State of Nevada full directory

217
This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776 Athens Administrators Page 1 of 217 Provider Name Address City State Zip County Main Phone Type Specialization Tax ID 21ST CENTURY ONCOLOGY 3006 S MARYLAND PKWY STE 100 LAS VEGAS NV 89109 Clark 702-894-5100 Physicians Radiation Oncology 880384403 24-7 CAREGIVERS REGISTRY INC 7469 W LAKE MEAD BLVD STE 230 LAS VEGAS NV 89124 Clark 818-884-7300 Ancillary Providers 464446819 7 HILLS RADIOLOGY 870 SEVEN HILLS DR STE 101 HENDERSON NV 89125 Clark 800-400-4674 Ambulatory Facilities 481301090 A 1 PHYSICAL THERAPY 1701 BEARDEN DR STE 201 LAS VEGAS NV 89126 Clark 702-685-3728 Rehabilitation 043821114 A BETTER LIFE PAIN TREATMENT CENTER 2020 GOLDRING AVE STE 504 LAS VEGAS NV 89129 Clark 702-386-7008 Physicians Pain Management 200963854 A BETTER TODAY RECOVERY SERVIC 6655 W SAHARA AVE STE D208 LAS VEGAS NV 89130 Clark 888-906-0952 Rehabilitation 900512551 A PLUS OXYGEN AND DME 940 MATLEY LN STE 14 RENO NV 89132 Washoe 775-329-0101 Ancillary Providers 262692480 A WOMANS PLACE 2789 SUNRDG HTS PKWY STE 100 HENDERSON NV 89133 Clark 702-671-0006 Physicians Obstetrics/Gynecology 205151018 A WOMANS PLACE OB. GYN. LLP 2789 SUNRIDGE HEIGHTS PKWY STE 100 HENDERSON NV 89135 Clark 702-427-0494 Physicians Obstetrics/Gynecology 721613674 A WOMANS PLACE OB/GYN 2789 SUNRIDGE HEIGHTS PKWY STE 100 HENDERSON NV 89136 Clark 702-427-0494 Physicians Obstetrics/Gynecology 205151018 A. AJAYI MD PLLC 6039 ELDORA AVE STE E LAS VEGAS NV 89137 Clark 702-228-4900 Physicians Psychiatry 273018129 AA MEDICAL 4135 N RANCHO DR LAS VEGAS NV 89138 Clark 702-368-4477 Ancillary Providers 880211634 ABAD, DIGNA T 2012 S JONES BLVD LAS VEGAS NV 89140 Clark 702-360-1137 Rehabilitation Speech Pathology 412129643 ABADIE, WESLEY 3150 N TENAYA WAY STE 112 LAS VEGAS NV 89141 Clark 702-562-1777 Physicians Otolaryngology 880330858 ABALOS, MINA A 4380 BLUE DIAMOND RD STE 102 LAS VEGAS NV 89142 Clark 702-425-4424 Physicians General Dentist 261748512 ABANONU, KASEY L 6857 W CHARLESTON BLVD LAS VEGAS NV 89145 Clark 702-304-2144 Physicians Internal Medicine 201026537 ABARQUEZ, SENIALITA S 3249 W CRAIG RD NORTH LAS VEGAS NV 89148 Clark 702-750-1900 Physicians Certified Nurse Practitioner 010954094 ABBA MEDICAL CENTER 4903 VEGAS DR STE 101 LAS VEGAS NV 89149 Clark 702-505-8579 Physicians Certified Nurse Practitioner 465743556 ABBEY, DENISE S 75 PRINGLE WAY STE 401 RENO NV 89150 Washoe 775-982-2820 Physicians Social Worker 886000022 ABBO, JOSEF 7040 S DURANGO DR LAS VEGAS NV 89151 Clark 702-260-1261 Physicians Family Medicine 463164188 ABBOTT, LISA G 665 SIERRA ROSE DR STE 201 RENO NV 89168 Washoe 775-786-6770 Physicians Endocrinology 880514820 ABBOUD, SHIRIN 5150 MAE ANNE AVE STE 810A RENO NV 89171 Washoe 775-747-0680 Physicians General Dentist 464394010 ABC HOME HEALTH 3885 S DECATUR BLVD LAS VEGAS NV 89172 Clark 702-248-7781 Ancillary Providers 510534469 ABC PEDIATRICS LAKE MEAD 10950 S EASTERN AVE STE 100 HENDERSON NV 89173 Clark 702-614-2192 Physicians Pediatrics 880397351 ABDALLAH, AMIN 3896 N MARTIN L KING BLVD NORTH LAS VEGAS NV 89174 Clark 702-614-1792 Physicians General Dentist 204714412 ABDEL KHALEK MD LTD. 9410 DEL WEBB BLVD LAS VEGAS NV 89177 Clark 702-240-8155 Physicians Internal Medicine 880306188 ABDEL KHALEK, MD, LTD. 9410 DEL WEBB BLVD LAS VEGAS NV 89178 Clark 702-240-8155 Physicians Internal Medicine 880306188 ABDELLA, THOMAS N 3196 S MARYLAND PKWY LAS VEGAS NV 89180 Clark 702-944-2888 Physicians Obstetrics/Gynecology 880330858 ABDELNOUR, RIZALYNE 7500 W LAKE MEAD BLVD STE 11 LAS VEGAS NV 89181 Clark 702-735-5066 Physicians General Dentist 270865739 ABDELSAYED, NADER Y 1815 E LAKE MEAD BLVD STE 314 NORTH LAS VEGAS NV 89184 Clark 702-649-0002 Physicians Obstetrics/Gynecology 880505236 ABDO, MARIA M 7000 SPRING MOUNTAIN RD LAS VEGAS NV 89186 Clark 702-322-1902 Physicians Social Worker 200930346 ABDOU, SHERIF W 700 E WARM SPRINGS RD STE 302 LAS VEGAS NV 89187 Clark 702-932-8530 Physicians Internal Medicine 880404402 ABDOULIN, ARTHUR 7101 W CRAIG RD STE 102 LAS VEGAS NV 89188 Clark 702-515-0553 Physicians General Dentist 472117453 ABDULLA, FAROOQ 1430 E CALVADA BLVD PAHRUMP NV 89196 Nye 775-751-4600 Physicians Pediatrics 880249971 ABDULLAH, SANDRA L 1799 MOUNT MARIAH DR LAS VEGAS NV 89197 Clark 702-209-9918 Physicians Social Worker 355565072 ABDUNNUR, SHANE 9990 DOUBLE R BLVD STE 200 RENO NV 89198 Washoe 775-348-8800 Physicians Neurological Surgery 270028866 ABE, BENNETT K 3343 S EASTERN AVE LAS VEGAS NV 89199 Clark 702-254-5004 Physicians Radiology/Diagnostic 880447330 ABEJURO, ROMEO M 6161 W CHARLESTON BLVD LAS VEGAS NV 89200 Clark 702-486-6045 Physicians Psychiatry 886000022 ABELA, OLIVER G 10001 S EASTERN AVE HENDERSON NV 89201 Clark 702-616-5925 Physicians Cardiology 472990144 ABELL, JACOB 3700 GRANT DR RENO NV 89202 Washoe 775-829-4700 Rehabilitation Occupational Therapy 880291454 ABELLA, EMERITA B 61 N NELLIS BLVD LAS VEGAS NV 89203 Clark 702-383-6240 Physicians General Practice 886000436 ABEYATUNGE, LAMBERT R 2255 RENAISSANCE DR STE C LAS VEGAS NV 89204 Clark 702-735-1202 Physicians General Surgery 880483972 ABILITY PROSTHETICS & ORTHOTICS OF NEV 309 KIRMAN AVE STE A RENO NV 89205 Washoe 775-333-9255 Ancillary Providers 454717291 ABINYA, BETH C 2012 S JONES BLVD LAS VEGAS NV 89206 Clark 702-360-1137 Rehabilitation Speech Pathology 412129643 ABITTAN, AIMEE N 5030 LAS BRISAS BLVD STE B3 RENO NV 89207 Washoe 775-852-8336 Physicians General Dentist 260611182 ABLE, KYMBERLI T 2012 S JONES BLVD LAS VEGAS NV 89208 Clark 702-360-1137 Rehabilitation Physical Therapy 412129643 ABRAHAM, PAMELA V 513 HAMMILL LN RENO NV 89209 Washoe 775-358-3522 Physicians Family Medicine 880502320 ABRAMOW, STANLEY M 3150 N TENAYA WAY STE 270 LAS VEGAS NV 89211 Clark 702-360-9630 Physicians Obstetrics/Gynecology 880357310 ABRAMS, JACK E 6450 MEDICAL CENTER ST STE 100 LAS VEGAS NV 89212 Clark 702-304-9494 Physicians Ophthalmology 330733740 ABRASS, ANDREW G 801 E WILLIAMS AVE FALLON NV 89217 Churchill 775-423-3151 Hospitals Short Term Acute Care Hospital 271562128 ABRISHAMI, PAYAM 2285 CORPORATE CIR STE 200 HENDERSON NV 89268 Clark 702-853-7451 Physicians Dermatology 953134847 © 2021 - Prime Health Services 9/29/2021

Transcript of State of Nevada full directory

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 1 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax ID21ST CENTURY ONCOLOGY 3006 S MARYLAND PKWY STE 100 LAS VEGAS NV 89109 Clark 702-894-5100 Physicians Radiation Oncology 88038440324-7 CAREGIVERS REGISTRY INC 7469 W LAKE MEAD BLVD STE 230 LAS VEGAS NV 89124 Clark 818-884-7300 Ancillary Providers 4644468197 HILLS RADIOLOGY 870 SEVEN HILLS DR STE 101 HENDERSON NV 89125 Clark 800-400-4674 Ambulatory Facilities 481301090A 1 PHYSICAL THERAPY 1701 BEARDEN DR STE 201 LAS VEGAS NV 89126 Clark 702-685-3728 Rehabilitation 043821114A BETTER LIFE PAIN TREATMENT CENTER 2020 GOLDRING AVE STE 504 LAS VEGAS NV 89129 Clark 702-386-7008 Physicians Pain Management 200963854A BETTER TODAY RECOVERY SERVIC 6655 W SAHARA AVE STE D208 LAS VEGAS NV 89130 Clark 888-906-0952 Rehabilitation 900512551A PLUS OXYGEN AND DME 940 MATLEY LN STE 14 RENO NV 89132 Washoe 775-329-0101 Ancillary Providers 262692480A WOMANS PLACE 2789 SUNRDG HTS PKWY STE 100 HENDERSON NV 89133 Clark 702-671-0006 Physicians Obstetrics/Gynecology 205151018A WOMANS PLACE OB. GYN. LLP 2789 SUNRIDGE HEIGHTS PKWY STE 100 HENDERSON NV 89135 Clark 702-427-0494 Physicians Obstetrics/Gynecology 721613674A WOMANS PLACE OB/GYN 2789 SUNRIDGE HEIGHTS PKWY STE 100 HENDERSON NV 89136 Clark 702-427-0494 Physicians Obstetrics/Gynecology 205151018A. AJAYI MD PLLC 6039 ELDORA AVE STE E LAS VEGAS NV 89137 Clark 702-228-4900 Physicians Psychiatry 273018129AA MEDICAL 4135 N RANCHO DR LAS VEGAS NV 89138 Clark 702-368-4477 Ancillary Providers 880211634ABAD, DIGNA T 2012 S JONES BLVD LAS VEGAS NV 89140 Clark 702-360-1137 Rehabilitation Speech Pathology 412129643ABADIE, WESLEY 3150 N TENAYA WAY STE 112 LAS VEGAS NV 89141 Clark 702-562-1777 Physicians Otolaryngology 880330858ABALOS, MINA A 4380 BLUE DIAMOND RD STE 102 LAS VEGAS NV 89142 Clark 702-425-4424 Physicians General Dentist 261748512ABANONU, KASEY L 6857 W CHARLESTON BLVD LAS VEGAS NV 89145 Clark 702-304-2144 Physicians Internal Medicine 201026537ABARQUEZ, SENIALITA S 3249 W CRAIG RD NORTH LAS VEGAS NV 89148 Clark 702-750-1900 Physicians Certified Nurse Practitioner 010954094ABBA MEDICAL CENTER 4903 VEGAS DR STE 101 LAS VEGAS NV 89149 Clark 702-505-8579 Physicians Certified Nurse Practitioner 465743556ABBEY, DENISE S 75 PRINGLE WAY STE 401 RENO NV 89150 Washoe 775-982-2820 Physicians Social Worker 886000022ABBO, JOSEF 7040 S DURANGO DR LAS VEGAS NV 89151 Clark 702-260-1261 Physicians Family Medicine 463164188ABBOTT, LISA G 665 SIERRA ROSE DR STE 201 RENO NV 89168 Washoe 775-786-6770 Physicians Endocrinology 880514820ABBOUD, SHIRIN 5150 MAE ANNE AVE STE 810A RENO NV 89171 Washoe 775-747-0680 Physicians General Dentist 464394010ABC HOME HEALTH 3885 S DECATUR BLVD LAS VEGAS NV 89172 Clark 702-248-7781 Ancillary Providers 510534469ABC PEDIATRICS LAKE MEAD 10950 S EASTERN AVE STE 100 HENDERSON NV 89173 Clark 702-614-2192 Physicians Pediatrics 880397351ABDALLAH, AMIN 3896 N MARTIN L KING BLVD NORTH LAS VEGAS NV 89174 Clark 702-614-1792 Physicians General Dentist 204714412ABDEL KHALEK MD LTD. 9410 DEL WEBB BLVD LAS VEGAS NV 89177 Clark 702-240-8155 Physicians Internal Medicine 880306188ABDEL KHALEK, MD, LTD. 9410 DEL WEBB BLVD LAS VEGAS NV 89178 Clark 702-240-8155 Physicians Internal Medicine 880306188ABDELLA, THOMAS N 3196 S MARYLAND PKWY LAS VEGAS NV 89180 Clark 702-944-2888 Physicians Obstetrics/Gynecology 880330858ABDELNOUR, RIZALYNE 7500 W LAKE MEAD BLVD STE 11 LAS VEGAS NV 89181 Clark 702-735-5066 Physicians General Dentist 270865739ABDELSAYED, NADER Y 1815 E LAKE MEAD BLVD STE 314 NORTH LAS VEGAS NV 89184 Clark 702-649-0002 Physicians Obstetrics/Gynecology 880505236ABDO, MARIA M 7000 SPRING MOUNTAIN RD LAS VEGAS NV 89186 Clark 702-322-1902 Physicians Social Worker 200930346ABDOU, SHERIF W 700 E WARM SPRINGS RD STE 302 LAS VEGAS NV 89187 Clark 702-932-8530 Physicians Internal Medicine 880404402ABDOULIN, ARTHUR 7101 W CRAIG RD STE 102 LAS VEGAS NV 89188 Clark 702-515-0553 Physicians General Dentist 472117453ABDULLA, FAROOQ 1430 E CALVADA BLVD PAHRUMP NV 89196 Nye 775-751-4600 Physicians Pediatrics 880249971ABDULLAH, SANDRA L 1799 MOUNT MARIAH DR LAS VEGAS NV 89197 Clark 702-209-9918 Physicians Social Worker 355565072ABDUNNUR, SHANE 9990 DOUBLE R BLVD STE 200 RENO NV 89198 Washoe 775-348-8800 Physicians Neurological Surgery 270028866ABE, BENNETT K 3343 S EASTERN AVE LAS VEGAS NV 89199 Clark 702-254-5004 Physicians Radiology/Diagnostic 880447330ABEJURO, ROMEO M 6161 W CHARLESTON BLVD LAS VEGAS NV 89200 Clark 702-486-6045 Physicians Psychiatry 886000022ABELA, OLIVER G 10001 S EASTERN AVE HENDERSON NV 89201 Clark 702-616-5925 Physicians Cardiology 472990144ABELL, JACOB 3700 GRANT DR RENO NV 89202 Washoe 775-829-4700 Rehabilitation Occupational Therapy 880291454ABELLA, EMERITA B 61 N NELLIS BLVD LAS VEGAS NV 89203 Clark 702-383-6240 Physicians General Practice 886000436ABEYATUNGE, LAMBERT R 2255 RENAISSANCE DR STE C LAS VEGAS NV 89204 Clark 702-735-1202 Physicians General Surgery 880483972ABILITY PROSTHETICS & ORTHOTICS OF NEVADA, LLC309 KIRMAN AVE STE A RENO NV 89205 Washoe 775-333-9255 Ancillary Providers 454717291ABINYA, BETH C 2012 S JONES BLVD LAS VEGAS NV 89206 Clark 702-360-1137 Rehabilitation Speech Pathology 412129643ABITTAN, AIMEE N 5030 LAS BRISAS BLVD STE B3 RENO NV 89207 Washoe 775-852-8336 Physicians General Dentist 260611182ABLE, KYMBERLI T 2012 S JONES BLVD LAS VEGAS NV 89208 Clark 702-360-1137 Rehabilitation Physical Therapy 412129643ABRAHAM, PAMELA V 513 HAMMILL LN RENO NV 89209 Washoe 775-358-3522 Physicians Family Medicine 880502320ABRAMOW, STANLEY M 3150 N TENAYA WAY STE 270 LAS VEGAS NV 89211 Clark 702-360-9630 Physicians Obstetrics/Gynecology 880357310ABRAMS, JACK E 6450 MEDICAL CENTER ST STE 100 LAS VEGAS NV 89212 Clark 702-304-9494 Physicians Ophthalmology 330733740ABRASS, ANDREW G 801 E WILLIAMS AVE FALLON NV 89217 Churchill 775-423-3151 Hospitals Short Term Acute Care Hospital 271562128ABRISHAMI, PAYAM 2285 CORPORATE CIR STE 200 HENDERSON NV 89268 Clark 702-853-7451 Physicians Dermatology 953134847

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 2 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDABSOLUTE DENTAL INC. 8380 W CHEYENNE AVE STE 103 LAS VEGAS NV 89269 Clark 702-388-8989 Physicians General Dentist 020707878ABSOLUTE FOOT CARE 1321 S RAINBOW BLVD STE 102 LAS VEGAS NV 89270 Clark 702-839-2010 Physicians Podiatry 113483180ABSOLUTE FOOT CARE SPECIALISTS INC 7125 GRAND MONTECITO PKWY # 11 LAS VEGAS NV 89272 Clark 702-839-2010 Physicians Podiatry 900014268ABSOLUTE KIDS DENTAL 8380 W CHEYENNE AVE STE 102 LAS VEGAS NV 89273 Clark 702-733-0888 Physicians Pediatric Dentist 680589050ABSOLUTE PRIMARY CARE CENTER 6857 W CHARLESTON BLVD LAS VEGAS NV 89274 Clark 702-304-2144 Physicians Internal Medicine 463315805ABUBAKER, SANA S 2325 E HARMON AVE LAS VEGAS NV 89275 Clark 702-798-7990 Physicians Physical Medicine & Rehabilitation337820512ABUBAKER, SYED K 2040 W CHARLESTON BLVD LAS VEGAS NV 89276 Clark 702-671-6469 Physicians Psychiatry 886000022ABULHASAN, MARWA 4301 E SUNSET RD STE 100 HENDERSON NV 89277 Clark 702-465-8187 Physicians Periodontist 475009169AC DIONISIO, MD INC. 764 CANARY WHARF DR LAS VEGAS NV 89285 Clark 702-638-7705 Physicians Internal Medicine 208660060ACADEMY MEDICAL EQUIPMENT 2400 N TENAYA WAY STE 150 LAS VEGAS NV 89287 Clark 702-382-9991 Ancillary Providers 880442942ACADEMY MEDICAL EQUIPMENT, INC 2400 N TENAYA WAY LAS VEGAS NV 89288 Clark 702-382-9991 Ancillary Providers 880442942Accessible Healthcare LLC 2450 CHANDLER AVE LAS VEGAS NV 89289 Clark 702-476-8853 Ancillary Providers 450577085ACCREDO HEALTH GROUP INC. 505 E CAPOVILLA AVE STE 103 LAS VEGAS NV 89290 Clark 800-234-7044 Ancillary Providers 133888838ACE CHIROPRACTIC & OPTIMUM HEALTH FOR LIFE10075 S EASTERN AVE STE 110 HENDERSON NV 89291 Clark 702-614-8778 Physicians Chiropractor 421587725ACEBEDO, ERICH GLENN C 3750 S JONES BLVD STE 110 LAS VEGAS NV 89292 Clark 702-876-0350 Physicians Internal Medicine 721597863ACHARYA, ISHAN K 3186 S MARYLAND PKWY LAS VEGAS NV 89293 Clark 702-731-8211 Physicians Internal Medicine 201026537ACHERMAN, RUBEN J 3006 S MARYLAND PKWY STE 690 LAS VEGAS NV 89309 Clark 702-732-1290 Physicians Pediatric Cardiology 880330858ACHIEVE PHYSICAL THERAPY OF ARIZONA, PLLC6040 S RAINBOW BLVD LAS VEGAS NV 89313 Clark 702-876-1733 Rehabilitation 271296387ACHIN, ROWENA 3100 N TENAYA WAY LAS VEGAS NV 89314 Clark 702-304-2144 Physicians Internal Medicine 431744715ACIERTO, DANIEL SAM S 2645 W HORIZON RIDGE PKWY STE 120 HENDERSON NV 89330 Clark 702-790-2211 Physicians Certified Nurse Practitioner 812140000ACKERET, MONICA 9140 W POST RD STE 100N LAS VEGAS NV 89331 Clark 702-405-2210 Physicians Professional Counselor 043290453ACKMANN, CHRISTINE L 4370 SMILEY RD LAS VEGAS NV 89332 Clark 702-668-7200 Physicians Social Worker 886000022ACOSTA, ELVIRA B 2001 S RAINBOW BLVD STE 160 LAS VEGAS NV 89333 Clark 702-233-2500 Physicians Family Medicine 880510199ACOSTA, EMMANUEL G 2770 S MARYLAND PKWY STE 215 LAS VEGAS NV 89342 Clark 702-248-6850 Physicians Physical Medicine & Rehabilitation273380130ACTION THERAPEUTICS LLC 866 SEVEN HILLS DR STE 103 HENDERSON NV 89343 Clark 702-263-7800 Rehabilitation 043821114ACTIVE CHIROPRACTIC HEALTH AND WELLNESS CENTER120 E JOHN ST CARSON CITY NV 89344 Carson City 775-884-9355 Physicians Chiropractor 043821114ACTIVE HEALTH CHIROPRACTIC 7445 S DURANGO DR STE 105 LAS VEGAS NV 89345 Clark 702-453-5000 Physicians Chiropractor 651244886ACTIVE LIFE FAMILY CHIROPRACTIC 4250 SIMMONS ST STE 100 NORTH LAS VEGAS NV 89346 Clark 702-636-2843 Physicians Chiropractor 753094787ACTIVE LIFE HEALTH AND WELLNESS 4250 SIMMONS ST STE 100 NORTH LAS VEGAS NV 89347 Clark 702-636-2843 Rehabilitation 043821114ACTIVE PHYSICAL THERAPY NEVADA 3594 W PLUMB LN STE B RENO NV 89348 Washoe 775-786-2400 Rehabilitation 571232107ADA I VERA DPM LTD 3000 W CHARLESTON BLVD STE 6 LAS VEGAS NV 89349 Clark 702-878-5252 Physicians Podiatry 880281448ADAJAR, ROMMEL U 118 E HASKELL ST WINNEMUCCA NV 89350 Humboldt 775-625-8585 Physicians Internal Medicine 886000088ADAMCHEVSKA, VITALINA 5771 S FORT APACHE RD STE 120 LAS VEGAS NV 89352 Clark 702-614-1250 Physicians Certified Nurse Practitioner 205747058ADAMS CHIROPRACTIC 9455 W RUSSELL RD STE C LAS VEGAS NV 89353 Clark 702-220-7646 Physicians Chiropractor 043821114ADAMS II, KENNETH W 9880 W FLAMINGO RD LAS VEGAS NV 89354 Clark 702-216-7335 Physicians Emergency Medicine 824933457ADAMS II, MICHAEL L 9127 W RUSSELL RD LAS VEGAS NV 89355 Clark 702-878-0070 Physicians Anesthesiology 860916679ADAMS, ANETTA 1500 E 2ND ST STE 206 RENO NV 89364 Washoe 775-789-7000 Physicians Certified Nurse Practitioner 880179203ADAMS, BRIAN J 735 SPARKS BLVD SPARKS NV 89366 Washoe 775-359-3934 Physicians General Dentist 201447368ADAMS, DAVID J 7250 PEAK DR LAS VEGAS NV 89368 Clark 702-386-4700 Physicians Anesthesiology 204727467ADAMS, JAY S 1100 S CARSON ST CARSON CITY NV 89369 Carson City 775-883-7811 Physicians Dermatology 880502320ADAMS, KARLEEN C 4141 SWENSON ST LAS VEGAS NV 89371 Clark 702-733-0320 Physicians Family Medicine 880213519ADAMS, KATHLEEN 25 MCCABE DR RENO NV 89372 Washoe 775-826-8100 Physicians Social Worker 470913587ADAMS, KATHLEEN J 6490 S MCCARRAN BLVD STE 22 RENO NV 89373 Washoe 775-829-9880 Physicians Radiology/Diagnostic 680248077ADAMS, KIMBERLY A 5225 S DURANGO DR LAS VEGAS NV 89374 Clark 702-253-9355 Physicians Family Medicine 880407695ADAMS, REX A 6630 S MCCARRAN BLVD BLDG C RENO NV 89377 Washoe 775-828-1400 Physicians Rheumatology 953154530ADAMS, RICHARD K 8072 W SAHARA AVE STE B LAS VEGAS NV 89378 Clark 702-363-0757 Physicians General Dentist 880264490ADAMS, RUTH E 1100 S CARSON ST CARSON CITY NV 89379 Carson City 775-883-7811 Physicians Dermatology 880175775ADAMSON, AARON U 290 BRINKBY AVE RENO NV 89381 Washoe 775-826-7833 Physicians Oral Surgery 474880065ADAN, JOHN 4432 S EASTERN AVE LAS VEGAS NV 89382 Clark 702-733-2982 Physicians Cardiology 880407499ADAOAG, AARON A 2300 CORPORATE CIR STE 190 HENDERSON NV 89385 Clark 702-369-0142 Physicians Family Medicine 880368011ADASHEK, JOSEPH A 5761 S FORT APACHE RD LAS VEGAS NV 89389 Clark 702-341-6610 Physicians Obstetrics/Gynecology 522406330

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 3 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDADDINGTON, JANE C 580 W 5TH ST STE 12C RENO NV 89391 Washoe 775-786-4673 Physicians Certified Nurse Practitioner 455557052ADDIS, LAURA D 2870 S MARYLAND PKWY STE 300 LAS VEGAS NV 89392 Clark 702-735-0258 Physicians Internal Medicine 880106090ADDISON, NAKIA R 2121 E FLAMINGO RD STE 110 LAS VEGAS NV 89394 Clark 702-382-8841 Physicians Dietitian 880436341ADDUS HEALTHCARE 1071 IDAHO ST ELKO NV 89395 Elko 775-738-7717 Ancillary Providers 262653854ADDUS HEALTHCARE INC 1071 IDAHO ST ELKO NV 89396 Elko 775-738-7717 Ancillary Providers 262653854ADEKILE, AYOOLA 500 S RANCHO DR STE 12 LAS VEGAS NV 89400 Clark 702-877-1887 Physicians Nephrology 880136773ADMIRAND, WILLIAM H 707 N MINNESOTA ST CARSON CITY NV 89401 Carson City 775-884-4567 Physicians Gastroenterology 880182841ADOLFO, EDWIN N 7250 PEAK DR LAS VEGAS NV 89403 Clark 702-386-4700 Physicians Anesthesiology 204727467ADOLFO, MARIA C 5785 S FORT APACHE RD LAS VEGAS NV 89405 Clark 702-228-3111 Physicians Internal Medicine 261116846ADOLFO, MARISSA 848 PASEO CERRO PL LAS VEGAS NV 89406 Clark 702-523-8450 Physicians Certified Nurse Practitioner 721597863ADRANGI, BAHBAK 3157 N RAINBOW BLVD LAS VEGAS NV 89407 Clark 702-386-4700 Physicians Anesthesiology 880375544ADRIAN, ADRIAN 2365 REYNOLDS AVE BLDG C FL 2 NORTH LAS VEGAS NV 89413 Clark 702-399-1287 Physicians Family Medicine 204883392ADRIAN, CHARLENE 1000 S RAINBOW BLVD LAS VEGAS NV 89415 Clark 702-952-9171 Physicians Internal Medicine 880213519ADVANCED ADOLOSCENT PEDIATRIC GASTROENTEROLOGY8630 W CHEYENNE AVE LAS VEGAS NV 89416 Clark 702-851-9383 Physicians Pediatric Gastroenterology 870749299ADVANCED CARDIOVASCULAR SPECIALISTS 3201 S MARYLAND PKWY STE 502 LAS VEGAS NV 89418 Clark 702-733-8600 Physicians Cardiology 880332598ADVANCED CARE OPTIONS LLC 10624 S EASTERN AVE STE A277 HENDERSON NV 89419 Clark 702-998-9766 Physicians Certified Nurse Practitioner 812480739ADVANCED CHIROPRACTIC AT SPECIALTY MEDICAL CENTER1151 S HIGHWAY 160 PAHRUMP NV 89420 Nye 775-727-1188 Physicians Chiropractor 880464017ADVANCED COSMETIC SURGERY AND DERMATOLOGY276 KINGSBURY GRADE STE 101 STATELINE NV 89421 Douglas 775-588-5000 Physicians Dermatology 510566371ADVANCED EYECARE 7901 W TROPICAL PKWY STE 1 LAS VEGAS NV 89422 Clark 702-737-3937 Physicians Optometry 200468842ADVANCED FOOT & ANKLE, INC 4275 BURNHAM AVE STE 330 LAS VEGAS NV 89423 Clark 702-696-9005 Physicians Podiatry 141977134ADVANCED HEALTHCARE 3663 E SUNSET RD STE 503 LAS VEGAS NV 89424 Clark 702-434-2800 Physicians Family Medicine 043821114ADVANCED MANUAL THERAPY INSTITUTE 911 N BUFFALO DR STE 107 LAS VEGAS NV 89425 Clark 702-255-7223 Rehabilitation 202279187ADVANCED MANUAL THERAPY INSTITUTE I LLC2625 W HORIZON RIDGE PKWY # 12D HENDERSON NV 89428 Clark 702-896-0383 Rehabilitation Physical Therapy 202279187ADVANCED MEDICAL CENTER 1397 S LOOP RD PAHRUMP NV 89429 Nye 775-727-5500 Physicians Internal Medicine 880407938ADVANCED OB/GYN SPECIALISTS 4275 BURNHAM AVE STE 270 LAS VEGAS NV 89430 Clark 702-862-4474 Physicians Podiatry 880332771ADVANCED ORTHOPEDICS 689 SIERRA ROSE DR STE 8 RENO NV 89431 Washoe 775-786-2100 Physicians Orthopedic Surgery 860860891ADVANCED PEDIATRIC THERAPIES, LLC 1025 ROBERTA LN SPARKS NV 89432 Washoe 775-825-4744 Rehabilitation Speech Pathology 562328617ADVANCED PERINATAL MGMT. 653 N TOWN CTR DR STE 414 LAS VEGAS NV 89433 Clark 702-578-2096 Physicians Obstetrics/Gynecology 261956789ADVANCED PROSTHETICS & ORTHOTICS OF AMERICA2650 N TENAYA WAY LAS VEGAS NV 89434 Clark 800-400-4674 Ancillary Providers 860851226ADVANCED PROSTHETICS AND ORTHOTICS INC.7455 W WASHINGTON AVE STE 215 LAS VEGAS NV 89436 Clark 702-256-5265 Ancillary Providers 860851226ADVANCED PROSTHETICS ORTHOTICS 2650 N TENAYA WAY STE 210 LAS VEGAS NV 89437 Clark 702-256-5265 Ancillary Providers 860851226ADVANCED SIERRA EYE 700 OLD CLEAR CREEK RD CARSON CITY NV 89442 Douglas 775-884-2020 Physicians Optometry 651227957ADVANCED SPINAL REHABILITATION 4550 E CHARLESTON BLVD LAS VEGAS NV 89443 Clark 702-459-5500 Rehabilitation 043821114ADVANCED SPINAL SOLUTIONS 3025 E DESERT INN RD STE 20 LAS VEGAS NV 89445 Clark 702-798-1112 Physicians Chiropractor 880506754ADVANCED SPINE & PAIN CENTER 601 S RANCHO DR STE A6 LAS VEGAS NV 89446 Clark 702-386-0909 Physicians Physical Medicine & Rehabilitation880417823ADVANCED SPINE & PAIN MANAGEMENT CTR OF NEVADA715 MALL RING CIR STE 205 HENDERSON NV 89447 Clark 702-990-2225 Physicians Chiropractor 721553684ADVANCED SPINE & REHABILITATION LLC 715 MALL RING CIR STE 205 HENDERSON NV 89449 Clark 702-339-1142 Physicians Chiropractor 202750930ADVANCED SPINE AND POSTURE 6592 N DECATUR BLVD STE 115 LAS VEGAS NV 89451 Clark 702-396-4993 Physicians Chiropractor 821213332ADVANCED THERAPEUTIC SPECIALISTS 4116 W CRAIG RD STE 100 NORTH LAS VEGAS NV 89453 Clark 702-656-3405 Rehabilitation 043821114ADVANCED URGENT CARE AND NIGHTLIGHT PEDIATRICS9975 S EASTERN AVE LAS VEGAS NV 89454 Clark 702-361-2273 Physicians General Practice 203502995ADVANTAGE HEALTH CARE 9975 S EASTERN AVE STE 110B LAS VEGAS NV 89455 Clark 702-434-2800 Physicians Chiropractor 860856285AeroCare 802 AVENUE E STE 1 ELY NV 89457 White Pine 775-289-9933 Ancillary Providers 731636259AeroCare Holdings, Inc 187 N GIBSON RD STE 110 HENDERSON NV 89459 Clark 702-257-2575 Ancillary Providers 731636259AEROCARE INC 705 AULTMAN ST ELY NV 89460 White Pine 775-289-9933 Ancillary Providers 731636259AEVA LLC DBA AEVA SPECIALTY PHARMACY6280 S VALLEY VIEW BLVD STE 732 LAS VEGAS NV 89461 Clark 702-558-2382 Ancillary Providers 541637450AFFILIATED PHYSICAL THERAPISTS 2411 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 89462 Clark 702-458-1300 Rehabilitation 043821114AFFILIATED PHYSICAL THERAPY LLC 2411 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 89463 Clark 702-458-1300 Rehabilitation 043821114AFFINITY SURGERY CENTER LLC 10135 W TWAIN AVE LAS VEGAS NV 89465 Clark 702-832-5959 Ambulatory Facilities 463148658AFIFI, HAZEM Y 5380 S RAINBOW BLVD LAS VEGAS NV 89466 Clark 725-333-8465 Physicians Thoracic Surgery 462964527AFSHARI, NADER D 4161 S EASTERN AVE STE E8 LAS VEGAS NV 89468 Clark 702-233-1222 Physicians General Dentist 820890714AFTAB, AMIR 9811 W CHARLESTON BLVD STE 2-770 LAS VEGAS NV 89469 Clark 702-224-2525 Physicians Internal Medicine 880411893

