Organization Active NPI

CCMD LLC

  • Emergency Medicine Physician
  • Mesquite, NV
National Provider Identifier
1366496424
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
CCMD LLC
Practice address
1299 Bertha Howe Ave
Mesquite, NV 89027-7500
Phone
(702) 345-4270
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Cecilia U Colmer, MDNPI 1578517702
Title
General Partner
Phone
(702) 612-6688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

1299 Bertha Howe Ave
Mesquite, NV 89027-7500

Mailing address

10748 Osceola Mills St
Las Vegas, NV 89141-3942
Phone (702) 612-6688

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366496424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10748 OSCEOLA MILLS ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891413942",
            "telephone_number": "702-612-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 BERTHA HOWE AVE",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890277500",
            "telephone_number": "702-345-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLMER",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "702-612-6688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.