TERRA L FONSECA (NPI# 1336539931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336539931 |
| Entity Type | Individual |
| Full Name | TERRA L FONSECA |
| Credential | PA-C |
| Practice Address |
8530 W Sunset Rd Ste 250 Las Vegas NV 89113-2245 |
| Mailing Address |
8530 W Sunset Rd Ste 250 Las Vegas NV 89113-2245 |
| Practice Telephone | (702) 851-0792 |
| Practice Fax Number | 7028510797 |
| Mailing Telephone | (702) 851-0792 |
| Mailing Fax Number | 7028510797 |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA1603 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1336539931 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4160 S Pecos Rd, #10, Las Vegas, NV 891215025 | 7024547311 |
| Street Address |
8530 W SUNSET RD STE 250 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89113-2245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841581527 | Efrem Michael Cox | Neurological Surgery | 8530 W Sunset Rd Ste 250, Las Vegas, NV 89113-2245 | 2011-04-28 |
| 1013472539 | Seiff Professional Services Pllc | Electrodiagnostic Medicine | 8530 W Sunset Rd Ste 250, Las Vegas, NV 89113-2245 | 2019-02-08 |
| 1649777608 | Duke Forage Anson Neurosurgical LLP | Neurological Surgery | 8530 W Sunset Rd Ste 250, Las Vegas, NV 89113-2245 | 2018-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951121 | Trang Thu Tran | Pharmacist | 7200 Arroyo Crossing Parkway, Las Vegas, NV 89113 | 2020-10-30 |
| 1457966293 | Cory Alexander Stattelman | Physical Medicine & Rehabilitation | 5575 N Durango Dr Suite 111, Las Vegas, NV 89113 | 2020-09-09 |
| 1477170801 | Hailey Eileen Wilson | Behavior Technician | 5575 S Durango Dr #102, Las Vegas, NV 89113 | 2020-07-01 |
| 1295385078 | Dominica Zaragoza | Technician | 711 S. Durango Dr, Las Vegas, NV 89113 | 2019-09-13 |
| 1831742758 | Lyass PC A Professional Medical Corp | Clinic/Center | 5950 S. Durgango Dr, Suite 100, Las Vegas, CA 89113 | 2019-07-19 |
| 1932679529 | Kiara Hayden | Rehabilitation Practitioner | 5509 Lonesome Biker Lane, Las Vegas, NV 89113 | 2018-11-27 |
| 1437631876 | James Eugene Hightower | Community Health Worker | 7455 Arroyo Crossing Pkwy Suite 220, Las Vegas, NV 89113 | 2018-09-01 |
| 1356822282 | Warda Ali | Nurse Practitioner | 8738 Pinley Spring St, Las Vegas, NV 89113 | 2018-08-28 |
| 1063992949 | Endure Recovery Services LLC | Counselor | 3087 E. Warm Srpings, Suite 200, Las Vegas, NV 89113 | 2018-08-20 |
| 1134635097 | Mivip Regional Surgery Center | Clinic/Center | 5950 S Durango Dr Ste 101, Las Vegas, NV 89113 | 2017-12-14 |
| Find all providers in zip 89113 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453186 | High Cotton LLC | Physician Assistant | 7995 Blue Diamond Rd Ste 102-356, Las Vegas, NV 89178-9301 | 2020-10-06 |
| 1427591759 | Eduardo Delatorre | Physician Assistant | 7978 Coronado Coast St, Las Vegas, NV 89139-6192 | 2016-11-17 |
| 1992130181 | Jason Michael Hall | Physician Assistant | 7385 S Pecos Rd Ste 101, Las Vegas, NV 89120-3768 | 2013-09-06 |
| 1790024164 | Rachelle L Kidd | Physician Assistant | 9162 Ballineen Ct, Las Vegas, NV 89148-4946 | 2013-02-05 |
| 1104162643 | David J Barth P.C. | Physician Assistant | 5455 S Fort Apache Rd Ste 108-9, Las Vegas, NV 89148-6408 | 2013-01-02 |
| 1184977555 | Luke V. Desjarlais, Pllc | Physician Assistant | 9035 Westchester Hill Ave, Las Vegas, NV 89148-4926 | 2012-10-22 |
| 1598023954 | Ronald Lavor Moon | Physician Assistant | 9806 Red Deer St, Las Vegas, NV 89143 | 2012-04-23 |
| 1720319890 | Tiffany Ann Teepen | Physician Assistant | 8420 W Warm Springs Rd # 100, Las Vegas, NV 89113-3624 | 2010-01-28 |
| 1093046963 | Physician Assistant Surgical Specialists | Physician Assistant | 8979 Haviland Rd, Las Vegas, NV 89123-0617 | 2010-01-16 |
| 1578745667 | Jonna Erin Dewaal | Physician Assistant | 3308 Crystal Tower St, Las Vegas, NV 89129-8141 | 2007-11-29 |
| 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.