John R Henner
FREMONT EMERGENCY SERVICES MANDAVIA LTD


Address: 3325 S Fort Apache Rd, Las Vegas, NV 89117-6360
Phone: 7029620500

John R Henner (NPI# 1376545954, PAC ID# 0547201774) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1376545954
PAC ID by PECOS 0547201774
Professional Enrollment ID I20050518000879
Full Name John R Henner
Organization Legal Name FREMONT EMERGENCY SERVICES MANDAVIA LTD
Address 3325 S Fort Apache Rd
Las Vegas
NV 89117-6360
Phone Number 7029620500
Gender M
Credential DO
Medical School CHICAGO COLLEGE OF OSTEOPATHY
Graduation Year 1998
Primary Specialty EMERGENCY MEDICINE
Group Practice PAC ID 4880684554
Number of Group Practice Members 61
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
290047 SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER

Other Locations

Address Phone Organization
3325 S Fort Apache Rd, Las Vegas, NV 89117-6360 7029620500 FREMONT EMERGENCY SERVICES MANDAVIA LTD
9300 W Sunset Rd, Las Vegas, NV 89148-4844 7028802800 FREMONT EMERGENCY SERVICES MANDAVIA LTD

Organization Information

Organization Legal Name FREMONT EMERGENCY SERVICES MANDAVIA LTD
Physicians 65

Physicians with the same organization

Name Specialty Organization Address
Jaime Jessica Primerano Emergency Medicine Fremont Emergency Services Mandavia Ltd 3100 N Tenaya Way, Las Vegas, NV 89128-0436
Michael Tang Emergency Medicine Fremont Emergency Services Mandavia Ltd 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317
John Patrick-neafsey Jobes Emergency Medicine Fremont Emergency Services Mandavia Ltd 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317
Jon J Juhasz Emergency Medicine Fremont Emergency Services Mandavia Ltd 3100 N Tenaya Way, Las Vegas, NV 89128-0436
Joeann K Leong Emergency Medicine Fremont Emergency Services Mandavia Ltd 9300 W Sunset Rd, Las Vegas, NV 89148-4844
Suzanne M Roozendaal Emergency Medicine Fremont Emergency Services Mandavia Ltd 3100 N Tenaya Way, Las Vegas, NV 89128-0436
Patrick H Flores Emergency Medicine Fremont Emergency Services Mandavia Ltd 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317
Mark Alan Macedo Emergency Medicine Fremont Emergency Services Mandavia Ltd 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317
Heidi A Kabler Emergency Medicine Fremont Emergency Services Mandavia Ltd 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317
Adam Berkovits Emergency Medicine Fremont Emergency Services Mandavia Ltd 3100 N Tenaya Way, Las Vegas, NV 89128-0436

Office Location

Street Address 3325 S FORT APACHE RD
City LAS VEGAS
State NV
Zip 89117-6360

Physicians in the same zip code

Name Specialty Organization Address
William H Baumgartl Anesthesiology 1541 Windhaven Cir, Las Vegas, NV 89117-1532
Saritha L Farris Clinical Social Worker 7351 W Charleston Blvd, Suite 140, Las Vegas, NV 89117-1572
Aaron E Bomer Clinical Social Worker 7351 W Charleston Blvd, Suite 140, Las Vegas, NV 89117-1572
Joseph E Dipalma Internal Medicine 7341 W Charleston Blvd, Suite 120, Las Vegas, NV 89117-1573
Kathleen L Risdon Clinical Social Worker 7371 W Charleston Blvd, Suite 110, Las Vegas, NV 89117-1575
Maria A Giacalone Chiropractic 7341 W Charleston Blvd, Suite 170, Las Vegas, NV 89117-1578
Michelle A Gravley Clinical Psychologist Michelle Gravley, P.C. 7221 W Charleston Blvd, Las Vegas, NV 89117-1619
Russell P Jayne Ophthalmology 6839 W Charleston Blvd, Las Vegas, NV 89117-1635
Juliet Ruiz Clinical Social Worker 6867 W Charleston Blvd, Suite B, Las Vegas, NV 89117-1669
Charles G Mahakian Psychiatry 6881 W Charleston Blvd, Suite B, Las Vegas, NV 89117-1673
Find all physicians in zip 89117

Competitor

Search similar physicians

City LAS VEGAS
Zip Code 89117
Specialty EMERGENCY MEDICINE
City + Specialty LAS VEGAS + EMERGENCY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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