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CENTERWELL SENIOR PRIMARY CARE- SOUTH EASTERN
NPI 1669095048
Internal Medicine in Las Vegas, NV

Active since May 20, 2020
4813 S EASTERN AVE, LAS VEGAS, NV 89119(725) 231-9260(833) 749-0364 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 20, 2022, Apr 9, 2021, Feb 25, 2021 and 3 more (6 updates tracked since 2020).

About Centerwell Senior Primary Care- South Eastern NPPES

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

CENTERWELL SENIOR PRIMARY CARE- SOUTH EASTERN (NPI 1669095048) is a healthcare organization registered as an internal medicine in Las Vegas, Nevada and active in the NPI registry since May 2020. The organization lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1669095048
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE (NV) PC
Location Address4813 S EASTERN AVELas Vegas, NV 89119-6188
Mailing Address4700 Millenia Blvd Ste 650Orlando, FL 32839-6013 · (407) 447-7120 · Fax (407) 770-0661
Phone(725) 231-9260
Fax(833) 749-0364
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateMay 20, 2020
Last NPPES UpdateFebruary 15, 20246 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2024
✔ NPI 1669095048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
4813 S EASTERN AVE, Las Vegas, NV 89119
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Other Names 2

Doing Business AsCenterwell Senior Primary Care- South Eastern
Former Legal Business NamePartners In Primary Care Nv Pc

Other Identifiers 1

Medicaid250009832NV

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAHRENANNE ALEGRE DY-PATACSIL APRN, NP-C
Nurse Practitioner (Family)
4813 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (725) 231-9260
KEVIN NGO DO
Family Medicine
4813 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (725) 231-9260
TROY KENNETT HERRERA RICE DO
Family Medicine
4813 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (725) 231-9260
KRISTI A ASANTE MD
Internal Medicine
4813 S EASTERN AVE
LAS VEGAS, NV 89119
Clark County (725) 231-9260

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 Centerwell Senior Primary Care (nv) PC's NPI number?

The NPI number for Centerwell Senior Primary Care (nv) PC is 1669095048. It was assigned to this organization in the NPPES registry on May 20, 2020. The provider is doing business as Centerwell Senior Primary Care- South Eastern. The provider was formerly known as Partners in Primary Care NV PC.

Where is Centerwell Senior Primary Care (nv) PC located?

Centerwell Senior Primary Care (nv) PC is located at 4813 S Eastern Ave, Las Vegas, NV 89119. The listed phone number is (725) 231-9260.

What is Centerwell Senior Primary Care (nv) PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Centerwell Senior Primary Care (nv) PC was last updated on February 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.