CLARENCE MICHAEL DUNAGAN IV (NPI# 1972505675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972505675 |
| Entity Type | Individual |
| Full Name | CLARENCE MICHAEL DUNAGAN IV |
| Credential | MD |
| Practice Address |
3100 N Tenaya Way Las Vegas NV 89128-0436 |
| Mailing Address |
9229 Lbj Fwy Ste 250 Dallas TX 75243-3405 |
| Practice Telephone | 9729153600 |
| Practice Fax Number | 9729153636 |
| Mailing Telephone | 8003460747 |
| Mailing Fax Number | 9727392638 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2010-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
11088 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100503752 | 05 |
| Street Address |
3100 N TENAYA WAY |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89128-0436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021175 | Dana L Trippi | Emergency Medicine | 3100 N Tenaya Way, Las Vegas, NV 89128-0436 | 2005-05-23 |
| 1255960191 | Ara G Amirkhanian | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way, Las Vegas, NV 89128-0436 | 2020-04-03 |
| 1497384283 | Tyler B Miller | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way, Las Vegas, NV 89128-0436 | 2020-04-03 |
| 1043848146 | Nathaly Quinteros | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way, Las Vegas, NV 89128-0436 | 2020-04-01 |
| 1477181568 | Connor Alfred Frost | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way, Las Vegas, NV 89128-0436 | 2020-04-01 |
| 1992333207 | Adrian Christopher Espe Dris | Registered Nurse | 3100 N Tenaya Way, Las Vegas, NV 89128-0436 | 2020-03-31 |
| 1427686104 | Aushin Francis | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way, Graduate Medical Education, Las Vegas, NV 89128-0431 | 2020-03-30 |
| 1588292197 | Gunnar Lyle Whealy | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way, Las Vegas, NV 89128-0436 | 2020-03-30 |
| 1801424577 | Richard Liang Wang | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way, Las Vegas, NV 89128-0436 | 2020-03-30 |
| 1558999243 | Neal Kwame Ekpoudia | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way, Las Vegas, NV 89128-0436 | 2020-03-30 |
| Find all providers in the same location | ||||
| 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 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 |
| 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 |
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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.