Suite C105, Scottsdale, AZ 85255 2017-12-04
1093226698 Brenda Renee Junior Family Medicine 7920 E Thompson Peak Pkwy Ste 100, Scottsdale, AZ 85255 2017-10-23
1740790393 Sanus Dme LLC Durable Medical Equipment & Medical Supplies 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 2017-10-10
1235651894 Jill Walker Physical Therapist 7900 E. Princess, Apt. 1063, Scottsdale, AZ 85255 2017-07-14
1780123000 Mcdowell Smile Life Dentistry LLC Dentist 10401 E. Mcdowell Mountain Ranch Rd Ste 130, Scottsdale, AZ 85255 2017-02-20
1942691779 Gregory Edin Dentist 11550 E Paradise Lane, Scottsdale, AZ 85255 2015-02-16
Find all providers in zip 85255

Taxonomy Information

Taxonomy Code 2083P0901X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Public Health & General Preventive Medicine

Taxonomy Definition

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
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 Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760043723 Quality Health Partners Inc Preventive Medicine 2341 Renaissance Dr, Las Vegas, NV 89119-6191 2019-06-21
1467878595 Passport Health Holdings, LLC Preventive Medicine 8766 S Maryland Pkwy, Suite 104, Las Vegas, NV 89123-6701 2014-03-13
1093008674 Donald Simon Kwalick Preventive Medicine 3025 Plaza De Monte, Las Vegas, NV 89102-4046 2011-05-16
1366543720 John Philip Middaugh Preventive Medicine 613 Point Ridge Pl, Las Vegas, NV 89145-8810 2006-09-26
1194783530 Bradley S Walker Preventive Medicine 1735 N Nellis Blvd Ste G, Las Vegas, NV 89115-3671 2006-05-03
1427666015 Marc O Griofa Preventive Medicine 1581 N Main St, Las Vegas, NV 89101-1020 2020-07-20
1821414954 Passport Health Holdings, LLC Preventive Medicine 1771 E Flamingo Rd, #b121, Las Vegas, NV 89119 2014-03-13
1982927166 Cortland Jesse Lohff Preventive Medicine 280 S Decatur Blvd, Las Vegas, NV 89107-2936 2010-03-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053912287 Corazon Ilarina Ibarra Preventive Medicine 1495 Ridgeview Drive Suite 210, 1495 Ridgeview Drive Suite 210, Reno, NV 89519 2020-11-04
1477970093 Esther Estes Preventive Medicine 2566 Orangeglory Dr, Henderson, NV 89052-2316 2014-03-20
1649696766 Passport Health Holdings, LLC. Preventive Medicine 9190 Double Diamond Parkway, # 131, Reno, NV 89521 2014-03-13
1649225863 Michael Julius Silvers Preventive Medicine 1701 N Green Valley Pkwy, Ste B, Henderson, NV 89074-5885 2006-05-24
1154396877 Troy Wayne Ross Preventive Medicine 975 Ryland St, Ste 100, Reno, NV 89502-1667 2006-02-17

Competitor

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City LAS VEGAS
Zip Code 85255

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Dataset Information

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.

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