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 4 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDAGAHI, SHAHRIAR H 175 N STEPHANIE ST STE 170 HENDERSON NV 89472 Clark 702-997-5958 Physicians General Dentist 208863082AGAMEZ, MONA 5832 RED GULL ST LAS VEGAS NV 89474 Clark 702-396-0101 Rehabilitation Occupational Therapy 810553893AGASTYA, MANAS 1707 W CHARLESTON BLVD STE 230 LAS VEGAS NV 89476 Clark 702-671-5060 Physicians Internal Medicine 813419791AGATON, JAYSON PAULO A 2200 PASEO VERDE PKWY STE 190 HENDERSON NV 89477 Clark 702-589-4871 Physicians Certified Nurse Practitioner 823795906AGBASI, FUNKE F 4231 N RANCHO DR LAS VEGAS NV 89478 Clark 702-383-3800 Physicians Family Medicine 886000436AGBAYANI, RHEA M 1505 WIGWAM PKWY STE 330 HENDERSON NV 89479 Clark 702-568-0195 Rehabilitation Physical Therapy 352117129AGDAMAG, DOROTHY MAY 5409 TARTAN HILL AVE LAS VEGAS NV 89480 Clark 702-521-5376 Physicians Certified Nurse Practitioner 943489399AGELESS MENS HEALTH 2821 W HORIZON RIDGE PKWY STE 111 HENDERSON NV 89481 Clark 702-252-8378 Ancillary Providers 364624388AGELESS MENS HEALTH LLC 2911 N TENAYA WAY STE 105 LAS VEGAS NV 89486 Clark 702-947-4715 Physicians Urology 364624388AGELESS MENS HEALTH NV LLC 2911 N TENAYA WAY STE 105 LAS VEGAS NV 89488 Clark 702-947-4715 Physicians Urology 271054323AGHAKHANI, ARASH 1811 S RAINBOW BLVD STE 101 LAS VEGAS NV 89489 Clark 702-805-4200 Physicians General Dentist 831061667AGNIR, MARIA G 3061 S MARYLAND PKWY STE 101 LAS VEGAS NV 89490 Clark 702-254-5437 Physicians Certified Nurse Practitioner 680640053AGRAWAL, RAJNEESH 2020 PALOMINO LN STE 100 LAS VEGAS NV 89491 Clark 888-727-1074 Physicians Radiology/Diagnostic 834721282AGRE, RODGER S 880 ALDER AVE INCLINE VILLAGE NV 89497 Washoe 775-832-5555 Physicians Psychiatry 880502320AGTAY II, TEODORO B 7730 W CHEYENNE AVE STE 107 LAS VEGAS NV 89498 Clark 725-221-1568 Physicians Certified Nurse Practitioner 822025913AGU, UGOEZI B 6850 N DURANGO DR STE 208 LAS VEGAS NV 89500 Clark 702-952-0999 Physicians Certified Nurse Practitioner 880213519AGUDA-SEMANA, COURTNEY M 3213 W CHARLESTON BLVD STE 105 LAS VEGAS NV 89505 Clark 702-570-6222 Rehabilitation Physical Therapy 472546455AGUILA III, DEMETRIO J 1707 W CHARLESTON BLVD STE 190 LAS VEGAS NV 89508 Clark 702-671-5110 Physicians Pain Management 880330858AGUILAR, ALEXANDRA LEE G 10001 S EASTERN AVE HENDERSON NV 89509 Clark 702-616-5865 Physicians Pediatric Endocrinology 880330858AGUILUZ-DIZON, JENESA S 2000 WELLNESS WAY LAS VEGAS NV 89510 Clark 702-384-5101 Physicians Certified Nurse Practitioner 880329731AGUIRRE, VIOLETA 2000 WELLNESS WAY LAS VEGAS NV 89511 Clark 702-384-5101 Physicians Certified Nurse Practitioner 880329731AGUSTIN, TERENCE LOU D 2225 CIVIC CENTER DR STE 280 NORTH LAS VEGAS NV 89512 Clark 702-399-1287 Physicians Internal Medicine 020697568AGUSTIN, TRICIA L 595 W LAKE MEAD PKWY HENDERSON NV 89515 Clark 702-566-5500 Physicians Family Medicine 880213519AHAD, ROOMAN 1524 PINTO LN FL 3 LAS VEGAS NV 89516 Clark 702-383-3642 Physicians Neurology 263129042AHLSTROM, JAMES T 1161 S VALLEY VIEW BLVD LAS VEGAS NV 89518 Clark 702-486-7670 Rehabilitation Physical Therapy 886000022AHMAD, FAISAL 200 BATH ST STE 1 CARSON CITY NV 89519 Carson City 775-882-2106 Physicians Pulmonology 880119775AHMAD, LUBNA 3340 TOPAZ ST STE 100 LAS VEGAS NV 89520 Clark 702-228-5000 Physicians Endocrinology 880411428AHMAD, SHAHEEN W 4270 S DECATUR BLVD STE B6 LAS VEGAS NV 89524 Clark 702-485-2100 Physicians Certified Nurse Practitioner 812219401AHMAD, SHAHID N 9300 W SUNSET RD LAS VEGAS NV 89525 Clark 702-916-5000 Physicians Neurological Surgery 331159527AHMAD, SHAMOON 7010 SMOKE RANCH RD STE 100 LAS VEGAS NV 89526 Clark 702-363-2020 Physicians Hematology/Oncology 880401900AHMAD, SYED S 3370 S HIGHWAY 160 STE 8-11 PAHRUMP NV 89529 Nye 775-413-6025 Physicians Internal Medicine 261136614AHMADIAN, MONI 1001 SHADOW LN LAS VEGAS NV 89530 Clark 702-774-2400 Physicians General Dentist 886000024AHMED, BIRJEES 1707 W CHARLESTON BLVD STE 230 LAS VEGAS NV 89531 Clark 702-671-5060 Physicians Internal Medicine 813419791AHMED, FARRES N 2874 N CARSON ST STE 300 CARSON CITY NV 89533 Carson City 775-445-5500 Physicians Radiology/Diagnostic 880279310AHMED, FAWAD 1905 MCDANIEL ST STE 106 NORTH LAS VEGAS NV 89535 Clark 702-878-2455 Physicians Internal Medicine 880368011AHMED, IMRAN 2904 W HORIZON RIDGE PKWY STE 200 HENDERSON NV 89539 Clark 702-471-7779 Physicians Hematology/Oncology 880326483AHMED, MOHAMED S 2470 E FLAMINGO RD LAS VEGAS NV 89541 Clark 702-737-1427 Physicians Cardiology 471878079AHMED, OMAR S 4855 BLUE DIAMOND RD LAS VEGAS NV 89542 Clark 702-216-7305 Physicians Emergency Medicine 824933457AHMED, SALAHUDDIN 3540 W SAHARA AVE # 434 LAS VEGAS NV 89543 Clark 702-562-3590 Physicians Anesthesiology 880400218AHMED, SHAMOONA 10624 S EASTERN AVE HENDERSON NV 89547 Clark 702-800-5393 Physicians Internal Medicine 208753074AHMED, TAZEEN S 545 MARKS ST STE 100 HENDERSON NV 89549 Clark 702-425-3697 Physicians General Dentist 261771124AHMED, WASEEM 3100 N TENAYA WAY LAS VEGAS NV 89553 Clark 702-731-8460 Physicians Pulmonology 331159527AHN, CHRISTOPHER M 7250 PEAK DR LAS VEGAS NV 89555 Clark 702-386-4700 Physicians Anesthesiology 204727467AHSAN AND ASSOCIATES INC. 8814 BIG BLUFF AVE LAS VEGAS NV 89556 Clark 702-860-8272 Physicians Internal Medicine 342056997AHSAN, CHOWDHURY H 3150 N TENAYA WAY STE 320 LAS VEGAS NV 89558 Clark 702-227-3422 Physicians Cardiology 200562668AHUJA, VASUDHA 480 GALLETTI WAY SPARKS NV 89566 Washoe 775-688-2001 Physicians Psychiatry 886000022AI, JULIA T 1500 E 2ND ST STE B RENO NV 89567 Washoe 775-982-5000 Physicians Dermatology 880361999AIKELS, SONYA L 3006 S MARYLAND PKWY STE 315 LAS VEGAS NV 89568 Clark 702-992-6868 Physicians Pediatrics 880330858AIKENHEAD, KENDRA 1501 LAMOILLE HWY ELKO NV 89571 Elko 775-738-0818 Rehabilitation Physical Therapy 264238069AIKIN, BRENT A 801 E WILLIAMS AVE FALLON NV 89574 Churchill 775-423-3151 Physicians Family Medicine 464004517AIREL, PETER S 4700 LAS VEGAS BLVD N NELLIS AFB NV 89576 Clark 702-653-3322 Physicians Gastroenterology 954871082

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 5 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDAISHA TANVEER MD INC. 3001 SAINT ROSE PKWY HENDERSON NV 89577 Clark 702-616-5000 Physicians Internal Medicine 262044295AIYUK, MARTHA 5423 RENO CORPORATE DR RENO NV 89578 Washoe 775-329-0873 Physicians Certified Nurse Practitioner 880152239AJAYI, ADEKUNLE O 5900 W ROCHELLE AVE LAS VEGAS NV 89579 Clark 702-364-1111 Physicians Psychiatry 273018129AJIBADE, OLASENI 1701 W CHARLESTON BLVD STE 250 LAS VEGAS NV 89581 Clark 702-671-2358 Physicians Internal Medicine 880330858AKBAR, TANVEER 10620 SOUTHERN HIGHLANDS PKWY STE 110-507LAS VEGAS NV 89582 Clark 702-921-6829 Physicians Internal Medicine 113811105AKBARULLAH, SYED 870 S 7TH ST LAS VEGAS NV 89584 Clark 702-384-5101 Physicians Pulmonology 870771006AKERS, TERRY 2931 N TENAYA WAY STE 106 LAS VEGAS NV 89585 Clark 702-822-1212 Physicians Chiropractor 880507196AKERS-HUDSON, LISA 2375 E PRATER WAY SPARKS NV 89587 Washoe 775-331-7000 Physicians Emergency Medicine 475671561AKHAVAN, ALEXANDER F 3022 S DURANGO DR STE 100 LAS VEGAS NV 89588 Clark 702-256-3637 Physicians Family Medicine 800564543Akhondi Asl, Hossein 2880 N TENAYA WAY STE 100 LAS VEGAS NV 89590 Clark 702-962-9550 Physicians Internal Medicine 331159527AKHTAR, FAHEEM 1500 E 2ND ST RENO NV 89594 Washoe 775-789-7000 Physicians Vascular Surgery 880179203AKHTAR, IMRAN 2800 E DESERT INN RD STE 100 LAS VEGAS NV 89595 Clark 702-731-1616 Physicians Orthopedic Surgery 910858192AKHTAR, SALMAN 7020 SMOKE RANCH RD STE 150 LAS VEGAS NV 89599 Clark 702-366-9522 Physicians Cardiology 830481538AKIOYAME, FRANKLIN 1701 BEARDEN DR STE 200 LAS VEGAS NV 89601 Clark 702-310-9110 Physicians Certified Nurse Practitioner 880400682AKIOYAME, FRANKLIN 4903 VEGAS DR STE 101 LAS VEGAS NV 89605 Clark 702-998-1200 Physicians Certified Nurse Practitioner 465743556AKOH, THEOPHILUS M 2831 BUSINESS PARK CT STE 110 LAS VEGAS NV 89606 Clark 775-335-7450 Physicians Certified Nurse Practitioner 471608870AL OWIR, BASSAM S 10120 S EASTERN AVE STE 120 HENDERSON NV 89608 Clark 702-483-6200 Physicians Critical Care 208280517AL TALIB, TANYA 2285 E FLAMINGO RD STE 101 LAS VEGAS NV 89609 Clark 702-522-9192 Physicians General Dentist 472572779AL-HAWAREY, SHERIF H 1905 MCDANIEL ST STE 105 NORTH LAS VEGAS NV 89610 Clark 702-750-1655 Physicians Neurology 834498292AL-KHAZAALI, MARWAH A 500 S RANCHO DR STE 12 LAS VEGAS NV 89611 Clark 702-877-1887 Physicians Internal Medicine 880136773ALAEI, KAMBIZ 628 LAKE ST RENO NV 89612 Washoe 775-329-1717 Physicians Psychology (Clinical) 448623806ALALI, ABDALLAH M 2543 S BRUCE ST STE 200 LAS VEGAS NV 89613 Clark 702-732-2438 Physicians Nephrology 395816615ALAMGIR, MOHAMMAD AHSAN 2650 N TENAYA WAY LAS VEGAS NV 89614 Clark 702-735-7154 Physicians Hematology/Oncology 880213519ALAMO MEDICAL CLINIC 56 N PECOS RD STE A HENDERSON NV 89615 Clark 702-456-4011 Physicians Internal Medicine 880320960ALAMO, ANTONIO T 56 N PECOS RD STE A HENDERSON NV 89616 Clark 702-456-4011 Physicians Family Medicine 880320960ALAMO-LEON, JULIE C 8880 W CHARLESTON BLVD LAS VEGAS NV 89617 Clark 702-938-2020 Physicians Optometry 880372395ALAURA, RAPHAELE E 9280 W SUNSET RD STE 100 LAS VEGAS NV 89618 Clark 702-952-1251 Physicians Certified Nurse Practitioner 182169303ALAZARD, MICHAEL J 2350 W HORIZON RIDGE PKWY HENDERSON NV 89619 Clark 702-564-8556 Physicians Pediatrics 204460981ALBANDER, LINA 7125 N DURANGO DR LAS VEGAS NV 89622 Clark 702-658-2311 Physicians General Dentist 205339044ALBANO, LAURA L 3196 S MARYLAND PKWY LAS VEGAS NV 89624 Clark 702-233-8101 Physicians Certified Nurse Practitioner 481263069ALBANO, MICHELLE M 2380 W HORIZON RIDGE PKWY STE 110 HENDERSON NV 89625 Clark 702-823-4255 Physicians Certified Nurse Practitioner 824933457ALBEKORD, ARASH 3186 S MARYLAND PKWY LAS VEGAS NV 89626 Clark 702-731-8000 Physicians Emergency Medicine 880262438ALBERTSON, NAOMI L 555 W ARLINGTON AVE RENO NV 89627 Washoe 775-786-3040 Physicians Sports Medicine 880103557ALBREGTS, ANTHONY E 640 W MOANA LN STE 2 RENO NV 89630 Washoe 775-324-0699 Physicians Dermatology 880361999ALBRETSEN, RAYMOND E 45 W CEDAR ST FERNLEY NV 89632 Lyon 775-575-5888 Physicians Chiropractor 880189054ALBRIGHT, CHARLA 3427 GONI RD STE 104 CARSON CITY NV 89633 Carson City 775-687-0101 Rehabilitation Speech Pathology 886000022ALBRIGHT, JANET L 689 SIERRA ROSE DR STE B RENO NV 89634 Washoe 775-323-3000 Physicians Vascular Surgery 815234783ALBRIGHT, ROSS 2375 E PRATER WAY SPARKS NV 89637 Washoe 775-331-7000 Physicians Emergency Medicine 475671561ALBURKI, ABDUSSALAM M 1800 W CHARLESTON BLVD LAS VEGAS NV 89638 Clark 702-383-2000 Physicians Internal Medicine 880330858ALCALA, BEATRIZ A 3620 E SUNSET RD STE 100 LAS VEGAS NV 89641 Clark 702-368-6778 Rehabilitation Physical Therapy 830375934ALCANTARA, MARY CHARIS KIRBY B 2012 S JONES BLVD LAS VEGAS NV 89643 Clark 702-360-1137 Rehabilitation Physical Therapy 412129643ALCARTADO, RONNA L 1520 VIRGINIA RANCH RD GARDNERVILLE NV 89644 Douglas 775-782-1550 Physicians Certified Nurse Practitioner 880405927ALDERFER, KAREN 2020 PALOMINO LN LAS VEGAS NV 89647 Clark 888-727-1074 Physicians Radiology/Diagnostic 201651590ALEGRE, ELMER E 1802 N CARSON ST STE 100 CARSON CITY NV 89667 Carson City 775-887-1590 Physicians Internal Medicine 886004349ALEKSIC, PAUL M 1800 INDUSTRIAL RD LAS VEGAS NV 89669 Clark 702-380-8200 Physicians Psychology (Clinical) 886000022ALEMI, JABRAN 2261 N RAMPART BLVD LAS VEGAS NV 89670 Clark 702-363-8655 Physicians General Dentist 880311385ALERE WOMEN'S AND CHILDREN'S HEALTH, LLC2810 W CHARLESTON BLVD STE H80 LAS VEGAS NV 89671 Clark 702-268-4442 Ancillary Providers 582205984ALESI, ANGELA Y 911 N BUFFALO DR UNIT 213 LAS VEGAS NV 89674 Clark 702-405-8088 Physicians Certified Nurse Practitioner 264023329ALEX DEL ROSARIO MD PC 5440 W SAHARA AVE STE 202 LAS VEGAS NV 89675 Clark 702-380-8200 Physicians Psychiatry 262515910ALEXANDER, BRANDI S 1524 PINTO LN FL 2 LAS VEGAS NV 89676 Clark 702-992-6888 Physicians Family Medicine 813419791ALEXANDER, JACKIE L 1500 E 2ND ST STE 206 RENO NV 89677 Washoe 775-789-7000 Physicians Certified Nurse Practitioner 880179203

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 6 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDALEXANDER, JOHN A 3006 S MARYLAND PKWY LAS VEGAS NV 89679 Clark 702-732-1290 Physicians Pediatric Cardiology 880176637ALEXANDER, LUZVIMINDA L 1800 W CHARLESTON BLVD LAS VEGAS NV 89681 Clark 702-383-2000 Physicians Certified Nurse Practitioner 886000436ALEXANDER, RUBEN G 6930 S CIMARRON RD STE 260 LAS VEGAS NV 89682 Clark 702-476-9700 Physicians Anesthesiology 473384897ALEXIE, ION 2435 FIRE MESA ST STE 120 LAS VEGAS NV 89688 Clark 702-962-2497 Physicians Infectious Diseases 743098083ALFARO, ENRIQUE 1301 BERTHA HOWE AVE MESQUITE NV 89689 Clark 702-346-0800 Physicians Internal Medicine 270592513ALFARO, ENRIQUE 1301 BERTHA HOWE AVE MESQUITE NV 89690 Clark 702-346-0800 Physicians Internal Medicine 880424585ALFORD, JACQUELINE 1621 E WILLIAM ST STE G CARSON CITY NV 89692 Carson City 775-790-7733 Physicians Pediatric Dentist 824057296ALFREDAJR, THOMAS A 201 N BUFFALO DR BLDG 201 LAS VEGAS NV 89693 Clark 702-242-2737 Physicians Internal Medicine 300688549ALGUIRE, KATHERINE J 9260 W SUNSET RD STE 200 LAS VEGAS NV 89695 Clark 702-629-1421 Physicians CRNA 822526636ALHAIDARI, HAIDER N 3540 W SAHARA AVE LAS VEGAS NV 89705 Clark 702-921-6823 Physicians Internal Medicine 721597863ALHOSH, RABEA 3006 S MARYLAND PKWY STE 315 LAS VEGAS NV 89706 Clark 702-992-6868 Physicians Pediatric Gastroenterology 880330858ALHUSHKI, WASEEM S 3121 S MARYLAND PKWY LAS VEGAS NV 89707 Clark 702-732-1493 Physicians Pediatric Hematology 260286469ALI KIA MD INC. 2470 E FLAMINGO RD LAS VEGAS NV 89708 Clark 702-737-1427 Physicians Internal Medicine 562641332ALI, AHMED S 3650 N RANCHO DR STE 112 LAS VEGAS NV 89710 Clark 702-278-1673 Physicians Internal Medicine 843959201ALI, JAMIL M 2445 FIRE MESA ST STE 190 LAS VEGAS NV 89711 Clark 702-212-3008 Physicians Psychology (Clinical) 043290453ALI, SHAHEEN S 645 N ARLINGTON AVE STE 600 RENO NV 89712 Washoe 775-322-3393 Physicians Internal Medicine 800190160ALI, SYED 2445 FIRE MESA ST LAS VEGAS NV 89714 Clark 702-998-5800 Physicians Neurology 812583313ALIANTE CHIROPRACTIC AND INTEGRATED HEALTH LLC6592 N DECATUR BLVD STE 115 LAS VEGAS NV 89715 Clark 702-396-4993 Physicians Chiropractor 463084124ALIANTE INTEGRATED PHYSICAL MEDICINE 6592 N DECATUR BLVD STE 115 LAS VEGAS NV 89716 Clark 702-396-4993 Physicians Sports Medicine 463084124ALIGN CHIROPRACTIC 6441 N DURANGO DR STE 130 LAS VEGAS NV 89718 Clark 702-538-9100 Physicians Chiropractor 263095633ALIGN PHYSICAL THERAPY GROUP 123 MOUNT ROSE ST RENO NV 89720 Washoe 775-360-5564 Rehabilitation 472174466ALIM-MARVASTI, MARIAM 2040 W CHARLESTON BLVD STE 202A LAS VEGAS NV 89721 Clark 702-258-3415 Physicians Psychiatry 880330858ALINEJAD, NIMA A 2200 PASEO VERDE PKWY STE 190 HENDERSON NV 89728 Clark 702-279-2230 Physicians Psychiatry 823795906ALKHUDARI, AZZAM M 129 W LAKE MEAD PKWY # B-18 HENDERSON NV 89729 Clark 702-564-4440 Physicians Anesthesiology 890157055ALL CARE HOME HEALTH 2575 MONTESSOURI ST LAS VEGAS NV 89731 Clark 702-222-0605 Ancillary Providers 880345353ALLEN, BRUCE 1701 W CHARLESTON BLVD STE 300 LAS VEGAS NV 89732 Clark 702-251-8000 Physicians Psychology (Clinical) 270181205ALLEN, CARLETON 2020 PALOMINO LN STE 100 LAS VEGAS NV 89733 Clark 888-727-1074 Physicians Radiology/Diagnostic 834325292ALLEN, CARLETON A 2020 PALOMINO LN STE 100 LAS VEGAS NV 89756 Clark 888-727-1074 Physicians Radiology/Diagnostic 880119638ALLEN, CASEY S 2012 S JONES BLVD LAS VEGAS NV 89757 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643ALLEN, CHELSEY 2261 N RAMPART BLVD LAS VEGAS NV 89758 Clark 702-363-8655 Physicians General Dentist 880311385ALLEN, DEBBIE 2250 POSTAL DR STE 4 PAHRUMP NV 89760 Nye 941-313-3300 Rehabilitation Physical Therapy 264613465ALLEN, DENNIS R 4700 LAS VEGAS BLVD N NELLIS AFB NV 89761 Clark 702-653-3100 Rehabilitation Physical Therapy 200042642ALLEN, EVAN C 1701 N GREEN VALLEY PKWY HENDERSON NV 89763 Clark 702-541-8240 Physicians Family Medicine 562656085ALLEN, GLENDA L 550 CALIFORNIA AVE RENO NV 89766 Washoe 775-355-7722 Physicians Psychology (Clinical) 549549423ALLEN, HEATHER J 3730 S EASTERN AVE LAS VEGAS NV 89768 Clark 702-952-3400 Physicians Hematology/Oncology 880350180ALLEN, JESSIE E 3186 S MARYLAND PKWY LAS VEGAS NV 89770 Clark 702-731-8000 Physicians Pediatrics 880367250ALLEN, JOCELYN 5575 KIETZKE LN RENO NV 89771 Washoe 775-851-1505 Physicians Certified Nurse Practitioner 263303591ALLEN, LAWRENCE M 3012 S DURANGO DR STE 1 LAS VEGAS NV 89772 Clark 702-366-0640 Physicians Internal Medicine 200365179ALLEN, MARGARET C 1020 RUBY VISTA DR UNIT 102 ELKO NV 89773 Elko 775-753-1214 Rehabilitation Occupational Therapy 886000022ALLEN, MARK W 1505 WIGWAM PKWY STE 330 HENDERSON NV 89774 Clark 702-878-0393 Physicians Orthopedic Surgery 880313907ALLEN, MICHAEL S 585 COLLEGE DR STE C HENDERSON NV 89776 Clark 702-855-0500 Physicians Family Medicine 463164188ALLEN, MURPHY 5575 KIETZKE LN RENO NV 89792 Washoe 775-352-5300 Physicians Certified Nurse Practitioner 262349223ALLEN, VERONICA P 1397 S LOOP RD PAHRUMP NV 89793 Nye 775-727-5500 Physicians Family Medicine 880213519ALLEN, WILLIAM 7730 W CHEYENNE AVE STE 104 LAS VEGAS NV 89794 Clark 702-655-8535 Rehabilitation Physical Therapy 134222973ALLERGY & ASTHMA CENTER 2625 BOX CANYON DR LAS VEGAS NV 89796 Clark 702-360-6100 Ambulatory Facilities 860870747ALLERGY AND ASTHMA ASSOCIATES 2135 GREEN VISTA DR STE 109 SPARKS NV 89797 Washoe 775-359-5010 Physicians Allergy/Immunology 880137191ALLERGY PARTNERS OF NEVADA 2485 W HRZN RG PKWY # 101 HENDERSON NV 89798 Clark 702-212-5889 Physicians Allergy/Immunology 561249571ALLEY, CAROL L 1649 LUCERNE ST MINDEN NV 89801 Douglas 775-782-1603 Physicians Family Medicine 261513495ALLGOWER, LANCE F 4855 BLUE DIAMOND RD STE 100 LAS VEGAS NV 89803 Clark 702-216-7305 Physicians Emergency Medicine 274096839ALLIANCE HEALTHCARE SERVICES 235 W 6TH ST RENO NV 89857 Washoe 775-770-3000 Ancillary Providers 330239910ALLIANCE HEALTHCARE SERVICES INC 235 W 6TH ST RENO NV 89859 Washoe 800-530-0912 Ancillary Providers 330239910

