Doyne Medical Clinic Inc.
NPI 1710997291ActiveOrganization· Nurse Practitioner, Primary Care· Las Vegas, NV
Nurse Practitioner, Primary Care in Las Vegas, Nevada, registered in NPPES in August 2006. The authorized official on file is Mario Oliver Tablante Godoy, CNP, Medical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1710997291 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 8, 2006 |
| Last updated in NPPES | Oct 2, 2026 |
| Certified by provider | Oct 2, 2026 |
| Reactivated | Aug 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NV) |
|---|
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