NPIMap

Organization Active NPI

Passport Health Holdings, LLC

Doing business as PPH Global Services, LLC.

  • Public Health & General Preventive Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1821414954
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
261Q0000X Issued in NV
Legal business name
PASSPORT HEALTH HOLDINGS, LLC
Doing business as
PPH Global Services, LLC.
Practice address
1771 E Flamingo Rd
#B121
Las Vegas, NV 89119
Phone
(888) 909-6551
Fax
(480) 383-6567
NPI assigned
Mar 13, 2014
Last updated
Mar 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Authorized official

Name
Doug Shackell
Title
Director of Finance
Phone
(480) 646-9024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X 261Q0000X NV Primary

Addresses

Primary practice location

1771 E Flamingo Rd
#B121
Las Vegas, NV 89119

Mailing address

8324 E Hartford Dr
#200
Scottsdale, AZ 85255
Phone (888) 909-6551

Other names 1

  • PPH Global Services, LLC. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Passport Health Holdings LLC219 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 7

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

1771 E Flamingo Rd
Ste 121B
Las Vegas, NV 89119

NPI Registry JSON

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1821414954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8324 E HARTFORD DR",
            "address_2": "#200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85255",
            "telephone_number": "888-909-6551",
            "fax_number": "480-383-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 E FLAMINGO RD",
            "address_2": "#B121",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89119",
            "telephone_number": "888-909-6551",
            "fax_number": "480-383-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSPORT HEALTH HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "SHACKELL",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "480-646-9024"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NV",
            "license": "261Q0000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PPH Global Services, LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 18, 2016; 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.