Active NPI
Pandora Williams, PHYSICIAN ASSISTANT
- Physician Assistant
- Las Vegas, NV
National Provider Identifier
1093787210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA1665
- Practice address
- 4880 Wynn Rd
Las Vegas, NV 89103-5406 - Phone
- (702) 871-5005
- Fax
- (702) 871-1341
- NPI assigned
- Feb 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1613 | AZ | |
| Physician Assistant | 363A00000X | PA1665 | NV | Primary |
Addresses
Primary practice location
4880 Wynn Rd
Las Vegas, NV 89103-5406
Mailing address
PO Box 98978
Las Vegas, NV 89193-8978
Phone (702) 216-3346
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 181032 | Medicaid | AZ | |
| 1093787210 | Medicaid | NV |
Other names 1
- Pandora Hector-Lewis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4472 S Eastern Ave
Las Vegas, NV 89119-7825
Phone (702) 202-1050
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1613 | AZ | MD | General Practice Dentistry |
| PA1665 | NV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CRFP, P.L.L.C. | Current | Accepting new patients | |
| Intermountain Medical Holdings Nevada Inc | Past | Accepting new patients |
Locations
5610 E Grant Rd
Tucson, AZ 85712
Phone (520) 296-5035
8275 N Silverbell Rd
Ste 113
Tucson, AZ 85743
Phone (520) 382-8202
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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-
- Internal Medicine Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1093787210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 98978",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891938978",
"telephone_number": "702-216-3346",
"fax_number": "702-671-6883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4880 WYNN RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891035406",
"telephone_number": "702-871-5005",
"fax_number": "702-871-1341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "PANDORA",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-02",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "1613",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA1665",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "181032",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1093787210",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PANDORA",
"last_name": "HECTOR-LEWIS",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.