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 7 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDALLISON, KAREN L 101 S RAINBOW BLVD STE B32 LAS VEGAS NV 89861 Clark 702-642-9672 Physicians Chiropractor 530804252ALLISON, MARY ANN K 2460 W HORIZON RIDGE PKWY HENDERSON NV 89862 Clark 702-822-2000 Physicians Hematology/Oncology 880350180ALLRED, JUSTIN D 330 S LOLA LN PAHRUMP NV 89863 Nye 702-475-4390 Rehabilitation Physical Therapy 273148970ALM, VANCE S 1895 PLUMAS ST STE 6 RENO NV 89865 Washoe 775-786-0100 Physicians Family Medicine 880497665ALMADA, LISA F 3650 WARREN WAY RENO NV 89867 Washoe 775-823-4080 Physicians Marriage & Family Therapist 530380251ALMARIO, LEANNE 2851 N TENAYA WAY STE 208 LAS VEGAS NV 89868 Clark 858-722-4209 Physicians Obstetrics/Gynecology 841779362ALMEQBELI, NEELAM A 4180 S RAINBOW BLVD STE 810 LAS VEGAS NV 89869 Clark 702-383-3626 Physicians Family Medicine 886000436ALMEYDA PEREZ, JULIAN A 3001 SAINT ROSE PKWY HENDERSON NV 89870 Clark 702-564-2622 Physicians Internal Medicine 472990144ALMUFDI, VICTOR F 100 N GRN VLY PKWY STE 220 HENDERSON NV 89871 Clark 702-944-3627 Physicians Internal Medicine 453508895ALOHA HOME HEALTH, LLC 801 S RANCHO DR LAS VEGAS NV 89876 Clark 702-880-7771 Ancillary Providers 113730245ALONGE, OLAYINKA F 5320 S RAINBOW BLVD STE 150 LAS VEGAS NV 89877 Clark 702-222-3478 Physicians Family Medicine 880213519ALOUPIS, CAROL H 3030 S JONES BLVD STE 105 LAS VEGAS NV 89879 Clark 702-360-1137 Rehabilitation Physical Therapy 886000022ALPHA MEDICAL GROUP 3150 N TENAYA WAY STE 590 LAS VEGAS NV 89880 Clark 702-233-6661 Physicians Internal Medicine 880488944ALPHA MEDICAL SUPPLIES 4676 W CHARLESTON BLVD LAS VEGAS NV 89882 Clark 702-419-5199 Ancillary Providers 562461308ALPINE BONE & JOINT CLINIC 845 AITKEN ST RENO NV 89883 Washoe 775-786-1444 Physicians Orthopedic Surgery 880107997ALPINE EYECARE, LLC 276 KINGSBURY GRADE STE 103 STATELINE NV 89884 Douglas 775-588-3500 Physicians Optometry 710893348ALPINE MEDICAL ASSOCIATES 1667 LUCERNE ST STE A MINDEN NV 89885 Douglas 775-782-9118 Physicians Internal Medicine 880464947ALSAIEGH, SANA Y 3774 E DESERT INN RD LAS VEGAS NV 89886 Clark 702-257-2872 Physicians General Dentist 812537089ALSHAIKAH, TARIK K 3016 W CHARLESTON BLVD LAS VEGAS NV 89887 Clark 702-790-2701 Physicians Psychiatry 886000022ALTA ROSE SURGERY CENTER 501 ROSE ST LAS VEGAS NV 89889 Clark 702-623-8035 Ambulatory Facilities 201429557ALTA ROSE SURGERY CENTER LLC 501 ROSE ST LAS VEGAS NV 89890 Clark 702-623-8035 Ambulatory Facilities 201429557ALTAMIMI, AMANI N 3325 RESEARCH WAY CARSON CITY NV 89891 Carson City 775-887-5140 Physicians Internal Medicine 381369796ALTHAUS, SANDRA J 2874 N CARSON ST STE 215 CARSON CITY NV 89893 Carson City 775-445-5500 Physicians Radiology/Diagnostic 237268471ALTHAUSEN, PETER L 555 W ARLINGTON AVE RENO NV 89897 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557ALTHOFF, STEVEN M 350 W 6TH ST STE A2 RENO NV 89898 Washoe 775-329-2525 Physicians Pediatrics 880459167ALTIERI, JEANMARIE 9127 W RUSSELL RD LAS VEGAS NV 89900 Clark 702-878-0070 Physicians CRNA 910885149ALTIVEROS, ARNOLD 7455 ARROYO CROSSING PKWY STE 220 LAS VEGAS NV 89909 Clark 800-897-9177 Physicians Certified Nurse Practitioner 463916551ALVARADO, CHRISTIAN 3001 SAINT ROSE PKWY HENDERSON NV 89910 Clark 702-878-0070 Physicians CRNA 202428069ALVARADO, ISRAEL J 3115 S EASTERN AVE LAS VEGAS NV 89919 Clark 702-463-1804 Physicians Internal Medicine 880371504ALVAREZ, KATHERINE 2965 S JONES BLVD LAS VEGAS NV 89920 Clark 702-733-8098 Physicians Social Worker 464519136ALVAREZ, RUTH 5775 W SAHARA AVE LAS VEGAS NV 89921 Clark 702-979-9799 Physicians Pediatric Dentist 473698132ALVEAR, WILLIAM 530 E SAINT LOUIS AVE LAS VEGAS NV 89923 Clark 702-699-8191 Physicians Internal Medicine 891042558ALVIZO TAMAYO, GUADALUPE L 3700 GRANT DR RENO NV 89926 Washoe 775-829-4700 Rehabilitation Speech Pathology 880291454ALWAY, JOHN R 2598 WINDMILL PKWY HENDERSON NV 89927 Clark 702-896-6043 Physicians Otolaryngology 880321377ALWAYS BETTER CARE 6950 VIA OLIVERO AVE LAS VEGAS NV 89928 Clark 702-364-8006 Ancillary Providers 880437772AMBER CREEK COUNSELING 219 REDFIELD PKWY STE 202 RENO NV 89929 Washoe 775-651-6644 Physicians Marriage & Family Therapist 559452601AMBERCREEK COUNSELING & RECOVERY SERVICES219 REDFIELD PKWY STE 202 RENO NV 89931 Washoe 775-651-6644 Physicians Marriage & Family Therapist 455027437AMBIKA, SANTHOSH 236 W 6TH ST STE 400 RENO NV 89932 Washoe 775-329-0873 Physicians Hematology/Oncology 880152239AMBIS, YOUNTINA A 4560 S EASTERN AVE LAS VEGAS NV 89933 Clark 702-328-1986 Physicians Social Worker 810550989AMBRUSTER-BARBER, SARAH R 515 W HASKELL ST WINNEMUCCA NV 89934 Humboldt 775-625-4653 Physicians Certified Nurse Practitioner 911912844AMBULATORY SURGICAL CENTER OF 6950 S CIMARRON RD LAS VEGAS NV 89935 Clark 702-796-0231 Ambulatory Facilities 861081788AMDE-MICHAEL, TIZITA 3006 S MARYLAND PKWY STE 315 LAS VEGAS NV 89936 Clark 702-992-6868 Physicians Certified Nurse Practitioner 880330858AMELI, NICOLE P 3505 E HARMON AVE STE A LAS VEGAS NV 89937 Clark 702-796-9924 Physicians General Dentist 823529096AMELI, SEAN S 400 S RAMPART BLVD LAS VEGAS NV 89938 Clark 702-906-1100 Physicians Cardiology 880293130AMERICAN ANCILLARIES INC 5818 SPRING MOUNTAIN RD LAS VEGAS NV 89939 Clark 702-368-4477 Ancillary Providers 880211634AMERICAN CHIROPRACTIC SPECIALISTS 4116 W CRAIG RD STE 100 NORTH LAS VEGAS NV 89941 Clark 702-656-3405 Physicians Chiropractor 043821114American Dialysis Center - Las Vegas 900 S MAIN ST LAS VEGAS NV 89942 Clark 702-383-9741 Ambulatory Facilities 542117891AMERICAN HOME COMPANION,INC. 2701 CONESTOGA DR CARSON CITY NV 89943 Carson City 775-883-8840 Ancillary Providers 880432387AMERICAN HOMEPATIENT 2411 TECH CENTER CT STE 102 LAS VEGAS NV 89945 Clark 702-269-8088 Ancillary Providers 621474680AMERICAN MEDICAL IMAGING INC 2756 N GREEN VALLEY PKWY HENDERSON NV 89951 Clark 702-262-9870 Physicians Radiology/Diagnostic 880298960AMERICAN SPECIALTY LAB LLC 251 W CHARLESTON BLVD LAS VEGAS NV 89952 Clark 702-233-1791 Ancillary Providers 464429957

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 8 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDAMERICAN TOXICOLOGY 3340 SUNRISE AVE STE 105 LAS VEGAS NV 89955 Clark 702-452-4999 Ancillary Providers 201992978AMESUR, RAJIV 8280 W WARM SPRINGS RD LAS VEGAS NV 89956 Clark 702-492-8000 Physicians Pulmonology 320502611AMICK, GARY C 3399 S EASTERN AVE LAS VEGAS NV 89957 Clark 702-733-1842 Rehabilitation Physical Therapy 880234338AMIN, MINESH P 8280 W WARM SPRINGS RD LAS VEGAS NV 89958 Clark 702-492-8000 Physicians Internal Medicine 472990144AMIR BACCHUS, M.D., FREMONT MEDICAL CENTER LTD. LONEMTN4920 W LONE MOUNTAIN RD LAS VEGAS NV 89960 Clark 702-438-2425 Physicians Internal Medicine 880213519AMIR Z QURESHI MD LTD. 104 N BUTEO WOODS LN LAS VEGAS NV 89961 Clark 702-921-6829 Physicians Internal Medicine 880497489AMIRI, FARHAD A 2831 SAINT ROSE PKWY STE 221 HENDERSON NV 89963 Clark 702-589-4871 Physicians Psychiatry 823795906AMJADI BEGVAND, NASIM 102 E LAKE MEAD PKWY HENDERSON NV 89964 Clark 701-564-2622 Physicians Internal Medicine 263668328AMJADI, SOGOL S 8280 W WARM SPRINGS RD LAS VEGAS NV 89965 Clark 702-492-8000 Physicians Internal Medicine 472990144AMMAR, TAREK 8530 W SUNSET RD LAS VEGAS NV 89966 Clark 702-483-4483 Physicians Gastroenterology 474436324AMORATI, JOHN J 1201 N NEVADA ST CARSON CITY NV 89973 Carson City 775-882-2290 Physicians General Dentist 261505376AMOUSSOU, DELA 3001 SAINT ROSE PKWY HENDERSON NV 89974 Clark 510-410-9049 Physicians Neurology 862775542AMPLIFON HEARING HEALTH CARE 11201 S EASTERN AVE HENDERSON NV 89975 Clark 888-319-9206 Ancillary Providers 850437037AMPRO ORTHOTICS & PROSTHETICS INC 6877 S EASTERN AVE LAS VEGAS NV 90019 Clark 702-457-3200 Ancillary Providers 880165459AMPRO ORTHOTICS AND PROSTHETICS 921 S HIGHWAY 160 STE 203 PAHRUMP NV 90022 Nye 877-457-3201 Ancillary Providers 880165459AMPRO ORTHOTICS AND PROSTHETICS - CA7200 CATHEDRAL ROCK DR STE 200 LAS VEGAS NV 90023 Clark 702-457-3200 Ancillary Providers 880165459AMRAM, ALEC L 2749 SUNRIDGE HEIGHTS PKWY HENDERSON NV 90024 Clark 702-358-0472 Physicians Ophthalmology 472242077AMRHEIN, KATHI L 1200 MOUNTAIN ST STE 230 CARSON CITY NV 90025 Carson City 775-883-3636 Physicians Pediatrics 880502320AMUNDSEN, CHRISTOPHER S 123 17TH ST. BRIGHAM BLDG NULL RENO NV 90026 Washoe 775-784-1533 Physicians Orthopedic Surgery 880502320AMUNDSON, CHRIS L 615 SIERRA ROSE DR STE 2A RENO NV 90027 Washoe 775-828-9724 Rehabilitation Physical Therapy 200932822AN, SEAYOON 169 N NELLIS BLVD LAS VEGAS NV 90028 Clark 702-384-1010 Physicians General Dentist 371797092AN, YOONJI 3730 E FLAMINGO RD LAS VEGAS NV 90029 Clark 702-898-9200 Physicians General Dentist 201580472ANAKWA, CYCLOPEA 7061 GRAND MONTECITO PKWY LAS VEGAS NV 90044 Clark 702-877-5199 Physicians Internal Medicine 208753074ANCAJAS, CHRISTINE C 6375 W CHARLESTON BLVD STE A500 LAS VEGAS NV 90045 Clark 702-651-5510 Physicians General Dentist 886000024ANCHETA, BERNARD 5900 W CHEYENNE AVE LAS VEGAS NV 90046 Clark 702-674-7000 Physicians General Dentist 800972632ANDAYA, GEMMA F 40 N VALLE VERDE DR HENDERSON NV 90047 Clark 702-820-3061 Physicians Professional Counselor 820870653ANDERS AND ASSOCIATES PHYSICAL THERAPY2690 W DEER SPRINGS WAY STE 104 NORTH LAS VEGAS NV 90048 Clark 702-448-5155 Rehabilitation Physical Therapy 822306565ANDERS, DEREK M 341 N BUFFALO DR LAS VEGAS NV 90049 Clark 702-242-3870 Physicians Podiatry 880454732ANDERS, JOSEPH M 2690 W DEER SPRINGS WAY NORTH LAS VEGAS NV 90050 Clark 702-448-5155 Rehabilitation Physical Therapy 752984052ANDERSON AUDIOLOGY PC 3120 S RAINBOW BLVD STE 202 LAS VEGAS NV 90051 Clark 702-233-4327 Rehabilitation Audiology 262948435ANDERSON AUDIOLOGY- LAS VEGAS 3120 S RAINBOW BLVD STE 201 LAS VEGAS NV 90052 Clark 702-233-4327 Rehabilitation Audiology 222748248ANDERSON, ASHLEY M 175 N STEPHANIE ST STE 170 HENDERSON NV 90053 Clark 702-997-5958 Physicians General Dentist 208863082ANDERSON, BELMONT W 1416 S JONES BLVD LAS VEGAS NV 90054 Clark 702-878-1400 Physicians Podiatry 880183071ANDERSON, BRIAN K 3200 SOARING GULLS DR STE 104 LAS VEGAS NV 90055 Clark 702-645-3211 Physicians Optometry 880335329ANDERSON, CHRISTIAN 380 COURT ST ELKO NV 90056 Elko 915-779-5600 Physicians Professional Counselor 886000022ANDERSON, COREY D 100 N GREEN VALLEY PKWY HENDERSON NV 90057 Clark 702-878-0070 Physicians CRNA 200420553ANDERSON, DALE A 2389 RENAISSANCE DR STE A LAS VEGAS NV 90068 Clark 702-458-1495 Physicians Chiropractor 880162559ANDERSON, DARREN M 3595 US HIGHWAY 50 SILVER SPRINGS NV 90073 Lyon 775-577-0319 Physicians Social Worker 886000022ANDERSON, DAVID E 3120 S RAINBOW BLVD LAS VEGAS NV 90074 Clark 702-233-4327 Rehabilitation Audiology 222748248ANDERSON, DAVID L 3120 S RAINBOW BLVD LAS VEGAS NV 90076 Clark 702-233-4327 Rehabilitation Audiology 222748248ANDERSON, ERIC J 8670 W CHEYENNE AVE LAS VEGAS NV 90079 Clark 702-649-7711 Physicians Emergency Medicine 271977691ANDERSON, GRANT P 330 E LIBERTY ST RENO NV 90081 Washoe 775-398-3606 Physicians Family Medicine 371517925ANDERSON, JESSICA A 555 N ARLINGTON AVE RENO NV 90083 Washoe 775-786-3040 Rehabilitation Physical Therapy 880103557ANDERSON, KRISTEN E 9280 W SUNSET RD STE 312 LAS VEGAS NV 90085 Clark 702-737-5864 Physicians Certified Nurse Practitioner 880350180ANDERSON, LETECIA C 6630 S MCCARRAN BLVD STE A6 RENO NV 90086 Washoe 775-828-2866 Rehabilitation Physical Therapy 843907119ANDERSON, LETITIA L 1500 E 2ND ST STE B RENO NV 90088 Washoe 775-982-2400 Physicians Cardiology 880303924ANDERSON, LYNN T 1500 E 2ND ST STE 408 RENO NV 90090 Washoe 775-688-5850 Physicians Certified Nurse Practitioner 880502320ANDERSON, MARIA P 1664 N VIRGINIA ST STOP 153 RENO NV 90092 Washoe 775-784-4474 Physicians Obstetrics/Gynecology 860881749ANDERSON, MARTIN 555 W ARLINGTON AVE RENO NV 90093 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557ANDERSON, MATTHEW B 1527 W CRAIG RD NORTH LAS VEGAS NV 90095 Clark 702-657-8000 Physicians Chiropractor 260009570ANDERSON, MELISSA S 3175 SAINT ROSE PKWY HENDERSON NV 90096 Clark 702-474-7212 Rehabilitation Physical Therapy 880386672

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 9 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDANDERSON, MICHAEL J 3730 S EASTERN AVE LAS VEGAS NV 90097 Clark 702-952-3366 Physicians Radiation Oncology 132764967ANDERSON, MILAN J 1450 RIDGEVIEW DR STE 200 RENO NV 90103 Washoe 775-329-6300 Physicians Chiropractor 880293149ANDERSON, NICOLE M 679 SIERRA ROSE DR STE A RENO NV 90108 Washoe 775-324-4800 Rehabilitation Speech Pathology 880302345ANDERSON, PARLEY I 3594 W PLUMB LN STE B RENO NV 90110 Washoe 775-786-2400 Rehabilitation Physical Therapy 571232107ANDERSON, PAYDEN B 3119 N RAINBOW BLVD LAS VEGAS NV 90111 Clark 702-342-1604 Physicians General Dentist 832088060ANDERSON, PETER M 1365 MEDICAL PKWY CARSON CITY NV 90113 Carson City 775-786-3040 Rehabilitation Physical Therapy 880103557ANDERSON, STEVEN E 190 E MESQUITE BLVD MESQUITE NV 90115 Clark 702-346-6234 Physicians Chiropractor 458259173ANDERSON, TRAVIS J 2375 E PRATER WAY SPARKS NV 90116 Washoe 775-331-7000 Physicians Emergency Medicine 208753074ANDRACKI, STEPHEN B 1501 E CALVADA BLVD BLDG B PAHRUMP NV 90118 Nye 775-727-5509 Physicians Family Medicine 880213519ANDRE, DONALD W 4275 BURNHAM AVE STE 220 LAS VEGAS NV 90122 Clark 702-369-0088 Physicians Marriage & Family Therapist 880368011ANDREA E PERNELL MD PC 2525 W CHARLESTON BLVD LAS VEGAS NV 90123 Clark 702-870-2213 Physicians Physical Medicine & Rehabilitation452678856ANDRES, RENCHELL J 9127 W RUSSELL RD LAS VEGAS NV 90124 Clark 702-878-0070 Physicians Anesthesiology 822526636ANDREW K MENSAH MD A PC 4112 LOWER SAXON AVE NORTH LAS VEGAS NV 90133 Clark 702-210-9423 Physicians Internal Medicine 262785029ANDREWS, BRANDON R 6440 MEDICAL CENTER ST STE 100 LAS VEGAS NV 90134 Clark 702-222-1000 Rehabilitation Physical Therapy 860861354ANDREWS, KINDAL L 925 IRONWOOD DR STE 2102 MINDEN NV 90135 Douglas 775-445-7745 Physicians Certified Nurse Practitioner 880502320ANDRIOLA, FRANK J 595 W LAKE MEAD PKWY HENDERSON NV 90136 Clark 702-566-5500 Physicians Internal Medicine 880213519ANDRY, DAVID A 304 BERTELLI CT LAS VEGAS NV 90137 Clark 305-310-3453 Rehabilitation Occupational Therapy 412129643ANDUHA, POMAIKAI M 9070 W CHEYENNE AVE LAS VEGAS NV 90138 Clark 702-818-5000 Rehabilitation Physical Therapy 134222973ANESTHESIA ASSOCIATES 129 W LAKE MEAD PKWY STE STE B-18STE B 18 HENDERSON NV 90139 Clark 702-564-4440 Physicians Anesthesiology 880325221ANESTHESIA CRITICAL CARE TRAUMA 2620 S MARYLAND PKWY LAS VEGAS NV 90141 Clark 702-325-1711 Physicians Anesthesiology 260427581ANESTHESIOLOGY CONSULTANTS, INC. 5450 W SAHARA AVE STE 340 LAS VEGAS NV 90143 Clark 702-380-8111 Physicians Anesthesiology 880253280ANG, ALMIRA 9260 W SUNSET RD LAS VEGAS NV 90145 Clark 702-255-3547 Physicians CRNA 460766041ANG, EARL R 10100 W CHARLESTON BLVD LAS VEGAS NV 90146 Clark 702-255-3547 Physicians Anesthesiology 460766041ANG-ERMOCILLA, BEATRIZ L 3121 S MARYLAND PKWY STE 101 LAS VEGAS NV 90147 Clark 702-838-8004 Physicians Family Medicine 453508895ANGELL, TODD C 1300 S EASTERN AVE LAS VEGAS NV 90150 Clark 702-385-2242 Physicians Optometry 880163014ANGERMANN, TERESA L 10467 DOUBLE R BLVD RENO NV 90151 Washoe 775-893-5354 Physicians Family Medicine 201659553ANGHEL, PATRICK 366 W LAKE MEAD PKWY STE 100 HENDERSON NV 90152 Clark 702-464-3090 Physicians General Dentist 454612311ANGOTTI, LISA M 1707 W CHARLESTON BLVD STE 160 LAS VEGAS NV 90154 Clark 702-671-5150 Physicians Critical Care 813419791ANH, DAEJOON 3131 LA CANADA ST STE 200 LAS VEGAS NV 90155 Clark 702-731-8224 Physicians Cardiology 880213519ANJUM, SEEMA 3599 S EASTERN AVE LAS VEGAS NV 90157 Clark 702-733-9230 Physicians Internal Medicine 753016651ANJUM, SOHAIL 700 SHADOW LN STE 240 LAS VEGAS NV 90158 Clark 702-732-0022 Physicians Cardiology 880186480ANN M. WIERMAN MD LTD 3150 N TENAYA WAY STE 200 LAS VEGAS NV 90162 Clark 702-749-3700 Physicians Hematology/Oncology 880399688ANNETTE CARNEY PHD COUNSELING SERVICES448 RIDGE ST STE B RENO NV 90163 Washoe 775-323-0445 Physicians Marriage & Family Therapist 274905555ANNETTE F MAYES MD A PROFESSIONAL CORP.700 SHADOW LN STE 165 LAS VEGAS NV 90164 Clark 702-522-9640 Physicians Obstetrics/Gynecology 880464381ANOOSHIAN, JOHN V 2110 E FLAMINGO RD STE 205 LAS VEGAS NV 90165 Clark 702-620-5105 Physicians Psychiatry 832362194ANSHUTZ, RICHARD J 10100 W CHARLESTON BLVD LAS VEGAS NV 90166 Clark 702-545-6116 Physicians CRNA 460766041ANSON, DIANA J 5631 S PECOS RD LAS VEGAS NV 90167 Clark 702-685-0877 Physicians Social Worker 383889285ANSON, JOHN A 8530 W SUNSET RD LAS VEGAS NV 90168 Clark 702-948-9088 Physicians Neurological Surgery 271307712ANSTETT, MADELEINE C 1397 S LOOP RD PAHRUMP NV 90171 Nye 775-727-5500 Physicians Family Medicine 880213519ANTER, JOHN P 9127 W RUSSELL RD LAS VEGAS NV 90172 Clark 702-878-0070 Physicians Anesthesiology 461237632ANTFLICK, ADAM J 7250 PEAK DR STE 100 LAS VEGAS NV 90182 Clark 702-386-4700 Physicians Anesthesiology 204727467ANTHEM HILLS PEDIATRICS 10001 S EASTERN AVE STE 310 HENDERSON NV 90183 Clark 702-566-2400 Physicians Pediatrics 205204446ANTHEM MEDICAL ASSOCIATES 10120 S EASTERN AVE STE 150 HENDERSON NV 90184 Clark 702-871-7004 Physicians Family Medicine 202096338ANTHEM PHYSICAL THERAPY 1710 W HORIZON RIDGE PKWY STE 110 HENDERSON NV 90186 Clark 702-489-9217 Rehabilitation 134243035ANTHEM PHYSICAL THERAPY & HAND CENTER2879 SAINT ROSE PKWY HENDERSON NV 90190 Clark 702-563-0255 Rehabilitation 880319744ANTHEM PREDIATRICS 866 SEVEN HILLS DR STE 103 HENDERSON NV 90194 Clark 702-263-7800 Physicians Pediatrics 204974376ANTHONY, JAMES M 2010 GOLDRING AVE LAS VEGAS NV 90195 Clark 702-588-7373 Physicians Family Medicine 273832038ANTOINE, NATHAN 242 LOS ALTOS PKWY SPARKS NV 90196 Washoe 775-354-1785 Physicians General Dentist 464871811ANTONELLI, MICHAEL J 2805 MOUNTAIN ST CARSON CITY NV 90198 Carson City 844-958-2054 Physicians Anesthesiology 202428069ANTONUCCIO, DAVID O 401 W 2ND ST STE 216 RENO NV 90207 Washoe 775-784-6388 Physicians Psychology (Clinical) 558863214ANTUNA, FULGENCIO 2121 E FLAMINGO RD STE 214 LAS VEGAS NV 90208 Clark 702-333-3485 Physicians Internal Medicine 822893144

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 10 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDANULIGO, NNEKA F 600 WHITNEY RANCH DR HENDERSON NV 90211 Clark 702-547-0088 Physicians Internal Medicine 880213519ANWAR, ASHTON S 7291 S EASTERN AVE STE B LAS VEGAS NV 90213 Clark 702-896-0080 Physicians Chiropractor 760768657ANWAR, JAVAID 3006 S MARYLAND PKWY STE 400 LAS VEGAS NV 90216 Clark 702-369-5582 Physicians Internal Medicine 880252300ANWAR, LUBNA A 4300 MEADOWS LN STE 1350 LAS VEGAS NV 90218 Clark 702-472-7320 Physicians General Dentist 371797092ANXO, JOHN C 1600 MEDICAL PKWY CARSON CITY NV 90220 Carson City 702-878-0070 Physicians Anesthesiology 272052335APEX LABORATORIES 1711 WHITNEY MESA DR STE 130 HENDERSON NV 90230 Clark 702-990-0852 Ancillary Providers 432010563APEX MEDICAL CENTER 1701 BEARDEN DR STE 200 LAS VEGAS NV 90231 Clark 702-310-9110 Physicians Internal Medicine 880400682APNEASURE HOME SLEEP TESTING 841 PRUDENTIAL DR # 1430 CARSON CITY NV 90233 Carson City 888-286-0975 Ancillary Providers 264481537APPLETON, CHARLOTTE C 821 N NELLIS BLVD LAS VEGAS NV 90234 Clark 702-438-4003 Physicians Internal Medicine 261136614APRIA HEALTHCARE LLC 7370 EASTGATE RD HENDERSON NV 90235 Clark 702-736-4466 Ancillary Providers 330675343AQUATIC PHYSICAL THERAPY OF NEVADA 1400 BARING BLVD SPARKS NV 90237 Washoe 866-389-0211 Rehabilitation 880388398AQUINO, JOSE H 876 SEVEN HILLS DR HENDERSON NV 90240 Clark 702-914-2028 Physicians Cardiology 272049876ARA GUEYIKIAN MD LTD. 2701 N TENAYA WAY STE 240 LAS VEGAS NV 90242 Clark 702-696-8069 Physicians Internal Medicine 204143341ARABIA, PILAR D 1455 E KATIE AVE LAS VEGAS NV 90243 Clark 702-732-1877 Physicians Certified Nurse Practitioner 886000022ARAGON JR, ROMUALDO A 3343 S EASTERN AVE LAS VEGAS NV 90244 Clark 702-254-5004 Physicians Internal Medicine 880446944ARAGON, VENANCIA THERESA M 8174 LAS VEGAS BLVD S STE 109-150 LAS VEGAS NV 90248 Clark 702-883-9528 Rehabilitation Physical Therapy 886000022ARAKI, JOANNE M 1516 VIRGINIA RANCH RD GARDNERVILLE NV 90249 Douglas 775-783-4823 Physicians Certified Nurse Practitioner 880120754ARAMINI, JOHN L 1620 LAKESIDE DR RENO NV 90250 Washoe 775-329-1222 Physicians General Dentist 880249861ARAMINI, MICHAEL B 343 ELM ST STE 302 RENO NV 90251 Washoe 775-324-1122 Physicians Podiatry 731653891ARANAS, ADELAIDA C 3701 W CHARLESTON BLVD STE 1 LAS VEGAS NV 90253 Clark 702-878-5504 Physicians Internal Medicine 880188542ARANAS, JANICE A 2820 W CHARLESTON BLVD LAS VEGAS NV 90254 Clark 702-877-0808 Rehabilitation Speech Pathology 800150527ARANAS, JUBERT 2570 WIGWAM PKWY STE 110 HENDERSON NV 90257 Clark 702-757-3399 Physicians General Dentist 475334172ARANAS, ROMEO S 6800 W CHEYENNE AVE LAS VEGAS NV 90259 Clark 702-658-8800 Physicians Internal Medicine 880371504ARANDA, AUSTIN J 615 SIERRA ROSE DR STE 2A RENO NV 90261 Washoe 775-828-9724 Rehabilitation Physical Therapy 200932822ARANDA, CHRISTINA L 1070 W HORIZON RIDGE PKWY STE 210 HENDERSON NV 90263 Clark 702-405-0904 Physicians Psychology (Clinical) 471439730ARANDA, NANCY M 9127 W RUSSELL RD LAS VEGAS NV 90265 Clark 702-878-0070 Physicians Anesthesiology 592905984ARAUJO, CARLOS W 3006 S MARYLAND PKWY STE 400 LAS VEGAS NV 90274 Clark 702-735-7154 Physicians Hematology/Oncology 880133767ARAUJO, MARKEETA D 1320 E CALVADA BLVD PAHRUMP NV 90277 Nye 775-751-6111 Physicians Certified Nurse Practitioner 833222398ARC HEALTH & WELLNESS CENTERS 2205 GLENDALE AVE STE 131 SPARKS NV 90280 Washoe 775-331-3361 Ambulatory Facilities 263356798ARC MEDICAL CENTERS 6180 MAE ANNE AVE STE 1 RENO NV 90281 Washoe 775-284-5556 Physicians Family Medicine 680517884ARC PHYSICIANS 82 E GLENDALE AVE SPARKS NV 90282 Washoe 775-331-3361 Ambulatory Facilities 680517884ARCANGELI, STEVEN 1475 MEDICAL PKWY CARSON CITY NV 90288 Carson City 775-883-3636 Physicians Obstetrics/Gynecology 880502320ARCE-MUNOZ, IVAN A 56 N PECOS RD STE A HENDERSON NV 90289 Clark 702-724-8777 Physicians Family Medicine 880213519ARCEMONT, JULIE A 8880 W CHARLESTON BLVD LAS VEGAS NV 90290 Clark 702-938-2020 Physicians Optometry 880484278ARCENAS, LOUIE D 9260 W SUNSET RD STE 200 LAS VEGAS NV 90291 Clark 702-255-3547 Physicians CRNA 460766041ARCHER, STEVEN 6402 MCLEOD DR STE 5 LAS VEGAS NV 90292 Clark 702-898-5311 Physicians Social Worker 043290453ARCHER, WESLEY 10400 S EASTERN AVE HENDERSON NV 90293 Clark 702-531-5437 Physicians Pediatric Dentist 432056953ARCIAGA, KARLO B 6440 MEDICAL CENTER ST LAS VEGAS NV 90294 Clark 702-222-1000 Physicians Physical Medicine & Rehabilitation860861354ARCINAS, TERESITA R 6161 W CHARLESTON BLVD LAS VEGAS NV 90297 Clark 702-486-6045 Physicians Psychiatry 886000022ARDILL, RICHARD H 1155 MILL ST RENO NV 90298 Washoe 775-982-8100 Physicians Radiology/Diagnostic 880113741ARENAS, CAROL ANN KRISAN M 1000 S RAINBOW BLVD LAS VEGAS NV 90300 Clark 702-479-4881 Physicians Certified Nurse Practitioner 880213519ARGER, KOSTA M 645 N ARLINGTON AVE STE 440 RENO NV 90301 Washoe 775-770-7622 Physicians Cardiology 455557052ARGUELLO, EMILIO I 4380 W CACTUS AVE STE 100 LAS VEGAS NV 90305 Clark 702-570-0241 Physicians Periodontist 844715776ARGUELLO, ERICK D 5631 S PECOS RD LAS VEGAS NV 90310 Clark 702-685-0877 Physicians Psychology (Clinical) 680669902ARGUELLO, PRISCILLA A 1640 ALTA DR STE 4 LAS VEGAS NV 90311 Clark 702-474-6450 Physicians Professional Counselor 880111970ARIAN, AFSHIN 6600 W CHARLESTON BLVD STE 103 LAS VEGAS NV 90313 Clark 702-433-6825 Physicians General Dentist 880458626ARIAS, JEFFREY B 2350 W HORIZON RIDGE PKWY HENDERSON NV 90314 Clark 702-564-8556 Physicians Pediatrics 203416144ARICHETA, IGNACIO J 4700 LAS VEGAS BLVD N NELLIS AFB NV 90315 Clark 702-653-2764 Physicians Certified Nurse Practitioner 201026537ARIK, TALI H 1397 S LOOP RD PAHRUMP NV 90316 Nye 775-727-5500 Physicians Cardiology 880213519ARIMA, SHARON 2000 WELLNESS WAY LAS VEGAS NV 90323 Clark 702-384-5101 Physicians Certified Nurse Practitioner 880329731ARITA, ADAM A 2450 W CHARLESTON BLVD LAS VEGAS NV 90324 Clark 702-877-8661 Physicians Anesthesiology 860916679

