BENNETT MITCHELL (NPI# 1639140205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639140205 |
| Entity Type | Individual |
| Full Name | BENNETT MITCHELL |
| Credential | MD |
| Practice Address |
2225 Civic Center Dr North Las Vegas NV 89030-6338 |
| Mailing Address |
Po Box 15645 Las Vegas NV 89114-5645 |
| Practice Telephone | 7028775319 |
| Practice Fax Number | 7022590128 |
| Mailing Telephone | 7028775199 |
| Mailing Fax Number | 7022590128 |
| Enumeration Date | 2006-01-31 |
| 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 | 7323 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1639140205 | 05 | |
| NV | 2019532 | 05 |
| Street Address |
2225 CIVIC CENTER DR |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89030-6338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316946593 | Joanne Leovy | Family Medicine | 2225 Civic Center Dr, Suite 224, North Las Vegas, NV 89030-6338 | 2005-07-19 |
| 1124433610 | Jinsy Anne Jacob | Pediatrics | 2225 Civic Center Dr, Suite 224, North Las Vegas, NV 89030-6338 | 2014-06-24 |
| 1801116835 | Health Concepts Inc. | Dentist | 2225 Civic Center Dr, North Las Vegas, NV 89030-6328 | 2010-06-01 |
| 1164746772 | Golnaz R Alemi | Obstetrics & Gynecology | 2225 Civic Center Dr, Suite 224, North Las Vegas, NV 89030-6338 | 2010-03-25 |
| 1558523118 | Tiffiny M Grace | Pediatrics | 2225 Civic Center Dr, North Las Vegas, NV 89030-6338 | 2008-06-25 |
| 1457546707 | Sharon W. Froese | Registered Nurse | 2225 Civic Center Dr, Ste. 230, North Las Vegas, NV 89030-6338 | 2007-09-10 |
| 1780878751 | Michael Hughes | Physician Assistant | 2225 Civic Center Dr, North Las Vegas, NV 89030-6338 | 2007-08-31 |
| 1497820500 | Nevada Health Centers, Inc. | Clinic/Center | 2225 Civic Center Dr, Suite 224, North Las Vegas, NV 89030-6328 | 2006-11-22 |
| 1740297878 | Tamina Mcmillan | Pediatrics | 2225 Civic Center Dr, Suite 224, North Las Vegas, NV 89030-6328 | 2006-08-02 |
| 1992783641 | Basia P Yakaitis | Obstetrics & Gynecology | 2225 Civic Center Dr, Suite 224, North Las Vegas, NV 89030-6338 | 2006-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819063 | Ma Guadalupe Ramos Michel | Technician | 2415 Reynolds Ave #101, Las Vegas, NV 89030 | 2020-10-21 |
| 1558968214 | Arturo Juarez Magana | Technician | 2415 Reynolds Ave Suite 101, Las Vegas, NV 89030 | 2020-10-06 |
| 1669088407 | Olivia Lizbeth Santillan-trinidad | Technician | 2415 Reynolds Ave. Ste #101, Las Vegas, NV 89030 | 2020-09-17 |
| 1508471640 | Fabian Aaron Alvarado-perales | Technician | 2415 Reynolds Ave Ste. 101, Las Vegas, NV 89030 | 2020-09-15 |
| 1063047934 | Adriana Lopez | Technician | 2415 Reynolds Ave., Ste 100, N. Las Vegas, NV 89030 | 2020-03-11 |
| 1881234078 | Blanca E Rangel Silva | Technician | 2810 Equador Ct, Las Vegas, NV 89030 | 2020-01-15 |
| 1598314445 | Julia Gonzalez | Technician | 2415 Reynolds Ave Suiete 100, Las Vegas, NV 89030 | 2019-09-04 |
| 1487201901 | Mayra Gutierrez | Technician | 2415 Reynolds Av. #100, Las Vegas, NV 89030 | 2019-08-20 |
| 1639725799 | Idalia Ruiz | Technician | 2415 Reynolds Ave, Las Vegas, NV 89030 | 2019-08-14 |
| 1548815616 | Rd Prabhu-lata K Shete Mds Ltd | Clinic/Center | 1905 Civic Center Drive, Ste 201, N. Las Vegas, NV 89030 | 2019-08-06 |
| Find all providers in zip 89030 | ||||
| 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 |
|---|---|---|---|---|
| 1952656563 | Curtis E Bazemore Md PC | Family Medicine | 6424 Losee Rd Ste 100, North Las Vegas, NV 89086-0102 | 2012-07-19 |
| 1750561833 | Passion Medical Associates Inc | Family Medicine | 4240 Simmons St, North Las Vegas, NV 89032-0766 | 2007-11-06 |
| 1013101161 | Kenyetta Michelle Gordon | Family Medicine | 3960 W Craig Rd Ste 101, North Las Vegas, NV 89032-2750 | 2007-08-31 |
| 1912059619 | Neil W Goodsell | Family Medicine | 4231 N Rancho, North Las Vegas, NV 89130 | 2007-01-16 |
| 1497807192 | Timothy Stolar | Family Medicine | 2202 W Craig Rd, North Las Vegas, NV 89030 | 2007-01-16 |
| 1649364530 | Doyle Wade Huey | Family Medicine | 1445 W Craig Rd Ste 101, North Las Vegas, NV 89032-0211 | 2006-10-03 |
| 1649265141 | Emmanuel Sabangan | Family Medicine | 6900 North Pecos Rd, North Las Vegas, NV 89086 | 2005-09-12 |
| 1316946593 | Joanne Leovy | Family Medicine | 2225 Civic Center Dr, Suite 224, North Las Vegas, NV 89030-6338 | 2005-07-19 |
| 1003334566 | Medicine Solutions, LLC | Family Medicine | 1815 E Lake Mead Blvd Ste 314, North Las Vegas, NV 89030-7193 | 2017-09-05 |
| 1881136760 | Eva Snow Md LLC | Family Medicine | 1815 E Lake Mead Blvd Ste 314, North Las Vegas, NV 89030-7193 | 2016-11-09 |
| Find all providers in NORTH LAS VEGAS | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89030 |
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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.