SUMMIT MEDICAL CENTER (NPI# 1962914242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962914242 |
| Entity Type | Organization |
| Organization Name | SUMMIT MEDICAL CENTER |
| Practice Address |
4440 S Eastern Ave Las Vegas NV 89119-7825 |
| Practice Telephone | 7024760023 |
| Practice Fax Number | 7029733477 |
| Mailing Telephone | 7024760023 |
| Mailing Fax Number | 7029733477 |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2017-10-26 |
| Authorized Official Name | MS. TENESHIA DACHELL SPENCER (CEO/OWNER) |
| Authorized Official Telephone | 7024760023 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1134437114 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992339493 | Summit Medical Center | Anesthesiology | 6350 E 2nd St, Casper, WY 82609-4264 | 2020-02-24 |
| 1356574560 | Summit Medical Center | General Acute Care Hospital | 1800 S. Renaissance Blvd., Edmond, OK 73013-3023 | 2009-09-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SUMMIT MEDICAL CENTER, LLC | 1800 S Renaissance Blvd, Edmond, OK 73013-3023 |
| Street Address |
4440 S EASTERN AVE |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89119-7825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861572802 | Stephen Lee Seldon | Clinic/Center | 4440 S Eastern Ave, Las Vegas, NV 89119-7825 | 2006-10-16 |
| 1639733579 | Clark County Behavioral Health Services LLC | Clinic/Center | 4440 S Eastern Ave, Las Vegas, NV 89119-7825 | 2019-04-25 |
| 1699338087 | Nenita Reyes Lagazo | Registered Nurse | 4440 S Eastern Ave, Las Vegas, NV 89119-7825 | 2019-04-21 |
| 1457813362 | Nevada Mercy and Care Inc | Psychiatry & Neurology | 4440 S Eastern Ave, Las Vegas, NV 89119-7825 | 2019-04-01 |
| 1356806319 | Nevada Mercy and Care Inc | Clinic/Center | 4440 S Eastern Ave, Las Vegas, NV 89119-7825 | 2019-02-04 |
| 1598273807 | Andrey Bogdanov | Community Health Worker | 4440 S Eastern Ave, Las Vegas, NV 89119-7825 | 2018-01-21 |
| 1316459696 | Summit Primary Care & Wellness | Psychiatry & Neurology | 4440 S Eastern Ave, Las Vegas, NV 89119-7825 | 2017-10-26 |
| 1154845626 | Sandra Lee | Community Health Worker | 4440 S Eastern Ave, Las Vegas, NV 89119-7825 | 2017-07-27 |
| 1184147217 | We Care Behavioral Health Agency, LLC | Counselor | 4440 S Eastern Ave, Las Vegas, NV 89119-7825 | 2017-07-20 |
| 1801319934 | We Care Behavioral Health Agency, LLC | Family Medicine | 4440 S Eastern Ave, Las Vegas, NV 89119-7825 | 2017-07-20 |
| Find all providers in the same location | ||||
| 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 | 2084V0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Vascular Neurology |
| Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316459696 | Summit Primary Care & Wellness | Psychiatry & Neurology | 4440 S Eastern Ave, Las Vegas, NV 89119-7825 | 2017-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578194460 | Precision Brain Care Pllc | Psychiatry & Neurology | 5740 River Birch Drive, Reno, NV 89511-4358 | 2020-01-29 |
| 1134437114 | Scott Selco Professional Corporation | Psychiatry & Neurology | 10001 S Eastern Ave, Suite 409, Henderson, NV 89052-3907 | 2010-09-23 |
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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.