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 11 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDARIZA, JOHN A 2415 PYRAMID WAY SPARKS NV 90336 Washoe 775-351-1300 Physicians Podiatry 680366121ARLIEN, DANA M 690 EDISON WAY RENO NV 90340 Washoe 775-858-3303 Physicians Psychiatry 680392037ARLIEN, JONATHAN E 201 KOONTZ LN CARSON CITY NV 90341 Carson City 775-222-0044 Physicians Certified Nurse Practitioner 260755054ARLINGTON CLINICAL INFUSIONS 6630 S MCCARRAN BLVD RENO NV 90347 Washoe 775-828-2873 Ancillary Providers 331076602ARMBRUSTER, CHRISTY A 1995 ERRECART BLVD STE 205 ELKO NV 90348 Elko 775-753-6886 Physicians Pediatrics 342053658ARMIJO, JACKIE L 2625 WIGWAM PKWY STE 112 HENDERSON NV 90349 Clark 702-492-1162 Physicians Certified Nurse Practitioner 462964527ARMOUR, CHRISTENSEN, SIMON, CHTD 2655 BOX CANYON DR STE 110 LAS VEGAS NV 90350 Clark 702-869-4554 Physicians General Surgery 880104685ARNOLD WAX, MD, LTD 2245 N GREEN VALLEY PKWY STE 502 HENDERSON NV 90351 Clark 702-897-5283 Physicians Hematology/Oncology 205681165ARNOLD, ALAN J 2615 BOX CANYON DR LAS VEGAS NV 90352 Clark 702-998-9001 Physicians Dermatology 453650465ARNOW, DEBORAH J 401 W 2ND ST STE 216 RENO NV 90354 Washoe 775-784-4917 Physicians Certified Nurse Practitioner 886000022ARRAIZ, MARTIN J 555 W ARLINGTON AVE RENO NV 90355 Washoe 775-786-3040 Physicians Physical Medicine & Rehabilitation880103557ARRASTIA, MARIA CARMINA R 3186 S MARYLAND PKWY LAS VEGAS NV 90356 Clark 702-731-8000 Physicians Internal Medicine 203118520ART DENTAL 4035 S DURANGO DR STE 103 LAS VEGAS NV 90373 Clark 702-804-8888 Physicians General Dentist 300109691ARTASHESYAN, ARSHAVIR 2375 E PRATER WAY SPARKS NV 90374 Washoe 775-331-7000 Physicians Internal Medicine 272167350ARTHUR B. PITTERMAN MD 1706 BEARDEN DR LAS VEGAS NV 90397 Clark 702-366-1250 Physicians Internal Medicine 880205113ARTHUR E. AND SHARON M. WILLANS DBA A CHILDS WORLD441 CHENEY ST RENO NV 90398 Washoe 775-322-4650 Physicians Social Worker 880296734ARTHUR S TAYENGCO MD 3515 W CHARLESTON BLVD LAS VEGAS NV 90399 Clark 702-382-1033 Ambulatory Facilities 880126882ARTURI, ALEC 6125 W TROPICANA AVE STE A LAS VEGAS NV 90400 Clark 702-701-8900 Physicians Family Medicine 463164188ARYEL, RON M 6548 S MCCARRAN BLVD RENO NV 90415 Washoe 775-825-8245 Physicians Pediatrics 271193044ASAD, SHADABA 1800 W CHARLESTON BLVD LAS VEGAS NV 90416 Clark 702-383-2000 Physicians Infectious Diseases 886000436ASADIFAR, MEHRDAD 653 N TOWN CENTER DR LAS VEGAS NV 90417 Clark 702-733-0981 Physicians Pediatrics 880367250ASAFO-ADJEI, PETER K 1815 E LAKE MEAD BLVD NORTH LAS VEGAS NV 90419 Clark 702-798-1233 Physicians Family Medicine 261328548ASAMBADZE, EKATERINE 3001 SAINT ROSE PKWY HENDERSON NV 90420 Clark 702-616-5000 Physicians Internal Medicine 472990144ASCENT PHYSICAL THERAPY 3246 N CARSON ST STE 120 CARSON CITY NV 90422 Carson City 775-885-9965 Rehabilitation 880463764ASHE, ELISABETH G 291 N PECOS RD HENDERSON NV 90423 Clark 702-616-9471 Physicians Certified Nurse Practitioner 263992356ASHMAN, CHARLES W 6901 W CHARLESTON BLVD LAS VEGAS NV 90424 Clark 702-363-0444 Physicians General Dentist 880341799ASHMAN, DOUGLAS C 1485 W WARM SPRINGS RD STE 104 HENDERSON NV 90425 Clark 702-938-2010 Physicians General Dentist 462888289ASHMAN, EDWARD S 7455 W WASHINGTON AVE STE 160 LAS VEGAS NV 90426 Clark 702-878-0393 Physicians Orthopedic Surgery 880313907ASHTON, AMY L 6570 S MCCARRAN BLVD RENO NV 90428 Washoe 775-982-5000 Rehabilitation Occupational Therapy 880103557ASKEROTH, JESS 5650 W FLAMINGO RD STE A LAS VEGAS NV 90431 Clark 702-871-3420 Physicians Chiropractor 880281240ASKINS, JEFFREY D 6490 S MCCARRAN BLVD STE B17 RENO NV 90432 Washoe 775-787-8900 Physicians Orthodontist 383984569ASKREN, MERLE F 834 WILLOW ST RENO NV 90433 Washoe 775-323-6766 Physicians Psychology (Clinical) 535583599ASLAM, NABILA 2482 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 90434 Clark 928-763-0433 Physicians Internal Medicine 204530086ASPACIO, REUEL M 8310 W SAHARA AVE LAS VEGAS NV 90435 Clark 702-243-4501 Physicians Dermatology 880494739ASRAR, SABA P 445 W CRAIG RD STE 121 NORTH LAS VEGAS NV 90436 Clark 702-399-9118 Physicians Orthodontist 261555034ASSAD, ABDOLLAH 628 LAKE ST RENO NV 90437 Washoe 775-329-1717 Physicians Psychiatry 448742834ASSEMI, SHAHROKH 2020 PALOMINO LN LAS VEGAS NV 90438 Clark 702-759-8600 Physicians Radiology/Diagnostic 341090399ASSEMI, SHAHROKH I 2020 PALOMINO LN STE 100 LAS VEGAS NV 90462 Clark 702-759-8700 Physicians Radiology/Diagnostic 880119638ASSURITY LABS 6120 S FORT APACHE RD LAS VEGAS NV 90463 Clark 702-948-8660 Ancillary Providers 462909664ASTENGO, STEVEN 1107 US HIGHWAY 395 S GARDNERVILLE NV 90464 Douglas 775-782-1600 Physicians Emergency Medicine 943333768ASTROM, KRISTIN M 5070 ION DR STE 100 SPANISH SPRINGS NV 90465 Washoe 775-770-7727 Physicians Family Medicine 455557052ASUNCION, RICARDO F 8879 W FLAMINGO RD STE 101 LAS VEGAS NV 90466 Clark 702-646-1150 Physicians Certified Nurse Practitioner 834243918ASUSTA, HEISY B 1707 W CHARLESTON BLVD STE 220 LAS VEGAS NV 90467 Clark 702-944-2805 Physicians Obstetrics/Gynecology 813419791ATCHESON, STEVEN G 93 BELL ST RENO NV 90468 Washoe 775-329-6772 Physicians Rheumatology 880201578ATHARI, FARSHAD 9530 S EASTERN AVE STE 160 LAS VEGAS NV 90469 Clark 702-450-3371 Physicians General Dentist 300781422ATHLETICARE 8333 S EASTERN AVE LAS VEGAS NV 90470 Clark 702-283-3802 Rehabilitation 043821114ATIEMO, SHERRY A 9280 W SUNSET RD LAS VEGAS NV 90472 Clark 702-255-3547 Physicians CRNA 460766041ATIENZA, VIBETH 5423 RENO CORPORATE DR RENO NV 90474 Washoe 775-329-0873 Physicians Certified Nurse Practitioner 880152239ATINE, CHRISTINE D 1559 WATASHEAMU RD GARDNERVILLE NV 90475 Douglas 775-265-4215 Physicians Social Worker 880120754ATKINSON, JAMES D 3802 MEADOWS LN LAS VEGAS NV 90476 Clark 702-313-8446 Physicians General Surgery 731645266ATLANTIC CHIROPRACTIC 1895 PLUMAS ST STE 3 RENO NV 90477 Washoe 775-322-5389 Physicians Chiropractor 043821114

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 12 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDATTENTIVE HOME HEALTH CARE 8542 DEL WEBB BLVD LAS VEGAS NV 90478 Clark 702-256-9000 Ancillary Providers 880315274ATTERBURY III, LESLIE H 9127 W RUSSELL RD STE 110 LAS VEGAS NV 90479 Clark 702-878-0070 Physicians Anesthesiology 731451967ATU, PIUS A 4270 S DECATUR BLVD STE B6 LAS VEGAS NV 90490 Clark 702-485-2100 Physicians Certified Nurse Practitioner 812219401ATWAL, PARMINDER S 2811 N GREEN VALLEY PKWY HENDERSON NV 90493 Clark 702-434-2219 Physicians General Dentist 680614740ATWOOD, AARON M 1580 E DESERT INN RD LAS VEGAS NV 90494 Clark 702-655-6777 Physicians General Dentist 331207123AUDIOLOGY & HEARING AIDS 1701 COUNTY RD STE D MINDEN NV 90496 Douglas 775-782-4559 Rehabilitation Audiology 710947976AUERBACH, SAMUEL L 61 N NELLIS BLVD LAS VEGAS NV 90498 Clark 702-383-6240 Physicians Obstetrics/Gynecology 886000436AULT, BRIAN W 1800 W CHARLESTON BLVD LAS VEGAS NV 90499 Clark 702-383-2000 Physicians Emergency Medicine 273869161AULT, DALE B 64 N PECOS RD STE 300 HENDERSON NV 90501 Clark 702-202-6000 Physicians Marriage & Family Therapist 421594579AULTMAN, AMARI T 9127 W RUSSELL RD LAS VEGAS NV 90502 Clark 702-878-0070 Physicians CRNA 822526636AUMBRIA HEALTH AND AESTHETICS 1301 BERTHA HOWE AVE STE 2 MESQUITE NV 90512 Clark 702-345-3312 Physicians Internal Medicine 472774158AUSIELLO, JENIFER J 5550 S JONES BLVD LAS VEGAS NV 90513 Clark 702-870-0000 Physicians Certified Nurse Practitioner 264339610AUSTIN, JEFFREY K 501 S RANCHO DR STE G46 LAS VEGAS NV 90515 Clark 702-485-5000 Physicians Optometry 263172350AUSTIN, LLOYD B 850 I ST SPARKS NV 90518 Washoe 775-358-5330 Physicians Pediatric Dentist 880114211AUSTIN, LYNETTE C 2921 N TENAYA WAY STE 210 LAS VEGAS NV 90519 Clark 702-691-1100 Physicians Social Worker 043290453AVELAR, TAURINO N 100 N GRN VALLEY PKWY STE 310 HENDERSON NV 90520 Clark 702-877-1887 Physicians Nephrology 880136673AVELLA OF LAS VEGAS II INC. 701 SHADOW LN STE 110 LAS VEGAS NV 90521 Clark 702-383-2691 Ancillary Providers 264241458AVENA, JENNIFER D 1800 W CHARLESTON BLVD LAS VEGAS NV 90522 Clark 702-383-2000 Physicians Family Medicine 886000436AVENCIA MEDICAL CENTER 3150 N TENAYA WAY STE 240 LAS VEGAS NV 90526 Clark 702-445-7770 Physicians Internal Medicine 270480752AVERETT, JAMES A 2950 E FLAMINGO RD E LAS VEGAS NV 90527 Clark 702-731-3338 Physicians Podiatry 451159248AVERILLA-OBENA, DIVINA G 9320 W SAHARA AVE LAS VEGAS NV 90528 Clark 702-383-3633 Physicians Family Medicine 886000436AVERITT, SYLVIA C 100 N GREEN VALLEY PKWY HENDERSON NV 90529 Clark 702-260-0600 Physicians Certified Nurse Practitioner 880384150AVINA, LINDLEY G 10105 BANBRY CROSS DR STE 250 LAS VEGAS NV 90531 Clark 702-360-7600 Physicians Cardiology 880297044AVISTA EYE CENTER 108 E LAKE MEAD PKWY STE 303 HENDERSON NV 90533 Clark 702-564-2539 Physicians Ophthalmology 460497142AVITIA, ERIC A 1351 W SUNSET RD STE 100 HENDERSON NV 90535 Clark 702-835-1100 Physicians General Dentist 200405461AWADALLA, FARAH C 340 FALCON RIDGE PKWY STE 202B MESQUITE NV 90538 Clark 702-346-3875 Physicians Dermatology 203325000AWAJI, OBINNA N 1155 MILL ST # W11 RENO NV 90548 Washoe 775-982-5000 Physicians Internal Medicine 201026537AWAN, NAJAM A 1020 NEW RIVER PKWY STE 302 FALLON NV 90549 Churchill 775-770-7622 Physicians Cardiology 680603631AXELROD, HEATHER 1475 MEDICAL PKWY CARSON CITY NV 90553 Carson City 775-883-3636 Physicians Pediatrics 880502320AXIS PHYSICAL THERAPY 70 E HORIZN RIDGE PKWY STE 180 HENDERSON NV 90554 Clark 702-856-0422 Rehabilitation 043821114AYAT, JOSEPH 1707 W CHARLESTON BLVD STE 230 LAS VEGAS NV 90555 Clark 702-671-5060 Physicians Internal Medicine 880330858AYLSWORTH, CHRISTIE L 2012 S JONES BLVD LAS VEGAS NV 90559 Clark 702-360-1137 Rehabilitation Speech Pathology 412129643AZHER, FREEHA A 4075 S DURANGO DR STE 108 LAS VEGAS NV 90560 Clark 702-901-8230 Physicians Family Medicine 463164188AZIM, AHSAN A 3540 W SAHARA AVE LAS VEGAS NV 90575 Clark 702-921-6823 Physicians Internal Medicine 721597863AZIMI, WAHIDA 10624 S EASTERN AVE HENDERSON NV 90576 Clark 702-407-7700 Physicians Internal Medicine 990073524AZIZ, HAMZA 102 E LAKE MEAN PKWY HENDERSON NV 90577 Clark 702-564-2622 Physicians Internal Medicine 472990144AZMA, AZIN 3100 N TENAYA WAY LAS VEGAS NV 90578 Clark 239-277-2940 Physicians Internal Medicine 331159527BAALBAKY, STACIE A 7835 S RAINBOW BLVD STE 28 LAS VEGAS NV 90580 Clark 702-898-8448 Physicians General Dentist 208210417BABOVIC, NIKOLA 555 W ARLINGTON AVE RENO NV 90581 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557BABU, VEER R 897 IRONWOOD DR MINDEN NV 90582 Douglas 775-782-1610 Physicians Internal Medicine 261513495BACA, ELIZABETH 874 AMERICAN PACIFIC DR HENDERSON NV 90585 Clark 702-777-4809 Rehabilitation Speech Pathology 200363127BACA, KRISTIN M 7125 N DURANGO DR LAS VEGAS NV 90586 Clark 702-658-2311 Physicians General Dentist 205339044BACALA, HEATHER K 6850 N DURANGO DR STE 401 LAS VEGAS NV 90587 Clark 702-463-2981 Physicians Obstetrics/Gynecology 842535470BACCHUS, AMIR S 700 E WARM SPRINGS RD STE 302 LAS VEGAS NV 90588 Clark 702-932-8582 Physicians Internal Medicine 522344352BACCHUS, MALCOLM D 6630 S MCCARRAN BLVD STE 8 RENO NV 90589 Washoe 775-824-8100 Physicians Neurology 953216090BACON, JEFFREY P 236 W 6TH ST STE 100 RENO NV 90591 Washoe 775-329-9010 Physicians Critical Care 880173816BACON, LANCE T 4855 BLUE DIAMOND RD LAS VEGAS NV 90592 Clark 702-216-7305 Physicians Emergency Medicine 823517583BADALAMENTI, PETER 1000 S RAMPART BLVD STE 13 LAS VEGAS NV 90641 Clark 702-240-6200 Physicians General Dentist 264222951BADER, ALAN S 294 E MOANA LN STE 22 RENO NV 90642 Washoe 775-829-7575 Physicians Chiropractor 880474173BADIOLA, KIMBERLY A 291 N PECOS RD HENDERSON NV 90644 Clark 702-616-9471 Physicians Certified Nurse Practitioner 263992356BADUA, NILDA A 3343 S EASTERN AVE LAS VEGAS NV 90645 Clark 702-731-0909 Physicians Certified Nurse Practitioner 880371504

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 13 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDBADY, PEJMAN 1151 S HIGHWAY 160 PAHRUMP NV 90646 Nye 775-727-9000 Physicians Family Medicine 880407938BADY, PEJMAN 1501 E CALVADA BLVD PAHRUMP NV 90647 Nye 702-454-6226 Physicians Family Medicine 880213519BADY, SEP 1501 E CALVADA BLVD PAHRUMP NV 90651 Nye 702-740-5327 Physicians Orthopedic Surgery 880407938BAE, TOMMY 10965 LAVENDER HILL DR STE 120 LAS VEGAS NV 90652 Clark 702-852-2755 Physicians General Dentist 810950476BAEK, JULIA 5680 W FLAMINGO RD STE A LAS VEGAS NV 90655 Clark 702-876-3222 Physicians General Dentist 811102369BAEK, RACHEL 2696 W ANN RD STE 111 NORTH LAS VEGAS NV 90657 Clark 702-313-6888 Physicians General Dentist 841959219BAER, EYDE M 2450 W CHARLESTON BLVD LAS VEGAS NV 90658 Clark 702-877-8661 Physicians CRNA 860857176BAER, GERALD A 850 MILL ST STE 301 RENO NV 90659 Washoe 775-982-5756 Physicians Social Worker 880090713BAEZ, STEPHEN A 236 W 6TH ST STE 100 RENO NV 90660 Washoe 775-329-9010 Physicians Pulmonology 880173816BAFFOE BONNIE, ANTHONY W 461 N MOAPA VALLEY BLVD OVERTON NV 90661 Clark 702-397-6344 Physicians Infectious Diseases 263303591BAGE, LAURA L 3650 WARREN WAY RENO NV 90662 Washoe 775-823-4080 Physicians Marriage & Family Therapist 530380251BAGGALEY, TODD J 5705 CENTENNIAL CENTER BLVD STE 130 LAS VEGAS NV 90663 Clark 702-998-7100 Physicians Pediatric Dentist 275426473BAHADORI-ESFAHANI, FARDOKHT 1701 W CHARLESTON BLVD STE 160 LAS VEGAS NV 90664 Clark 702-671-5127 Physicians Psychiatry 886000022BAHN, SHENA R 5150 CONVAIR DR CARSON CITY NV 90665 Carson City 775-882-9022 Rehabilitation Speech Pathology 886000022BAHOORA, KENNETH M 321 N PECOS RD STE 200 HENDERSON NV 90666 Clark 702-263-4925 Physicians Chiropractor 204111118BAHOORA, KEVEN T 7035 W ANN RD LAS VEGAS NV 90668 Clark 702-396-0277 Physicians Chiropractor 880469558BAIDWAN, MONA 420 N NELLIS BLVD LAS VEGAS NV 90669 Clark 702-459-7424 Physicians Pediatrics 260684470BAIER, MARK E 1155 MILL ST RENO NV 90670 Washoe 775-324-4040 Physicians Emergency Medicine 973223279BAIG, KHALIQ R 2031 N BUFFALO DR LAS VEGAS NV 90671 Clark 702-383-3750 Physicians Family Medicine 886000436BAIG, SALEHA K 4560 S EASTERN AVE STE 17B LAS VEGAS NV 90673 Clark 702-365-9006 Physicians Psychiatry 374880233BAIJNATH, JOAN 1297 NEVADA HWY STE A BOULDER CITY NV 90675 Clark 702-294-1919 Physicians Internal Medicine 880312440BAILES, EMILY C 1800 W CHARLESTON BLVD LAS VEGAS NV 90679 Clark 702-207-8253 Physicians Certified Nurse Practitioner 208753074BAILEY, JOSEPH B 821 N NELLIS BLVD LAS VEGAS NV 90680 Clark 702-438-4003 Physicians Family Medicine 880345631BAILEY, STEVEN 169 N NELLIS BLVD LAS VEGAS NV 90685 Clark 702-384-1010 Physicians General Dentist 371797092BAIN, KAREN C 1625 E PRATER WAY SPARKS NV 90686 Washoe 775-352-6680 Physicians Dietitian 860881749BAIN, MARTIN A 75 PRINGLE WAY RENO NV 90687 Washoe 775-323-7500 Physicians General Surgery 880426331BAIR, JARED B 1501 LAMOILLE HWY ELKO NV 90690 Elko 775-738-0818 Rehabilitation Physical Therapy 870285547BAIR, SARAH C 1025 ROBERTA LN SPARKS NV 90691 Washoe 775-825-4744 Rehabilitation Speech Pathology 562328617BAIRD, BETHANY 6827 W TROPICANA AVE STE 110 LAS VEGAS NV 90692 Clark 702-508-9128 Physicians Certified Nurse Practitioner 844370538BAIRD, STUART 8828 MOHAWK ST LAS VEGAS NV 90693 Clark 702-880-4193 Physicians Pain Management 880404982BAIRDAIN, SIGRID 3100 N TENAYA WAY LAS VEGAS NV 90699 Clark 702-731-8460 Physicians General Surgery 331159527BAJAJ, AMIT 21 LOCUST ST RENO NV 90700 Washoe 775-982-5270 Physicians Pediatrics 941294954BAJO, JOSEPH 657 N TOWN CENTER DR LAS VEGAS NV 90702 Clark 702-259-1228 Physicians Emergency Medicine 204311300BAK, HAK SUN 2805 MOUNTAIN ST CARSON CITY NV 90704 Carson City 844-958-2054 Physicians Anesthesiology 202428069BAK, HAK SUN 1600 MEDICAL PKWY CARSON CITY NV 90709 Carson City 702-878-0070 Physicians Anesthesiology 852385334BAKER, BRADLEY S 1505 WIGWAM PKWY STE 330 HENDERSON NV 90713 Clark 702-878-0393 Physicians Orthopedic Surgery 880313907BAKER, DAVID M 1470 MEDICAL PKWY STE 160 CARSON CITY NV 90714 Carson City 775-445-7650 Physicians Cardiology 273686996BAKER, GREGORY J 5400 S RAINBOW BLVD LAS VEGAS NV 90717 Clark 702-853-3000 Physicians Neurology 462964527BAKER, HARRIE F 20 N WEST ST FERNLEY NV 90719 Lyon 775-575-5508 Rehabilitation Physical Therapy 880145347BAKER, HEIDI A 3150 N TENAYA WAY STE 400 LAS VEGAS NV 90720 Clark 702-363-9900 Physicians Certified Nurse Practitioner 202488618BAKER, RALPH M 310 SURPRISE AVE YERINGTON NV 90722 Lyon 775-463-3191 Physicians Psychology (Clinical) 886000022BAKER, RICHARD H 3150 N TENAYA WAY STE 680 LAS VEGAS NV 90723 Clark 702-838-5888 Physicians Pediatrics 880111932BAKER, ROBERT L 3121 S MARYLAND PKWY LAS VEGAS NV 90729 Clark 702-796-7150 Physicians Cardiology 880293130BAKER, TRENTON R 9127 W RUSSELL RD STE 110 LAS VEGAS NV 90731 Clark 702-878-0070 Physicians Anesthesiology 200420553BAKERINK, JAMES A 4785 S DURANGO DR STE 101 LAS VEGAS NV 90751 Clark 702-889-8444 Physicians Pediatrics 030465559BAKHAJ, ARASH 581 N EASTERN AVE LAS VEGAS NV 90753 Clark 702-444-7810 Physicians Orthodontist 843606834BAKIR, CHRISTINE M 4975 S FORT APACHE RD STE 108 LAS VEGAS NV 90757 Clark 702-220-7646 Physicians Chiropractor 113656491BAKIR, RICHARD M 9455 W RUSSELL RD STE 150 LAS VEGAS NV 90758 Clark 702-871-9292 Physicians Chiropractor 113656491BAKTARI, JONATHAN B 500 E WINDMILL LN LAS VEGAS NV 90765 Clark 702-384-5101 Physicians Pulmonology 880329731BALABEGIAN, TENNY 8975 W CHARLESTON BLVD LAS VEGAS NV 90767 Clark 702-290-4212 Physicians Orthodontist 474624729BALANCE CENTER OF LAS VEGAS LLC. 321 N BUFFALO DR STE 110 LAS VEGAS NV 90773 Clark 702-341-0606 Rehabilitation 260349482

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 14 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDBALARAJAN, YOGARAJAH 1815 E LAKE MEAD BLVD NORTH LAS VEGAS NV 90776 Clark 702-642-9010 Physicians Cardiology 880161856BALAWI, TARIQ H 1397 S LOOP RD PAHRUMP NV 90778 Nye 702-759-8600 Physicians Radiology/Diagnostic 842544520BALDANZA, DAVID N 2235 E FLAMINGO RD STE 170 LAS VEGAS NV 90798 Clark 702-893-3333 Rehabilitation Physical Therapy 320197195BALDAUF, JOHN M 2930 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 90799 Clark 702-263-9082 Physicians Orthopedic Surgery 910858192BALDAUF, TAMRA K 2020 PALOMINO LN LAS VEGAS NV 90804 Clark 888-727-1074 Physicians Radiology/Diagnostic 050589923BALDECCHI, BRUCE M 2805 MOUNTAIN ST STE B CARSON CITY NV 90831 Carson City 844-958-2054 Physicians Anesthesiology 272052335BALDO, NATALIA 8040 S VIRGINIA ST RENO NV 90841 Washoe 775-770-7480 Physicians Family Medicine 455557052BALDWIN, CYNTHIA L 421 W PLUMB LN RENO NV 90842 Washoe 775-825-0587 Physicians Marriage & Family Therapist 475623020BALDWIN, KEVIN D 8670 W CHEYENNE AVE STE 205 LAS VEGAS NV 90844 Clark 702-360-3030 Physicians General Dentist 462774637BALES, DONNA L 9769 FLOWERET AVE LAS VEGAS NV 90845 Clark 702-290-2800 Rehabilitation Speech Pathology 886000022BALES, FRANK N 895 ROBERTA LN STE 101 SPARKS NV 90846 Washoe 775-331-6252 Physicians Marriage & Family Therapist 273412547BALES, RICHARD L 4425 S PECOS RD STE 4 LAS VEGAS NV 90847 Clark 702-947-5200 Rehabilitation Physical Therapy 880388083BALHORN, KRISTEN A 2012 S JONES BLVD LAS VEGAS NV 90848 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643BALLARD, RACHEL Z 171 N GIBSON RD HENDERSON NV 90849 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643BALLARD, TERRANCE L 9065 S PECOS RD STE 190 HENDERSON NV 90850 Clark 702-948-0013 Physicians Internal Medicine 203808500BALLE, EDWARD 3041 E FLAMINGO RD STE C LAS VEGAS NV 90851 Clark 702-309-9001 Physicians General Dentist 454797322BALLELOS, RODERICK Y 3001 SAINT ROSE PKWY HENDERSON NV 90853 Clark 702-616-5000 Physicians Emergency Medicine 942761692BALLESTEROS, YASHMINE 7445 PEAK DR LAS VEGAS NV 90854 Clark 702-952-2140 Physicians Certified Nurse Practitioner 880350180BALLINGHAM, ZACK 1600 MEDICAL PKWY CARSON CITY NV 90855 Carson City 240-686-2310 Physicians Certified Nurse Practitioner 311536818BALLINGHAM, ZACK 1600 MEDICAL PKWY CARSON CITY NV 90876 Carson City 775-445-8795 Physicians Certified Nurse Practitioner 261932485BALODIMAS, JAMES D 3201 S MARYLAND PKWY STE 102 LAS VEGAS NV 90883 Clark 702-254-5004 Physicians Radiology/Diagnostic 260199135BALOGUN, MOJISOLA R 2200 PASEO VERDE PKWY STE 190 HENDERSON NV 90890 Clark 702-589-4871 Physicians Certified Nurse Practitioner 823795906BALSIGER, ROBERT W 2020 WELLNESS WAY STE 300 LAS VEGAS NV 90891 Clark 702-432-2233 Physicians Neurology 471182996BAMBOO FAMILY CLINIC 98 E LAKE MEAD PKWY STE 307 HENDERSON NV 90892 Clark 702-483-2969 Physicians Pediatrics 821114295BANCHIK, OLYA 1825 VILLAGE CENTER CIR STE 150 LAS VEGAS NV 90893 Clark 702-341-9597 Physicians General Dentist 203332936BANDT, PAUL D 2020 PALOMINO LN LAS VEGAS NV 90895 Clark 702-759-8600 Physicians Radiology/Diagnostic 880277151BANE, MONICA 3773 BAKER LN STE 2 RENO NV 90896 Washoe 775-826-0557 Rehabilitation Occupational Therapy 453449190Banerjee, Sara 1397 S LOOP RD PAHRUMP NV 90898 Nye 702-759-8600 Physicians Radiology/Diagnostic 831984436BANERJI, BASHAB 5731 S FORT APACHE RD STE 100 LAS VEGAS NV 90918 Clark 702-740-5311 Physicians Internal Medicine 680568369BANFRO, FRANCIS T 1800 W CHARLESTON BLVD LAS VEGAS NV 90919 Clark 702-383-2000 Physicians Pediatrics 886000436BANG, ALICE 2012 S JONES BLVD LAS VEGAS NV 90920 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643BANGALORE, SAMIR S 3131 CANADA ST STE 101 LAS VEGAS NV 90921 Clark 702-731-8115 Physicians Neurology 331159527BANICH, TERENCE G 5380 S RAINBOW BLVD STE 210 LAS VEGAS NV 90923 Clark 702-362-5059 Physicians General Surgery 880336385BANKS, CLINT E 2801 S VALLEY VIEW BLVD STE 6 LAS VEGAS NV 90930 Clark 702-922-7015 Physicians Social Worker 263198139BANKS, MICHAEL P 811 S 7TH ST LAS VEGAS NV 90931 Clark 702-477-0844 Physicians General Dentist 880270355BANKS, WYATT D 8560 S EASTERN AVE STE 140 LAS VEGAS NV 90932 Clark 702-914-3420 Rehabilitation Physical Therapy 232725850BANTUM, BRAIN 1055 ROBERTA LN STE 103 SPARKS NV 90933 Washoe 775-331-2600 Physicians Physical Medicine & Rehabilitation880502320BANZON, HENRY A 10561 JEFFREYS ST HENDERSON NV 90936 Clark 702-407-9431 Rehabilitation Physical Therapy 562298123BAR-ON, MIRIAM 3006 S MARYLAND PKWY STE 315 LAS VEGAS NV 90938 Clark 702-992-6868 Physicians Pediatrics 886000436BARAINCA, SHERI P 2900 CLEAR ACRE LN STE B RENO NV 90940 Washoe 775-673-6858 Physicians Chiropractor 880485644BARAKAT, MEGAN L 1500 E 2ND ST STE 400 RENO NV 90941 Washoe 775-982-2400 Physicians Certified Nurse Practitioner 880303924BARAKAT, RUSSEL M 3201 S MARYLAND PKWY STE 414 LAS VEGAS NV 90942 Clark 702-737-6658 Physicians Endocrinology 880214610BARANOFF, SCOTT L 9053 S PECOS RD STE 2900 HENDERSON NV 90943 Clark 702-735-8000 Physicians Urology 860848065BARATS, AMY M 1573 MULLER PKWY GARDNERVILLE NV 90947 Douglas 775-222-0044 Physicians Certified Nurse Practitioner 260755054BARBA, GRETA 545 MARKS ST STE 100 HENDERSON NV 90953 Clark 702-425-3697 Physicians General Dentist 261771124BARBAROUSSIS-GOOT, DEBBIE 2255 RENAISSANCE DR STE A LAS VEGAS NV 90955 Clark 702-635-6171 Physicians Professional Counselor 564023015BARBER, ANNABEL E 3150 N TENAYA WAY STE 140 LAS VEGAS NV 90956 Clark 702-671-6480 Physicians General Surgery 880330858BARBER, BRITANY A 9430 W LAKE MEAD BLVD STE 11 LAS VEGAS NV 90959 Clark 800-598-5300 Rehabilitation Audiology 810966997BARBER, MERLE I 1300 S EASTERN AVE LAS VEGAS NV 90962 Clark 702-385-2242 Physicians Optometry 880163014BARBIER, HEATHER M 2231 W CHARLESTON BLVD FL 2 LAS VEGAS NV 90963 Clark 702-944-2805 Physicians Obstetrics/Gynecology 813419791BARBIERI, PETER V 6490 S MCCARRAN BLVD STE B10 RENO NV 90964 Washoe 775-323-5458 Rehabilitation Physical Therapy 820364918

