CHESTER C. ROBERT WHITLEY IV (NPI# 1740550078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740550078 |
| Entity Type | Individual |
| Full Name | CHESTER C. ROBERT WHITLEY IV |
| Credential | P.A.-C |
| Practice Address |
3960 W Craig Rd Suite 101 North Las Vegas NV 89032-2731 |
| Mailing Address |
Po Box 98978 Las Vegas NV 89193-8978 |
| Practice Telephone | 7024738380 |
| Practice Fax Number | 7024738383 |
| Mailing Telephone | 7022163346 |
| Mailing Fax Number | 7026716883 |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2014-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | MPA 1741 PA | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA1517 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | PENDING | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588735005 | Chester B Whitley | Medical Genetics | University of Minnesota Physicians, 516 Delaware Street Se, Room 4-100, Minneapolis, MN 55455 | 2006-11-13 |
| Street Address |
3960 W CRAIG RD SUITE 101 |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89032-2731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316966617 | Patricia Darlene Mcclellan | Physician Assistant | 3960 W Craig Rd, Suite 101, North Las Vegas, NV 89032-2731 | 2006-07-18 |
| 1083234967 | First Action Advance Care | Technician | 3960 W Craig Rd, North Las Vegas, NV 89032-2731 | 2020-04-21 |
| 1316064942 | Mark. W. Witt | Family Medicine | 3960 W Craig Rd, Suite102, North Las Vegas, NV 89032-2731 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647290 | Bella Mae Home Care | Home Health | 3438 Midnight Shadows Way, North Las Vegaas, NV 89032 | 2020-07-27 |
| 1083231906 | Betsey Bergquist | Pharmacist | 4040 Martin Luther King Blvd, Ste B, North Las Vegas, NV 89032 | 2020-06-26 |
| 1174144687 | Rosalinda Ross | Technician | 3940 Martin Luther King Blv. #106, N. Lasvegas, NV 89032 | 2020-05-06 |
| 1164055919 | Shanae Ebony Glass | Case Manager/Care Coordinator | 2580 North Rancho, Suite 105-106, North Las Vegas, NV 89032 | 2020-02-20 |
| 1912539347 | Roderick Robbins II | Technician | 3940 N. Martin Luther King Blvd B106, N. Las Vegas, NV 89032 | 2020-02-04 |
| 1578103289 | Caring Hands Adult Day Service LLC | Day Training, Developmentally Disabled Services | 2580 North Rancho Dr, Suite 100, North Las Vegas, NV 89032 | 2020-01-10 |
| 1497397830 | Meagan Elizabeth Hill | Nurse Practitioner | 4060 N Martin Luther King Blvd Ste 101-a, Las Vegas, NV 89032 | 2019-10-16 |
| 1386294106 | Amy Nguyen Optometric Professional Corporation | Optometrist | 4080 N Martin Luther King Blvd, North Las Vegas, NV 89032 | 2019-09-13 |
| 1063060978 | Kathy K Cruz Anderson | Technician | 3940 North Martin Luther King Blvd Suite 106, Las Vegas, NV 89032 | 2019-09-04 |
| 1770131625 | Daniel R Thomas | Technician | 3940 N. Martin Luther King Blvd 106, North Las Vegas, NV 89032 | 2019-09-03 |
| Find all providers in zip 89032 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281667 | Gina Won Lee | Physician Assistant | 4340 Simmons St Ste 102, North Las Vegas, NV 89032-3222 | 2020-10-05 |
| 1740529676 | Yaakov D Kotlarsky | Physician Assistant | 5770 Camino Al Norte, North Las Vegas, NV 89031 | 2013-02-13 |
| 1790876084 | Pamela Elaine Albo | Physician Assistant | 1610 E Lake Mead Blvd, North Las Vegas, NV 89030-7145 | 2006-09-28 |
| 1780878751 | Michael Hughes | Physician Assistant | 2225 Civic Center Dr, North Las Vegas, NV 89030-6338 | 2007-08-31 |
| 1467540138 | James A Nicholson | Physician Assistant | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2006-10-10 |
| 1922119494 | Juliann Knight | Physician Assistant | 6900 Pecos Rd, Emergency Department, North Las Vegas, NV 89086-4400 | 2006-08-31 |
| 1144298902 | Jay Joseph Cology | Physician Assistant | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821554106 | Amy Hamilton | Physician Assistant | 5785 Centennial Center Blvd Ste 190, Las Vegas, NV 89149-7110 | 2019-02-12 |
| 1386145159 | Kevin Refahiyat | Physician Assistant | 7150 S Durango Dr Ste 105, Las Vegas, NV 89113-2242 | 2018-02-26 |
| 1316487325 | Nadiya-larissa Bateman | Physician Assistant | 2809 W Charleston Blvd # 150, Las Vegas, NV 89102-1998 | 2017-02-24 |
| 1811346901 | Rodney Briggs | Physician Assistant | 1925 Whipple Ave. Ste. 30, Logandale, NV 89027 | 2016-06-08 |
| 1285093989 | Lauren Ashley Colpo | Physician Assistant | 4760 Townsite Rd, Reno, NV 89511-9067 | 2016-02-23 |
| 1760840797 | Ying Quan | Physician Assistant | 2995 S Jones Blvd Ste A, Las Vegas, NV 89146-5612 | 2016-02-04 |
| 1396121646 | Lucas Michal Anderson | Physician Assistant | 9050 W Tropicana Ave, 1159, Las Vegas, NV 89147-8186 | 2015-08-09 |
| 1144618349 | Dinesh Bharwani | Physician Assistant | 270 West Lake Mead Parkway, Southwest Medical Associates, Henderson, NV 89015 | 2014-12-23 |
| 1285057562 | Elena Zalan | Physician Assistant | 75 S Valle Verde Dr, Suite 100, Henderson, NV 89012-3462 | 2014-01-22 |
| 1023350709 | Karie King | Physician Assistant | 10085 Double R Blvd Ste 120, Reno, NV 89521-4867 | 2013-03-20 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89032 |
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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.