JAGANNATH S. SURPURE, M.D.P.C. (NPI# 1750422481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750422481 |
| Entity Type | Organization |
| Organization Name | JAGANNATH S. SURPURE, M.D.P.C. |
| Other Organization Name | CHILDREN'S URGENT CARE & PEDIATRIC CLINIC |
| Practice Address |
1600 W Sunset Rd Suite A Henderson NV 89014-2654 |
| Practice Telephone | 7028986400 |
| Practice Fax Number | 7028987032 |
| Mailing Telephone | 7028986400 |
| Mailing Fax Number | 7028987032 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JAGANNATH S. SURPURE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7028986400 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 6591 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 3102430 | 05 | |
| NV | 2019436 | 05 |
| Other Name | Type Code |
|---|---|
| Children's Urgent Care & Pediatric Clinic | Doing Business As Name - Organization |
| Street Address |
1600 W SUNSET RD SUITE A |
| City | HENDERSON |
| State | NV |
| Zip Code | 89014-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457541997 | Ryan Bybee | Dentist | 1600 W Sunset Rd, Suite B, Henderson, NV 89014-2654 | 2007-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857024 | Sudheer J. Surpure, Md, Dds, Inc. | Oral & Maxillofacial Surgery | Grand Canyon Oral and Facial Surgery, 1600 W. Sunset Road, Suite B, Henderson, NV 89014 | 2020-10-06 |
| 1386271740 | Fibonacci Services LLC | Counselor | 2920 N. Green Valley Pkwy, Bulding 8 & Suite 812, Henderson, NV 89014 | 2020-03-25 |
| 1508409145 | Facial Expressions Presented By K. Thomas | Home Infusion | 1520 W. Sunset Rd. Ste 130, #205, Henderson, NV 89014 | 2019-10-27 |
| 1235794595 | Marquise D Dennis | Prosthetist | 1520 W. Sunset Rd, Henderson, NV 89014 | 2019-05-02 |
| 1609359165 | Kenisha Voncille Thomas | Family Medicine | 1520 W Sunset Rd Ste 130, Henderson, NV 89014 | 2018-09-11 |
| 1841716727 | Logan Bretney | Physical Therapist | 400 S Stephanie St, Suite 310, Building 1, Henderson, NV 89014 | 2017-08-22 |
| 1912421280 | Alan Joseph Sevy | Dentist | 1485 W Warm Springs Rd Ste 101, Henderson, NV 89014 | 2017-07-28 |
| 1659805307 | Ann Marie Echevarria | Behavior Technician | 2551 N Green Valley Parkway, 410a, Henderson, NV 89014 | 2017-04-19 |
| 1366838997 | Ladwana Retic, Lcsw LLC | Case Management | 1514 Tree Top Ct, Henderson, NV 89014 | 2015-04-10 |
| 1073958393 | Ashlyn Call | Physician Assistant | 1397 Galleria Dr Ste 100, Henderson, NV 89014 | 2013-04-30 |
| Find all providers in zip 89014 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669028106 | Harold Zilberman, Md, Chartered | Pediatrics | 880 Seven Hills Dr Ste 100, Henderson, NV 89052-4372 | 2019-08-12 |
| 1740747542 | Payton Cerda | Pediatrics | 2510 W Horizon Ridge Pkwy Ste 130, Henderson, NV 89052-1600 | 2019-02-27 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| 1679852891 | Jung Y. Hahr | Pediatrics | 969 Wagner Valley St, Henderson, NV 89052-5064 | 2011-08-04 |
| 1174755276 | Placida Martinez | Pediatrics | 247 Clemson St, Henderson, NV 89074-5484 | 2009-08-22 |
| 1306029830 | Mdfamily Medical Group | Pediatrics | 152 Zeb Robinson Rd, Henderson, NC 27537-3577 | 2007-12-06 |
| 1346374238 | Susan R Fernandez PC | Pediatrics | 2621 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052-2895 | 2007-03-15 |
| 1184774093 | James Allen Wayne Jr. | Pediatrics | 451 Ruin Creek Rd Ste 101, Henderson, NC 27536-5920 | 2007-01-11 |
| 1982763108 | Hesham Sirsy Md Ltd | Pediatrics | 10950 S Eastern Ave, #100, Henderson, NV 89052-4970 | 2006-12-06 |
| 1154489102 | Sandra Eve Kalm | Pediatrics | 2512 Citrus Garden Cir, Henderson, NV 89052-2349 | 2006-12-04 |
| 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.