Eric B Biesbroeck (NPI# 1427288265, PAC ID# 2264674613) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1427288265 |
| PAC ID by PECOS | 2264674613 |
| Professional Enrollment ID | I20150424002003 |
| Full Name | Eric B Biesbroeck |
| Organization Legal Name | PUEBLO MEDICAL IMAGING, LLC |
| Address |
2628 W Charleston Blvd Las Vegas NV 89102-2176 |
| Phone Number | 7022280031 |
| Gender | M |
| Medical School | UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialties | NUCLEAR MEDICINE |
| Group Practice PAC ID | 2264328319 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 290045 | ST ROSE DOMINICAN HOSPITALS - SIENA CAMPUS |
| 290053 | ST ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS |
| 290005 | NORTH VISTA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 102 E Lake Mead Pkwy, Henderson, NV 89015-5575 | 7026164585 | J PAUL WIESNER AND ASSOCIATES CHARTERED |
| 3001 Saint Rose Pkwy, Henderson, NV 89052-3839 | 7026165585 | J PAUL WIESNER AND ASSOCIATES CHARTERED |
| 2628 W Charleston Blvd, Las Vegas, NV 89102-2176 | 7022280031 | PUEBLO MEDICAL IMAGING, LLC |
| 5495 S Rainbow Blvd, Suite 101, Las Vegas, NV 89118-1872 | 7022280031 | PUEBLO MEDICAL IMAGING, LLC |
| 600 S Rancho Dr, Suite 102, Las Vegas, NV 89106-4806 | 7029381102 | J PAUL WIESNER AND ASSOCIATES CHARTERED |
| 8280 W Warm Springs Rd, Las Vegas, NV 89113-3612 | 7026165000 | J PAUL WIESNER AND ASSOCIATES CHARTERED |
| 8551 W Lake Mead Blvd, Suite 150, Las Vegas, NV 89128-7649 | 7022280031 | PUEBLO MEDICAL IMAGING, LLC |
| 1409 E Lake Mead Blvd, North Las Vegas, NV 89030-7120 | 7026575507 | J PAUL WIESNER AND ASSOCIATES CHARTERED |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% |
| Organization Legal Name | PUEBLO MEDICAL IMAGING, LLC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Saravanan Valliappan | Diagnostic Radiology | Pueblo Medical Imaging, LLC | 5495 S Rainbow Blvd, Suite 101, Las Vegas, NV 89118-1872 |
| Michael J Sanders | Diagnostic Radiology | Pueblo Medical Imaging, LLC | 8551 W Lake Mead Blvd, Suite 150, Las Vegas, NV 89128-7649 |
| Nader H Beheshti | Diagnostic Radiology | Pueblo Medical Imaging, LLC | 2628 W Charleston Blvd, Las Vegas, NV 89102-2176 |
| Ravishankar S Konchada | Diagnostic Radiology | Pueblo Medical Imaging, LLC | 5495 S Rainbow Blvd, Suite 101, Las Vegas, NV 89118-1872 |
| Matthew M Treinen | Diagnostic Radiology | Pueblo Medical Imaging, LLC | 2628 W Charleston Blvd, Las Vegas, NV 89102-2176 |
| Leora Lanzkowsky | Diagnostic Radiology | Pueblo Medical Imaging, LLC | 8551 W Lake Mead Blvd, Suite 150, Las Vegas, NV 89128-7649 |
| Justin Puopolo | Diagnostic Radiology | Pueblo Medical Imaging, LLC | 2628 W Charleston Blvd, Las Vegas, NV 89102-2176 |
| Steven M Sogge | Diagnostic Radiology | Pueblo Medical Imaging, LLC | 8551 W Lake Mead Blvd, Suite 150, Las Vegas, NV 89128-7649 |
| Joel G Lin | Diagnostic Radiology | Pueblo Medical Imaging, LLC | 2628 W Charleston Blvd, Las Vegas, NV 89102-2176 |
| Dana M Murakami | Diagnostic Radiology | Pueblo Medical Imaging, LLC | 2628 W Charleston Blvd, Las Vegas, NV 89102-2176 |
| Street Address |
2628 W CHARLESTON BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip | 89102-2176 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nader H Beheshti | Diagnostic Radiology | Pueblo Medical Imaging, LLC | 2628 W Charleston Blvd, Las Vegas, NV 89102-2176 |
| Dipti R Shah | Internal Medicine | 2628 W Charleston Blvd, University Urgent Care, Las Vegas, NV 89102-2176 | |
| Matthew M Treinen | Diagnostic Radiology | Pueblo Medical Imaging, LLC | 2628 W Charleston Blvd, Las Vegas, NV 89102-2176 |
| Justin Puopolo | Diagnostic Radiology | Pueblo Medical Imaging, LLC | 2628 W Charleston Blvd, Las Vegas, NV 89102-2176 |
| Joel G Lin | Diagnostic Radiology | Pueblo Medical Imaging, LLC | 2628 W Charleston Blvd, Las Vegas, NV 89102-2176 |
| Dana M Murakami | Diagnostic Radiology | Pueblo Medical Imaging, LLC | 2628 W Charleston Blvd, Las Vegas, NV 89102-2176 |
| Micah K Nielsen | Diagnostic Radiology | Pueblo Medical Imaging, LLC | 2628 W Charleston Blvd, Las Vegas, NV 89102-2176 |
| Michael J Eisenberg | Diagnostic Radiology | Pueblo Medical Imaging, LLC | 2628 W Charleston Blvd, Las Vegas, NV 89102-2176 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Campbell | Nurse Practitioner | 3210 W Charleston Blvd, Suite 2, Las Vegas, NV 89102-0080 | |
| Patrick R Scott | Clinical Social Worker | Mco Legacy LLC | 2801 S Valley View Blvd, Suite 6, Las Vegas, NV 89102-0166 |
| Brendeen Allred Spencer | Clinical Social Worker | Mco Legacy LLC | 2801 S Valley View Blvd, Suite 6, Las Vegas, NV 89102-0166 |
| Joan R Carapucci | Physician Assistant | Mco Legacy LLC | 2801 S Valley View Blvd, Las Vegas, NV 89102-0166 |
| Raymond Harvier | Clinical Social Worker | 2950 S Rancho Dr, Suite 105, Las Vegas, NV 89102-0740 | |
| Chrystal C Taylor | Physician Assistant | Urgent Care Nevada, LLC | 4575 W Charleston A, Urgent Care Extra, Las Vegas, NV 89102-1501 |
| Paul J Thompson | Optometry | 4505 W Charleston Blvd, Las Vegas, NV 89102-1501 | |
| Jarrett P Greer | Emergency Medicine | Urgent Care Nevada, LLC | 4575 W Charleston A, Urgent Care Extra, Las Vegas, NV 89102-1501 |
| Brian W Stark Jr. | Physician Assistant | Urgent Care Nevada, LLC | 4575 W Charleston A, Urgent Care Extra, Las Vegas, NV 89102-1501 |
| Chuang Y Lin | Chiropractic | 4528 W Charleston Blvd, Las Vegas, NV 89102-1502 | |
| Find all physicians in zip 89102 | |||
| City | LAS VEGAS |
| Zip Code | 89102 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | LAS VEGAS + DIAGNOSTIC RADIOLOGY |
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| 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.