SANDRA PAGNUSSAT (NPI# 1841491917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841491917 |
| Entity Type | Individual |
| Full Name | SANDRA PAGNUSSAT |
| Other Name | SANDRA CRESPO PAGNUSSAT |
| Credential | M.D. |
| Practice Address |
5580 W Flamingo Rd Las Vegas NV 89103-0111 |
| Mailing Address |
Po Box 15645 Las Vegas NV 89114-5645 |
| Practice Telephone | 7028764449 |
| Practice Fax Number | 7022524906 |
| Mailing Telephone | 7028764449 |
| Mailing Fax Number | 7022524906 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2015-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | ME 112582 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
15845 | NV | Allopathic & Osteopathic Physicians |
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
ME 112582 | FL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | ME 112582 | FL | Allopathic & Osteopathic Physicians |
| N | 2080P0216X |
Pediatrics Specialization: Pediatric Rheumatology |
ME 112582 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | TRN9127 | FL | Student, Health Care |
| Street Address |
5580 W FLAMINGO RD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89103-0111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912978107 | Susan Schuder | Nurse Practitioner | 5580 W Flamingo Rd, Las Vegas, NV 89103-0111 | 2006-01-27 |
| 1730691353 | Jill Maree Rathie | Family Medicine | 5580 W Flamingo Rd, Las Vegas, NV 89103 | 2017-11-05 |
| 1093923526 | Kranthi Veeramachaneni | Pediatrics | 5580 W Flamingo Rd, Las Vegas, NV 89103-0111 | 2007-05-18 |
| 1538132022 | Daniel Malone Jr. | Internal Medicine | 5580 W Flamingo Rd, Las Vegas, NV 89103-0111 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043821671 | New Directions LLC | Counselor | 3651 S Lindell Dr, Ste D15 B, Las Vegas, NV 89103 | 2020-08-17 |
| 1396356929 | A-plus Community Counseling Services LLC | Counselor | 3651 S Lindell Dr Ste D15, Las Vegas, NV 89103 | 2020-08-17 |
| 1437798931 | Las Vegas Diagnostic & Treatment LLC | Neuromusculoskeletal Medicine & OMM | Dpm, 5650 W Flamingo Rd Ste A, Las Vegas, NV 89103 | 2019-12-31 |
| 1033769385 | Maria Yemi Centeno | Technician | 4674 Via Torino, Las Vegas, NV 89103 | 2019-09-18 |
| 1750847869 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3821 W Flamingo Rd, Las Vegas, NV 89103 | 2019-02-13 |
| 1447741905 | Adgold Medical Corp | Durable Medical Equipment & Medical Supplies | 3651 Lindell Rd Ste D536, Las Vegas, NV 89103 | 2018-05-21 |
| 1184138620 | Kiley Ballew | Social Worker | 4425 South Jones, Suite D3, Las Vegas, NV 89103 | 2017-11-20 |
| 1396275988 | Karen Walton | Technician | 5419 W. Tropicana Ave. A2803, Las Vegas, NV 89103 | 2017-06-15 |
| 1760923643 | Shannon-dorothy Austria | Social Worker | 4425 S. Jones, Suite D3, Las Vegas, NV 89103 | 2017-03-13 |
| 1306260583 | Ladonna Smith | Behavioral Analyst | 1126 Tamerck Ave, Las Vegas, NV 89103 | 2014-02-10 |
| Find all providers in zip 89103 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225007032 | Ewa Olech | Internal Medicine | 7200 Cathedral Rock Dr Ste 110, Las Vegas, NV 89128-0439 | 2006-03-15 |
| 1265434716 | Neil A Braunstein | Internal Medicine | 4750 W Oakey Blvd Ste 3a, Las Vegas, NV 89102 | 2005-08-15 |
| 1609876663 | Michael P Colletti Md PC | Internal Medicine | 4580 S Eastern Ave, #29, Las Vegas, NV 89119-6100 | 2005-07-29 |
| 1376543843 | Michael P Colletti Md PC | Internal Medicine | 3085 E Flamingo Rd, Suite A, Las Vegas, NV 89121-4385 | 2005-07-27 |
| 1659928315 | American Arthritis Rheumatology Associates Kelly Nv Pllc | Internal Medicine | 7200 Cathedral Rock Dr Ste 110, Las Vegas, NV 89128-0439 | 2019-08-19 |
| 1891347613 | G. Timothy Kelly Md | Internal Medicine | 7200 Cathedral Rock Dr Ste 110, Las Vegas, NV 89128-0439 | 2019-07-11 |
| 1841577541 | Mckinnon Medical Group, Pllc | Internal Medicine | 7575 W Washington Ave, Suite B, Las Vegas, NV 89128-4333 | 2011-11-08 |
| 1306033931 | Michael Phillip Colletti | Internal Medicine | 4580 S Eastern Ave, #29, Las Vegas, NV 89119-6100 | 2007-09-27 |
| 1366584013 | Michael E Clifford | Internal Medicine | 7151 Cascade Valley Ct, Suite 103, Las Vegas, NV 89128-0496 | 2007-02-12 |
| 1437247699 | Arthritis Medical Clinic | Internal Medicine | 5980 S Rainbow Blvd Ste 100, Las Vegas, NV 89118-4202 | 2006-10-11 |
| Find all providers in LAS VEGAS | ||||
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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.