PAUL LONGWORTH (NPI# 1134751209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134751209 |
Entity Type | Individual |
Full Name | PAUL LONGWORTH |
Practice Address |
4505 South Maryland Parkway Las Vegas NV 89154 |
Mailing Address |
8355 Savitar Ave 8355 Savitar Ave Las Vegas NV 89117 |
Practice Telephone | 7028953011 |
Mailing Telephone | 7758485765 |
Enumeration Date | 2020-02-06 |
Last Update Date | 2020-02-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
4505 SOUTH MARYLAND PARKWAY |
City | LAS VEGAS |
State | NV |
Zip Code | 89154 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396381612 | Britney Lillian Alford | Psychologist | University of Nevada Las Vegas, 4505 S. Maryland Parkway, Las Vegas, NV 89154 | 2019-11-21 |
1184151615 | Meghan Nicole Wonderling | Specialist/Technologist | 4505 S. Maryland Pkwy, Box 453034, Las Vegas, NV 89154 | 2017-05-15 |
1750908828 | Unlv Practice | Clinic/Center | 4505 S Maryland Pkwy, Ceb 226, Las Vegas, NV 89154 | 2020-07-06 |
1265854731 | University of Nevada School of Medicine Multispecialty Group Practice | Pediatrics | 4505 S. Maryland Prkway, Room 226, Unlv College of Education, Carlson Education Building, Las Vegas, NV 89154-3001 | 2014-01-17 |
1710106596 | Michelle Rene Dunne | Nurse Practitioner | 4505maryland Parkway, Las Vegas, NV 89154-3020 | 2007-04-24 |
1942578596 | Sue Ellen Schuerman | Physical Therapist | 4505 S Maryland Pkwy, Box 453029, Las Vegas, NV 89154-3029 | 2011-12-12 |
1477698785 | Anthony John House | Specialist/Technologist | 4505 Maryland Parkway, Las Vegas, NV 89154-3034 | 2007-02-21 |
1366802092 | Andrew Rene Martinez | Specialist/Technologist | 4505 Maryland Parkway, Las Vegas, NV 89154-3034 | 2016-02-23 |
1568975753 | Kelli Florio | Specialist/Technologist | 4505 S Maryland Pkwy # 450007, Las Vegas, NV 89154-9900 | 2017-11-09 |
1629596218 | Tedd Girouard | Specialist/Technologist | 4505 S Maryland Pkwy # 3034, Las Vegas, NV 89154-9900 | 2017-09-02 |
Find all providers in zip 89154 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851906440 | David Hernandez | Student in an Organized Health Care Education/Training Program | 1510 Grape Arbor Way, Las Vegas, NV 89142-0669 | 2020-09-10 |
1710591110 | Jessica Celestino | Student in an Organized Health Care Education/Training Program | 6167 Allen Cove Ct, Las Vegas, NV 89148-1799 | 2020-09-02 |
1972127314 | Toyokazu Endo | Student in an Organized Health Care Education/Training Program | 2040 W Charleston Blvd Fl 3, Las Vegas, NV 89102-2227 | 2020-06-01 |
1962025775 | William Taylor Gravley | Student in an Organized Health Care Education/Training Program | 1510 Ruby Cliffs Ln Unit 204, Las Vegas, NV 89144-7015 | 2020-05-27 |
1477174449 | Vishnu Halthore | Student in an Organized Health Care Education/Training Program | 2152 Turquoise Ridge St Unit 205, Las Vegas, NV 89117-5972 | 2020-05-01 |
1417576869 | Jesus Mendez Jr. | Student in an Organized Health Care Education/Training Program | 10962 Pentland Downs St, Las Vegas, NV 89141-3997 | 2020-04-15 |
1124657333 | Daniel Gerardo Arias | Student in an Organized Health Care Education/Training Program | 700 Shadow Ln Ste 400, Las Vegas, NV 89106-4159 | 2020-04-08 |
1659900959 | Connor Wayman | Student in an Organized Health Care Education/Training Program | 6655 S Cimarron Rd, Las Vegas, NV 89113-2180 | 2020-04-07 |
1700413887 | Sameera Baig | Student in an Organized Health Care Education/Training Program | 2880 N. Tenaya Way, Las Vegas, NV 89128-0431 | 2020-03-26 |
1457988537 | Wesley Washington Yim | Student in an Organized Health Care Education/Training Program | 657 N Town Center Dr Ofc, Las Vegas, NV 89144-6367 | 2020-03-26 |
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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.