Andrea Pernell, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

7834 Issued in NV

Practice address

2810 W Charleston Blvd
Suite 48
Las Vegas, NV 89102-1921

Phone

(702) 870-2213

Fax

(702) 870-2214

NPI assigned

Oct 26, 2005

Last updated

Dec 29, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Andrea E Pernell MD PC

  • Physical Medicine & Rehabilitation Physician
  • Las Vegas, NV
  • NPI 1851670178
  Authorized official Same address or phone
• David J. Oliveri, M.D., PC

  • Physical Medicine & Rehabilitation Physician
  • Las Vegas, NV
  • NPI 1720045198
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388275200000",
    "number": "1053301580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400205",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891400205",
            "telephone_number": "702-566-2455",
            "fax_number": "702-870-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 W CHARLESTON BLVD",
            "address_2": "SUITE 48",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021921",
            "telephone_number": "702-870-2213",
            "fax_number": "702-870-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERNELL",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2013-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NV",
            "license": "7834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018046",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eva Wa Perlot
• Robyn Bruce Perlow, MD
• Jill Perlstein, RN
• Perm LLC
• Maritza Pernas
• Christina Lynne Pernell
• Veronica Pernell
• Michael L. Pernula, M.D.
• Christina Perodin
• Myeshia Perodin

• Physical Medicine & Rehabilitation Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Medicine & Rehabilitation Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.