DR. CLINTON DAVID PURVANCE (NPI# 1124026349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124026349 |
| Entity Type | Individual |
| Full Name | DR. CLINTON DAVID PURVANCE |
| Credential | MD |
| Practice Address |
155 Hwy 50 Ste 203 Stateline NV 89449 |
| Mailing Address |
1111 Emerald Bay Rd South Lake Tahoe CA 96150-6207 |
| Practice Telephone | 7755898949 |
| Practice Fax Number | 7755898979 |
| Mailing Telephone | 5305435659 |
| Mailing Fax Number | 5305418723 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2014-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | A68981 | CA | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 9054 | NV | Allopathic & Osteopathic Physicians |
| Street Address |
155 HWY 50 STE 203 |
| City | STATELINE |
| State | NV |
| Zip Code | 89449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124025069 | Paul Lance Marlowe | Family Medicine | 155 Hwy 50, Stateline, NV 89449 | 2005-07-07 |
| 1124334776 | Tahoe Carson Valley Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 155 Hwy 50, Stateline, NV 89449-9800 | 2010-08-20 |
| 1548596513 | Rebecca K Phillipsen | Social Worker | 155 Hwy 50, Stateline, NV 89449 | 2009-10-27 |
| 1629275235 | Tracy Regina Protell | Pediatrics | 155 Hwy 50, Stateline, NV 89449 | 2007-06-27 |
| 1548486699 | Sonia N Rupp | Psychiatry & Neurology | 155 Hwy 50, Stateline, NV 89449 | 2007-04-17 |
| 1760588305 | Jay Chung | Internal Medicine | 155 Hwy 50, Stateline, NV 89449 | 2006-09-14 |
| 1821015553 | Patricia Anne Bucher | Nurse Practitioner | 155 Hwy 50, Stateline, NV 89449 | 2006-07-17 |
| 1760472724 | Michelle Wilkerson Feeney | Nurse Practitioner | 155 Hwy 50, Stateline, NV 89449 | 2005-10-21 |
| 1790784197 | Steven Dale Leman | Emergency Medicine | 155 Hwy 50, Ste 203, Stateline, NV 89449 | 2005-07-18 |
| 1396743878 | Warren Tilden Withers | Emergency Medicine | 155 Hwy 50, Stateline, NV 89449 | 2005-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194294975 | Allison Shima | Home Health | 795 Bigler Ct., Unit B, Stateline, NV 89449 | 2018-11-21 |
| 1093184459 | Amy Payne | Massage Therapist | 301 Highway 50, Stateline, NV 89449 | 2015-09-16 |
| 1871972091 | Tess Jansse | Physical Therapist | 15 Highway 50, Stateline, NV 89449 | 2015-05-20 |
| 1386067437 | Maureen Sullivan | Counselor | 37 Burke Creek Cir, Stateline, NV 89449 | 2014-01-27 |
| 1831401835 | Lucie Ann King | Social Worker | 191 Pine Drive, Stateline, NV 89449 | 2010-07-07 |
| 1134217375 | Sean M Degnan | Specialist | 165 Hwy 50, Suite 100, Stateline, NV 89449 | 2006-10-11 |
| 1124048962 | Richard Eldred Lusby | Dentist | 308 Dorla Court, Suite 202, Zephyr Cove, NV 89449 | 2006-07-21 |
| 1982675252 | Vitalcare Health Services Inc | Durable Medical Equipment & Medical Supplies | 170 Shady Lane, Stateline, NV 89449 | 2006-01-27 |
| 1306333604 | Premise Health of Nevada Medical Hinitt P C | Non-Pharmacy Dispensing Site | 15 Highway 50, Stateline, NV 89449 | 2018-04-23 |
| 1114157179 | Eric J Ewald Jr. | Family Medicine | 155 Highway 50, Stateline, NV 89449 | 2009-07-23 |
| Find all providers in zip 89449 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790784197 | Steven Dale Leman | Emergency Medicine | 155 Hwy 50, Ste 203, Stateline, NV 89449 | 2005-07-18 |
| 1396743878 | Warren Tilden Withers | Emergency Medicine | 155 Hwy 50, Stateline, NV 89449 | 2005-07-08 |
| 1003813882 | Stuart Paine Michelson | Emergency Medicine | 155 Hwy 50, Stateline, NV 89449 | 2005-07-07 |
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|---|---|---|---|---|
| 1578180469 | Athlete Advantage Medical | Emergency Medicine | 6771 W Charleston Blvd Ste B, Las Vegas, NV 89146-9016 | 2020-06-26 |
| 1720602899 | Obhg Nevada PC | Emergency Medicine | 2001 Saint Rose Pkwy, Henderson, NV 89052-3839 | 2020-06-03 |
| 1588219117 | Spring Valley Medical Center | Emergency Medicine | 9217 S Cimarron Rd, Las Vegas, NV 89178 | 2019-08-09 |
| 1689229353 | Sparks Family Hospital Inc | Emergency Medicine | 10290 N Mccarran Blvd, Reno, NV 89503-6855 | 2019-08-08 |
| 1245740133 | Insight Medical Associates LLC | Emergency Medicine | 500 N Rainbow Blvd Ste 300-230, Las Vegas, NV 89107-1082 | 2017-10-04 |
| 1912438763 | Dominic Diprinzio | Emergency Medicine | 901 Ranch Lane, Suite 135, Las Vegas, NV 89106 | 2017-03-23 |
| 1740643998 | Ryan Patrick Casarella | Emergency Medicine | 653 N Town Center Dr # 657, Las Vegas, NV 89144-0514 | 2016-04-04 |
| 1205295276 | Bradford Lee | Emergency Medicine | 500 Edison Way, Reno, NV 89502-4104 | 2016-02-18 |
| 1437548906 | Clinic 21 of Nevada Zyniewicz Pllc | Emergency Medicine | 5216 Boulder Hwy, Suite 105, Las Vegas, NV 89122-6074 | 2015-01-21 |
| 1821417155 | Stace Breland | Emergency Medicine | 2573 Williamsburg St, Henderson, NV 89052-4933 | 2014-04-15 |
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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.