DR. RICHARD MARK CIEZKI (NPI# 1669834537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669834537 |
| Entity Type | Individual |
| Full Name | DR. RICHARD MARK CIEZKI |
| Credential | M.D. |
| Practice Address |
3150 N Tenaya Way Suite 480 Las Vegas NV 89128-0443 |
| Practice Telephone | 7025625831 |
| Mailing Telephone | 7025625831 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | LL2740 | NV | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | NEVADA STATE BOARD OF MEDICAL EXAMINERS | LL2740 | 01 |
| Street Address |
3150 N TENAYA WAY SUITE 480 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89128-0443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245230242 | Avi A Ostrowsky Md Ltd | Internal Medicine | 3150 N Tenaya Way, Ste 440, Las Vegas, NV 89128-0443 | 2005-08-01 |
| 1548719818 | Chin Hui Oh-ciernick | Registered Nurse | 3150 N Tenaya Way, Suite #125, Las Vegas, NV 89128 | 2016-09-28 |
| 1760837330 | Tiffany Marie Davis-garcia | Student in an Organized Health Care Education/Training Program | 3150 N Tenaya Way, Suite 480, Las Vegas, NV 89128-0443 | 2016-05-02 |
| 1336594050 | Jessica Wise | Student in an Organized Health Care Education/Training Program | 3150 N Tenaya Way, Suite 480, Las Vegas, NV 89128-0443 | 2016-05-01 |
| 1114372893 | Diana Avsker | Student in an Organized Health Care Education/Training Program | 3150 N Tenaya Way, Ste. 480, Las Vegas, NV 89128-0443 | 2016-04-29 |
| 1407218258 | Mfon Peter Iseh | Internal Medicine | 3150 N Tenaya Way, Las Vegas, NV 89128-0443 | 2016-03-22 |
| 1285096032 | Mary-jane Williams | Internal Medicine | 3150 N Tenaya Way, Suite 480, Las Vegas, NV 89128-0443 | 2016-03-22 |
| 1639531403 | Arian Gower | Student in an Organized Health Care Education/Training Program | 3150 N Tenaya Way, Suite 480, Las Vegas, NV 89128-0443 | 2016-03-22 |
| 1083076814 | Pablo Gonzalo Echevarria Villanueva-meyer | Student in an Organized Health Care Education/Training Program | 3150 N Tenaya Way, Suite 480, Las Vegas, NV 89128-0443 | 2016-03-22 |
| 1306207238 | Behnaz Haddadi-sahneh | Student in an Organized Health Care Education/Training Program | 3150 N Tenaya Way, Suite 480, Las Vegas, NV 89128-0443 | 2016-03-20 |
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| 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 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851906440 | David Hernandez | Student in an Organized Health Care Education/Training Program | 1510 Grape Arbor Way, Las Vegas, NV 89142-0669 | 2020-09-10 |
| 1710591110 | Jessica Celestino | Student in an Organized Health Care Education/Training Program | 6167 Allen Cove Ct, Las Vegas, NV 89148-1799 | 2020-09-02 |
| 1972127314 | Toyokazu Endo | Student in an Organized Health Care Education/Training Program | 2040 W Charleston Blvd Fl 3, Las Vegas, NV 89102-2227 | 2020-06-01 |
| 1962025775 | William Taylor Gravley | Student in an Organized Health Care Education/Training Program | 1510 Ruby Cliffs Ln Unit 204, Las Vegas, NV 89144-7015 | 2020-05-27 |
| 1477174449 | Vishnu Halthore | Student in an Organized Health Care Education/Training Program | 2152 Turquoise Ridge St Unit 205, Las Vegas, NV 89117-5972 | 2020-05-01 |
| 1417576869 | Jesus Mendez Jr. | Student in an Organized Health Care Education/Training Program | 10962 Pentland Downs St, Las Vegas, NV 89141-3997 | 2020-04-15 |
| 1124657333 | Daniel Gerardo Arias | Student in an Organized Health Care Education/Training Program | 700 Shadow Ln Ste 400, Las Vegas, NV 89106-4159 | 2020-04-08 |
| 1659900959 | Connor Wayman | Student in an Organized Health Care Education/Training Program | 6655 S Cimarron Rd, Las Vegas, NV 89113-2180 | 2020-04-07 |
| 1700413887 | Sameera Baig | Student in an Organized Health Care Education/Training Program | 2880 N. Tenaya Way, Las Vegas, NV 89128-0431 | 2020-03-26 |
| 1457988537 | Wesley Washington Yim | Student in an Organized Health Care Education/Training Program | 657 N Town Center Dr Ofc, Las Vegas, NV 89144-6367 | 2020-03-26 |
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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.