SANDRA PAGNUSSAT M.D. NPI 1841491917

NPI Information

NPI: 1841491917
Provider Name: SANDRA PAGNUSSAT, M.D.
Classification: Internal Medicine - 207RR0500X
Entity Type: Individual

Specialization: Rheumatology

PECOS Registration: Yes

Address:
5580 W FLAMINGO RD
LAS VEGAS, NV
ZIP 89103
Phone: (702) 876-4449
Get Directions

Sandra Pagnussat, M.D. is a rheumatology internal medicine in Las Vegas, NV. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. Sandra Pagnussat, M.D. NPI is 1841491917. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5580 W FLAMINGO RD
LAS VEGAS, NV
ZIP 89103-111
Phone: (702) 876-4449
Fax: (702) 252-4906

The NPI 1841491917 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/29/2007 and was last updated on 7/1/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program		TRN9127	FLORIDA	No
2	207RR0500X	Internal Medicine	Rheumatology	ME 112582	FLORIDA	No
3	207R00000X	Internal Medicine		ME 112582	FLORIDA	No
4	208000000X	Pediatrics		ME 112582	FLORIDA	No
5	2080P0216X	Pediatrics	Pediatric Rheumatology	ME 112582	FLORIDA	No
6	207RR0500X	Internal Medicine	Rheumatology	15845	NEVADA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GI310Z	MEDICARE OSCAR/CERTIFICATION	FLORIDA
2	V110676	MEDICARE PIN	NEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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