John R Henner (NPI# 1376545954, PAC ID# 0547201774) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
Nation Provider ID (NPI) | 1376545954 |
PAC ID by PECOS | 0547201774 |
Professional Enrollment ID | I20050518000879 |
Full Name | John R Henner |
Organization Legal Name | FREMONT EMERGENCY SERVICES MANDAVIA LTD |
Address |
3325 S Fort Apache Rd Las Vegas NV 89117-6360 |
Phone Number | 7029620500 |
Gender | M |
Credential | DO |
Medical School | CHICAGO COLLEGE OF OSTEOPATHY |
Graduation Year | 1998 |
Primary Specialty | EMERGENCY MEDICINE |
Group Practice PAC ID | 4880684554 |
Number of Group Practice Members | 61 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
290047 | SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
3325 S Fort Apache Rd, Las Vegas, NV 89117-6360 | 7029620500 | FREMONT EMERGENCY SERVICES MANDAVIA LTD |
9300 W Sunset Rd, Las Vegas, NV 89148-4844 | 7028802800 | FREMONT EMERGENCY SERVICES MANDAVIA LTD |
Organization Legal Name | FREMONT EMERGENCY SERVICES MANDAVIA LTD |
Physicians | 65 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jaime Jessica Primerano | Emergency Medicine | Fremont Emergency Services Mandavia Ltd | 3100 N Tenaya Way, Las Vegas, NV 89128-0436 |
Michael Tang | Emergency Medicine | Fremont Emergency Services Mandavia Ltd | 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317 |
John Patrick-neafsey Jobes | Emergency Medicine | Fremont Emergency Services Mandavia Ltd | 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317 |
Jon J Juhasz | Emergency Medicine | Fremont Emergency Services Mandavia Ltd | 3100 N Tenaya Way, Las Vegas, NV 89128-0436 |
Joeann K Leong | Emergency Medicine | Fremont Emergency Services Mandavia Ltd | 9300 W Sunset Rd, Las Vegas, NV 89148-4844 |
Suzanne M Roozendaal | Emergency Medicine | Fremont Emergency Services Mandavia Ltd | 3100 N Tenaya Way, Las Vegas, NV 89128-0436 |
Patrick H Flores | Emergency Medicine | Fremont Emergency Services Mandavia Ltd | 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317 |
Mark Alan Macedo | Emergency Medicine | Fremont Emergency Services Mandavia Ltd | 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317 |
Heidi A Kabler | Emergency Medicine | Fremont Emergency Services Mandavia Ltd | 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317 |
Adam Berkovits | Emergency Medicine | Fremont Emergency Services Mandavia Ltd | 3100 N Tenaya Way, Las Vegas, NV 89128-0436 |
Street Address |
3325 S FORT APACHE RD |
City | LAS VEGAS |
State | NV |
Zip | 89117-6360 |
Name | Specialty | Organization | Address |
---|---|---|---|
William H Baumgartl | Anesthesiology | 1541 Windhaven Cir, Las Vegas, NV 89117-1532 | |
Saritha L Farris | Clinical Social Worker | 7351 W Charleston Blvd, Suite 140, Las Vegas, NV 89117-1572 | |
Aaron E Bomer | Clinical Social Worker | 7351 W Charleston Blvd, Suite 140, Las Vegas, NV 89117-1572 | |
Joseph E Dipalma | Internal Medicine | 7341 W Charleston Blvd, Suite 120, Las Vegas, NV 89117-1573 | |
Kathleen L Risdon | Clinical Social Worker | 7371 W Charleston Blvd, Suite 110, Las Vegas, NV 89117-1575 | |
Maria A Giacalone | Chiropractic | 7341 W Charleston Blvd, Suite 170, Las Vegas, NV 89117-1578 | |
Michelle A Gravley | Clinical Psychologist | Michelle Gravley, P.C. | 7221 W Charleston Blvd, Las Vegas, NV 89117-1619 |
Russell P Jayne | Ophthalmology | 6839 W Charleston Blvd, Las Vegas, NV 89117-1635 | |
Juliet Ruiz | Clinical Social Worker | 6867 W Charleston Blvd, Suite B, Las Vegas, NV 89117-1669 | |
Charles G Mahakian | Psychiatry | 6881 W Charleston Blvd, Suite B, Las Vegas, NV 89117-1673 | |
Find all physicians in zip 89117 |
City | LAS VEGAS |
Zip Code | 89117 |
Specialty | EMERGENCY MEDICINE |
City + Specialty | LAS VEGAS + EMERGENCY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.