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 15 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDBARBORKA, BENJAMIN J 6655 W SAHARA AVE STE A106 LAS VEGAS NV 90965 Clark 702-876-5800 Physicians General Dentist 833623074BARBOSA, ERNESTO 2272 S NELLIS BLVD STE 2 LAS VEGAS NV 90967 Clark 702-243-2489 Physicians General Dentist 452704244BARBOSA, RODOLFO 6121 W LAKE MEAD BLVD STE 115 LAS VEGAS NV 90969 Clark 702-381-9444 Physicians General Dentist 832429993BARCIA, STEVEN D 418 CHENEY ST RENO NV 90970 Washoe 775-354-1017 Physicians Professional Counselor 473622602BARCLAY PHYSICAL THERAPY 85 KIRMAN AVE RENO NV 90971 Washoe 866-389-0211 Rehabilitation 043821114BARDAKCIOGLU, OVUNC 1707 W CHARLESTON BLVD STE 160 LAS VEGAS NV 90972 Clark 702-671-5150 Physicians General Surgery 880330858BARDEN, ANN 2012 S JONES BLVD LAS VEGAS NV 90973 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643BAREN, KATRINA M 7111 S VIRGINIA ST STE D RENO NV 90974 Washoe 775-851-5700 Physicians Certified Nurse Practitioner 880502320BARKER, SHANNON E 1800 W CHARLESTON BLVD STE 508 LAS VEGAS NV 90975 Clark 702-383-2000 Physicians Pediatrics 886000436BARLAAN, MARIA R 5891 E CHARLESTON BLVD STE 150 LAS VEGAS NV 90977 Clark 725-777-3350 Physicians Certified Nurse Practitioner 463164188BARLAAN, MYRA J 2065 LAS VEGAS BLVD N N LAS VEGAS NV 90995 Clark 702-639-0469 Physicians Certified Nurse Practitioner 880136773BARLOW, CAROL L 2225 E FLAMINGO RD LAS VEGAS NV 91000 Clark 702-733-7617 Physicians Allergy/Immunology 880346734BARLOW, DANIEL W 595 MOUNT ROSE ST RENO NV 91001 Washoe 775-786-9006 Physicians Chiropractor 880476246BARNARD, CHARLES E 2280 MCDANIEL ST STE D NORTH LAS VEGAS NV 91002 Clark 702-642-0441 Physicians Professional Counselor 880300915BARNES, BRIAN L 235 W 6TH ST RENO NV 91003 Washoe 775-746-3202 Physicians Emergency Medicine 611496658BARNES, CARMEN R 10155 W TWAIN AVE LAS VEGAS NV 91004 Clark 702-722-2200 Physicians Family Medicine 880477868BARNES, GLENN 2410 FIRE MESA ST STE 180 LAS VEGAS NV 91006 Clark 702-992-6888 Physicians Sports Medicine 813419791BARNES, KENDRA 975 KIRMAN AVE RENO NV 91007 Washoe 775-785-7093 Physicians Social Worker 930788526BARNES, SANDY 7101 W CRAIG RD STE 102 LAS VEGAS NV 91008 Clark 702-515-0553 Physicians General Dentist 472117453BARNETT, CHRISTINE 4270 S DECATUR BLVD STE B6 LAS VEGAS NV 91014 Clark 702-485-2100 Physicians Certified Nurse Practitioner 812219401BARNETT, IRENE K 1280 E CALVADA BLVD PAHRUMP NV 91015 Nye 775-751-3377 Physicians Internal Medicine 953920640BARNETT, PETER 1600 MEDICAL PKWY CARSON CITY NV 91016 Carson City 775-445-8795 Physicians Internal Medicine 260755054BARNETT, TIFFANY R 235 W 6TH ST RENO NV 91017 Washoe 775-329-5001 Physicians Family Medicine 352182577BARNEY, MARK L 1775 BROWNING WAY ELKO NV 91018 Elko 775-738-4494 Rehabilitation Physical Therapy 264238069BARNEY, MICHAEL W 2425 N LAMB BLVD STE 100 LAS VEGAS NV 91019 Clark 702-644-9155 Physicians Chiropractor 880356584BARON, HOWARD I 3196 S MARYLAND PKWY STE 400 LAS VEGAS NV 91027 Clark 702-791-0477 Physicians Pediatric Gastroenterology 880330858BARON, MARIE C 1505 WIGWAM PKWY HENDERSON NV 91029 Clark 702-562-8900 Physicians Pediatrics 202851929BARON, MICHAEL A 3560 E FLAMINGO RD LAS VEGAS NV 91030 Clark 800-767-6747 Physicians Radiology/Diagnostic 880235537BAROUSSE, PATRICK S 350 W 6TH ST RENO NV 91031 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557BARRETT, FRANK R 9070 W CHEYENNE AVE LAS VEGAS NV 91033 Clark 702-655-8535 Rehabilitation Physical Therapy 134222973BARRETTOKO, CLARISSA 2847 SAINT ROSE PKWY HENDERSON NV 91034 Clark 702-213-4848 Physicians Family Medicine 202335171BARRON, MIA S 1104 N DIVISION ST CARSON CITY NV 91035 Carson City 775-882-9123 Physicians Optometry 880422211BARRUGA, VERNON D 1000 S RAMPART BLVD STE 13 LAS VEGAS NV 91036 Clark 702-240-6200 Physicians General Dentist 264222951BARRY, YVONNE A 5915 S RAINBOW BLVD STE 105 LAS VEGAS NV 91037 Clark 702-366-0640 Physicians Family Medicine 200365179BARSON, THOMAS R 7250 PEAK DR LAS VEGAS NV 91040 Clark 702-386-4700 Physicians Anesthesiology 204727467BARTEK, DALE 9070 W CHEYENNE AVE LAS VEGAS NV 91044 Clark 702-655-8535 Rehabilitation Physical Therapy 134222973BARTHOLOMEW, BRENT F 2010 WELLNESS WAY STE 200 LAS VEGAS NV 91045 Clark 702-382-2900 Physicians Obstetrics/Gynecology 880273264BARTHOLOMEW, SANTA J 3001 SAINT ROSE PKWY HENDERSON NV 91049 Clark 702-731-0082 Physicians Pediatric Critical Care 264213839BARTMUS, TERRY L 8280 W WARM SPRINGS RD LAS VEGAS NV 91050 Clark 510-350-2600 Physicians Certified Nurse Practitioner 862775542BARTOLO, CASEY K 5550 PAINTED MIRAGE RD STE 120 LAS VEGAS NV 91051 Clark 702-898-7633 Rehabilitation Physical Therapy 010676323BARTOLOME, BERNARD T 5400 S RAINBOW BLVD LAS VEGAS NV 91054 Clark 702-853-3000 Physicians Internal Medicine 472990144BARTON, CRAIG 555 W ARLINGTON AVE RENO NV 91057 Washoe 775-786-1358 Rehabilitation Physical Therapy 880103557BARTON, DAVID H 1524 PINTO LN LAS VEGAS NV 91058 Clark 702-383-3642 Physicians Pediatrics 553720103BARTON, MATTHEW S 653 N TOWN CENTER DR LAS VEGAS NV 91060 Clark 702-243-7483 Physicians Internal Medicine 880252300BARTON, PRISCILLA B 547 S ARLINGTON AVE RENO NV 91061 Washoe 775-787-8002 Physicians Marriage & Family Therapist 147426557BARTON, VANESSA L 975 KIRMAN AVE RENO NV 91064 Washoe 775-846-1825 Rehabilitation Occupational Therapy 880103557BARULICH III, MATTHEW J 1500 AVENUE H ELY NV 91065 White Pine 775-289-3001 Physicians Obstetrics/Gynecology 880497908BASA, JEFFREY 2874 N CARSON ST STE 200 CARSON CITY NV 91066 Carson City 775-445-7170 Physicians Internal Medicine 020566741BASCHARON, RANDA A 4132 S RAINBOW BLVD LAS VEGAS NV 91068 Clark 702-947-7790 Physicians Orthopedic Surgery 203619615BASCONES, JULIE 3050 E BONANZA RD STE 130 LAS VEGAS NV 91071 Clark 702-383-0663 Physicians Certified Nurse Practitioner 271942969BASHIR A CHOWDGRY 4160 S PECOS RD STE 10 LAS VEGAS NV 91072 Clark 705-454-7311 Physicians Thoracic Surgery 475070273

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 16 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDBASIC HEALING LLC 9005 S PECOS RD STE 2600 HENDERSON NV 91073 Clark 904-998-0211 Rehabilitation 043821114BASKETTE, PAULA J 2649 W HORIZON RIDGE PKWY STE 130 HENDERSON NV 91074 Clark 702-733-8364 Physicians Social Worker 006749564BASMESON, MARIA C 2012 S JONES BLVD LAS VEGAS NV 91075 Clark 702-360-1137 Rehabilitation Speech Pathology 412129643BASORA, THOMAS A 340 PYRAMID WAY SPARKS NV 91076 Washoe 775-359-3336 Physicians General Dentist 201080009Bass, David 2020 PALOMINO LN STE 100 LAS VEGAS NV 91077 Clark 702-384-5210 Physicians Radiology/Diagnostic 880227375BASS, KRISTY L 2136 E DESERT INN RD STE A LAS VEGAS NV 91079 Clark 702-734-0505 Physicians Certified Nurse Practitioner 571095992BASSEWITZ, HUGH L 2800 E DESERT INN RD STE 100 LAS VEGAS NV 91081 Clark 702-697-7217 Physicians Orthopedic Surgery 910858192BASSI, SATNAAM S 1600 MEDICAL PKWY CARSON CITY NV 91087 Carson City 775-445-8795 Physicians Internal Medicine 341906264BASTA, SALLY 1 BREAKTHROUGH WAY LAS VEGAS NV 91110 Clark 702-732-1493 Rehabilitation Physical Therapy 260286469BASTA, TREVOR C 2811 N GREEN VALLEY PKWY HENDERSON NV 91111 Clark 702-434-2219 Physicians General Dentist 680614740BASTERRECHEA, JON 555 W ARLINGTON AVE RENO NV 91112 Washoe 775-786-3040 Rehabilitation Physical Therapy 880103557BASTIAN, STEVEN M 11201 S EASTERN AVE STE 220 HENDERSON NV 91113 Clark 702-614-0324 Rehabilitation Physical Therapy 134243035BATEMAN ETMAN, KAYLA 6525 N DECATUR BLVD STE 150 LAS VEGAS NV 91114 Clark 702-577-1941 Physicians Orthodontist 208862814BATEMAN, CHRISTOPHER B 3435 W CRAIG RD NORTH LAS VEGAS NV 91120 Clark 702-750-0377 Physicians Social Worker 810550989BATEMAN, KYLE 2012 S JONES BLVD LAS VEGAS NV 91121 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643BATES, RORY W 215 BLUFFS AVE STE 200 ELKO NV 91122 Elko 775-738-2925 Rehabilitation Physical Therapy 911456113BATH, AMANPREET 1860 E CHARLESTON BLVD LAS VEGAS NV 91123 Clark 702-365-6800 Physicians General Dentist 371797092BATIEHA, KARAM A 2040 W CHARLESTON BLVD LAS VEGAS NV 91124 Clark 702-671-2341 Physicians Internal Medicine 201026537BATLAN, DANIEL E 1661 W HORIZON RIDGE PKWY HENDERSON NV 91125 Clark 702-838-8004 Physicians Anesthesiology 880458748BATRA, ANIL K 3650 S EASTERN AVE STE 230 LAS VEGAS NV 91128 Clark 702-732-7560 Physicians Pulmonology 880203483BATRA, RENU S 3650 S EASTERN AVE LAS VEGAS NV 91129 Clark 702-732-0173 Physicians Pediatrics 880203483BATTAGLIA, DEBORAH F 102 E LAKE MEAD PKWY HENDERSON NV 91130 Clark 510-350-2600 Physicians Emergency Medicine 862775542BATTAGLIN, ROBERTO G 7945 W SAHARA AVE STE 101 LAS VEGAS NV 91131 Clark 702-220-7966 Physicians General Dentist 263771013BATTAGLIN, SILVA 7945 W SAHARA AVE STE 101 LAS VEGAS NV 91132 Clark 702-220-7966 Physicians General Dentist 263771013BATTEN, ERIKA A 2667 ENTERPRISE RD RENO NV 91133 Washoe 775-688-1341 Rehabilitation Speech Pathology 886000022BATTLE MOUNTAIN GENERAL HOSPITAL 535 S HUMBOLDT ST BATTLE MOUNTAIN NV 91134 Lander 775-635-6060 Ancillary Providers 880186024BATTLE MOUNTAIN MENTAL HEALTH CENTER10 E 6TH ST BATTLE MTN NV 91136 Lander 775-635-5753 Ambulatory Facilities 886000022BATTULA, SUJATHA 2820 W CHARLESTON BLVD STE 33 LAS VEGAS NV 91137 Clark 702-388-4428 Physicians Certified Nurse Practitioner 113794290BATUGAL, OSCAR A 2020 WELLNESS WAY STE 202 LAS VEGAS NV 91139 Clark 702-382-7760 Physicians Internal Medicine 840479559BATZLOFF, MARGARET A 555 W ARLINGTON AVE RENO NV 91140 Washoe 775-786-3040 Rehabilitation Occupational Therapy 880103557BAUER, WILLIAM C 5900 W ROCHELLE AVE LAS VEGAS NV 91141 Clark 702-364-1111 Physicians Psychiatry 900055580BAUGHMAN, KRISTEN E 480 GALLETTI WAY SPARKS NV 91142 Washoe 775-688-2001 Physicians Certified Nurse Practitioner 886000022BAUMANN III, JANET E 2030 E FLAMINGO RD STE 261 LAS VEGAS NV 91143 Clark 702-212-9800 Physicians Psychology (Clinical) 371533053BAUMANN, TAMARA L 975 RYLAND ST STE 105 RENO NV 91145 Washoe 775-982-5640 Physicians Certified Nurse Practitioner 880502320BAUMGARDNER, ZACHARY T 601 RALSTON ST STE 100 RENO NV 91146 Washoe 775-786-1110 Physicians Family Medicine 880459017BAUMGARTL, WILLIAM H 7140 SMOKE RANCH RD # 150 LAS VEGAS NV 91147 Clark 702-320-8111 Physicians Anesthesiology 880366031BAUTER, NICHOLAS B 901 W 4TH ST STE B RENO NV 91148 Washoe 775-322-0800 Physicians General Dentist 383984569BAUZON, SAMUEL R 7061 GRAND MONTECITO PKWY LAS VEGAS NV 91149 Clark 702-877-5199 Physicians Family Medicine 770424419BAVISHI, SHIVANGI M 3620 E SUNSET RD STE 100 LAS VEGAS NV 91151 Clark 702-368-6778 Rehabilitation Physical Therapy 830375934BAXTER, MARK D 6332 S RAINBOW BLVD LAS VEGAS NV 91152 Clark 702-891-8833 Physicians Chiropractor 880278559BAYDOUN, JAMIE 1800 W CHARLESTON BLVD LAS VEGAS NV 91153 Clark 702-385-0890 Physicians Emergency Medicine 202977358BAYERKOHLER, LINDA M 4300 MEADOWS LN STE 126 LAS VEGAS NV 91188 Clark 702-258-0072 Physicians Optometry 880429060BAYLESS, JOSEPH M 645 SIERRA ROSE DR STE 205 RENO NV 91191 Washoe 775-828-1200 Physicians Anesthesiology 880101307BAYNOSA, JENNIFER L 2231 W CHARLESTON BLVD LAS VEGAS NV 91207 Clark 702-944-2805 Physicians Oncology 886000436BAYNOSA, RICHARD C 1707 W CHARLESTON BLVD STE 190 LAS VEGAS NV 91210 Clark 702-671-5110 Physicians Plastic & Reconstructive Surgery 880330858BAYYA, VIJAYA V 2874 N CARSON ST STE 200 CARSON CITY NV 91212 Carson City 775-883-9003 Physicians Internal Medicine 020566741BAZEMORE JR, CURTIS E 6424 LOSEE RD NORTH LAS VEGAS NV 91213 Clark 702-677-2273 Physicians Family Medicine 515841852BEACHSIDE PHYSICAL THERAPY, INC 225 GREEN VISTA DR SPARKS NV 91216 Washoe 866-389-0211 Rehabilitation 043821114BEACON OF HOPE HOSPICE 8 SUNSET WAY HENDERSON NV 91217 Clark 888-854-5024 Ancillary Providers 880371520BEAJOW, MAHFOUD 3006 S MARYLAND PKWY STE 470 LAS VEGAS NV 91218 Clark 702-796-9111 Physicians Internal Medicine 880252300BEAL, JAYME K 1510 W HORIZON RIDGE PKWY STE 160 HENDERSON NV 91224 Clark 702-566-8255 Rehabilitation Speech Pathology 886000022

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 17 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDBEAL, SHANNON 1375 VISTA LN CARSON CITY NV 91226 Carson City 775-882-2067 Physicians Vascular Surgery 880106584BEAMAN, RHETT K 6800 W CHEYENNE AVE LAS VEGAS NV 91227 Clark 702-309-4878 Physicians Chiropractor 300050604BEAN, GREGORY H 4700 LAS VEGAS BLVD N NELLIS AFB NV 91229 Clark 702-653-2257 Physicians Obstetrics/Gynecology 200100106BEAN, HARVEY K 1801 N CARSON ST CARSON CITY NV 91231 Carson City 775-882-1441 Physicians Podiatry 880502320BEAN, JEFFREY K 1801 N CARSON ST CARSON CITY NV 91234 Carson City 775-882-1441 Physicians Podiatry 880502320BEARDEN, CHRISTINE R 3155 W CRAIG RD STE 140 NORTH LAS VEGAS NV 91237 Clark 702-639-2333 Rehabilitation Physical Therapy 880386672BEARFIELD, JEREMY C 1240 E 9TH ST RENO NV 91241 Washoe 775-323-0478 Physicians Family Medicine 263303591BEASLEY, JULIE F 2000 S JONES BLVD STE 140 LAS VEGAS NV 91244 Clark 702-386-2780 Physicians Psychology (Clinical) 886000024BEASLEY, RAMONA D 2501 N GREEN VALLEY PKWY BLDG D HENDERSON NV 91245 Clark 702-605-2766 Physicians Marriage & Family Therapist 471751350BEATTY MEDICAL CLINIC LLC 250 S IRVING ST BEATTY NV 91249 Nye 775-553-9111 Physicians Family Medicine 474462124BEATY, SEAN D 3186 S MARYLAND PKWY LAS VEGAS NV 91250 Clark 702-731-8000 Physicians Radiology/Diagnostic 842057727BECHTEL, DEBORAH A 840 PINNACLE CT BLDG 11 MESQUITE NV 91276 Clark 702-346-8899 Physicians Social Worker 204110211BECK, GRANT L 9499 W CHARLESTON BLVD STE 150 LAS VEGAS NV 91277 Clark 702-228-5477 Physicians Podiatry 880213519BECK, LORI A 555 W ARLINGTON AVE RENO NV 91282 Washoe 775-786-1358 Rehabilitation Physical Therapy 880103557BECK, MARY 5465 MEADOWOOD MALL CIR RENO NV 91283 Washoe 775-826-4100 Physicians Optometry 861235381BECK, SAMUEL 343 ELM ST STE 100 RENO NV 91284 Washoe 775-789-6500 Physicians Anesthesiology 880101307BECKER, CRYSTAL M 6410 S VIRGINIA ST RENO NV 91300 Washoe 775-322-5757 Rehabilitation Physical Therapy 752014828BECKER, MICHAEL D 5701 W CHARLESTON BLVD STE 201 LAS VEGAS NV 91301 Clark 702-877-0814 Physicians Radiation Oncology 880310956BECKER, STEVEN E 700 SHADOW LN STE 235 LAS VEGAS NV 91303 Clark 702-382-3221 Physicians Otolaryngology 880285682BECKERIII, HEBER W 645 SIERRA ROSE DR STE 205 RENO NV 91305 Washoe 775-828-1200 Physicians Anesthesiology 880101307BECKETT, TIMOTHY D 10120 S EASTERN AVE HENDERSON NV 91315 Clark 702-487-6880 Physicians Anesthesiology 262460167BECKMAN III, WILLIAM E 801 E WILLIAMS AVE STE 3309 FALLON NV 91316 Churchill 775-867-7760 Physicians Obstetrics/Gynecology 886000088BECKSTROM, BRIAN L 640 E DEER SPRINGS WAY STE 180 NORTH LAS VEGAS NV 91317 Clark 702-399-3800 Physicians Orthodontist 461193475BECKWITH, JAMES A 8937 W SAHARA AVE STE A LAS VEGAS NV 91321 Clark 702-254-3558 Physicians Optometry 263897560BEDIENT, CARRIE E 8851 W SAHARA AVE LAS VEGAS NV 91323 Clark 702-254-1777 Physicians Obstetrics/Gynecology 814830154BEDOTTO, JOHN B 9280 W SUNSET RD STE 320 LAS VEGAS NV 91324 Clark 702-534-5464 Physicians Cardiology 880156903BEESON, MORGAN C 9127 W RUSSELL RD LAS VEGAS NV 91326 Clark 702-878-0070 Physicians CRNA 910885149BEETLEY, ISABEL C 2537 JARBIDGE CT CARSON CITY NV 91335 Carson City 775-884-0253 Rehabilitation Physical Therapy 880502320BEG, SAIRA 1280 E CALVADA BLVD PAHRUMP NV 91336 Nye 775-751-3377 Physicians Family Medicine 880213519BEGALMAN, TREVERIS I 6252 S RAINBOW BLVD STE 110 LAS VEGAS NV 91337 Clark 702-253-5410 Physicians Certified Nurse Practitioner 202925472BEGLINGER, SUSAN M 5281 S EASTERN AVE LAS VEGAS NV 91338 Clark 702-262-9676 Physicians Professional Counselor 562512358BEHAVIORAL HEALTH INSTITUTE INC. 2920 N GRN VALLEY PKWY BLDG 3 HENDERSON NV 91341 Clark 702-253-1173 Physicians Psychiatry 261837240BEHAVIORAL HEALTH WORKS INC 2831 SAINT ROSE PKWY STE 200 HENDERSON NV 91342 Clark 800-249-1266 Physicians Psychology (Clinical) 452748445BEHESHTI, NADER H 801 S RANCHO DR STE D18 LAS VEGAS NV 91343 Clark 702-477-0772 Physicians Radiology/Diagnostic 453503034BEHL, ANDREW J 3100 N TENAYA WAY LAS VEGAS NV 91348 Clark 972-915-3600 Physicians Emergency Medicine 880262438BEHNAWA, WALID A 6857 W CHARLESTON BLVD LAS VEGAS NV 91349 Clark 702-304-2144 Physicians Family Medicine 201026537BEHNOUD, ALI 840 I ST STE 3 SPARKS NV 91350 Washoe 775-851-9099 Physicians General Dentist 262128554BEIDLE, THOMAS R 1155 MILL ST RENO NV 91351 Washoe 855-386-0188 Physicians Radiology/Diagnostic 880113741BEITINJANEH, AMER 401 DEPT DEPT 401 LAS VEGAS NV 91353 Clark 702-968-4371 Physicians Internal Medicine 880330858BELCHER, RYANN 1055 N HILLS BLVD RENO NV 91354 Washoe 775-677-1055 Physicians General Dentist 465063631BELDING, CLINT C 555 W ARLINGTON AVE RENO NV 91356 Washoe 775-788-5242 Rehabilitation Physical Therapy 880103557BELINGHERI, L. J 485 MISSION DR HENDERSON NV 91360 Clark 702-561-2211 Physicians Marriage & Family Therapist 452386520BELIZARIO, MARCELINO C 1000 S RAINBOW BLVD # A LAS VEGAS NV 91362 Clark 702-464-8866 Physicians Internal Medicine 611564301BELL, NATHAN 5235 S DURANGO DR STE 2 LAS VEGAS NV 91363 Clark 702-685-8585 Physicians Certified Nurse Practitioner 822056290BELL, NICHOLAS M 2020 PALOMINO LN LAS VEGAS NV 91364 Clark 702-759-8600 Physicians Radiology/Diagnostic 842544520BELLE, LINDSAY A 418 CHENEY ST RENO NV 91389 Washoe 775-354-1017 Physicians Marriage & Family Therapist 473622602BELLER, PEGGY 1550 W CRAIG RD NORTH LAS VEGAS NV 91390 Clark 702-777-3615 Physicians Certified Nurse Practitioner 824933457BELLEW, JONATHAN G 3650 S POINTE CIR STE 106 LAUGHLIN NV 91392 Clark 702-254-1425 Physicians Internal Medicine 880396187BELLIAS, MARIA A 2012 S JONES BLVD LAS VEGAS NV 91394 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643BELLO, DANIELLE T 1 BREAKTHROUGH WAY LAS VEGAS NV 91395 Clark 702-732-1493 Physicians Psychology (Clinical) 260286469BELLOTA, ROSA 3247 S MARYLAND PKWY LAS VEGAS NV 91396 Clark 702-776-3500 Physicians Psychiatry 454953696

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 18 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDBELMONT W. ANDERSON DPM LTD. 1416 S JONES BLVD LAS VEGAS NV 91398 Clark 702-878-1400 Physicians Podiatry 880183071BELSKY, MARJORIE E 3111 S MARYLAND PKWY STE 200 LAS VEGAS NV 91399 Clark 702-968-6259 Physicians Anesthesiology 593828894BEN ARI LAZCANO, JUDITH S 1800 W CHARLESTON BLVD LAS VEGAS NV 91404 Clark 702-383-2420 Physicians Pediatric Critical Care 880313664BEN REY, ZVIA 500 S RANCHO DR STE 12 LAS VEGAS NV 91405 Clark 702-877-1887 Physicians Certified Nurse Practitioner 880136773BENASSI, MICHAEL A 7200 CATHEDRAL ROCK DR STE 250 LAS VEGAS NV 91406 Clark 702-383-4040 Physicians General Surgery 880219190BENEDICT, ROBERT F 5440 W SAHARA AVE STE 202 LAS VEGAS NV 91408 Clark 702-380-8200 Physicians Social Worker 043290453BENEDICTSON, DIANNE 5150 MAE ANNE AVE STE 810A RENO NV 91410 Washoe 775-747-0680 Physicians General Dentist 464394010BENEDICTSON, JEFFREY A 5150 MAE ANNE AVE STE 810A RENO NV 91412 Washoe 775-747-0680 Physicians General Dentist 464394010BENJAMIN, ILYA 55 S VALLE VERDE DR STE 250 HENDERSON NV 91413 Clark 702-260-1890 Physicians General Dentist 264222951BENLIRO, IRENE 11201 S EASTERN AVE STE 110 HENDERSON NV 91417 Clark 702-534-4244 Physicians Certified Nurse Practitioner 208064212BENNET, PATRICK J 2040 W CHARLESTON BLVD LAS VEGAS NV 91418 Clark 702-258-3415 Physicians Psychiatry 886000022BENNETT III, ANDREW 1397 S LOOP RD PAHRUMP NV 91419 Nye 702-759-8600 Physicians Radiology/Diagnostic 822135009BENNETT MEDICAL SERVICES 1250 S LAMOILLE HWY STE 734 DYER NV 91421 Esmeralda 775-738-6656 Ancillary Providers 880405613BENNETT, DONALD R 102 E LAKE MEAD PKWY HENDERSON NV 91424 Clark 510-350-2600 Physicians Emergency Medicine 862775542BENNETT, LISA M 7720 W SAHARA AVE LAS VEGAS NV 91425 Clark 702-240-0500 Physicians Chiropractor 043655433BENNINGTON, MICHAEL J 11358 CEDAR LOG CT LAS VEGAS NV 91426 Clark 972-215-8927 Physicians Family Medicine 900154768BENSON, KATHLEEN M 1707 W CHARLESTON BLVD STE 230 LAS VEGAS NV 91428 Clark 702-671-5070 Physicians Cardiology 813419791BENSON, RACHEL L 10085 DOUBLE R BLVD STE 220 RENO NV 91432 Washoe 775-982-5000 Physicians Family Medicine 880502320BENT, KATHLEEN D 1665 OLD HOT SPRINGS RD STE 150 CARSON CITY NV 91433 Carson City 775-687-4195 Physicians Social Worker 886000022BENWAY, MONICA O 4221 MCLEOD DR LAS VEGAS NV 91435 Clark 702-474-6450 Physicians Professional Counselor 880111970BERARDUCCI, DANIEL A 3150 W SAHARA AVE LAS VEGAS NV 91437 Clark 702-518-4532 Physicians Professional Counselor 452487249BERECKY, RYAN E 1600 MEDICAL PKWY CARSON CITY NV 91438 Carson City 775-445-8000 Physicians Radiology/Diagnostic 880279310BEREJNAYA, EDITH 2300 S CARSON ST CARSON CITY NV 91448 Carson City 775-982-5000 Physicians Certified Nurse Practitioner 880502320BERGER, CRAIG L 1600 MEDICAL PKWY CARSON CITY NV 91449 Carson City 775-445-8000 Physicians Emergency Medicine 880502320BERGER, SHAUN 3150 N TENAYA WAY STE 690 LAS VEGAS NV 91450 Clark 702-641-2150 Physicians Pediatrics 880334024BERGMAN, HOLLY R 20 N WEST ST FERNLEY NV 91451 Lyon 775-575-5508 Rehabilitation Physical Therapy 880145347BERJIS, REZA R 4880 WYNN RD LAS VEGAS NV 91452 Clark 702-759-8600 Physicians Family Medicine 880213519BERK, OTTO M 3376 S EASTERN AVE STE 130 LAS VEGAS NV 91453 Clark 702-462-2445 Physicians Social Worker 886000022BERKELEY, ROSS 1800 W CHARLESTON BLVD LAS VEGAS NV 91454 Clark 702-383-2000 Physicians Emergency Medicine 851142444BERKELEY, ROSS 1800 W CHARLESTON BLVD LAS VEGAS NV 91455 Clark 702-385-0890 Physicians Emergency Medicine 274933934BERKLEY, ROBERT N 3150 N TENAYA WAY STE 320 LAS VEGAS NV 91505 Clark 702-240-6482 Physicians Cardiology 880388771BERKOVITS, ADAM 102 E LAKE MEAD PKWY HENDERSON NV 91515 Clark 510-350-2600 Physicians Emergency Medicine 860472307BERMAN, MICHAEL L 1707 W CHARLESTON BLVD STE 100 LAS VEGAS NV 91518 Clark 702-671-5025 Physicians Obstetrics/Gynecology 880330858BERMAN, STEVEN E 605 SIERRA ROSE DR STE 4 RENO NV 91519 Washoe 775-348-1313 Physicians Pain Management 205244843BERNALES, WILSON F 5701 W CHARLESTON BLVD STE 210 LAS VEGAS NV 91520 Clark 702-877-9514 Physicians Family Medicine 880168054BERNARD C ONG MD PC 8551 W LAKE MEAD BLVD STE 251 LAS VEGAS NV 91521 Clark 702-796-7979 Physicians Orthopedic Surgery 203496764BERNARDINO, RUSTICA A 901 RANCHO LN LAS VEGAS NV 91522 Clark 702-636-3000 Physicians Family Medicine 364243727BERNDES, HANS A 7326 W CHEYENNE AVE LAS VEGAS NV 91523 Clark 702-386-4700 Physicians Anesthesiology 880375544BERNER, MARK D 1155 MILL ST RENO NV 91530 Washoe 775-982-8100 Physicians Radiology/Diagnostic 880113741BERNER, MATHEW D 748 S MEADOWS PKWY RENO NV 91532 Washoe 775-324-4040 Physicians Emergency Medicine 880303529BERNHARD, MICHAEL A 303 FLEISCHMANN WAY CARSON CITY NV 91533 Carson City 775-885-7827 Rehabilitation Physical Therapy 880357457BERNICK, CHARLES B 888 W BONNEVILLE AVE LAS VEGAS NV 91535 Clark 702-483-6000 Physicians Neurology 880330858BERNING, THEA 2375 E PRATER WAY SPARKS NV 91537 Washoe 775-331-7000 Physicians Emergency Medicine 475671561BERNSTEIN, KEVIN 2031 MCDANIEL ST STE 170 NORTH LAS VEGAS NV 91538 Clark 702-649-4297 Physicians Psychiatry 341623095BERNSTEIN, LEROY 2121 E FLAMINGO RD STE 100 LAS VEGAS NV 91540 Clark 702-796-7000 Physicians Pediatrics 520964800BERNSTEIN, MARVIN 500 S RANCHO DR STE 12 LAS VEGAS NV 91541 Clark 702-877-1887 Physicians Nephrology 886000436Bernstein, Pokroy & Lehrner, LTD 653 N TOWN CENTER DR STE 70 LAS VEGAS NV 91544 Clark 702-877-1887 Physicians Nephrology 880136673BERNSTEIN, RICK V 2031 MCDANIEL ST STE 170 NORTH LAS VEGAS NV 91554 Clark 702-878-8346 Physicians Thoracic Surgery 880479833BERON, HEIDI L 8280 W WARM SPRINGS RD LAS VEGAS NV 91556 Clark 702-878-0070 Physicians CRNA 200420553BERRETT, BRIAN J 5190 NEIL RD RENO NV 91568 Washoe 775-784-4917 Physicians Psychiatry 886000022BERRY JR, ROBERT G 6630 S MCCARRAN BLVD STE A4 RENO NV 91570 Washoe 775-828-2863 Physicians Physical Medicine & Rehabilitation880329853

