Darryl Fortson (NPI# 1538255823, PAC ID# 4587615471) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1538255823 |
| PAC ID by PECOS | 4587615471 |
| Professional Enrollment ID | I20150330000417 |
| Full Name | Darryl Fortson |
| Organization Legal Name | URGENT CARE NEVADA, LLC |
| Address |
5891 E Charleston Blvd 150 Urgent Care Extra Charleston/sloan Las Vegas NV 89142-1053 |
| Phone Number | 7257773119 |
| Gender | M |
| Credential | MD |
| Medical School | MOREHOUSE SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7012137037 |
| Number of Group Practice Members | 52 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5891 E Charleston Blvd, 150 Urgent Care Extra Charleston/sloan, Las Vegas, NV 89142-1053 | 7257773119 | URGENT CARE NEVADA, LLC |
| Organization Legal Name | URGENT CARE NEVADA, LLC |
| Physicians | 59 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susanth Sivaraman | Family Medicine | Urgent Care Nevada, LLC | 8300 W Cheyenne, 106 Urgent Care Extra, Las Vegas, NV 89129-2177 |
| Michael S Allen | Family Medicine | Urgent Care Nevada, LLC | 4075 S Durango, 110 Urgent Care Extra, Las Vegas, NV 89147-4163 |
| Erek S Majka | Hospitalist | Urgent Care Nevada, LLC | 10652 S Eastern Ave A, Urgent Care Extra, Henderson, NV 89052-4953 |
| Roxane Dalke | Physician Assistant | Urgent Care Nevada, LLC | 585 College Dr C, Henderson, NV 89015-1542 |
| David Budge | Physician Assistant | Urgent Care Nevada, LLC | 7040 S Durango Dr, Urgent Care Extra Arby/durango, Las Vegas, NV 89113-2023 |
| Claire M Manchester | Physician Assistant | Urgent Care Nevada, LLC | 4900 W Craig Rd, B3 Urgent Care Extra, Las Vegas, NV 89130-2737 |
| Ralph Joseph R Borromeo | Nurse Practitioner | Urgent Care Nevada, LLC | 2202 W Craig Rd, Urgent Care Extra, North Las Vegas, NV 89032-3018 |
| Yaakov D Kotlarsky | Physician Assistant | Urgent Care Nevada, LLC | 5570 Camino Al Norte, 1 Urgent Care Extra Camino Al Norte, Las Vegas, NV 89031-0809 |
| Chrystal C Taylor | Physician Assistant | Urgent Care Nevada, LLC | 4575 W Charleston A, Urgent Care Extra, Las Vegas, NV 89102-1501 |
| Raymond D Mathieson Jr. | Physician Assistant | Urgent Care Nevada, LLC | 2269 N Green Valley Pkwy, Urgent Care Extra, Henderson, NV 89014-5025 |
| Street Address |
5891 E CHARLESTON BLVD 150 URGENT CARE EXTRA CHARLESTON/SLOAN |
| City | LAS VEGAS |
| State | NV |
| Zip | 89142-1053 |
| City | LAS VEGAS |
| Zip Code | 89142 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LAS VEGAS + FAMILY 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.