RONALD RENY DAMPOG (NPI# 1528563467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528563467 |
| Entity Type | Individual |
| Full Name | RONALD RENY DAMPOG |
| Credential | APRN |
| Practice Address |
10624 S Eastern Ave # A-955 Henderson NV 89052-2982 |
| Practice Telephone | 7028005393 |
| Practice Fax Number | 7024077016 |
| Mailing Telephone | 7028005393 |
| Mailing Fax Number | 7024077016 |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2019-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
APRN002825 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10624 S Eastern Ave # A-955, Henderson, NV 890522982 | 7028005393 | 7024077016 |
| Street Address |
10624 S EASTERN AVE # A-955 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-2982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467425884 | Katherine Lynn Mcclanahan | Internal Medicine | 10624 S Eastern Ave # A-955, Henderson, NV 89052-2982 | 2006-02-08 |
| 1346855087 | Emil Almachar | Nurse Practitioner | 10624 S Eastern Ave # A-955, Henderson, NV 89052-2982 | 2020-09-10 |
| 1497395206 | Amanda Michelle Cowan | Registered Nurse | 10624 S Eastern Ave # A-955, Henderson, NV 89052-2982 | 2020-01-09 |
| 1699332015 | John Ray Torres | Nurse Practitioner | 10624 S Eastern Ave # A-955, Henderson, NV 89052-2982 | 2019-05-21 |
| 1922567619 | Theresa Elizabeth Gordon | Nurse Practitioner | 10624 S Eastern Ave # A-955, Henderson, NV 89052-2982 | 2019-03-13 |
| 1578029187 | Belinda Fay Ancheta | Nurse Practitioner | 10624 S Eastern Ave # A-955, Henderson, NV 89052-2982 | 2019-02-19 |
| 1942766001 | Manal Jourdan | Registered Nurse | 10624 S Eastern Ave # A-955, Henderson, NV 89052-2982 | 2019-02-13 |
| 1326519919 | Alisa Musante | Nurse Practitioner | 10624 S Eastern Ave # A-955, Henderson, NV 89052-2982 | 2018-12-08 |
| 1063983682 | Christina Galon | Nurse Practitioner | 10624 S Eastern Ave # A-955, Henderson, NV 89052-2982 | 2018-12-07 |
| 1558858928 | Nerissa S Torio | Nurse Practitioner | 10624 S Eastern Ave # A-955, Henderson, NV 89052-2982 | 2018-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| Find all providers in zip 89052 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821620469 | Camatchy Radjassegarane | Nurse Practitioner | 2653 Bad Rock Cir, Henderson, NV 89052-1000 | 2020-02-11 |
| 1124446943 | Jean Stevenson | Nurse Practitioner | 1001 Las Palmas Entrada Ave, Apt. 2909, Henderson, NV 89012-4486 | 2014-03-29 |
| 1952917833 | Kimberly Alison-maribbay Badiola | Nurse Practitioner | 291 N Pecos Rd, Henderson, NV 89074-1918 | 2020-09-16 |
| 1386260792 | Anew Family Medical Pllc | Nurse Practitioner | 111 Front St, Henderson, TN 38340-2313 | 2020-06-22 |
| 1346866019 | Tri-star Primary Care LLC | Nurse Practitioner | 10624 S Eastern Ave Ste H, Henderson, NV 89052-2983 | 2020-06-18 |
| 1588288617 | Sierra Wellness LLC | Nurse Practitioner | 1694 Wicklow Way, Henderson, NV 89014-6048 | 2020-06-04 |
| 1346887809 | Jessica Annekathleen Miller | Nurse Practitioner | 291 N Pecos Rd, Henderson, NV 89074-1918 | 2019-12-04 |
| 1083190789 | Vitalina Adamchevska | Nurse Practitioner | 870 Seven Hills Dr Ste 202, Henderson, NV 89052-4379 | 2018-07-16 |
| 1366943227 | Casa Medical Hospitalist LLC | Nurse Practitioner | 871 Coronado Center Dr Ste 200, Henderson, NV 89052-3977 | 2018-02-26 |
| 1609394840 | Owensboro Health Medical Group, Inc. | Nurse Practitioner | 1200 Barrett Blvd, Henderson, KY 42420-4950 | 2017-09-08 |
| Find all providers in HENDERSON | ||||
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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.