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 19 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDBERRY, KEITH A 1707 W CHARLESTON BLVD STE 160 LAS VEGAS NV 91571 Clark 702-671-5150 Physicians General Surgery 813419791BERSON, EMILY J 2200 PASEO VERDE PKWY STE 190 HENDERSON NV 91572 Clark 702-589-4871 Physicians Marriage & Family Therapist 823795906BERTALMIO, AARON A 975 RYLAND ST STE 100 RENO NV 91573 Washoe 775-982-5000 Physicians Family Medicine 880291454BERTHOTY, DEAN P 3100 N TENAYA WAY LAS VEGAS NV 91574 Clark 702-962-5000 Physicians Radiology/Diagnostic 470894654BERTOLI, TROY P 10001 S EASTERN AVE HENDERSON NV 91601 Clark 855-399-1060 Physicians Family Medicine 453508895BERTRAND, TIMOTHY J 1875 PLUMAS ST RENO NV 91602 Washoe 775-826-2444 Rehabilitation Physical Therapy 880250841BESS, RANDALL K 1800 W CHARLESTON BLVD LAS VEGAS NV 91603 Clark 702-383-2085 Physicians Emergency Medicine 475094526BESSEN, STEVEN 8551 W LAKE MEAD BLVD LAS VEGAS NV 91653 Clark 702-228-0031 Physicians Radiology/Diagnostic 330872858BESSETTE, RICHARD A 410 FLEISCHMANN WAY STE B CARSON CITY NV 91655 Carson City 775-887-8885 Physicians General Surgery 880257810BEST URGENT CARE 4205 S GRAND CANYON DR STE 20 LAS VEGAS NV 91658 Clark 702-228-9870 Physicians Internal Medicine 473861122BEST, GABRIELLE 1625 E PRATER WAY STE 107 SPARKS NV 91659 Washoe 775-825-4744 Rehabilitation Occupational Therapy 562328617BEST, MELISSA P 9320 W SAHARA AVE LAS VEGAS NV 91660 Clark 702-383-2633 Physicians Certified Nurse Practitioner 886000436BESTWICK, ANGELA A 3175 SAINT ROSE PKWY HENDERSON NV 91661 Clark 702-474-7212 Rehabilitation Physical Therapy 880386672BETANCOURT, DAMIAN V 2311 S CASINO DR STE D-2 LAUGHLIN NV 91663 Clark 702-299-9919 Physicians General Dentist 452645665BETESH, SEAN M 1516 VIRGINIA RANCH RD STE 101 GARDNERVILLE NV 91688 Douglas 775-783-8037 Physicians Podiatry 880463851BETITA, MARY J 1524 PINTO LN LAS VEGAS NV 91690 Clark 702-383-3642 Physicians Certified Nurse Practitioner 886000436BETTENCOURT, HEATHER A 6900 N DURANGO DR LAS VEGAS NV 91691 Clark 305-223-3000 Physicians Certified Nurse Practitioner 752807737BETTENCOURT, MIRIAM S 861 CORONADO CENTER DR HENDERSON NV 91698 Clark 702-257-7546 Physicians Dermatology 861075731BETTER BREATHING NEVADA 416 S ROCK BLVD SPARKS NV 91708 Washoe 775-359-1944 Ancillary Providers 274438167BETTER BREATHING NEVADA LLC 416 S ROCK BLVD SPARKS NV 91709 Washoe 775-359-1944 Ancillary Providers 900197492BETTER LIFE MOBILITY 2100 S DECATUR BLVD LAS VEGAS NV 91710 Clark 702-876-9606 Ancillary Providers 880396885BEUERLE, ELIZABETH 6475 N DECATUR BLVD STE 125 LAS VEGAS NV 91711 Clark 702-933-9103 Rehabilitation Audiology 464865267BEUTLER, ELIZABETH M 7391 W CHARLESTON BLVD STE 140 LAS VEGAS NV 91712 Clark 702-304-2144 Physicians Certified Nurse Practitioner 455187461BEYERSDORF, HEID 3001 SAINT ROSE PKWY HENDERSON NV 91728 Clark 330-493-4443 Physicians Emergency Medicine 273869305BEYL, RANDI J 6375 W CHARLESTON BLVD STE A100 LAS VEGAS NV 91730 Clark 702-253-0818 Physicians Marriage & Family Therapist 411700376BEZARD, HERVE 895 ADAMS BLVD BOULDER CITY NV 91731 Clark 702-293-0406 Physicians Family Medicine 880248933BHANDARI, SHFALI 10624 S EASTERN AVE STE A955 HENDERSON NV 91732 Clark 702-800-5393 Physicians Internal Medicine 263668328BHANDERI, SUDIPKUMAR K 2020 PALOMINO LN LAS VEGAS NV 91733 Clark 702-759-8600 Physicians Radiology/Diagnostic 822135009BHANVER, INDER 5365 MAE ANNE AVE STE B RENO NV 91757 Washoe 775-787-6463 Physicians Psychiatry 886000022BHAT, ERLINDA P 4700 LAS VEGAS BLVD N NELLIS AFB NV 91759 Clark 702-653-2965 Physicians Certified Nurse Practitioner 990073396BHATIA, SAPNA 3150 N TENAYA WAY STE 125 LAS VEGAS NV 91760 Clark 702-869-0855 Physicians Pulmonology 880350180BHATIA, SONU R 2401 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 91761 Clark 702-385-7001 Physicians Internal Medicine 470928405BHATNAGAR, PANKAJ K 6240 N DURANGO DR STE 120 LAS VEGAS NV 91763 Clark 702-791-7855 Physicians General Surgery 261443080BHATT, KANDARP Y 2020 PALOMINO LN LAS VEGAS NV 91768 Clark 702-759-8600 Physicians Radiology/Diagnostic 814824771BHATTACHARYYA, DEBADATTA 801 S RANCHO DR STE B2 LAS VEGAS NV 91793 Clark 702-385-2153 Physicians Marriage & Family Therapist 880135811BHATTI, MUHAMMAD A 1815 E LAKE MEAD BLVD NORTH LAS VEGAS NV 91794 Clark 702-642-9010 Physicians Cardiology 880161856BHAYA, BHAVANA S 1701 W CHARLESTON BLVD STE 230 LAS VEGAS NV 91797 Clark 702-671-2341 Physicians Internal Medicine 813419791BHC HEALTH SERVICES OF NEVADA INC. 1240 E 9TH ST RENO NV 91798 Washoe 775-323-0478 Physicians Psychiatry 880300031BHUSHAN, SURESH G 3016 W CHARLESTON BLVD LAS VEGAS NV 91799 Clark 702-790-2701 Physicians Psychiatry 886000022BIANCHI-WOOD, VALERI E 407 N WALSH ST CARSON CITY NV 91801 Carson City 775-887-1313 Physicians Social Worker 530349146BIAZZO, SALVATORE J 517 ROSE ST LAS VEGAS NV 91802 Clark 702-366-1206 Physicians Family Medicine 886000436BIBBY JR, CHARLES K 1550 W CRAIG RD NORTH LAS VEGAS NV 91803 Clark 702-777-3615 Physicians Emergency Medicine 472319983BIBI, ASHIA 10624 S EASTERN AVE STE A955 HENDERSON NV 91854 Clark 702-800-5393 Physicians Internal Medicine 263668328BIBLE, LAVERNE 9075 S EASTERN AVE STE 4 LAS VEGAS NV 91855 Clark 702-312-7920 Physicians Certified Nurse Practitioner 880426896BIBLE, LAVERNE 6580 S MCCARRAN BLVD STE A RENO NV 91856 Washoe 775-432-1343 Physicians Certified Nurse Practitioner 880502320BICKFORD, JENNIFER S 8610 TECHNOLOGY WAY RENO NV 91858 Washoe 775-826-4900 Physicians Certified Nurse Practitioner 880113241BICOL, MA TERESA G 3050 E BONANZA RD LAS VEGAS NV 91859 Clark 702-383-0663 Physicians Certified Nurse Practitioner 271942969BIDART, CHAD M 2385 E PRATER WAY #305 SPARKS NV 91861 Washoe 775-358-4007 Physicians Cardiology 880247743BIDDLECOM, EVAN 4221 MCLEOD DR LAS VEGAS NV 91862 Clark 702-474-6450 Physicians Professional Counselor 880111970BIEDEBACH, LAUREN M 5552 S FORT APACHE RD STE 120 LAS VEGAS NV 91864 Clark 702-641-8255 Rehabilitation Speech Pathology 886000022BIEN, ROBERT 7050 SMOKE RANCH RD STE 130 LAS VEGAS NV 91865 Clark 702-233-9911 Physicians Pain Management 880281409

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 20 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDBIEN, SHEILA M 7050 SMOKE RANCH RD STE 130 LAS VEGAS NV 91866 Clark 702-233-9911 Physicians Certified Nurse Practitioner 880281409BIENEMAN, KATHERINE L 9127 W RUSSELL RD STE 110 LAS VEGAS NV 91867 Clark 702-878-0070 Physicians CRNA 731451967BIG SANDY PHYSICAL THERAPY INC 85 KIRMAN AVE RENO NV 91876 Washoe 866-389-0211 Rehabilitation 043821114BIGCAS, JO-LAWRENCE M 3150 N TENAYA WAY STE 112 LAS VEGAS NV 91877 Clark 702-671-2298 Physicians Otolaryngology 813419791BIGG, MICHELLE 3730 S EASTERN AVE LAS VEGAS NV 91878 Clark 702-952-3400 Physicians Certified Nurse Practitioner 880350180BIGLER, GREGORY T 9499 W CHARLESTON BLVD STE 200 LAS VEGAS NV 91879 Clark 702-933-9393 Physicians Orthopedic Surgery 880286565BIGLEY, KEVIN A 3246 N CARSON ST STE 120 CARSON CITY NV 91881 Carson City 775-885-9965 Rehabilitation Physical Therapy 880463764BIGLEY, TAMMIE L 3246 N CARSON ST STE 120 CARSON CITY NV 91883 Carson City 775-885-9965 Rehabilitation Physical Therapy 880463764BILJIANA JANIC MD INC 2610 W HORIZON RIDGE PKWY STE 200 HENDERSON NV 91884 Clark 702-407-8241 Physicians Internal Medicine 300651364BILL, CRYSTAL L 6169 S RAINBOW BLVD STE 100 LAS VEGAS NV 91885 Clark 702-658-6700 Physicians General Dentist 262974576BILLHARZ, PETER M 645 SIERRA ROSE DR STE 205 RENO NV 91887 Washoe 775-828-1200 Physicians Anesthesiology 880101307BILLINGER, BRUCE J 9127 W RUSSELL RD STE 110 LAS VEGAS NV 91903 Clark 702-878-0070 Physicians CRNA 822526636BILLINGTON, ELIZABETH A 3620 E SUNSET RD LAS VEGAS NV 91912 Clark 702-368-6778 Rehabilitation Physical Therapy 830375934BILLMYER, STEPHEN B 3201 S MARYLAND PKWY STE 514 LAS VEGAS NV 91915 Clark 702-893-0800 Physicians Internal Medicine 880328040BILLS, ALAN S 1055 N HILLS BLVD RENO NV 91916 Washoe 775-677-1055 Physicians General Dentist 465063631BIMODAL PHYSICAL THERAPY 2779 W HORIZON RIDGE PKWY HENDERSON NV 91917 Clark 702-589-9250 Rehabilitation 043821114BINGHAM, JONATHAN S 4855 BLUE DIAMOND RD LAS VEGAS NV 91918 Clark 702-216-7305 Physicians Emergency Medicine 824933457BINYANGE, MARTIN 807 S DECATUR BLVD LAS VEGAS NV 91919 Clark 702-602-5250 Physicians Certified Nurse Practitioner 821936319BIODESIX, INC. LABORATORY NEVADA 10530 DISCOVERY DR STE 1931 LAS VEGAS NV 91922 Clark 702-214-7950 Ancillary Providers 203986492BIONDI, TRACI S 9484 W LAKE MEAD BLVD STE 6 LAS VEGAS NV 91923 Clark 877-448-3627 Physicians Anesthesiology 363966745BIOSCRIP PHARMACY 901 S RANCHO DR STE 20 LAS VEGAS NV 91926 Clark 702-471-7828 Ambulatory Facilities 411841437BIOSCRIP PHARMACY, INC. -LAS VEGAS 901 S RANCHO DR STE 20 LAS VEGAS NV 91927 Clark 702-471-7828 Ancillary Providers 411841437BIOSCRIP PHARMACY, INC. -SAN DIEGO 901 S RANCHO DR STE 20 LAS VEGAS NV 91928 Clark 702-471-7828 Ancillary Providers 411841437BIRKIN, BRENT 2020 PALOMINO LN STE 100 LAS VEGAS NV 91929 Clark 702-759-8600 Physicians Radiology/Diagnostic 880277151BISCAYNE CHIROPRACTIC CENTER 14A N HIGHWAY 95 A YERINGTON NV 91930 Lyon 702-463-7766 Physicians Chiropractor 043821114BISCHOFF, JAMES K 9127 W RUSSELL RD LAS VEGAS NV 91931 Clark 702-878-0070 Physicians Anesthesiology 202428069BISCHOFF, MICHELLE L 7250 PEAK DR LAS VEGAS NV 91940 Clark 702-386-4700 Physicians Anesthesiology 204727467BISCOE, KERI L 7135 W SAHARA AVE STE 100 LAS VEGAS NV 91942 Clark 702-362-3900 Physicians Psychiatry 660593678BISHOFF, HALEY A 2121 E FLAMINGO RD STE 110 LAS VEGAS NV 91944 Clark 702-382-8841 Physicians Dietitian 880436341BISHOP, EVAN C 3777 PECOS MCLEOD STE 102 LAS VEGAS NV 91945 Clark 725-205-8500 Rehabilitation Physical Therapy 852555858BISHOP, LYNN A 195 N ADA ST FALLON NV 91949 Churchill 775-423-5519 Physicians Chiropractor 880188580BISON, MELANIE 2255 RENAISSANCE DR STE C LAS VEGAS NV 91950 Clark 725-222-9502 Physicians Professional Counselor 472349762BIST, ANURANJAN 6161 W CHARLESTON BLVD LAS VEGAS NV 91951 Clark 702-486-6045 Physicians Psychiatry 886000022BITAR, PAUL 9771 S EASTERN AVE STE 100 LAS VEGAS NV 91955 Clark 702-616-9655 Physicians General Dentist 208899851BITTKER, THOMAS E 80 CONTINENTAL DR STE 200 RENO NV 91958 Washoe 775-329-4284 Physicians Psychiatry 860320070BITTLES, MARK A 1397 S LOOP RD PAHRUMP NV 91960 Nye 702-759-8600 Physicians Interventional Radiology 451649781BITTNER, CHAD E 283 N PECOS RD HENDERSON NV 91984 Clark 702-430-3570 Physicians Family Medicine 880213519BLACK JR, LEO F 1301 BERTHA HOWE AVE STE 1 MESQUITE NV 91985 Clark 702-346-0800 Physicians Chiropractor 880424585BLACK, ANDREA R 21 LOCUST ST RENO NV 91987 Washoe 775-982-5270 Physicians Certified Nurse Practitioner 472067417BLACK, BRENT D 1993 ERRECART BLVD ELKO NV 91988 Elko 775-753-1049 Physicians Family Medicine 911912844BLACK, CRAIG M 550 W WASHINGTON ST STE 2 CARSON CITY NV 91989 Carson City 775-783-3494 Physicians Chiropractor 880120754BLACK, DONALD R 6490 S MCCARRAN BLVD STE 3 RENO NV 91990 Washoe 775-827-6000 Physicians Allergy/Immunology 880249254BLACK, ELLIE C 5265 VISTA BLVD BLDG B SPARKS NV 91991 Washoe 775-352-5335 Physicians Certified Nurse Practitioner 263303591BLACK, HEATHER 710 CORONADO CENTER DR STE 110 HENDERSON NV 91992 Clark 702-565-6565 Rehabilitation Physical Therapy 880365656BLACK, KLINE C 3255 S EASTERN AVE LAS VEGAS NV 91993 Clark 702-642-8101 Physicians General Dentist 300603574BLACK, PEGGIE A 1500 E 2ND ST STE B RENO NV 91994 Washoe 775-982-2400 Physicians Certified Nurse Practitioner 880303924BLACK, TERESA S 64 N PECOS RD STE 1200 HENDERSON NV 91995 Clark 702-723-9054 Physicians Marriage & Family Therapist 263447487BLACKHART, BRET S 640 W MOANA LN RENO NV 91996 Washoe 775-324-0699 Physicians Dermatology 813253496BLACKWOOD, ROBERT S 2450 W CHARLESTON BLVD LAS VEGAS NV 91998 Clark 702-877-8661 Physicians Anesthesiology 860857176BLAHA, CHRISTOPHER 1328 US HIGHWAY 395 N STE 305 GARDNERVILLE NV 91999 Douglas 775-392-4545 Physicians Chiropractor 880502320BLAIR, LAUREL J 8930 W SUNSET RD LAS VEGAS NV 92000 Clark 702-258-7788 Physicians General Surgery 270868595

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 21 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDBLAKE, AMANDA 2642 W HORIZON RIDGE PKWY STE A11 HENDERSON NV 92002 Clark 702-933-9102 Rehabilitation Audiology 464865267BLAKE, DANIEL R 9127 W RUSSELL RD LAS VEGAS NV 92005 Clark 702-878-0070 Physicians Anesthesiology 202428069BLAKE, JACOB L 5590 KIETZKE LN RENO NV 92014 Washoe 775-323-2080 Physicians Anesthesiology 880167036BLAKE, LINDSEY C 7130 SMOKE RANCH RD # 101 LAS VEGAS NV 92016 Clark 702-304-8135 Physicians Radiology/Diagnostic 832651883BLAKE, MICHAEL T 3919 CARTER WAY WELLINGTON NV 92045 Lyon 775-783-3096 Physicians Emergency Medicine 880405927BLAKEY, RICHARD W 2213 N 5TH ST STE B ELKO NV 92046 Elko 775-786-3040 Physicians Orthopedic Surgery 880103557BLANCARTE, GILBERT 210 N SANDHILL BLVD MESQUITE NV 92056 Clark 702-345-5000 Physicians Internal Medicine 880213519BLANCHARD JR, ALBERT D 241 N BUFFALO DR STE 100 LAS VEGAS NV 92057 Clark 702-992-2225 Physicians Chiropractor 202750930BLANCHARD, LUCIUS 4488 S PECOS RD LAS VEGAS NV 92061 Clark 702-830-7520 Physicians Dermatology 881093208BLANCO CUEVAS, NERI M 4441 S EASTERN AVE LAS VEGAS NV 92064 Clark 702-240-6374 Physicians General Surgery 562546736BLANK, DAVID 6850 N DURANGO DR STE 406 LAS VEGAS NV 92065 Clark 702-260-4525 Physicians Pediatrics 880351343BLATTNER, COLLIN M 2860 E DESERT INN RD LAS VEGAS NV 92069 Clark 702-551-9487 Physicians Dermatology 843428597BLE AFIBA, BEATRICE 350 FALCON RIDGE PKWY STE 102 MESQUITE NV 92070 Clark 702-345-3312 Physicians Certified Nurse Practitioner 472774158BLEDSOE, BRYAN E 1800 W CHARLESTON BLVD LAS VEGAS NV 92071 Clark 702-383-2000 Physicians Emergency Medicine 453136848BLEDSOE, JESSICA M 6170 N DURANGO DR STE 130 LAS VEGAS NV 92114 Clark 702-940-1550 Physicians Certified Nurse Practitioner 880213519BLEYBERG, MICHAEL 5420 KIETZKE LN STE 106 RENO NV 92115 Washoe 775-851-2444 Physicians Anesthesiology 880101307BLITZ, DEBORAH F 171 N GIBSON RD HENDERSON NV 92127 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643BLOCK, ORION 1210 E BASIN AVE STE 6 PAHRUMP NV 92128 Nye 775-727-6000 Physicians Professional Counselor 201427365BLOOM, CHARLES 3001 SAINT ROSE PKWY HENDERSON NV 92129 Clark 702-616-5000 Physicians Emergency Medicine 463477565BLOOMFIELD, STEPHEN H 5250 NEIL RD RENO NV 92138 Washoe 775-398-1981 Physicians Family Medicine 880291454BLOSSOM BARIATRICS 600 WHITNEY RANCH DR STE E28 HENDERSON NV 92139 Clark 702-898-6000 Physicians General Surgery 262840754BLUM, KEITH S 7271 W SAHARA AVE STE 100 LAS VEGAS NV 92140 Clark 702-240-4090 Physicians Neurological Surgery 800083132BLUM, MARTINE R 6375 W CHARLESTON BLVD LAS VEGAS NV 92143 Clark 702-253-0818 Physicians Social Worker 886000024BLUNCK, JOSHUA T 2020 PALOMINO LN LAS VEGAS NV 92145 Clark 702-759-8600 Physicians Radiology/Diagnostic 752296947BOAN, BELINDA L 1101 W MOANA LN STE 2 RENO NV 92165 Washoe 775-337-2394 Physicians Certified Nurse Practitioner 810550989BOARDMAN, CURTIS 7140 SMOKE RANCH RD LAS VEGAS NV 92166 Clark 941-313-3300 Physicians CRNA 880366031BOARDMAN, THUY T 975 KIRMAN AVE RENO NV 92167 Washoe 775-786-7200 Physicians Psychology (Clinical) 930788526BOBBETT, CAROLINE A 8540 S EASTERN AVE STE 120 LAS VEGAS NV 92168 Clark 702-457-6787 Physicians General Dentist 880310264BOCK, REBEKAH 1330 S CURRY ST CARSON CITY NV 92169 Carson City 775-687-4195 Physicians Social Worker 886000022BODE, LEIGHANN M 3623 WIRELESS CT LAS VEGAS NV 92171 Clark 773-531-9189 Physicians Social Worker 383889285BODEMER, WILLIAM S 845 AITKEN ST RENO NV 92173 Washoe 775-786-1444 Physicians Orthopedic Surgery 880107997BODENHAMER, JOHN R 2020 PALOMINO LN LAS VEGAS NV 92174 Clark 702-759-8600 Physicians Radiology/Diagnostic 834721282BODILY, KORY R 4700 LAS VEGAS BLVD N NELLIS AFB NV 92198 Clark 702-653-3550 Physicians Anesthesiology 460766041BODINE, STEPHEN R 3488 GONI RD STE 141 CARSON CITY NV 92199 Carson City 775-887-5030 Rehabilitation Physical Therapy 271868235BODY PROS PHYSICAL THERAPY 1575 ROBB DR STE 4 RENO NV 92200 Washoe 775-827-3777 Rehabilitation 043821114BODY WISDOM PHYSICAL THERAPY 1575 ROBB DR STE 4 RENO NV 92201 Washoe 775-827-3777 Rehabilitation 043821114BOEHME, JUDD 475 SPARKS BLVD SPARKS NV 92202 Washoe 775-359-1565 Physicians General Dentist 473817118BOEHNKE, WILLIAM H 973 MICA DR STE 201 CARSON CITY NV 92209 Douglas 775-392-3689 Rehabilitation Physical Therapy 271868235BOGA, MADHAVI 1155 MILL ST # W11 RENO NV 92210 Washoe 775-982-5000 Physicians Internal Medicine 452402948BOGABATHINA, HARI 6857 W CHARLESTON BLVD LAS VEGAS NV 92211 Clark 702-304-2144 Physicians Cardiology 203983929BOGARD, SHYRLENA 3001 SAINT ROSE PKWY HENDERSON NV 92213 Clark 800-967-2289 Ambulatory Facilities 851279864BOGE, ANNELISE 9520 PROTOTYPE CT RENO NV 92214 Washoe 775-852-6323 Rehabilitation Occupational Therapy 562572878BOGLE, LAWRENCE P 3343 S EASTERN AVE LAS VEGAS NV 92215 Clark 702-254-5004 Physicians Radiology/Diagnostic 880447330BOHLMAN, ANDREW L 645 SIERRA ROSE DR STE 202 RENO NV 92218 Washoe 775-825-9990 Physicians Chiropractor 880178014BOHMAN, PAUL G 7125 N DURANGO DR LAS VEGAS NV 92220 Clark 702-658-2311 Physicians Oral Surgery 205339044BOHMAN, VAN R 5761 S FORT APACHE RD LAS VEGAS NV 92228 Clark 702-341-6610 Physicians Obstetrics/Gynecology 860871624BOHNER, STEVEN L 1653 LUCERNE ST STE C MINDEN NV 92232 Douglas 775-782-5221 Physicians Chiropractor 880502320BOLAND, DEBORAH K 63 N NELLIS BLVD LAS VEGAS NV 92234 Clark 702-383-6250 Physicians Family Medicine 886000436BOLAND, PATRICK J 5495 S RAINBOW BLVD STE 101 LAS VEGAS NV 92235 Clark 702-891-9729 Physicians Radiology/Diagnostic 521278857BOLD, JONATHAN W 2020 PALOMINO LN LAS VEGAS NV 92238 Clark 702-759-8600 Physicians Radiology/Diagnostic 842057727BOLDEN, CYNTHIA 1640 ALTA DR STE 4 LAS VEGAS NV 92258 Clark 702-474-6450 Physicians Psychology (Clinical) 880111970

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 22 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDBOLDUC, JULIA A 3700 GRANT DR STE A RENO NV 92260 Washoe 775-829-4700 Rehabilitation Occupational Therapy 880291454BOLDUR, ADIN 8775 DEER SPRINGS WAY LAS VEGAS NV 92261 Clark 702-877-1887 Physicians Nephrology 880136673BOLEN, TERRY L 1001 RIO VISTA DR FALLON NV 92263 Churchill 775-423-3634 Physicians Optometry 880120723BOLLU, PRASHANTI 1450 W HORIZON RIDGE PKWY STE B HENDERSON NV 92264 Clark 702-703-0102 Physicians Orthodontist 455620912BOLNICK, ALAN D 3001 W HORIZON RIDGE PKWY HENDERSON NV 92266 Clark 702-341-6610 Physicians Obstetrics/Gynecology 522406330BOLOTIN, TODD S 4980 W SAHARA AVE LAS VEGAS NV 92268 Clark 702-383-2085 Physicians Emergency Medicine 465145577BOLTON, JONATHAN 2375 E PRATER WAY SPARKS NV 92269 Washoe 775-331-7000 Physicians Emergency Medicine 208753074BOMAN, SCOTT 7250 PEAK DR LAS VEGAS NV 92271 Clark 702-386-4700 Physicians Anesthesiology 204727467BOMBERGER, KATIE L 1201 SOUTH CARSON STREET CARSON CITY NV 92273 Carson City 775-445-7330 Physicians Certified Nurse Practitioner 880502320BOMMAN SHIVASHANKER, SHIVANAND 7391 W CHARLESTON BLVD STE 140 LAS VEGAS NV 92274 Clark 702-304-2144 Physicians Internal Medicine 201026537BOMSZTYK, ELAN 2020 PALOMINO LN LAS VEGAS NV 92276 Clark 702-759-8600 Physicians Radiology/Diagnostic 451649781BOMSZTYK, ELAN D 2020 PALOMINO LN STE 100 LAS VEGAS NV 92300 Clark 702-759-8600 Physicians Radiology/Diagnostic 880119638BON CLINICAL LABORATORIES 2470 PASEO VERDE PKWY STE 125 HENDERSON NV 92301 Clark 702-737-5050 Ancillary Providers 880379737BONALDI, LOUIS 6630 S MCCARRAN BLVD STE B20 RENO NV 92303 Washoe 775-828-7400 Physicians Plastic & Reconstructive Surgery 880347783BONALDI-MOORE, LORRAINE 429 ELM ST RENO NV 92304 Washoe 775-770-3081 Physicians Certified Nurse Practitioner 455557052BONANZA PEAK EMERGENCY PHYSICIANS, LLC360 S LOLA LN PAHRUMP NV 92305 Nye 775-751-7500 Physicians Emergency Medicine 821225819BONATI SPINE INSTITUTE DBA MEDICAL DEVELOPMENT COM10195 W TWAIN AVE STE A LAS VEGAS NV 92306 Clark 727-868-9563 Ambulatory Facilities 811602323BONATI SPINE INSTITUTE DBA NEVADA SPINE CENTER10195 W TWAIN AVE STE A LAS VEGAS NV 92307 Clark 727-868-9563 Physicians Anesthesiology 815104832BOND, DMYTRO V 5751 S FORT APACHE RD STE 100 LAS VEGAS NV 92308 Clark 702-939-0480 Physicians Pediatrics 861048626BONDS, SCHADREY L 9975 S EASTERN AVE STE 110 LAS VEGAS NV 92310 Clark 702-361-2273 Physicians Certified Nurse Practitioner 203502995BONE & JOINT SPECIALISTS 2680 CRIMSON CANYON DR LAS VEGAS NV 92312 Clark 702-228-7355 Physicians Orthopedic Surgery 880293830BONEH, JORDANA A 2350 W HORIZON RIDGE PKWY HENDERSON NV 92315 Clark 702-564-8556 Physicians Pediatrics 203416144BONETTI, RENEE W 1397 S LOOP RD PAHRUMP NV 92319 Nye 702-759-8600 Physicians Radiology/Diagnostic 752296947BONINA, ANILYN 7175 N DURANGO DR LAS VEGAS NV 92344 Clark 702-880-4193 Physicians Certified Nurse Practitioner 880404982BONINA, NERISSA 500 S RANCHO DR STE 12 LAS VEGAS NV 92350 Clark 702-877-1887 Physicians Certified Nurse Practitioner 880136773BONITO INPATIENT SERVICES LLC 6900 N DURANGO DR LAS VEGAS NV 92353 Clark 469-401-2386 Physicians Internal Medicine 320470462BONNELL, SUSAN M 3100 W CHARLESTON BLVD STE 210 LAS VEGAS NV 92354 Clark 702-388-4428 Physicians Certified Nurse Practitioner 880500453BONNEY, CAITLIN F 1800 W CHARLESTON BLVD LAS VEGAS NV 92355 Clark 702-383-2085 Physicians Emergency Medicine 273288810BONUEL, NIDA E 4275 BURNHAM AVE STE 340 LAS VEGAS NV 92405 Clark 702-734-6363 Physicians Internal Medicine 880213519BOOK, ZACHARY R 2375 E PRATER WAY SPARKS NV 92408 Washoe 775-331-7000 Physicians Emergency Medicine 208753074BOONYAKIAT, PORNPIMON 3006 S MARYLAND PRKW STE 270 LAS VEGAS NV 92410 Clark 702-369-6161 Physicians Pediatrics 880391097BOOTH, ALEXANDRIA 3035 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 92412 Clark 509-525-3720 Physicians Dermatology 910862542BOOTH, AMY E 10085 DOUBLE R BLVD STE 310 RENO NV 92413 Washoe 775-982-2400 Physicians Certified Nurse Practitioner 880303924BORDADO, LEONARDO 1350 S DECATUR BLVD LAS VEGAS NV 92414 Clark 702-870-1350 Physicians Orthodontist 205059281BORGIA, ANTHONY V 9260 W SUNSET RD STE 201 LAS VEGAS NV 92416 Clark 702-703-4340 Physicians Podiatry 463578727BORINO, NOREEN 455 W 5TH ST RENO NV 92420 Washoe 775-688-5555 Physicians Family Medicine 880201578BORRES, MARIE JO B 2123 CIVIC CENTER DR NORTH LAS VEGAS NV 92422 Clark 702-333-0110 Physicians Certified Nurse Practitioner 260234675BORROMEO, RALPH JOSEPH R 3835 S JONES BLVD STE 104 LAS VEGAS NV 92423 Clark 702-880-4193 Physicians Certified Nurse Practitioner 411310335BORROMEO, SALVADOR I 3280 N RAINBOW BLVD LAS VEGAS NV 92424 Clark 702-489-9000 Physicians Cardiology 271735270BORSELLI, KIM M 3120 S VALLEY VIEW BLVD STE A LAS VEGAS NV 92426 Clark 702-432-4878 Physicians Chiropractor 880511884BORSELLINO, CHRISTOPHER W 5008 CASCADE POOLS AVE LAS VEGAS NV 92430 Clark 702-655-2455 Rehabilitation Speech Pathology 886000022BORSH, TARA R 6460 MEDICAL CENTER ST LAS VEGAS NV 92432 Clark 702-888-1340 Physicians Psychology (Clinical) 200654472BOSCH, KRISTOPHER D 1655 W HORIZON RIDGE PKWY HENDERSON NV 92433 Clark 702-914-2790 Rehabilitation Physical Therapy 880500777BOSTICK, ADAM W 1707 W CHARLESTON BLVD STE 230 LAS VEGAS NV 92434 Clark 702-671-5060 Physicians Pulmonology 880330858BOTCH, REBECCA M 9127 W RUSSELL RD STE 110 LAS VEGAS NV 92435 Clark 702-878-0070 Physicians CRNA 731451967BOTLA, VENUGOPAL 3150 W CHARLESTON BLVD LAS VEGAS NV 92444 Clark 702-258-0078 Physicians Nephrology 886000436BOTSFORD, BETSY J 2625 W HORIZON RIDGE PKWY HENDERSON NV 92447 Clark 702-896-0383 Rehabilitation Physical Therapy 202279187BOTTENBERG, AMY 550 W WASHINGTON ST STE 1 CARSON CITY NV 92448 Carson City 775-883-3953 Physicians Dietitian 517948273BOTTENBERG, B A 550 W WASHINGTON ST STE 1 CARSON CITY NV 92449 Carson City 775-883-3953 Physicians Internal Medicine 880320767BOUCHER, KAYLA A 2012 S JONES BLVD LAS VEGAS NV 92451 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643BOUDOUMIT, ANTOINE A 1055 S WELLS AVE STE 120 RENO NV 92454 Washoe 775-329-6300 Physicians Family Medicine 880405927

