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MARISA C MEDINA MD PC
NPI 1104013739
Clinic/Center - Primary Care in Henderson, NV

Active since September 27, 2007
11201 S EASTERN #120, HENDERSON, NV 89052(702) 731-9711(702) 731-0096 Get Directions Write a Review

NPPES record last updated: November 14, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Marisa C Medina Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISA C MEDINA MD PC (NPI 1104013739) is a healthcare organization registered as a primary care in Henderson, Nevada and active in the NPI registry since September 2007. The organization lists Marisa C Medina, Doctor, as its authorized official.

NPPES Registry Identity

NPI1104013739
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMARISA C MEDINA MD PC
Location Address11201 S EASTERN #120Henderson, NV 89052-6200
Mailing Address11201 S Eastern #120Henderson, NV 89052-6200 · (702) 731-9711 · Fax (702) 731-0096
Phone(702) 731-9711
Fax(702) 731-0096
Organization SubpartNo
Authorized OfficialMarisa C MedinaDoctor · (702) 932-9824
Enumeration DateSeptember 27, 2007
Last NPPES UpdateNovember 14, 2007
✔ NPI 1104013739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
11201 S EASTERN #120, Henderson, NV 89052
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Other Identifiers 2

Medicare PINV36263NV
Medicare UPINF67354NV

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marisa C Medina MD PC's NPI number?

The NPI number for Marisa C Medina MD PC is 1104013739. It was assigned to this organization in the NPPES registry on September 27, 2007.

Where is Marisa C Medina MD PC located?

Marisa C Medina MD PC is located at 11201 S Eastern #120, Henderson, NV 89052. The listed phone number is (702) 731-9711.

What is Marisa C Medina MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Marisa C Medina MD PC was last updated on November 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.