Active NPI
CCMD LLC
- Emergency Medicine Physician
- Mesquite, NV
National Provider Identifier
1366496424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cecilia U Colmer, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 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 DirectoryPractitioners & 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.