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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
PPH Global Services, LLC. | Doing Business As Name - Organization |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Massachusetts Corporations | PASSPORT HEALTH HOLDINGS, LLC | 8324 E. Hartford Dr. Ste. 200, Scottsdale, AZ 85255 |
Street Address |
3211 N. TENAYA WAY |
City | LAS VEGAS |
State | NV |
Zip Code | 85255 |
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 |
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 Code | 2083P0901X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Public Health & General Preventive Medicine |
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. |
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 |
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 |
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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.