Pioneer Pediatrics Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PIONEER PEDIATRICS INC

Practice address

4840 E. Bonanza St
Suite 5
Las Vegas, NV 89110

Phone

(702) 823-2118

Fax

(702) 823-2339

NPI assigned

Jun 1, 2009

Organization subpart

No

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

Authorized official

Name

Nana Kobina Kufuor, MDNPI 1750353116

Title

President

Phone

(702) 823-2118

Specialties & licenses 1

Addresses

Other names 1

• PIONEER PEDIATRICS Doing business as

Locations

Practitioners 1

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

• Nana Kobina Kufuor, MD

  • Pediatrics Physician
  • Las Vegas, NV
  • NPI 1750353116
  NPD Authorized official

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1902032220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 371299",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89137",
            "telephone_number": "702-869-6544",
            "fax_number": "702-541-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 E. BONANZA ST",
            "address_2": "SUITE 5",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89110",
            "telephone_number": "702-823-2118",
            "fax_number": "702-823-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER PEDIATRICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-01",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "KUFUOR",
        "authorized_official_first_name": "NANA",
        "authorized_official_middle_name": "KOBINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-823-2118",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PIONEER PEDIATRICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tawny Pinzon, RRT
• Graciela Pio
• Pioneer Family Services LLC
• Pioneer Health Care LLC
• Pioneer Healthcare Group LLC
• Pioneer Pediatrics Wellness Center
• Pioneer Pediatrics Wellness Center
• Pioneer Pediatrics Wellness Center
• Maria D Piorno-Montes-de-Oca
• Lidervis Piovet Monzon

• Pediatrics Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pediatrics Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.