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 23 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDBOUGHNER, LISA 3700 GRANT DR STE A RENO NV 92457 Washoe 775-829-4700 Rehabilitation Physical Therapy 880291454BOULDER CITY CARE CENTER 601 ADAMS BLVD BOULDER CITY NV 92458 Clark 702-293-5151 Rehabilitation 522067067BOULDER CITY HOSPITAL 901 ADAMS BLVD BOULDER CITY NV 92459 Clark 702-293-4111 Hospitals Critical Access Hospital 880065829BOULDER CITY HOSPITAL HOME HEALTH AGENCY901 ADAMS BLVD BOULDER CITY NV 92460 Clark 702-293-4111 Rehabilitation 880065829BOULDER MEDICAL CLINIC 1297 BOULDER CITY HWY A A BOULDER CITY NV 92461 Clark 702-294-1919 Physicians Internal Medicine 880312440BOULDIN, RUSSELL K 9499 W CHARLESTON BLVD LAS VEGAS NV 92462 Clark 702-933-9394 Rehabilitation Physical Therapy 880386672BOURAS, GEORGE N 330 S RAMPART BLVD STE 360 LAS VEGAS NV 92465 Clark 702-724-2020 Physicians Optometry 390704510BOURELL, PETER A 2839 SAINT ROSE PKWY STE 160 HENDERSON NV 92469 Clark 702-240-6482 Physicians Cardiology 200562668BOURGAULT, IRENE M 2309 N DECATUR BLVD STE A LAS VEGAS NV 92470 Clark 702-648-6228 Physicians Family Medicine 880244719BOUTTE BURKE, MICHELLE 1644 US HIGHWAY 395 N MINDEN NV 92471 Douglas 775-783-9336 Physicians Psychology (Clinical) 886000022BOWEN, DOUGLAS 7785 N DURANGO DR STE 140 LAS VEGAS NV 92472 Clark 702-987-8668 Physicians General Dentist 472157924BOWERS JR, JOHN A 500 E WINDMILL LN STE 140 LAS VEGAS NV 92485 Clark 702-240-6482 Physicians Cardiology 200562668BOWERS, JEFFREY 7351 PRAIRIE FALCON RD LAS VEGAS NV 92488 Clark 702-968-0520 Rehabilitation Physical Therapy 880447923BOWMAN, AARON T 236 W 6TH ST STE 400 RENO NV 92489 Washoe 775-329-0873 Physicians Hematology/Oncology 880152239BOWMAN, KRISTEN M 5578 LONGLEY LN RENO NV 92491 Washoe 775-284-8650 Physicians Certified Nurse Practitioner 264664305BOWNESS, DENISE 3773 BAKER LN STE 2 RENO NV 92492 Washoe 775-826-0557 Rehabilitation Occupational Therapy 453449190BOX CANYON SURGERY CENTER 2555 BOX CANYON DR LAS VEGAS NV 92493 Clark 702-316-4400 Ambulatory Facilities 263086826BOYD, LINDA R 2375 E PRATER WAY SPARKS NV 92494 Washoe 775-352-5301 Physicians Emergency Medicine 833597814BOYD, PHILLIS M 2125 GREEN VISTA DR STE 106 SPARKS NV 92497 Washoe 775-673-6681 Physicians Family Medicine 880502320BOYD, ROBERT K 545 MARKS ST STE 100 HENDERSON NV 92498 Clark 702-425-3697 Physicians General Dentist 261771124BOYD, SUSAN L 3040 W CHARLESTON BLVD LAS VEGAS NV 92501 Clark 702-477-0707 Physicians Obstetrics/Gynecology 452767381BOYDEN, ERIC M 555 W ARLINGTON AVE RENO NV 92504 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557BOYDEN, SCOTT M 4101 CAUGHLIN SQ STE 5 RENO NV 92505 Washoe 775-827-5800 Physicians Oral Surgery 880498112BOYERS, JEROLD E 700 SHADOW LN STE 235 LAS VEGAS NV 92506 Clark 702-382-3221 Physicians Otolaryngology 880285682BOYKO, MICHAEL 4955 S DURANGO DR STE 201 LAS VEGAS NV 92507 Clark 702-933-7275 Physicians General Dentist 454155354BOYLE, BRITTANY M 2012 S JONES BLVD LAS VEGAS NV 92508 Clark 702-360-1137 Rehabilitation Physical Therapy 412129643BOZART, KIMBERLY J 3831 W CHARLESTON BLVD LAS VEGAS NV 92509 Clark 702-876-1733 Rehabilitation Physical Therapy 821052150BOZORGNIA, FARSHAD 2880 N TENAYA WAY STE 100 LAS VEGAS NV 92510 Clark 702-962-9550 Physicians Internal Medicine 331159527BRACAMONTE, ANA L 2471 W HORIZON RIDGE PKWY HENDERSON NV 92513 Clark 702-294-0433 Physicians Marriage & Family Therapist 454429023BRACE IT O&P 3170 W SAHARA AVE STE 150 LAS VEGAS NV 92517 Clark 702-478-5848 Ancillary Providers 824248298BRACE YOURSELF 3265 N FORT APACHE RD STE 150 LAS VEGAS NV 92518 Clark 702-395-3355 Ancillary Providers 880430632BRACEY, JEFFERSON D 4855 BLUE DIAMOND RD STE 100 LAS VEGAS NV 92521 Clark 702-216-7305 Physicians Emergency Medicine 822961853BRADEN, ROBERT E 6330 SPRING MTN RD STE C LAS VEGAS NV 92573 Clark 702-362-0112 Physicians Chiropractor 880310592BRADFORD, MICHAEL S 7455 W WASHINGTON AVE STE 160 LAS VEGAS NV 92575 Clark 702-258-3791 Physicians Orthopedic Surgery 880313907BRADLEY, JOSEPH J 9713 ROYAL LAMB DR LAS VEGAS NV 92579 Clark 702-839-3839 Physicians Chiropractor 880514567BRADLEY, ROYAL 5270 S FORT APACHE RD STE 330 LAS VEGAS NV 92584 Clark 702-475-9000 Physicians Certified Nurse Practitioner 821357714BRADLEY, TIFFANY 4275 BURNHAM AVE STE 255 LAS VEGAS NV 92588 Clark 702-369-0088 Physicians Family Medicine 880213519BRADSHAW, PAULINE L 213 S WHITACRE ST YERINGTON NV 92589 Lyon 775-463-2301 Physicians Certified Nurse Practitioner 880502320BRADSHAW, RAINE M 321 N BUFFALO DR STE 110 LAS VEGAS NV 92590 Clark 702-341-0606 Rehabilitation Physical Therapy 481176496BRADSTREET, ELLEN J 5578 LONGLEY LN RENO NV 92593 Washoe 775-284-8650 Physicians Certified Nurse Practitioner 880502320BRADY, DOUGLAS A 6819 W TROPICANA AVE STE 100 LAS VEGAS NV 92594 Clark 702-364-5130 Physicians Chiropractor 465010353BRADY, VERONICA J 1664 N VIRGINIA ST STOP 153 RENO NV 92595 Washoe 775-784-4474 Physicians Certified Nurse Practitioner 860881749BRAGANZA, KATRINA M 1965 BARING BLVD SPARKS NV 92596 Washoe 775-358-1020 Physicians Optometry 880168176BRAGG TAKE CARE HEALTH NEVADA, P.C. 1701 N GREEN VALLEY PKWY STE 3B HENDERSON NV 92597 Clark 702-737-3200 Physicians Certified Nurse Practitioner 260414169BRAITEH, FADI S 3730 S EASTERN AVE LAS VEGAS NV 92613 Clark 702-952-3400 Physicians Oncology 880350180BRAITHWAITEJR, PAUL L 6900 N DURANGO DR LAS VEGAS NV 92614 Clark 702-835-9700 Physicians Anesthesiology 260142120BRALLIAR, RICHARD J 6375 W CHARLESTON BLVD STE A-100 LAS VEGAS NV 92615 Clark 702-253-0818 Physicians Psychiatry 813419791BRANA, MARK L 2520 SAINT ROSE PKWY HENDERSON NV 92620 Clark 702-475-1649 Physicians Professional Counselor 812338247BRANCAMP, TAMI U 1664 N VIRGINIA ST RENO NV 92621 Washoe 775-784-4887 Rehabilitation Speech Pathology 860881749BRANDENBURG, MATTHEW 2012 S JONES BLVD LAS VEGAS NV 92623 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643BRANDES, WILLIAM C 2000 GOLDRING AVE LAS VEGAS NV 92624 Clark 702-384-5101 Physicians Pulmonology 880329731

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 24 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDBRANDON JACKSON, P.T. 100 N GREEN VALLEY PKWY STE 335 HENDERSON NV 92627 Clark 702-818-4442 Rehabilitation 010676323BRANDON, MARIA A 7707 LONE SHEPHERD DR LAS VEGAS NV 92629 Clark 631-796-8224 Rehabilitation Speech Pathology 412129643BRANDT, KENNETH G 3001 SAINT ROSE PKWY HENDERSON NV 92630 Clark 702-616-5925 Physicians Internal Medicine 472990144BRANHAM, STEPHEN J 4610 MEADOWS LN STE B LAS VEGAS NV 92631 Clark 702-878-7700 Physicians General Dentist 472894963BRANSON, DIANE M 2667 ENTERPRISE RD RENO NV 92632 Washoe 775-688-1341 Rehabilitation Speech Pathology 886000022BRANTNER, MAILO K 1000 S RAINBOW BLVD LAS VEGAS NV 92633 Clark 702-259-0088 Physicians Certified Nurse Practitioner 880213519BRAR, PUNEET 3885 S DECATUR BLVD STE 1100 LAS VEGAS NV 92634 Clark 702-838-3311 Physicians General Dentist 830829850BRAS PLUS 1563 S VIRGINIA ST RENO NV 92636 Washoe 775-324-3332 Ancillary Providers 880447655BRASSFIELD, PATRICIA A 6450 SPRING MOUNTAIN RD STE 8 LAS VEGAS NV 92638 Clark 702-382-7878 Physicians Psychology (Clinical) 178304777BRAUNLIN, JAMES A 2020 GOLDRING AVE STE 206 LAS VEGAS NV 92639 Clark 702-382-2273 Physicians Internal Medicine 880252300BRAUNSTEIN, MICHAEL C 4440 E WASHINGTON AVE STE 109 LAS VEGAS NV 92641 Clark 702-255-1114 Physicians Anesthesiology 201264285BRAWLEY, CARMEN M 169 N NELLIS BLVD LAS VEGAS NV 92648 Clark 702-384-1010 Physicians General Dentist 371797092BRAY, TIMOTHY J 555 W ARLINGTON AVE RENO NV 92649 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557BRAYJR, WILLIAM P 201 W ADAMS ST CARSON CITY NV 92650 Carson City 775-883-7200 Physicians Chiropractor 880145829BRECHEEN, ROGER M 118 E HASKELL ST WINNEMUCCA NV 92652 Humboldt 775-623-5222 Physicians Obstetrics/Gynecology 886000088BRECHLER, BRENDA K 2625 BOX CANYON DR LAS VEGAS NV 92653 Clark 702-360-6100 Physicians Certified Nurse Practitioner 860870747BREEDEN, CHRISTOPHER C 2000 GOLDRING AVE LAS VEGAS NV 92654 Clark 702-384-5101 Physicians Pulmonology 880329731BREEDEN, JAMES T 1475 MEDICAL PKWY CARSON CITY NV 92657 Carson City 775-883-3636 Physicians Obstetrics/Gynecology 880502320BREGMAN, PETER J 3175 SAINT ROSE PKWY STE 320 HENDERSON NV 92659 Clark 702-878-2455 Physicians Podiatry 880368193BRENNAN, MARLA J 15 MCCABE DR STE 200 RENO NV 92662 Washoe 775-788-5599 Rehabilitation Physical Therapy 880415575BRESCAN, OVIDIU 3804 CRANBROOK HILL ST LAS VEGAS NV 92666 Clark 702-562-3590 Physicians Anesthesiology 880400218BRETZKE, CARL A 1409 E LAKE MEAD BLVD NORTH LAS VEGAS NV 92668 Clark 702-649-7711 Physicians Radiology/Diagnostic 410916626BREWER, ALLISON V 1107 US HIGHWAY 395 S GARDNERVILLE NV 92669 Douglas 775-782-1600 Physicians Emergency Medicine 880405927BREWER, BRIAN E 1107 US HIGHWAY 395 S GARDNERVILLE NV 92671 Douglas 775-782-1500 Physicians Anesthesiology 880101307BREWER, CHERYL A 2931 N TENAYA WAY LAS VEGAS NV 92686 Clark 702-802-3700 Physicians Obstetrics/Gynecology 880330858BREWER, DANIEL B 3186 S MARYLAND PKWY LAS VEGAS NV 92687 Clark 702-878-0070 Physicians Anesthesiology 731451967BREWER, NICOLE M 64 N PECOS RD STE 103 HENDERSON NV 92695 Clark 702-496-6562 Physicians Professional Counselor 901005880BRIAN J.CITRO MD PC 4240 SIMMONS ST STE 100 NORTH LAS VEGAS NV 92696 Clark 702-388-1006 Physicians General Surgery 205306310BRIAN T LE, DO 2420 PROFESSIONAL CT STE 110 LAS VEGAS NV 92697 Clark 702-676-2000 Physicians Pain Management 272961020BRIAN, DERRYL R 7575 S RAINBOW BLVD STE 101 LAS VEGAS NV 92698 Clark 702-367-3700 Physicians General Dentist 161704422BRICE, AMANDA C 2667 ENTERPRISE RD RENO NV 92699 Washoe 775-688-1341 Rehabilitation Speech Pathology 886000022BRIERS, KAYLA J 5412 BOULDER HWY LAS VEGAS NV 92700 Clark 805-428-5257 Physicians Marriage & Family Therapist 043290453BRIGGS, CAROLYN JO 9555 S EASTERN AVE LAS VEGAS NV 92701 Clark 702-385-3090 Physicians Chiropractor 880223579BRIGHTSTAR CARE OF CARSON CITY 123 W NYE LN STE 134 CARSON CITY NV 92702 Carson City 775-461-3696 Ancillary Providers 473963702BRILL, KEITH R 2580 SAINT ROSE PKWY HENDERSON NV 92703 Clark 702-862-8862 Physicians Obstetrics/Gynecology 270024561BRIMHALL, BRETT D 6850 N DURANGO DR STE 110 LAS VEGAS NV 92704 Clark 702-263-2020 Physicians Ophthalmology 205850705BRIMHALL, DARIN B 3760 PECOS MCLEOD LAS VEGAS NV 92705 Clark 702-927-1923 Physicians Internal Medicine 201081227BRINGHURST, CHRISTOPHER M 9516 W FLAMINGO RD STE 200 LAS VEGAS NV 92706 Clark 702-254-3135 Physicians General Dentist 273147586BRINKERHOFF, PAUL A 3061 S MARYLAND PKWY LAS VEGAS NV 92709 Clark 702-478-9594 Physicians Chiropractor 463084124BRIONES, TRISHA M 3006 S MARYLAND PKWY STE 315 LAS VEGAS NV 92715 Clark 702-992-6868 Physicians Certified Nurse Practitioner 860885795BRIOVARX 6330 S SANDHILL RD STE 12 LAS VEGAS NV 92719 Clark 866-618-6741 Ambulatory Facilities 010516051BRISTOL, DEBRA J 976 MOUNTAIN CITY HWY ELKO NV 92721 Elko 775-777-7587 Physicians Certified Nurse Practitioner 462479214BRISTOL, LEEANNA 3200 MARKET ST CARSON CITY NV 92722 Carson City 775-883-9003 Physicians Certified Nurse Practitioner 020566741BRISTOL, LEEANNA 2874 N CARSON ST STE 200 CARSON CITY NV 92723 Carson City 775-348-8800 Physicians Certified Nurse Practitioner 880502320BRITTING, MICHAEL E 90 FALCON DR STE 110 FERNLEY NV 92724 Lyon 775-575-0777 Physicians General Dentist 821648832BROADBENT, JAMES M 4 SUNSET WAY STE C HENDERSON NV 92727 Clark 702-968-5222 Physicians Orthodontist 880435559BROBBEY, AMA B 700 E WARM SPRINGS RD LAS VEGAS NV 92728 Clark 702-921-6823 Physicians Internal Medicine 880404402BROCK, LINDA I 6830 W OQUENDO RD STE 101 LAS VEGAS NV 92729 Clark 702-258-3066 Rehabilitation Occupational Therapy 200042642BRODER, HOWARD J 2865 SIENA HEIGHTS DR HENDERSON NV 92735 Clark 702-407-0110 Physicians Cardiology 880213519BROERSMA, CAROL 1528 US HIGHWAY 395 N STE 100 GARDNERVILLE NV 92737 Douglas 775-782-3671 Physicians Social Worker 886000022BROGAN, KELLE L 645 N ARLINGTON AVE STE 555 RENO NV 92738 Washoe 775-770-7348 Physicians Internal Medicine 455557052

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 25 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDBROOKER, ERIC T 5269 S EASTERN AVE LAS VEGAS NV 92740 Clark 702-212-7755 Physicians Optometry 731651603BROOKS, DWYTE E 7180 CASCADE VALLEY CT STE 240 LAS VEGAS NV 92741 Clark 702-735-0833 Physicians General Dentist 880168524BROOKS, LINDA 4700 LAS VEGAS BLVD N NELLIS AFB NV 92742 Clark 702-653-3880 Physicians Social Worker 043290453BROOKS, STEVEN F 6542 S MCCARRAN BLVD STE B RENO NV 92743 Washoe 775-825-0608 Physicians Chiropractor 680148227BROOKS, STEVEN L 155 HIGHWAY 50 STATELINE NV 92744 Douglas 775-589-8900 Physicians Family Medicine 942693002BROOKS, THOMAS P 4000 S EASTERN AVE LAS VEGAS NV 92745 Clark 702-734-2732 Rehabilitation Physical Therapy 880386672BROOKSHIRE, GRAIL L 9127 W RUSSELL RD LAS VEGAS NV 92746 Clark 702-878-0070 Physicians Anesthesiology 202428069BROPHY, JAMIE L 1505 WIGWAM PKWY STE 240 HENDERSON NV 92756 Clark 702-568-0195 Rehabilitation Physical Therapy 880386672BROSIOUS, JOHN P 1707 W CHARLESTON BLVD STE 190 LAS VEGAS NV 92770 Clark 702-671-5110 Physicians Plastic & Reconstructive Surgery 880330858BROUSSARD, CHERYL Y 5320 S RAINBOW BLVD LAS VEGAS NV 92773 Clark 702-737-3808 Physicians Certified Nurse Practitioner 880268805BROUWERS, JOHN W 9127 W RUSSELL RD STE 110 LAS VEGAS NV 92774 Clark 702-878-0070 Physicians Anesthesiology 852385334BROWDER, LESLIE K 1707 W CHARLESTON BLVD STE 160 LAS VEGAS NV 92783 Clark 702-671-6448 Physicians Colorectal Surgery 880330858BROWDER, TIMOTHY D 2231 W CHARLESTON BLVD LAS VEGAS NV 92785 Clark 702-944-2805 Physicians Critical Care 886000436BROWN, ALFRED J 1995 ERRECART BLVD STE 207 ELKO NV 92789 Elko 775-738-2600 Physicians Urology 263632448BROWN, ALICIA M 6161 W CHARLESTON BLVD LAS VEGAS NV 92790 Clark 702-486-6045 Physicians Psychology (Clinical) 886000022BROWN, BONNIE M 2780 S JONES BLVD STE 108 LAS VEGAS NV 92791 Clark 888-320-2271 Physicians Psychology (Clinical) 813295265BROWN, BYRON E 2000 GOLDRING AVE LAS VEGAS NV 92792 Clark 702-384-5101 Physicians Internal Medicine 880329731BROWN, CATRINA M 3030 S JONES BLVD STE 105 LAS VEGAS NV 92793 Clark 702-360-1137 Rehabilitation Speech Pathology 412129643BROWN, CURTIS 1155 MILL ST MLS L-11 RENO NV 92796 Washoe 775-982-4144 Physicians Emergency Medicine 880303529BROWN, CYNTHIA M 2385 E PRATER WAY SPARKS NV 92798 Washoe 775-358-4007 Physicians Family Medicine 263303591BROWN, DENNIS J 6880 S MCCARRAN BLVD STE 5 RENO NV 92801 Washoe 775-828-2333 Physicians Family Medicine 530404825BROWN, DIANE E 3121 S MARYLAND PKWY STE 300 LAS VEGAS NV 92803 Clark 702-732-1493 Physicians Pediatric Rheumatology 205354255BROWN, ELISABETH H 776 JOYCE LN INCLINE VLG NV 92804 Washoe 775-833-9788 Rehabilitation Physical Therapy 886000022BROWN, ELIZABETH C 8020 W SAHARA AVE STE 210 LAS VEGAS NV 92805 Clark 702-360-6003 Physicians Certified Nurse Practitioner 263198139BROWN, EMILY S 1800 W CHARLESTON BLVD LAS VEGAS NV 92807 Clark 702-383-2000 Physicians Certified Nurse Practitioner 886000436BROWN, FREDERICK M 6161 W CHARLESTON BLVD LAS VEGAS NV 92808 Clark 702-486-0768 Physicians Psychiatry 886000022BROWN, GERALD E 2575 LINDELL RD LAS VEGAS NV 92809 Clark 702-362-3937 Physicians Ophthalmology 880351528BROWN, GERALD L 30 MAPLE DR YERINGTON NV 92810 Lyon 775-463-2301 Physicians Psychiatry 541691022BROWN, GREGORY P 3663 E SUNSET RD STE 504 LAS VEGAS NV 92811 Clark 702-232-3256 Physicians Psychiatry 880330858BROWN, JEFFREY L 1200 S 4TH ST STE 111 LAS VEGAS NV 92816 Clark 702-380-8118 Physicians Family Medicine 462155118BROWN, JENNIFER 10870 W CHARLESTON BLVD STE 170 LAS VEGAS NV 92818 Clark 702-254-6412 Physicians General Dentist 260160921BROWN, JENNIFER B 5250 KIETZKE LN RENO NV 92819 Washoe 775-829-8855 Physicians CRNA 920077523BROWN, JOAN P 1800 W CHARLESTON BLVD LAS VEGAS NV 92820 Clark 702-383-3736 Physicians Emergency Medicine 264361041BROWN, JOHN 6592 N DECATUR BLVD STE 115 LAS VEGAS NV 92869 Clark 702-396-4993 Physicians Chiropractor 463084124BROWN, JOHN C 4880 WYNN RD LAS VEGAS NV 92871 Clark 702-430-3820 Physicians General Practice 463084124BROWN, JOHN D 1302 W CRAIG RD NORTH LAS VEGAS NV 92872 Clark 702-657-9555 Physicians Family Medicine 880345631BROWN, JONATHAN D 4231 N RANCHO DR LAS VEGAS NV 92875 Clark 702-383-3800 Physicians Family Medicine 886000436BROWN, KARL L 4700 LAS VEGAS BLVD N NELLIS AFB NV 92876 Clark 702-653-3251 Physicians Internal Medicine 201026537BROWN, KEITH 6410 S VIRGINIA ST RENO NV 92877 Washoe 775-322-5757 Physicians Obstetrics/Gynecology 752014828BROWN, KEVIN A 2375 E PRATER WAY SPARKS NV 92878 Washoe 775-331-7000 Physicians Emergency Medicine 475671561BROWN, MICHAEL H 3186 S MARYLAND PKWY LAS VEGAS NV 92879 Clark 702-731-8211 Physicians Emergency Medicine 880366100BROWN, PATRICIA A 9080 W CHEYENNE AVE STE 150 LAS VEGAS NV 92880 Clark 702-880-1515 Rehabilitation Physical Therapy 463437639BROWN, RACHEL 10587 DOUBLE R BLVD RENO NV 92887 Washoe 866-389-0211 Rehabilitation Speech Pathology 486807141BROWN, STEVEN E 2450 W CHARLESTON BLVD LAS VEGAS NV 92888 Clark 702-724-8780 Physicians Anesthesiology 204727467BROWN, SUSAN 2901 N TENAYA WAY STE 100 LAS VEGAS NV 92889 Clark 702-255-0500 Physicians Pediatrics 880375544BROWNE, DAVID G 2850 SIENA HEIGHTS DR HENDERSON NV 92890 Clark 702-732-6000 Physicians Radiology/Diagnostic 880232199BROWNE, PRESTON 169 N NELLIS BLVD LAS VEGAS NV 92898 Clark 702-384-1010 Physicians General Dentist 371797092BROWNE, SUSAN K 7250 PEAK DR LAS VEGAS NV 92900 Clark 702-386-4700 Physicians Anesthesiology 204727467BROWNELL, DEBORAH W 3030 S JONES BLVD STE 105 LAS VEGAS NV 92903 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643BROWNER, EMILY 10175 W TWAIN AVE STE 110 LAS VEGAS NV 92904 Clark 702-313-2300 Physicians General Dentist 200810486BROWNING, DONOVAN S 2500 E LAKE MEAD BLVD NORTH LAS VEGAS NV 92905 Clark 702-649-2782 Physicians General Dentist 831220839

