Michael J Sanders (NPI# 1063538544, PAC ID# 9234394925) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1063538544 |
| PAC ID by PECOS | 9234394925 |
| Professional Enrollment ID | I20160513000791 |
| Full Name | Michael J Sanders |
| Organization Legal Name | PUEBLO MEDICAL IMAGING, LLC |
| Address |
8551 W Lake Mead Blvd Suite 150 Las Vegas NV 89128-7649 |
| Phone Number | 7022280031 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 2007 |
| 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 |
| 290012 | ST ROSE DOMINICAN HOSPITALS - ROSE DE LIMA CAMPUS |
| 290057 | HENDERSON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3001 Saint Rose Pkwy, Henderson, NV 89052-3839 | 7026165585 | J PAUL WIESNER AND ASSOCIATES CHARTERED |
| 8551 W Lake Mead Blvd, Suite 150, Las Vegas, NV 89128-7649 | 7022280031 | PUEBLO MEDICAL IMAGING, LLC |
| 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% | |
| 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 |
| 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 |
| Matthew Clayton Ripplinger | Diagnostic Radiology | Pueblo Medical Imaging, LLC | 8551 W Lake Mead Blvd, Suite 150, Las Vegas, NV 89128-7649 |
| Street Address |
8551 W LAKE MEAD BLVD SUITE 150 |
| City | LAS VEGAS |
| State | NV |
| Zip | 89128-7649 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leora Lanzkowsky | Diagnostic Radiology | Pueblo Medical Imaging, LLC | 8551 W Lake Mead Blvd, Suite 150, Las Vegas, NV 89128-7649 |
| Jacquline Marisa La Plante | Physical Therapy | New Century Rehabilitation LLC | 8551 W Lake Mead Blvd, Suite 170, Las Vegas, NV 89128-7649 |
| Eleni C Metros | Physical Therapy | New Century Rehabilitation LLC | 8551 W Lake Mead Blvd, Suite 170, Las Vegas, NV 89128-7649 |
| Steven M Sogge | Diagnostic Radiology | Pueblo Medical Imaging, LLC | 8551 W Lake Mead Blvd, Suite 150, Las Vegas, NV 89128-7649 |
| Matthew Clayton Ripplinger | Diagnostic Radiology | Pueblo Medical Imaging, LLC | 8551 W Lake Mead Blvd, Suite 150, Las Vegas, NV 89128-7649 |
| Tyler Craig Boulter | Physical Therapy | New Century Rehabilitation LLC | 8551 W Lake Mead Blvd, Suite 170, Las Vegas, NV 89128-7649 |
| Amanda B Bradford | Physician Assistant | Bernard C Ong, Md, PC | 8551 W Lake Mead Blvd, Suite 251, Las Vegas, NV 89128-7642 |
| John Utley | Podiatry | 8551 W Lake Mead Blvd, Suite 230, Las Vegas, NV 89128-7642 | |
| Margaret E Goodman | Neurology | 8551 W Lake Mead Blvd, Suite 250, Las Vegas, NV 89128-7649 | |
| Alexandra Catheryn Wilson | Physical Therapy | New Century Rehabilitation LLC | 8551 W Lake Mead Blvd, Suite 170, Las Vegas, NV 89128-7649 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica E Pempek | Chiropractic | Ian K Yamane Dc PC | 2851 N Tenay Way, 103 Nevada Rehabilitation Centers, Las Vegas, NV 89128 |
| Spencer J Hubbard | Chiropractic | Ian K Yamane Dc PC | 2851 N Tenay Way, 103 Nevada Rehabilitation Centers, Las Vegas, NV 89128 |
| Craig W Calder | Chiropractic | Ian K Yamane Dc PC | 2851 N Tenay Way, 103 Nevada Rehabilitation Centers, Las Vegas, NV 89128 |
| Sean M Dunleavy | Chiropractic | Ian K Yamane Dc PC | 2851 N Tenay Way, 103 Nevada Rehabilitation Centers, Las Vegas, NV 89128 |
| John T Kenny | Chiropractic | Northwest Health Group Inc | 7398 Smoke Ranch Rd, Las Vegas, NV 89128-0256 |
| Julie T Madgwick | Clinical Social Worker | 7473 W Lake Mead Blvd, Suite 100, Las Vegas, NV 89128-0265 | |
| Theresa L Stempien | Qualified Speech Language Pathologist | 7473 W Lake Mead Blvd, Suite 100, Las Vegas, NV 89128-0265 | |
| Andrea C Radtke | Optometry | Optic Gallery Summerlin, Inc | 7450 W Lake Mead Blvd, Suite 2, Las Vegas, NV 89128-0295 |
| Wess M Jordan | Optometry | Optic Gallery Summerlin, Inc | 7450 W Lake Mead Blvd, Suite 2, Las Vegas, NV 89128-0295 |
| David T Wang | Diagnostic Radiology | Kittusamy LLP | 7500 Smoke Ranch Rd, Suite 100, Las Vegas, NV 89128-0373 |
| Find all physicians in zip 89128 | |||
| City | LAS VEGAS |
| Zip Code | 89128 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | LAS VEGAS + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Michael J Sanders.
| 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.