DR. LEE JONATHAN MARVEN (NPI# 1104020668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104020668 |
| Entity Type | Individual |
| Full Name | DR. LEE JONATHAN MARVEN |
| Credential | M.D. |
| Practice Address |
Cold Creek Road Hwy 95 Southern Desert Correctional Center Indian Springs NV 89018 |
| Mailing Address |
9999 W Katie Ave Suite 1158 Las Vegas NV 89147-8347 |
| Practice Telephone | 7024863888 |
| Mailing Telephone | 7023072699 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 202C00000X | Independent Medical Examiner | 8571 | NV | Allopathic & Osteopathic Physicians |
| Street Address |
COLD CREEK ROAD HWY 95 SOUTHERN DESERT CORRECTIONAL CENTER |
| City | INDIAN SPRINGS |
| State | NV |
| Zip Code | 89018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508342205 | Hope Helping Others Purse Elevation | Community/Behavioral Health | 420 Sky Rd, Unit 31, Indian Springs, NV 89018 | 2018-07-16 |
| 1003306663 | Christina Joy Mason | Counselor | 775 E Winston, Indian Springs, NV 89018 | 2018-05-18 |
| 1841679693 | Irma Prettenhofer | Rehabilitation Practitioner | 310 Boulder Lane, Indian Springs, NV 89018 | 2015-05-27 |
| 1821410614 | Donna Michelle Judd | Counselor | 400 Sky Road, Indian Springs, NV 89018 | 2014-01-13 |
| 1942439476 | Creech Aid Station | Clinic/Center | 2d Street Bldg #54, Indian Springs, NV 89018 | 2009-07-06 |
| 1306080296 | James Christopher Pennington | Emergency Medical Technician, Paramedic | Bldg 1032 Creech Afb, Cafb Medical Aid Station, Indian Springs, NV 89018 | 2009-04-23 |
| 1558994806 | Candace Lee Roshon | Chore Provider | 203 Fisher Ln # 8, Indian Springs, NV 89018-0279 | 2020-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003119389 | Regina Nkomo Moyo | Counselor | 290 Valley View Rd, Indian Springs, AL 35124-3645 | 2010-12-08 |
| 1396954988 | Kenneth Owen Friday | Dentist | 5323 Mountain Park Cir, Indian Springs, AL 35124-3043 | 2007-05-21 |
| Taxonomy Code | 202C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Independent Medical Examiner |
| A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues. |
| Notes: Source: American Board of Independent Medical Examiners, www.abime.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184148231 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 100 N Arlington Ave Ste 240, Reno, NV 89501-1243 | 2017-07-31 |
| 1578005088 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 2110 E Flamingo Rd, Suite #216, Las Vegas, NV 89119-5190 | 2016-11-15 |
| City | INDIAN SPRINGS |
| Zip Code | 89018 |
Please comment or provide details below to improve the information on DR. LEE JONATHAN MARVEN.
| 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.