MARC R BUSH (NPI# 1285701342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285701342 |
| Entity Type | Individual |
| Full Name | MARC R BUSH |
| Credential | M.D. |
| Practice Address |
Montevista Hospital 5900 W Rochelle Ave Las Vegas NV 89103 |
| Mailing Address |
6170 W Lake Mead Blvd # 305 Las Vegas NV 89108-2661 |
| Practice Telephone | 7024778046 |
| Practice Fax Number | 7028732710 |
| Mailing Telephone | 7024778046 |
| Mailing Fax Number | 7028732710 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2010-06-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 6587 | NV | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043391154 | Marc Allen Bush | Physician Assistant | 100 Michigan St. Nw, Suite A721, Grand Rapids, MI 49503 | 2006-10-17 |
| Street Address |
MONTEVISTA HOSPITAL 5900 W ROCHELLE AVE |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043821671 | New Directions LLC | Counselor | 3651 S Lindell Dr, Ste D15 B, Las Vegas, NV 89103 | 2020-08-17 |
| 1396356929 | A-plus Community Counseling Services LLC | Counselor | 3651 S Lindell Dr Ste D15, Las Vegas, NV 89103 | 2020-08-17 |
| 1437798931 | Las Vegas Diagnostic & Treatment LLC | Neuromusculoskeletal Medicine & OMM | Dpm, 5650 W Flamingo Rd Ste A, Las Vegas, NV 89103 | 2019-12-31 |
| 1033769385 | Maria Yemi Centeno | Technician | 4674 Via Torino, Las Vegas, NV 89103 | 2019-09-18 |
| 1750847869 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3821 W Flamingo Rd, Las Vegas, NV 89103 | 2019-02-13 |
| 1447741905 | Adgold Medical Corp | Durable Medical Equipment & Medical Supplies | 3651 Lindell Rd Ste D536, Las Vegas, NV 89103 | 2018-05-21 |
| 1184138620 | Kiley Ballew | Social Worker | 4425 South Jones, Suite D3, Las Vegas, NV 89103 | 2017-11-20 |
| 1396275988 | Karen Walton | Technician | 5419 W. Tropicana Ave. A2803, Las Vegas, NV 89103 | 2017-06-15 |
| 1760923643 | Shannon-dorothy Austria | Social Worker | 4425 S. Jones, Suite D3, Las Vegas, NV 89103 | 2017-03-13 |
| 1306260583 | Ladonna Smith | Behavioral Analyst | 1126 Tamerck Ave, Las Vegas, NV 89103 | 2014-02-10 |
| Find all providers in zip 89103 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281451 | Korn Health Solutions, Pllc | General Practice | 8530 W Sunset Rd Ste 305, Las Vegas, NV 89113-2215 | 2020-10-06 |
| 1740898253 | Cano Health Nevada Pllc | General Practice | 3265 E Tropicana Ave, Las Vegas, NV 89121-7386 | 2020-07-21 |
| 1225530553 | Real Time Physicians, LLC | General Practice | 3855 W Diablo Dr Ste 2, Las Vegas, NV 89118-2343 | 2018-03-02 |
| 1063847317 | Mh Health Care Services, PC | General Practice | 7135 W Sahara Ave Ste 100, C/o Laborers Health Center, Las Vegas, NV 89117-2828 | 2013-09-05 |
| 1386078582 | Richard F Russell | General Practice | 2221 S Tioga Way, Las Vegas, NV 89117-2735 | 2013-08-25 |
| 1790125862 | Ihawa | General Practice | 1504 Couples St, Las Vegas, NV 89128-2155 | 2013-07-03 |
| 1154768620 | Francisco Martinez Villanueva | General Practice | 8652 Grandbank Dr, Las Vegas, NV 89145-4813 | 2013-05-23 |
| 1588900716 | Dean Grant Peterson | General Practice | 3021 Waterside Cir, Las Vegas, NV 89117-2277 | 2012-12-15 |
| 1205182292 | Integrated Medical Group Inc | General Practice | 3230 S Buffalo Dr Ste 105, Las Vegas, NV 89117-2506 | 2012-07-27 |
| 1083970248 | Sebastian Balle | General Practice | 6670 Palmyra Ave, Las Vegas, NV 89146-6539 | 2012-04-02 |
| Find all providers in LAS VEGAS | ||||
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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.