KRISTENSEN FESTENESE MEDICAL GROUP LLC (NPI# 1316033947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316033947 |
| Entity Type | Organization |
| Organization Name | KRISTENSEN FESTENESE MEDICAL GROUP LLC |
| Practice Address |
8571 W Lake Mead Blvd #120 Las Vegas NV 89128 |
| Practice Telephone | 7023605194 |
| Mailing Telephone | 7023605194 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL SALVATORE FESTENESE (MANAGER) |
| Authorized Official Telephone | 7023605194 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
1002760224 | NV | Ambulatory Health Care Facilities |
| Street Address |
8571 W LAKE MEAD BLVD #120 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043217581 | Michael Salvatore Festenese | Physician Assistant | 8571 W Lake Mead Blvd, Ste #120, Las Vegas, NV 89128-7631 | 2005-06-30 |
| 1770619371 | Marlene Ann Duffy | Chiropractor | 8571 W Lake Mead Blvd, Suite 120, Las Vegas, NV 89128-7644 | 2007-02-26 |
| 1689700262 | James Peter Glasgow | Chiropractor | 8571 W Lake Mead Blvd, Suite 120, Las Vegas, NV 89128-7644 | 2007-02-26 |
| 1205854478 | Shari Klein | Internal Medicine | 8571 W Lake Mead Blvd, #100, Las Vegas, NV 89128-7644 | 2006-07-17 |
| 1861499733 | Anne E. Kristensen | Internal Medicine | 8571 W Lake Mead Blvd, Suite 120, Las Vegas, NV 89128-7644 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374256 | Dmc Medical Clinic Ltd | Family Medicine | 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 | 2020-10-23 |
| 1619589462 | Eldercare Services Lv, LLC | Technician | 8430 W. Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-08-21 |
| 1508477308 | Amneris Lizet Duran-brocato | Technician | 1150 North Buffalo Dr. Apt 2120, Las Vegas, NV 89128 | 2020-08-14 |
| 1366082612 | Ar Home Health Management LLC | Home Health | 7465 W Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-01-14 |
| 1114563731 | Leslie A Pasternack | Acupuncturist | Integrated Acupuncture of Southern Nevada, 7250 Peak Dr #106, Las Vegas, NV 89128 | 2019-11-19 |
| 1154977940 | Devora Susana Leon-lopez | Chore Provider | 7320 Smoke Ranch Rd. Ste. H, Las Vegas, NV 89128 | 2019-08-16 |
| 1659924884 | Blanca Estela Garnica-mendez | Chore Provider | 7320 Smoke Ranch Rd. Suite H, Suite H, Las Vegas, NV 89128 | 2019-07-17 |
| 1467913160 | Sherwin Necunazar Azad | Student in an Organized Health Care Education/Training Program | Mountainview Hospital Gme, 3100 N. Tenaya Way, Las Vegas, NV 89128 | 2019-03-26 |
| 1962963801 | Michael Richard Korczynski | Student in an Organized Health Care Education/Training Program | 3100 North Tenaya Way, Las Vegas, NV 89128 | 2019-03-25 |
| 1013477041 | Yuanlong Zhao | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way Graduate Medical Education, Las Vegas, NV 89128 | 2019-03-25 |
| Find all providers in zip 89128 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1518476068 | Guardian Convenient Clinic | Clinic/Center | 11850 Tevare Ln, Las Vegas, NV 89138-6501 | 2017-09-28 |
| 1467976969 | Activate Healthcare - Local 357 (red) | Clinic/Center | 51 N Pecos Rd Ste 110, Las Vegas, NV 89101-4819 | 2017-07-27 |
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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.