PETER ANTOUNE JOSEPH BOU-DAHER (NPI# 1285821470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285821470 |
| Entity Type | Individual |
| Full Name | PETER ANTOUNE JOSEPH BOU-DAHER |
| Credential | PA-C |
| Practice Address |
1280 E Calvada Blvd Pahrump NV 89048-5693 |
| Mailing Address |
Po Box 98978 Las Vegas NV 89193-8978 |
| Practice Telephone | 7757513377 |
| Practice Fax Number | 7757512323 |
| Mailing Telephone | 7022163346 |
| Mailing Fax Number | 7026716883 |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2015-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA1069 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1285821470 | 05 |
| Street Address |
1280 E CALVADA BLVD |
| City | PAHRUMP |
| State | NV |
| Zip Code | 89048-5693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295781359 | Charles A Wilson | Family Medicine | 1280 E Calvada Blvd, Pahrump, NV 89048-5693 | 2006-05-26 |
| 1124689690 | Kayla Sue Bonzo | Social Worker | 1280 E Calvada Blvd, Pahrump, NV 89048-5693 | 2019-06-25 |
| 1366917767 | John Sorget | Case Manager/Care Coordinator | 1280 E Calvada Blvd, Pahrump, NV 89048 | 2018-10-11 |
| 1811483522 | Tmhc Inc | Counselor | 1280 E Calvada Blvd, Pahrump, NV 89048-5693 | 2018-07-05 |
| 1619305828 | Samuel Simmons | Physician Assistant | 1280 E Calvada Blvd, Pahrump, NV 89048-5693 | 2013-10-25 |
| 1275799819 | Saira Beg | Family Medicine | 1280 E Calvada Blvd, Ste. 200, Pahrump, NV 89048-5693 | 2008-08-04 |
| 1215193784 | Troy Jesse Schumacher | Family Medicine | 1280 E Calvada Blvd, Pahrump, NV 89048-5693 | 2008-08-04 |
| 1801912985 | Sandra Jean Smith | Family Medicine | 1280 E Calvada Blvd, Pahrump, NV 89048-5693 | 2007-03-21 |
| 1013929843 | Georges Tannoury Md Professional Corporation | Family Medicine | 1280 E Calvada Blvd, Pahrump, NV 89048-5693 | 2006-08-12 |
| 1861432718 | Irene Kiyo Barnett | Internal Medicine | 1280 E Calvada Blvd, Pahrump, NV 89048-5693 | 2006-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550577 | Adela Madueno | Technician | 1321 S. Highway 160 Ste. 10b, Pahrump, NV 89048 | 2020-08-27 |
| 1295363232 | Desert River PCa | Home Health Aide | 1890, S Mount Charleston Rd W, Pahrump, NV 89048 | 2020-03-27 |
| 1720628530 | Jeannie Gutierrez | Registered Nurse | 240 S Humahuaca, Pahrump, NV 89048 | 2020-01-09 |
| 1689214686 | Jennifer Leigh Dion | Rehabilitation Counselor | 240 S. Humahuaca Rural Clinics Parhrump, Pahrump, NV 89048 | 2020-01-08 |
| 1679119069 | Pahrump Internal Medicine | Internal Medicine | 3370 S State Highway 160, Ste 10, Pahrump, NV 89048 | 2019-11-21 |
| 1417599184 | Silver State Health Services | Clinic/Center | 951 E Honeysuckle St, Pahrump, NV 89048 | 2019-10-14 |
| 1447892369 | Leanna Claney | Home Health Aide | 1321 S. Highway 160, Suite 10b, Pahrump, NV 89048 | 2019-10-11 |
| 1154972776 | Transforming Lives Completely LLC | Counselor | 3340 S Highway St, Suite 201, Pahrump, NV 89048 | 2019-09-25 |
| 1669022992 | Stepheni J. Nelson | Technician | 1321 South Highway 160 Suite 10b, Pahrump, NV 89048 | 2019-09-18 |
| 1437709045 | Ohana Home Care, LLC | In Home Supportive Care | 1321 South Highway 160, Ste. 10b, Pahrump, NV 89048 | 2019-09-16 |
| Find all providers in zip 89048 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477655223 | Michael Roos | Physician Assistant | 1420 E Calvada Blvd Ste 100, Pahrump, NV 89048-3975 | 2006-09-02 |
| 1063989606 | M Roberson Md PC | Physician Assistant | 1151 S Nevada Highway 160, Pahrump, NV 89048 | 2018-11-01 |
| 1619327764 | Aaron Taylor Powell | Physician Assistant | 1501 E Calvada Blvd, Pahrump, NV 89048-5807 | 2016-06-20 |
| 1598036931 | Danielle Ann Ybarra | Physician Assistant | 1501 E Calvada Blvd, Pahrump, NV 89048-5807 | 2012-01-17 |
| 1144491143 | Ha T Le | Physician Assistant | 1501 E Calvada Blvd, Pahrump, NV 89048-5807 | 2008-03-18 |
| 1932246931 | Donald H Taylor | Physician Assistant | 1401 S Highway 160, Suite B, Pahrump, NV 89048-4784 | 2007-01-30 |
| 1235207523 | David R Armitage | Physician Assistant | 1501 E Calvada Blvd, Pahrump, NV 89048-5807 | 2006-12-02 |
| 1003929415 | William Joseph Carle | Physician Assistant | 2100 E Calvada Blvd, Pahrump, NV 89048-5805 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281667 | Gina Won Lee | Physician Assistant | 4340 Simmons St Ste 102, North Las Vegas, NV 89032-3222 | 2020-10-05 |
| 1821554106 | Amy Hamilton | Physician Assistant | 5785 Centennial Center Blvd Ste 190, Las Vegas, NV 89149-7110 | 2019-02-12 |
| 1386145159 | Kevin Refahiyat | Physician Assistant | 7150 S Durango Dr Ste 105, Las Vegas, NV 89113-2242 | 2018-02-26 |
| 1316487325 | Nadiya-larissa Bateman | Physician Assistant | 2809 W Charleston Blvd # 150, Las Vegas, NV 89102-1998 | 2017-02-24 |
| 1811346901 | Rodney Briggs | Physician Assistant | 1925 Whipple Ave. Ste. 30, Logandale, NV 89027 | 2016-06-08 |
| 1285093989 | Lauren Ashley Colpo | Physician Assistant | 4760 Townsite Rd, Reno, NV 89511-9067 | 2016-02-23 |
| 1760840797 | Ying Quan | Physician Assistant | 2995 S Jones Blvd Ste A, Las Vegas, NV 89146-5612 | 2016-02-04 |
| 1396121646 | Lucas Michal Anderson | Physician Assistant | 9050 W Tropicana Ave, 1159, Las Vegas, NV 89147-8186 | 2015-08-09 |
| 1144618349 | Dinesh Bharwani | Physician Assistant | 270 West Lake Mead Parkway, Southwest Medical Associates, Henderson, NV 89015 | 2014-12-23 |
| 1285057562 | Elena Zalan | Physician Assistant | 75 S Valle Verde Dr, Suite 100, Henderson, NV 89012-3462 | 2014-01-22 |
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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.