PINNACLE PRIMARY CARE & WELLNESS CENTER (NPI# 1487152823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487152823 |
| Entity Type | Organization |
| Organization Name | PINNACLE PRIMARY CARE & WELLNESS CENTER |
| Other Organization Name | PINNACLE MEDICAL CENTER |
| Practice Address |
4440 S. Eastern Ave. Las Vegas NV 89119 |
| Practice Telephone | 7024760023 |
| Practice Fax Number | 7029733477 |
| Mailing Telephone | 7024760023 |
| Mailing Fax Number | 7029733477 |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2018-01-31 |
| Authorized Official Name | MS. TENESHIA DACHELL SPENCER (CEO/OWNER) |
| Authorized Official Telephone | 7026651690 |
| Is Organization Subpart | Y |
| Parent Organization Name | PINNACLE MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pinnacle Medical Center | Doing Business As Name - Organization |
| Street Address |
4440 S. EASTERN AVE. |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89119 |
| 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 | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326693623 | Lisa M Wolfley | Emergency Medicine | 8960 W Post Rd Unit 1007, Las Vegas, NV 89148-2452 | 2019-08-05 |
| 1275090722 | Tyler Davis | Emergency Medicine | 620 Shadow Ln, Las Vegas, NV 89106-4194 | 2019-02-20 |
| 1598134702 | Kerry Dean | Emergency Medicine | 624 S Tonopah Dr, Las Vegas, NV 89106-4029 | 2015-09-17 |
| 1104087287 | Patrick Henry Flores | Emergency Medicine | 3100 N Tenaya Way, Pob 1569, Las Vegas, NV 89128-0436 | 2008-06-20 |
| 1023051760 | Timothy Vanduzer | Emergency Medicine | 500 N Rainbow Blvd, Suite 203, Las Vegas, NV 89107-1082 | 2006-06-13 |
| 1063462364 | Aaron Vincent Lovinger | Emergency Medicine | 3100 N Tenaya Way, Las Vegas, NV 89128-0436 | 2006-05-10 |
| 1932162583 | William Z Harrington | Emergency Medicine | 3100 N Tenaya Way, Las Vegas, NV 89128-0436 | 2006-04-06 |
| 1972505675 | Clarence Michael Dunagan Iv | Emergency Medicine | 3100 N Tenaya Way, Las Vegas, NV 89128-0436 | 2005-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023651023 | Steven Matthew Savage | Emergency Medicine | 1250 American Pacific Dr Apt 1624, Henderson, NV 89074-7859 | 2019-10-22 |
| 1376198028 | Henderson Hospital | Emergency Medicine | 2581 Saint Rose Pkwy, Henderson, NV 89074-7777 | 2019-08-08 |
| 1861842064 | Daniel Honneyman | Emergency Medicine | Northeastern Regional Hospital, 2001 Errecart Blvd, Elko, NV 89801 | 2016-06-17 |
| 1124147327 | Joseph Mario Romano | Emergency Medicine | 561 Keystone Ave # 492, Reno, NV 89503-4304 | 2007-03-28 |
| 1427027077 | Michael B Macquarrie Md Inc | Emergency Medicine | 880 Alder Ave, Incline Village, NV 89451-8335 | 2006-03-16 |
| 1801446760 | Gregory K Burnett | Emergency Medicine | 975 Ryland St Ste 100, Reno, NV 89502-1669 | 2019-09-12 |
| 1598089112 | Joshua Ef Pascoe | Emergency Medicine | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2010-03-25 |
| 1295902559 | Thomas Emery Brodie | Emergency Medicine | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2008-05-14 |
| 1720281009 | Marianna Catarina Coggins | Emergency Medicine | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2007-06-06 |
| 1396822821 | Carson Tahoe Emergency Physicians | Emergency Medicine | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2006-11-01 |
| Find all providers with the same taxonomy | ||||
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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.