Joseph Poliquin (NPI# 1881140358, PAC ID# 5092099572) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1881140358 |
| PAC ID by PECOS | 5092099572 |
| Professional Enrollment ID | I20170228002514 |
| Full Name | Joseph Poliquin |
| Organization Legal Name | INFECTIOUS DISEASE ASSOCIATES |
| Address |
6088 S Durango Dr D100 Las Vegas NV 89113-1780 |
| Phone Number | 7023804242 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9133211667 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 290045 | ST ROSE DOMINICAN HOSPITALS - SIENA CAMPUS |
| 290047 | SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER |
| 290053 | ST ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS |
| 290046 | SPRING VALLEY HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6088 S Durango Dr, D100, Las Vegas, NV 89113-1780 | 7023804242 | INFECTIOUS DISEASE ASSOCIATES |
| Organization Legal Name | INFECTIOUS DISEASE ASSOCIATES |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Greny Maliakal | Nurse Practitioner | Infectious Disease Associates | 6088 S Durango Dr, D100, Las Vegas, NV 89113-1780 |
| Alka P Rebentish | Infectious Disease | Infectious Disease Associates | 6088 S Durango Dr, D100, Las Vegas, NV 89113-1780 |
| Chukwudum Uche | Internal Medicine | Infectious Disease Associates | 6088 S Durango Dr, D100, Las Vegas, NV 89113-1780 |
| Street Address |
6088 S DURANGO DR D100 |
| City | LAS VEGAS |
| State | NV |
| Zip | 89113-1780 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Greny Maliakal | Nurse Practitioner | Infectious Disease Associates | 6088 S Durango Dr, D100, Las Vegas, NV 89113-1780 |
| Alka P Rebentish | Infectious Disease | Infectious Disease Associates | 6088 S Durango Dr, D100, Las Vegas, NV 89113-1780 |
| Chukwudum Uche | Internal Medicine | Infectious Disease Associates | 6088 S Durango Dr, D100, Las Vegas, NV 89113-1780 |
| Farooq M Shaikh | Infectious Disease | Oasis Medical Services Inc | 6088 S Durango Dr, Suite 100, Las Vegas, NV 89113-1780 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashraf M Mohammed | Nephrology | Nkdhc Rudnitsky Pllc | 6790 W Patrick Lane, Suite 140, Las Vegas, NV 89113 |
| Edward Makarewicz | Internal Medicine | Pioneer Health Care LLC | 1800 W Charleston Blvd, Las Vegas, NV 89113 |
| Radhika R Janga | Nephrology | Nkdhc Rudnitsky Pllc | 6790 W Patrick Lane, Suite 140, Las Vegas, NV 89113 |
| Emerlinda M Sambo | Nurse Practitioner | Nkdhc Rudnitsky Pllc | 6790 W Patrick Lane, Suite 140, Las Vegas, NV 89113 |
| Benjamin S Rudnitsky | Nephrology | Nkdhc Rudnitsky Pllc | 6790 W Patrick Lane, Suite 140, Las Vegas, NV 89113 |
| Haider Alhaidari | Hospitalist | Pioneer Health Care LLC | 1800 W Charleston Blvd, Las Vegas, NV 89113 |
| Ma Cecilia J Gatan | Nurse Practitioner | Nkdhc Rudnitsky Pllc | 6790 W Patrick Lane, Suite 140, Las Vegas, NV 89113 |
| Arvin Gupta | Nephrology | Nkdhc Rudnitsky Pllc | 6790 W Patrick Lane, Suite 140, Las Vegas, NV 89113 |
| Michael Lee | Internal Medicine | Pioneer Health Care LLC | 1800 W Charleston Blvd, Las Vegas, NV 89113 |
| Francine M Heretakis | Clinical Social Worker | 4955 S Durango Dr, Suite 179, Las Vegas, NV 89113-0155 | |
| Find all physicians in zip 89113 | |||
| City | LAS VEGAS |
| Zip Code | 89113 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LAS VEGAS + NURSE PRACTITIONER |
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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.