CARL LEVISEUR (NPI# 1528171709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528171709 |
| Entity Type | Individual |
| Full Name | CARL LEVISEUR |
| Credential | MD |
| Practice Address |
2210 E Calvada Blvd Pahrump NV 89048-5804 |
| Mailing Address |
Po Box 15645 Las Vegas NV 89114-5645 |
| Practice Telephone | 7757276400 |
| Practice Fax Number | 7757277543 |
| Mailing Telephone | 7757276400 |
| Mailing Fax Number | 7757277543 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2017-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5386 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | SMA PTAN | DG732Z | 01 |
| NV | RAILROAD MEDICARE | 080064106 | 01 |
| NV | 002012004 | 05 | |
| NV | ANTHEM BC | NV8844 | 01 |
| Street Address |
2210 E CALVADA BLVD |
| City | PAHRUMP |
| State | NV |
| Zip Code | 89048-5804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962438861 | Mirit Avram | Internal Medicine | 2210 E Calvada Blvd, Pahrump, NV 89048-5804 | 2006-06-23 |
| 1619484797 | Jennifer Barba Mayer | Family Medicine | 2210 E Calvada Blvd, Pahrump, NV 89048-5804 | 2018-01-10 |
| 1043769185 | Royal Bradley | Nurse Practitioner | 2210 E Calvada Blvd, Pahrump, NV 89048 | 2016-09-30 |
| 1811357627 | Jamie Griggs | Registered Nurse | 2210 E Calvada Blvd, Pahrump, NV 89048 | 2016-03-07 |
| 1174825954 | Kathy Lucille Knipp | Physician Assistant | 2210 E Calvada Blvd, Pahrump, NV 89048-5804 | 2010-11-30 |
| 1932367190 | Clifford Tse | Family Medicine | 2210 E Calvada Blvd, Pahrump, NV 89048-5804 | 2008-05-23 |
| 1962614388 | Jim Wang | Family Medicine | 2210 E Calvada Blvd, Pahrump, NV 89048-5804 | 2007-05-06 |
| 1225130768 | Francis Joseph Lacina | Family Medicine | 2210 E Calvada Blvd, Pahrump, NV 89048-5804 | 2006-09-04 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518012624 | Michael A Jonak | Family Medicine | 2780 Homestead Rd Ste 105, Pahrump, NV 89048-5464 | 2007-01-25 |
| 1407915911 | Desert View Family Medical Center | Family Medicine | 1401 S Highway 160, Ste B, Pahrump, NV 89048-4784 | 2006-12-08 |
| 1295781359 | Charles A Wilson | Family Medicine | 1280 E Calvada Blvd, Pahrump, NV 89048-5693 | 2006-05-26 |
| 1871556415 | Edward M Harding | Family Medicine | 360 S Lola Ln Bldg B, Pahrump, NV 89048 | 2006-04-06 |
| 1871590570 | Matthew Bruce Roberson | Family Medicine | 1151 S Nevada Highway 160, Pahrump, NV 89048-4700 | 2005-07-07 |
| 1619427291 | Michael D. Reiner Md | Family Medicine | 1320 E Calvada Blvd, Pahrump, NV 89048-5692 | 2016-10-07 |
| 1104206697 | Jonathan P Navar | Family Medicine | 1397 S Loop Rd, Pahrump, NV 89048-4729 | 2015-06-01 |
| 1912313263 | Karanvir Gupta | Family Medicine | 1397 S Loop Rd, Pahrump, NV 89048-4729 | 2014-07-08 |
| 1134421712 | Canyon Gate Medical Group | Family Medicine | 330 S Lola Ln, Suite# 200, Pahrump, NV 89048-0884 | 2010-12-02 |
| 1841428026 | Marcie Cain | Family Medicine | 1501 E Calvada Blvd, Pahrump, NV 89048-5807 | 2009-06-26 |
| Find all providers in PAHRUMP | ||||
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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.