PREMISE HEALTH OF NEVADA MEDICAL HINITT P C (NPI# 1306333604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306333604 |
| Entity Type | Organization |
| Organization Name | PREMISE HEALTH OF NEVADA MEDICAL HINITT P C |
| Other Organization Name | CAESARS LAKE TAHOE HEALTH & WELLNESS CENTER |
| Practice Address |
15 Highway 50 Stateline NV 89449 |
| Mailing Address |
5500 Maryland Way Ste 400 Brentwood TN 37027-7048 |
| Practice Telephone | 7755865000 |
| Practice Fax Number | 7755865055 |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2019-04-01 |
| Authorized Official Name | DR. STEVEN A HINITT (PRESIDENT) |
| Authorized Official Telephone | 6154686248 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | PD00694 | NV | Suppliers |
| Other Name | Type Code |
|---|---|
| Caesars Lake Tahoe Health & Wellness Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463266 | Premise Health of Nevada Medical Hinitt P C | Clinic/Center | 100 Carson Rd # 2, Battle Mountain, NV 89820-2311 | 2020-10-06 |
| 1639473317 | Premise Health of Nevada Medical Hinitt P C | Clinic/Center | 3061 S. Maryland Pkwy # 101, Las Vegas, NV 89109-2298 | 2011-01-10 |
| 1497987762 | Premise Health of Nevada Medical Hinitt P C | Clinic/Center | Hwy 50 & Stateline St, Stateline, NV 89449-0000 | 2009-08-19 |
| 1437185105 | Premise Health of Nevada Medical Hinitt P C | Family Medicine | 515 W Haskell St, Winnemucca, NV 89445-3782 | 2006-06-24 |
| 1801383096 | Premise Health of Nevada Medical Hinitt P C | Non-Pharmacy Dispensing Site | 4100 W Flamingo Rd Ste 2100, Las Vegas, NV 89103-3926 | 2018-04-13 |
| 1164919353 | Premise Health of Nevada Medical Hinitt P C | Non-Pharmacy Dispensing Site | 4100 W Flamingo Rd Ste 2100, Las Vegas, NV 89103-3926 | 2018-04-13 |
| 1477927028 | Premise Health of Nevada Medical Hinitt P C | Clinic/Center | 1111 N Town Center Dr, Las Vegas, NV 89144-6364 | 2015-11-19 |
| 1700017787 | Premise Health of Nevada Medical Hinitt P C | Clinic/Center | 4100 W Flamingo Rd Ste 2100, Las Vegas, NV 89103-3926 | 2009-08-07 |
| 1023172277 | Premise Health of Nevada Medical Hinitt P C | Family Medicine | 810 N Diers Ave, Grand Island, NE 68803-4968 | 2006-12-21 |
| 1982708574 | Premise Health of Nevada Medical Hinitt P C | Family Medicine | 1993 Errecart Blvd, Elko, NV 89801-8334 | 2006-09-12 |
| Street Address |
15 HIGHWAY 50 |
| City | STATELINE |
| State | NV |
| Zip Code | 89449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871972091 | Tess Jansse | Physical Therapist | 15 Highway 50, Stateline, NV 89449 | 2015-05-20 |
| 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 |
| 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 |
| 1124025069 | Paul Lance Marlowe | Family Medicine | 155 Hwy 50, Stateline, NV 89449 | 2005-07-07 |
| 1548596513 | Rebecca K Phillipsen | Social Worker | 155 Hwy 50, Stateline, NV 89449 | 2009-10-27 |
| 1114157179 | Eric J Ewald Jr. | Family Medicine | 155 Highway 50, Stateline, NV 89449 | 2009-07-23 |
| Find all providers in zip 89449 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902364920 | Vaccine Hippo, Inc. | Non-Pharmacy Dispensing Site | 10040 W Cheyenne Ave Ste 170-146, Las Vegas, NV 89129-7719 | 2019-03-08 |
| 1952829673 | Jonathan R. Sorelle, Md., Pllc | Non-Pharmacy Dispensing Site | 9080 W Post Rd # 200, Las Vegas, NV 89148-2419 | 2017-09-01 |
| 1437670122 | Harold Zilberman Md Chartered | Non-Pharmacy Dispensing Site | 3201 S Maryland Pkwy Ste 608, Las Vegas, NV 89109-2428 | 2017-07-03 |
| 1710429634 | Robert G. Berry Ltd - Ortho Rehab Specialists of Nevada | Non-Pharmacy Dispensing Site | 6630a S Mccarran Blvd # 4, Reno, NV 89509-6135 | 2016-11-09 |
| 1447701321 | Community Health Alliance | Non-Pharmacy Dispensing Site | 335 Record St Ste 254, Reno, NV 89512-3327 | 2016-10-17 |
| 1891163770 | Leo J. Capobianco, D.o., Ltd. | Non-Pharmacy Dispensing Site | 1371 W Warm Springs Rd Ste 120, Henderson, NV 89014-8068 | 2015-09-09 |
| 1558762120 | Wealthwise Inc | Non-Pharmacy Dispensing Site | 8493 Indigo Harbor Ave, Las Vegas, NV 89117-9166 | 2014-09-14 |
| 1275957136 | Pac Lp | Non-Pharmacy Dispensing Site | 9465 W Post Road, Suite 1068, Las Vegas, NV 89148-5786 | 2014-02-13 |
| 1013355072 | Kirkman Group, Inc. | Non-Pharmacy Dispensing Site | 10639 Professional Cir, Reno, NV 89521-5850 | 2013-06-11 |
| 1518224971 | Doctor Dispense, LLC | Non-Pharmacy Dispensing Site | 5910 Alpha Ave, Suite A, Reno, NV 89506-1296 | 2012-04-23 |
| Find all providers with the same taxonomy | ||||
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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.