JOHN ADAMS PROKUP (NPI# 1417555673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417555673 |
Entity Type | Individual |
Full Name | JOHN ADAMS PROKUP |
Credential | DVM, MPH |
Practice Address |
8400 S Eastern Ave Las Vegas NV 89123-2816 |
Mailing Address |
8944 Dulcimer Ln Las Vegas NV 89123-3075 |
Practice Telephone | 7023615850 |
Mailing Telephone | 3107175718 |
Enumeration Date | 2020-10-10 |
Last Update Date | 2020-10-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246Z00000X | Specialist/Technologist, Other | 2376-A | NV | Technologists, Technicians & Other Technical Service Providers |
Street Address |
8400 S EASTERN AVE |
City | LAS VEGAS |
State | NV |
Zip Code | 89123-2816 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740894096 | Jpn Holdings Corp | Home Health Aide | 8275 S Eastern Ave Ste 246, Las Vegas, NV 89123 | 2020-09-03 |
1104463488 | Rafaat Yousif Rafael | Technician | 8365 Montgomery St, Las Vegas, NV 89123 | 2019-12-05 |
1386287357 | Nadhc At Eastern, Inc | Respite Care | 8695 Eastern Ave., Las Vegas, NV 89123 | 2019-10-23 |
1619523677 | Nadhc At Eastern, Inc | Clinic/Center | 8695 S. Eastern Ave., Las Vegas, NV 89123 | 2019-08-15 |
1437714995 | Vladimir Jose Pedraza | Technician | 8330 Collado St, Las Vegas, NV 89123 | 2019-05-09 |
1174026017 | Jenni Das | Behavior Technician | 62 E Serene Ave Unit 129, Las Vegas, NV 89123 | 2018-03-16 |
1134621717 | Catherine Domingo Leanu | Technician | 9490 Bermuda Road, Apt 1121, Las Vegas, NV 89123 | 2018-02-28 |
1801397583 | Titus Aldea | Technician | 8419 Yamhill St, Las Vegas, NV 89123 | 2018-02-27 |
1699291997 | Angel's Touch Home Care LLC | In Home Supportive Care | 8382 Marcasel Dr, Las Vegas, NV 89123 | 2017-08-17 |
1427578152 | Adrianna Jones | Rehabilitation Practitioner | 1901 S. Jones Blvd., Las Vegas, NV 89123 | 2017-06-23 |
Find all providers in zip 89123 |
Taxonomy Code | 246Z00000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609052612 | Joseph George Salamy | Specialist/Technologist, Other | 8653 Deering Bay Dr, Las Vegas, NV 89131-1757 | 2008-01-21 |
1780869602 | Dependable Diagnostics Center, Inc. | Specialist/Technologist, Other | 2820 W Charleston Blvd, #b20, Las Vegas, NV 89102-1942 | 2008-01-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639467996 | Accuro, Inc | Specialist/Technologist, Other | 631 N Stephanie St # 207, Henderson, NV 89014-2633 | 2011-07-20 |
1356526016 | Sparks Family Hospital Inc | Specialist/Technologist, Other | 2375 E Prater Way, Sparks, NV 89434-9641 | 2007-12-31 |
1891776282 | Bruce Norman Gruenewald | Specialist/Technologist, Other | 555 N Arlington Ave, Reno, NV 89503-4724 | 2005-11-11 |
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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.