CLINTON M ANDERSON


Address: 2435 Fire Mesa St # 120, Las Vegas, NV 89128
Phone: 7029682437

CLINTON M ANDERSON (NPI# 1740511005) 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) 1740511005
Entity Type Individual
Full Name CLINTON M ANDERSON
Credential MT, PA-C
Practice Address 2435 Fire Mesa St # 120
Las Vegas
NV 89128
Mailing Address 2435 Fire Mesa St # 120
Las Vegas
NV 89128-9009
Practice Telephone 7029682437
Practice Fax Number 7024791796
Mailing Telephone 7252003232
Mailing Fax Number 7252003233
Enumeration Date 2010-01-26
Last Update Date 2018-08-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
260790928 NV Physician Assistants & Advanced Practice Nursing Providers

Other Providers CLINTON ANDERSON

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1003922790 Clinton S Anderson Physician Assistant 269 Morgan's Road, Aniak, AK 99557-0269 2006-08-22
1326034349 Clinton R Anderson Optometrist 2830 N Hiawassee Rd, Orlando, FL 32818-3319 2005-09-26
1821592890 Clinton Sherrill Anderson Orthopaedic Surgery 1157 N 300 W, Provo, UT 84604-6124 2018-03-22
1336493618 Clinton Anderson Pharmacist 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 2012-11-07
1053371054 Clinton M Anderson Radiology 11600 W 2nd Pl, Lakewood, CO 80228-1527 2006-03-24
1134106867 Clinton Anderson Emergency Medicine 12800 Bothell Everett Hwy, Everett, WA 98208-6642 2005-12-23

Office Location

Street Address 2435 FIRE MESA ST # 120
City LAS VEGAS
State NV
Zip Code 89128

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811499676 Jessica Renee Aguilar Nurse Practitioner 2435 Fire Mesa St # 120, Las Vegas, NV 89128-9009 2018-03-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699374256 Dmc Medical Clinic Ltd Family Medicine 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 2020-10-23
1619589462 Eldercare Services Lv, LLC Technician 8430 W. Lake Mead Blvd Suite 100, Las Vegas, NV 89128 2020-08-21
1508477308 Amneris Lizet Duran-brocato Technician 1150 North Buffalo Dr. Apt 2120, Las Vegas, NV 89128 2020-08-14
1366082612 Ar Home Health Management LLC Home Health 7465 W Lake Mead Blvd Suite 100, Las Vegas, NV 89128 2020-01-14
1114563731 Leslie A Pasternack Acupuncturist Integrated Acupuncture of Southern Nevada, 7250 Peak Dr #106, Las Vegas, NV 89128 2019-11-19
1154977940 Devora Susana Leon-lopez Chore Provider 7320 Smoke Ranch Rd. Ste. H, Las Vegas, NV 89128 2019-08-16
1659924884 Blanca Estela Garnica-mendez Chore Provider 7320 Smoke Ranch Rd. Suite H, Suite H, Las Vegas, NV 89128 2019-07-17
1467913160 Sherwin Necunazar Azad Student in an Organized Health Care Education/Training Program Mountainview Hospital Gme, 3100 N. Tenaya Way, Las Vegas, NV 89128 2019-03-26
1962963801 Michael Richard Korczynski Student in an Organized Health Care Education/Training Program 3100 North Tenaya Way, Las Vegas, NV 89128 2019-03-25
1013477041 Yuanlong Zhao Student in an Organized Health Care Education/Training Program 3100 N Tenaya Way Graduate Medical Education, Las Vegas, NV 89128 2019-03-25
Find all providers in zip 89128

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821554106 Amy Hamilton Physician Assistant 5785 Centennial Center Blvd Ste 190, Las Vegas, NV 89149-7110 2019-02-12
1386145159 Kevin Refahiyat Physician Assistant 7150 S Durango Dr Ste 105, Las Vegas, NV 89113-2242 2018-02-26
1316487325 Nadiya-larissa Bateman Physician Assistant 2809 W Charleston Blvd # 150, Las Vegas, NV 89102-1998 2017-02-24
1760840797 Ying Quan Physician Assistant 2995 S Jones Blvd Ste A, Las Vegas, NV 89146-5612 2016-02-04
1396121646 Lucas Michal Anderson Physician Assistant 9050 W Tropicana Ave, 1159, Las Vegas, NV 89147-8186 2015-08-09
1851631378 Matthew Sanders Physician Assistant 6870 S. Rainbow Blvd, Suite 106, Las Vegas, NV 89118 2013-02-20
1285973289 Jesus Angel Corn Sotelo Physician Assistant 4225 S Eastern Ave Ste 8, Las Vegas, NV 89119-5485 2013-02-11
1952675993 Donald Patrick Mcgrorey Md Pllc Physician Assistant 6440 N Durango Dr Bldg A, Las Vegas, NV 89149-8513 2012-03-07
1508136375 Leigh Richards Boeckle Physician Assistant 9033 W Sahara Ave, Las Vegas, NV 89117 2012-01-10
1225315229 Samantha J Van Ginneken Physician Assistant 8020 S Rainbow Blvd Ste 100, Box #536, Las Vegas, NV 89139-6494 2011-11-04
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Competitor

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City LAS VEGAS
Zip Code 89128

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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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