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 26 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDBRUCE, AFI Y 1905 MCDANIEL ST STE 107 NORTH LAS VEGAS NV 92906 Clark 702-649-7711 Physicians Internal Medicine 880368011BRUCE, VICTOR 2021 S JONES BLVD LAS VEGAS NV 92912 Clark 702-202-0099 Physicians Internal Medicine 880427681BRUMBACH, CASEY 3700 GRANT DR RENO NV 92913 Washoe 775-829-4700 Rehabilitation Occupational Therapy 880291454BRUNE, MARK T 1701 COUNTY RD MINDEN NV 92914 Douglas 775-782-4991 Physicians Internal Medicine 880328339BRUNELLE, KERMIT B 118 E HASKELL ST WINNEMUCCA NV 92915 Humboldt 775-623-5222 Physicians Pediatrics 886000088BRUNER, KATELYN V 123 17TH ST. BRIGHAM BLDG NULL RENO NV 92916 Washoe 775-784-1533 Physicians Family Medicine 880502320BRUNO, ANTHONY J 1155 MILL ST RENO NV 92917 Washoe 775-982-5638 Physicians Radiology/Diagnostic 880113741BRUNO, FRANK P 6525 N BUFFALO DR STE 180 LAS VEGAS NV 92919 Clark 702-256-8000 Physicians General Dentist 202268391BRUTON, ASHLEY M 8545 W WARM SPRINGS RD LAS VEGAS NV 92920 Clark 702-803-5534 Physicians Certified Nurse Practitioner 202096335BRUUN, JOHN S 4700 LAS VEGAS BLVD N NELLIS AFB NV 92921 Clark 702-653-3550 Physicians Critical Care 813419791BRYAN JR, RICHARD H 645 N ARLINGTON AVE STE 440 RENO NV 92922 Washoe 775-770-7622 Physicians Cardiology 455557052BRYAN, MARY K 205 S PRATT AVE STE 1000 CARSON CITY NV 92923 Carson City 775-882-3945 Physicians Marriage & Family Therapist 880212354BRYAN, MICHAEL G 2650 N TENAYA WAY LAS VEGAS NV 92924 Clark 702-933-0225 Physicians Dermatology 880193208BRYANT, KATHRYN A 5070 ION DR STE 200 SPARKS NV 92925 Washoe 775-352-5335 Physicians Certified Nurse Practitioner 860872914BRYANT, SONDRA R 2780 S JONES BLVD LAS VEGAS NV 92929 Clark 702-820-3061 Physicians Social Worker 820870653BRYANT, WHITNEY I 513 W BRIDGE ST STE A YERINGTON NV 92930 Lyon 775-463-1800 Physicians General Dentist 205213099BRYN RODRIGUEZ MEDICAL SERVICES PC 3022 S DURANGO DR STE 100 LAS VEGAS NV 92931 Clark 702-363-0232 Physicians Internal Medicine 460752034BUADAENG, NIPAPORN T 2481 PROFESSIONAL CT LAS VEGAS NV 92932 Clark 702-382-1599 Physicians Certified Nurse Practitioner 202595077BUBB, CHARD D 2285 E FLAMINGO RD STE 105 LAS VEGAS NV 92933 Clark 702-862-8226 Physicians Endocrinology 204883392BUCCAMBUSO, STEPHEN 975 KIRMAN AVE RENO NV 92935 Washoe 775-786-7200 Physicians Certified Nurse Practitioner 880502320BUCHANAN, DONALD E 1161 S VALLEY VIEW BLVD LAS VEGAS NV 92936 Clark 702-486-7670 Physicians Pediatrics 886000022BUCHWALD, SUSAN 1500 E 2ND ST STE B RENO NV 92937 Washoe 775-789-7000 Physicians General Surgery 880179203BUCHWALD, WAYNE R 1700 WHEELER PEAK DR LAS VEGAS NV 92938 Clark 702-383-2565 Physicians Family Medicine 886000436BUCKLEY, CONOR P 75 PRINGLE WAY STE 505 RENO NV 92939 Washoe 775-786-7216 Physicians Family Medicine 880450407BUCKLEY, HEIDI 6375 W CHARLESTON BLVD LAS VEGAS NV 92940 Clark 702-253-0818 Physicians Social Worker 813419791BUCKNER, CARLA A 407 N WALSH ST CARSON CITY NV 92941 Carson City 775-722-6681 Physicians Social Worker 850416296BUCKWALTER, KEVIN R 10170 S EASTERN AVE STE 110 HENDERSON NV 92942 Clark 702-616-7049 Physicians General Practice 880498454BUDA, DANIELLE M 7910 W TROPICAL PKWY STE 110 LAS VEGAS NV 92946 Clark 702-458-2225 Physicians Chiropractor 452520421BUDA-GORDON, TEODORA 375 N STEPHANIE ST STE 1511 HENDERSON NV 92948 Clark 702-939-1298 Physicians General Dentist 463714759BUDDEN, RAJIV 3230 E FLAMINGO RD STE 330 LAS VEGAS NV 92949 Clark 702-454-8236 Physicians Anesthesiology 020765714BUEHLER, BRIAN T 6630 S MCCARRAN BLVD STE 25 RENO NV 92950 Washoe 775-827-7555 Physicians Anesthesiology 880101307BUEHLER, CARRIE E 343 ELM ST RENO NV 92965 Washoe 775-336-6900 Physicians Anesthesiology 880101307BUENA, BABYLYN G 7730 W CHEYENNE AVE STE 107 LAS VEGAS NV 92976 Clark 725-221-1568 Physicians Certified Nurse Practitioner 822025913BUENSALIDA, JULIANA A 3100 W CHARLESTON BLVD STE 210 LAS VEGAS NV 92977 Clark 702-388-4428 Physicians Certified Nurse Practitioner 880500453BUI, JOHN 6160 W TROPICANA AVE STE E1 LAS VEGAS NV 92980 Clark 702-858-9466 Physicians General Dentist 474703621BUI, NGOC QUYEN 3100 W CHARLESTON BLVD STE 210 LAS VEGAS NV 92984 Clark 702-388-4428 Physicians Certified Nurse Practitioner 880500453BUI, QUANG D 6910 S RAINBOW BLVD STE 104 LAS VEGAS NV 92986 Clark 702-362-5437 Physicians Pediatric Dentist 208396078BUI, SON L 1341 S RAINBOW BLVD STE 101 LAS VEGAS NV 92988 Clark 702-255-4200 Physicians Family Medicine 880407695BUITRAGO, JENNIFER 1 BREAKTHROUGH WAY LAS VEGAS NV 92990 Clark 702-732-1493 Physicians Certified Nurse Practitioner 260286469BULLHEAD CITY CLINIC CORP 1955 S CASINO DR STE 118 LAUGHLIN NV 92991 Clark 702-299-7203 Physicians General Surgery 860993363BUMGARNER, DANIEL P 1851 HILLPOINTE RD STE 212 HENDERSON NV 92992 Clark 702-767-0120 Physicians Chiropractor 530584182BUNKER, ROBERT C 3585 E FLAMINGO RD STE 202 LAS VEGAS NV 92993 Clark 702-435-8900 Physicians Chiropractor 880321308BUNN, DANIEL M 7180 CASCADE VALLEY CT STE 100 LAS VEGAS NV 92997 Clark 702-870-2896 Physicians General Dentist 453737758BUNUEL JORDANA, MARTA 1155 MILL ST RENO NV 92998 Washoe 775-982-7878 Physicians Psychiatry 208106540BUONO, DARREN M 2020 PALOMINO LN STE 100 LAS VEGAS NV 92999 Clark 702-759-8600 Physicians Radiology/Diagnostic 591202496BURDEN, GREGORY D 2110 E FLAMINGO RD STE 205 LAS VEGAS NV 93002 Clark 702-620-5105 Physicians Social Worker 832362194BURDEN, KARIN 2580 MONTESSOURI ST STE 101 LAS VEGAS NV 93004 Clark 702-341-6411 Physicians Marriage & Family Therapist 205185941BURFORD, KATHLEEN H 10105 BANBRY CROSS DR STE 250 LAS VEGAS NV 93005 Clark 702-260-4525 Physicians Pediatrics 880351343BURGER, ABBEY E 3196 S MARYLAND PKWY STE 209 LAS VEGAS NV 93008 Clark 702-944-2888 Physicians Obstetrics/Gynecology 813419791BURGESS CHIROPRACTIC 9455 W RUSSELL RD STE C LAS VEGAS NV 93009 Clark 702-220-7646 Physicians Chiropractor 043821114BURGESS, JOHN F 1225 WESTFIELD AVE STE 2 RENO NV 93010 Washoe 775-323-2544 Physicians Podiatry 203707845

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 27 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDBURGESS, SAMANTHA B 1301 BERTHA HOWE AVE STE 1 MESQUITE NV 93012 Clark 702-346-0800 Physicians Certified Nurse Practitioner 270531464BURGGRAF, EMILY J 2780 S JONES BLVD STE I LAS VEGAS NV 93013 Clark 702-220-7386 Physicians Social Worker 043290453BURGIO, DAVID A 1343 NEWLANDS DR W FERNLEY NV 93014 Lyon 775-982-5000 Physicians Certified Nurse Practitioner 880502320BURGIO, PAMELA A 75 PRINGLE WAY STE 300 RENO NV 93015 Washoe 775-982-6020 Physicians Certified Nurse Practitioner 880376369BURGOS, JORGE Y 1815 E LAKE MEAD BLVD STE 314 NORTH LAS VEGAS NV 93017 Clark 702-227-0022 Physicians Internal Medicine 261185159BURK, JAMES R 1985 N NELLIS BLVD LAS VEGAS NV 93019 Clark 702-531-3777 Physicians General Dentist 474689651BURKE SPINAL CRAE, LTD. D/B/A/ CENTRAL CITY CHIROP2650 S MARYLAND PKWY STE A LAS VEGAS NV 93028 Clark 702-735-5476 Physicians Chiropractor 880329578BURKE, DINA S 5380 S RAINBOW BLVD STE 120 LAS VEGAS NV 93029 Clark 702-233-3444 Physicians Internal Medicine 262775400BURKE, JASON R 2716 N TENAYA WAY LAS VEGAS NV 93034 Clark 702-579-3298 Physicians Anesthesiology 860857176BURKE, JENNIFER K 1505 WIGWAM PKWY HENDERSON NV 93044 Clark 702-896-6043 Physicians Optometry 364620877BURKE, TINA L 500 N RAINBOW BLVD STE 300 LAS VEGAS NV 93046 Clark 702-256-8080 Physicians Sports Medicine 204137176BURKETT, SARAH K 245 MOUNT ROSE ST RENO NV 93047 Washoe 775-448-6828 Physicians Psychology (Clinical) 886000022BURKETT, TAMSYN K 1580 E DESERT INN RD LAS VEGAS NV 93048 Clark 702-655-6777 Physicians General Dentist 331207123BURKHARDT, MATTHEW D 418 CHENEY ST RENO NV 93049 Washoe 775-354-1017 Physicians Professional Counselor 473622602BURKHEAD, DANIEL L 9920 W CHEYENNE AVE LAS VEGAS NV 93050 Clark 702-684-7246 Physicians Pain Management 880510650BURLEW, BRAD S 1784 BROWNING WAY STE B ELKO NV 93051 Elko 775-738-5100 Physicians Cardiology 880303924BURLEY, TROY R 555 W ARLINGTON AVE RENO NV 93052 Washoe 775-786-1358 Rehabilitation Physical Therapy 880103557BURNETT, BRUCE T 8440 W LAKE MEAD BLVD LAS VEGAS NV 93053 Clark 702-395-1070 Physicians Anesthesiology 303686690BURNETT, RONALD L 605 SIERRA ROSE DR STE 4 RENO NV 93054 Washoe 775-689-5410 Physicians Certified Nurse Practitioner 880502320BURNETTE, BRENT R 3820 S HUALAPAI WAY LAS VEGAS NV 93056 Clark 702-796-0231 Physicians Gastroenterology 880212653BURNETTE, KREG 1800 W CHARLESTON BLVD LAS VEGAS NV 93057 Clark 702-385-0890 Physicians Pediatrics 813066025BURNETTE, KREG 1800 W CHARLESTON BLVD LAS VEGAS NV 93059 Clark 702-383-3736 Physicians Pediatrics 462623421BURNS, ERIC M 2780 S JONES BLVD STE 100A LAS VEGAS NV 93106 Clark 702-820-3061 Physicians Marriage & Family Therapist 820870653BURNS, JONATHAN 75 PRINGLE WAY STE 605 RENO NV 93107 Washoe 775-348-8800 Physicians Pain Management 270028866BURNS, ROBI U 876 SEVEN HILLS DR HENDERSON NV 93108 Clark 702-914-2028 Physicians Obstetrics/Gynecology 721613674BURRIS, WENDELL G 2300 CORPORATE CIR STE 190 HENDERSON NV 93110 Clark 702-369-0142 Physicians Family Medicine 880368011BURROFF, MARK D 1900 E DESERT INN RD LAS VEGAS NV 93113 Clark 702-735-1960 Physicians Family Medicine 880503299BURT, CHRISTOPHER 8145 W SAHARA AVE STE 510 LAS VEGAS NV 93117 Clark 702-360-0106 Physicians Optometry 880201142BURT, HUGH A 4275 BURNHAM AVE LAS VEGAS NV 93118 Clark 702-320-7100 Physicians Internal Medicine 134244105BURTON, CATHERINE M 645 SIERRA ROSE DR STE 205 RENO NV 93119 Washoe 775-828-1200 Physicians Anesthesiology 880101307BURTON, KELLY J 3770 US HIGHWAY 395 S CARSON CITY NV 93130 Douglas 775-267-5611 Physicians Certified Nurse Practitioner 020566741BUSCH, NED M 501 S RANCHO DR STE A5 LAS VEGAS NV 93134 Clark 702-386-4700 Physicians Anesthesiology 204727467BUSCH, PATRICIA R 10715 DOUBLE R BLVD STE 101 RENO NV 93144 Washoe 775-284-8650 Physicians Certified Nurse Practitioner 886004349BUSH, MARC R 1930 VILLAGE CENTER CIR # 3-420 LAS VEGAS NV 93146 Clark 702-477-8046 Physicians General Practice 530563621BUSH, RACHEL A 1351 W SUNSET RD STE 100 HENDERSON NV 93147 Clark 702-835-1102 Physicians General Dentist 472164552BUSH, REBECCA M 3030 S JONES BLVD STE 105 LAS VEGAS NV 93157 Clark 702-360-1137 Rehabilitation Physical Therapy 412129643BUSSARATID, SONTUSS 2121 LAS VEGAS BLVD S LAS VEGAS NV 93160 Clark 702-486-5750 Physicians Psychiatry 886000022BUSTAMANTE, ELLEN C 2012 S JONES BLVD LAS VEGAS NV 93161 Clark 702-360-1137 Rehabilitation Speech Pathology 412129643BUSTER, DAVID C 213 S WHITACRE ST YERINGTON NV 93162 Lyon 775-463-2301 Physicians Family Medicine 880502320BUTLER FAMILY MEDICAL CENTER 653 N TOWN CENTER DR STE 502 LAS VEGAS NV 93163 Clark 702-242-4102 Physicians Family Medicine 860855763BUTLER JR, ROBERT R 1409 E LAKE MEAD BLVD NORTH LAS VEGAS NV 93164 Clark 702-649-7711 Physicians Radiology/Diagnostic 410916626BUTLER, AMY L 8988 W CHEYENNE AVE STE 120 LAS VEGAS NV 93165 Clark 702-896-0383 Rehabilitation Occupational Therapy 202279187BUTLER, ANNE K 412 W JOHN ST STE B CARSON CITY NV 93166 Carson City 775-445-7476 Physicians Internal Medicine 880502320BUTLER, JEFFREY M 555 W ARLINGTON AVE RENO NV 93167 Washoe 775-786-1358 Rehabilitation Physical Therapy 880103557BUTLER, NICOLE K 9770 S MCCARRAN BLVD RENO NV 93168 Washoe 775-322-4589 Rehabilitation Audiology 886000022BUTLER, NIKOLE M 3700 GRANT DR STE A RENO NV 93169 Washoe 775-829-4700 Rehabilitation Speech Pathology 880291454BUTLER, RANDY H 653 N TOWN CENTER DR LAS VEGAS NV 93170 Clark 702-242-4102 Physicians Family Medicine 860855763BUTLER, WENDELL D 653 N TOWN CENTER DR STE 502 LAS VEGAS NV 93172 Clark 702-242-4102 Physicians Family Medicine 860855763BUTT, SHAMAIL 2650 N TENAYA WAY STE 208 LAS VEGAS NV 93174 Clark 702-735-7154 Physicians Hematology/Oncology 880213519BUZARD, KURT A 7135 W SAHARA AVE LAS VEGAS NV 93176 Clark 702-227-5848 Physicians Ophthalmology 201361069BYBEE, RYAN 375 N STEPHANIE ST STE 211 HENDERSON NV 93178 Clark 702-454-1008 Physicians Pediatric Dentist 832897319

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 28 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDBYBEE, RYAN S 1600 W SUNSET RD STE B HENDERSON NV 93179 Clark 702-733-8341 Physicians Pediatric Dentist 880461624BYER, THOMAS 3006 S MARYLAND PKWY STE 615 LAS VEGAS NV 93181 Clark 702-734-0017 Physicians Family Medicine 880198822BYRD, JOHN R 801 E WILLIAMS AVE STE 2209 FALLON NV 93182 Churchill 775-423-3151 Physicians CRNA 842010869BYRD, RICHARD A 2620 S MARYLAND PKWY # 187 LAS VEGAS NV 93183 Clark 702-325-1711 Physicians Critical Care 260427581BYUN, DAVID 8280 W WARM SPRINGS RD LAS VEGAS NV 93185 Clark 702-492-8000 Physicians Internal Medicine 472990144C M B ANESTHESIA ASSOCIATES 1785 E SAHARA AVE STE 320 LAS VEGAS NV 93186 Clark 702-795-8808 Physicians CRNA 880310098C. ALLEN RHODES MD 4416 S EASTERN AVE LAS VEGAS NV 93187 Clark 702-836-3342 Physicians Cardiology 880378823CABAHUG, OMAR B 2500 WIGWAM PKWY HENDERSON NV 93188 Clark 702-914-6994 Physicians Neurology 880513232CABANILLA-DEL MUNDO, CATRISHA C 4141 SWENSON ST LAS VEGAS NV 93189 Clark 702-733-0320 Physicians Family Medicine 880213519CABASADA JR, BENJAMIN N 4500 W OAKEY BLVD LAS VEGAS NV 93190 Clark 702-873-5110 Physicians Certified Nurse Practitioner 880213519CABRERA, LUANA 1500 W SUNSET RD STE 140 HENDERSON NV 93191 Clark 702-515-4009 Rehabilitation Occupational Therapy 472546455CABUNGCAL, RAMON A 6765 W RUSSELL RD STE 170 LAS VEGAS NV 93192 Clark 702-410-9400 Physicians General Dentist 463193351CADAVAL, STACEY M 4510 S EASTERN AVE STE 3 LAS VEGAS NV 93194 Clark 702-791-1952 Physicians Certified Nurse Practitioner 880407499CADAVONA, JOHN J 1707 W CHARLESTON BLVD STE 230 LAS VEGAS NV 93198 Clark 702-671-5070 Physicians Internal Medicine 813419791CADE, JERRY L 701 SHADOW LN STE 200 LAS VEGAS NV 93199 Clark 702-383-2691 Physicians Family Medicine 886000436CADE, JOHN E 3150 N TENAYA WAY STE 680 LAS VEGAS NV 93202 Clark 702-838-5888 Physicians Podiatry 207507642CAILOR, REBECCA R 2874 N CARSON ST CARSON CITY NV 93205 Carson City 775-853-7513 Physicians Certified Nurse Practitioner 880329853CAIN, AMANDA M 1505 WIGWAM PKWY STE 240 HENDERSON NV 93208 Clark 702-568-0915 Rehabilitation Physical Therapy 880386672CAIN, WILBERT 4880 WYNN RD LAS VEGAS NV 93209 Clark 702-871-5005 Physicians Family Medicine 880213519CAJINA, JAVIER H 2040 W CHARLESTON BLVD STE 200 LAS VEGAS NV 93211 Clark 702-671-2385 Physicians Obstetrics/Gynecology 521874111CALAHAN, CATHERINE 1630 SPRINGHILL DR RENO NV 93212 Washoe 952-270-2404 Physicians Certified Nurse Practitioner 942761692CALDER, CHARLES T 6140 S FORT APACHE RD STE 120 LAS VEGAS NV 93213 Clark 702-655-8400 Physicians Oral Surgery 262260433CALDERON JR, BENITO 3009 W CHARLESTON BLVD LAS VEGAS NV 93240 Clark 702-877-9511 Physicians Internal Medicine 880479559CALDERON MEDICAL GROUP 3100 W CHARLESTON BLVD STE 202 LAS VEGAS NV 93248 Clark 702-877-9511 Physicians Internal Medicine 943489399CALDWELL, BARBARA C 3730 S EASTERN AVE LAS VEGAS NV 93249 Clark 702-952-3400 Physicians Certified Nurse Practitioner 880350180CALDWELL, KASIA 6628 SKY POINTE DR STE 115 LAS VEGAS NV 93250 Clark 702-751-4378 Physicians Social Worker 853958262CALDWELL, NANCY L 6171 W CHARLESTON BLVD BLDG 15 LAS VEGAS NV 93251 Clark 702-466-7848 Physicians Social Worker 043290453CALEGARI, RANDY R 1 BREAKTHROUGH WAY LAS VEGAS NV 93252 Clark 702-822-5433 Physicians Hematology/Oncology 880330858CALEJR, ROBERT E 1664 N VIRGINIA ST RENO NV 93254 Washoe 775-784-4887 Rehabilitation Audiology 860881749CALIGAGAN, ASBEL T 9499 W CHARLESTON BLVD LAS VEGAS NV 93256 Clark 702-228-5477 Physicians Certified Nurse Practitioner 880213519CALIRI, ERIN 3131 LA CANADA ST STE 244 LAS VEGAS NV 93257 Clark 702-697-0016 Physicians Pediatrics 880367250CALIXTO, HECTOR 2647 BOX CANYON DR LAS VEGAS NV 93259 Clark 702-363-5575 Physicians Pediatrics 880477529CALLAN, ERIC W 801 E WILLIAMS AVE STE 2209 FALLON NV 93262 Churchill 775-423-3151 Physicians CRNA 842010869CALLANTA, ROWENA P 3343 S EASTERN AVE LAS VEGAS NV 93263 Clark 702-731-0909 Physicians Certified Nurse Practitioner 880504460CALLAWAY-NELSON, CARI A 59 DAMONTE RANCH PKWY STE F RENO NV 93264 Washoe 775-851-2204 Physicians General Dentist 461410369CALLEN, JERILYN S 2045 SILVERADA BLVD RENO NV 93270 Washoe 661-992-3104 Rehabilitation Occupational Therapy 412129643CALVANESE, CHRISTINA 75 PRINGLE WAY STE 601 RENO NV 93271 Washoe 775-326-8380 Physicians Internal Medicine 880238057CALVO, DARRYL V 1600 MEDICAL PKWY CARSON CITY NV 93272 Carson City 775-445-8000 Physicians Emergency Medicine 880135776CALVO, ERVIN 560 N NELLIS BLVD STE E8 LAS VEGAS NV 93273 Clark 702-459-0303 Physicians General Dentist 261548134CAMACHO, FRANZ S 5288 SPRING MOUNTAIN RD STE 200 LAS VEGAS NV 93274 Clark 702-249-1881 Rehabilitation Physical Therapy 451768536CAMELON, CANDACE L 973 MICA DR STE 201 CARSON CITY NV 93275 Douglas 775-783-6190 Physicians Certified Nurse Practitioner 941709925CAMERON, CARRIE K 100 W LIBERTY ST RENO NV 93276 Washoe 415-794-3113 Rehabilitation Physical Therapy 611779287CAMERON-MORRISON, JULIA 2020 PALOMINO LN STE 100 LAS VEGAS NV 93277 Clark 702-759-8600 Physicians Radiology/Diagnostic 760373635CAMERON-MORRISON, JULIA 2020 PALOMINO LN STE 100 LAS VEGAS NV 93290 Clark 702-759-8600 Physicians Radiology/Diagnostic 880119638CAMP, DAVID J 848 N RAINBOW BLVD STE 357 LAS VEGAS NV 93302 Clark 702-804-0026 Rehabilitation Physical Therapy 880386672CAMP, JONATHAN F 1525 E WINDMILL LN LAS VEGAS NV 93307 Clark 702-434-6920 Physicians Orthopedic Surgery 205292952CAMPAGNA, NICOLETTA A 1505 WIGWAM PKWY STE 130 HENDERSON NV 93312 Clark 702-856-1400 Physicians Certified Nurse Practitioner 880350180CAMPANA, CHRISTOPHER P 9975 S EASTERN AVE STE 100 LAS VEGAS NV 93313 Clark 702-270-4636 Physicians Optometry 880484278CAMPBELL, AMANDA J 1750 WHEELER PEAK DR LAS VEGAS NV 93323 Clark 702-272-1100 Physicians General Dentist 880510609CAMPBELL, CARI 7361 PRAIRIE FALCON RD STE 130-B LAS VEGAS NV 93325 Clark 702-243-0515 Rehabilitation Occupational Therapy 462488051CAMPBELL, CATINA A 745 W MOANA LN RENO NV 93326 Washoe 775-334-3033 Physicians Social Worker 886000024

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 29 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDCAMPBELL, COLIN M 2875 SAINT ROSE PKWY STE 110 HENDERSON NV 93327 Clark 702-387-5900 Physicians General Dentist 262073515CAMPBELL, ELIZABETH 2700 E SUNSET RD LAS VEGAS NV 93328 Clark 702-538-5215 Physicians Certified Nurse Practitioner 886000022CAMPBELL, GARY E 6630 S MCCARRAN BLVD RENO NV 93329 Washoe 775-823-1990 Physicians Radiation Oncology 880217865CAMPBELL, JAMES W 1621 E FLAMINGO RD STE 16B LAS VEGAS NV 93333 Clark 702-734-8844 Physicians Chiropractor 880465091CAMPBELL, KELLY M 8955 S PECOS RD HENDERSON NV 93335 Clark 702-474-7212 Rehabilitation Physical Therapy 880386672CAMPBELL, NEVILLE F 1681 W HORIZON RIDGE PKWY HENDERSON NV 93337 Clark 702-476-9700 Physicians Anesthesiology 204727467CAMPBELL, RACHEL H 2040 W CHARLESTON BLVD LAS VEGAS NV 93339 Clark 702-671-5127 Physicians Psychiatry 886000022CAMPBELL, TESSA M 4215 S GRAND CANYON DR STE 101 LAS VEGAS NV 93340 Clark 702-480-6042 Rehabilitation Physical Therapy 811717165CAMPBELL-KISER, KELLY M 2780 S JONES BLVD STE 100A LAS VEGAS NV 93342 Clark 702-820-3061 Physicians Social Worker 820870653CAMPIONE, ANNMARIE 350 W 6TH ST STE D2 RENO NV 93343 Washoe 775-322-2122 Physicians Family Medicine 941741654CANALE, PAUL B 7200 CATHEDRAL ROCK DR STE 210 LAS VEGAS NV 93344 Clark 702-430-5000 Physicians Orthopedic Surgery 880492024CANDELA, JOSEPH V 7500 SMOKE RANCH RD STE 200 LAS VEGAS NV 93346 Clark 702-233-0727 Physicians Urology 880366609CANETE, CATHERINE B 5320 S RAINBOW BLVD LAS VEGAS NV 93348 Clark 702-566-2400 Physicians Pediatrics 880334024CANHAM, DOUGLAS E 18653 WEDGE PKWY RENO NV 93349 Washoe 775-770-7210 Physicians Emergency Medicine 611496658CANNER PETERSON, CHRISTINE 1784 BROWNING WAY STE A ELKO NV 93350 Elko 775-323-2080 Physicians Certified Nurse Practitioner 880167036CANO, JULIO 4700 LAS VEGAS BLVD N NELLIS AFB NV 93358 Clark 719-310-8794 Physicians CRNA 760482007CANO-DEBELEN, GRACE 4375 S BUFFALO DR LAS VEGAS NV 93359 Clark 702-894-9422 Physicians Pediatrics 010702007CANO-HOLLAND, JOSEPHINE 1640 ALTA DR STE 4 LAS VEGAS NV 93360 Clark 702-474-6450 Physicians Professional Counselor 880111970CANSLER, KATHLEEN C 3824 S JONES BLVD LAS VEGAS NV 93362 Clark 702-726-7171 Physicians Internal Medicine 611414447CANTAL, JON ALEX C 3620 E SUNSET RD STE 100 LAS VEGAS NV 93363 Clark 702-368-6778 Rehabilitation Physical Therapy 830375934CANTRELL, CATHY J 6502 S MCCARRAN BLVD STE B RENO NV 93364 Washoe 775-828-7525 Physicians Obstetrics/Gynecology 880330858CANTU, LORRAINE 2012 S JONES BLVD LAS VEGAS NV 93366 Clark 702-360-1137 Rehabilitation Speech Pathology 412129643CANTWELL, LAWANDA M 8828 MOHAWK ST LAS VEGAS NV 93367 Clark 702-880-4193 Physicians Certified Nurse Practitioner 880404982CANYON GATE MEDICAL GROUP, LLC 9280 W SUNSET RD STE 426 LAS VEGAS NV 93373 Clark 702-262-0124 Physicians Internal Medicine 262775400CAO, CHRISTINE L 4900 W CRAIG RD LAS VEGAS NV 93378 Clark 702-826-3200 Physicians Family Medicine 463164188CAPANNA, ALBERT H 716 S 6TH ST LAS VEGAS NV 93393 Clark 702-382-1960 Physicians Neurological Surgery 880269668CAPEL, STEPHEN A 2385 E PRATER WAY SPARKS NV 93394 Washoe 775-358-4007 Rehabilitation Physical Therapy 880103557CAPIZZI-GAY PSY D, CLAUDIA 407 N WALSH ST CARSON CITY NV 93399 Carson City 775-400-1196 Physicians Psychology (Clinical) 842926327CAPLAN, JEFFREY B 480 GALLETTI WAY SPARKS NV 93400 Washoe 775-688-2001 Physicians Psychiatry 621868402CAPOBIANCO, LEO J 8413 W LAKE MEAD BLVD LAS VEGAS NV 93401 Clark 702-472-8136 Physicians Family Medicine 880449452CAPP, DEBORAH A 2030 E FLAMINGO RD STE 130 LAS VEGAS NV 93402 Clark 702-451-2141 Physicians Marriage & Family Therapist 043290453CAPPIELLO, AIDA F 6885 ALIANTE PKWY STE 111 NORTH LAS VEGAS NV 93405 Clark 702-515-1888 Physicians General Dentist 204508246CAPSTONE MOBILITY GROUP 7340 EASTGATE RD STE 130 HENDERSON NV 93420 Clark 702-565-5570 Ancillary Providers 262169623CAPURRO, COLLEEN M 601 RALSTON ST STE 100 RENO NV 93422 Washoe 775-786-1110 Physicians Family Medicine 880459017CAPURRO, CORINNE E 645 N ARLINGTON AVE STE 340 RENO NV 93424 Washoe 775-827-0777 Physicians Obstetrics/Gynecology 880464669CAPURRO, DALE H 1001 MOUNTAIN ST STE 3H CARSON CITY NV 93426 Carson City 775-445-7768 Physicians Social Worker 880502320CARABAJAL, JULIE L 3186 S MARYLAND PKWY LAS VEGAS NV 93428 Clark 702-731-8211 Physicians Certified Nurse Practitioner 880133088CARAHALIS, JOHN 4855 S PECOS RD STE 1B LAS VEGAS NV 93429 Clark 702-434-0725 Physicians General Dentist 043642334CARAKER, ALISA A 2775 S JONES BLVD STE 101 LAS VEGAS NV 93430 Clark 702-685-3300 Physicians Social Worker 886000022CARAPUCCI, JOAN R 7455 W WASHINGTON AVE STE 480 LAS VEGAS NV 93433 Clark 702-889-5525 Physicians Psychiatry 263198139CARAVELLA, PETER A 8930 W SUNSET RD STE 300 LAS VEGAS NV 93434 Clark 702-258-7788 Physicians Thoracic Surgery 270868595CARD, BETSY S 2874 N CARSON ST STE 300 CARSON CITY NV 93436 Carson City 775-445-5500 Physicians Radiology/Diagnostic 880279310CARD, KEITH E 973 MICA DR STE 201 CARSON CITY NV 93441 Douglas 775-783-6190 Physicians Podiatry 941709925CARDENAS, JESSE E 2399 WINGFIELD HILLS RD STE 130 SPARKS NV 93442 Washoe 775-473-6031 Physicians General Dentist 454797322CARDINAL, JENNIFER L 5150 MAE ANNE AVE RENO NV 93443 Washoe 775-741-7888 Physicians Chiropractor 568257163CARDINALE, FRANCESCA 280 VISTA KNOLL PKWY STE 114 RENO NV 93444 Washoe 775-971-9282 Physicians General Dentist 474661062CARDIOLOGY SPECIALISTS OF NEVADA 3150 N TENAYA WAY STE 135 LAS VEGAS NV 93477 Clark 702-598-3999 Physicians Cardiology 880298731CARDIOVASCULAR CONSULTANTS OF NEVADA110 E LAKE MEAD PKWY STE 206 HENDERSON NV 93478 Clark 702-731-8224 Physicians Cardiology 880156903CARDIOVASCULAR SPECIALISTS 7020 SMOKE RANCH RD STE 150 LAS VEGAS NV 93485 Clark 702-366-9522 Physicians Cardiology 830481538CARDIOVASCULAR SURGERY ASSOCIATES 1701 N GREEN VALLEY PKWY STE 5C HENDERSON NV 93486 Clark 702-614-6550 Physicians Thoracic Surgery 880133088CARDIOVASCULAR SURGICAL ASSOCIATES 1090 E DESERT INN RD LAS VEGAS NV 93490 Clark 702-735-1454 Physicians Thoracic Surgery 880125958

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 30 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDCARDON, NATHANAEL W 480 GALLETTI WAY SPARKS NV 93491 Washoe 775-688-2001 Physicians Psychiatry 886000022CARDUCCI, MICHAEL A 2020 PALOMINO LN STE 100 LAS VEGAS NV 93492 Clark 702-759-8600 Physicians Radiology/Diagnostic 845116186Care First Home Care 9315 W SUNSET RD LAS VEGAS NV 93517 Clark 702-932-5859 Ancillary Providers 141938211CARE MORE MEDICAL GROUP 100 N GRN VLY PKWY STE 220 HENDERSON NV 93518 Clark 702-944-3627 Physicians Pulmonology 453508895CAREFREE FOOTWEAR 1618 E CHARLESTON BLVD LAS VEGAS NV 93521 Clark 800-222-6826 Ancillary Providers 886024632CAREMAX MEDICAL EQUIPMENT AND SUPPLIES3550 E POST RD UNIT 200 LAS VEGAS NV 93522 Clark 702-569-3734 Ancillary Providers 510528838CARESIO, JOSEPH 1800 W CHARLESTON BLVD LAS VEGAS NV 93523 Clark 702-454-8236 Physicians Interventional Radiology 880227375CARIA-ZADEH, ELISABETTA 1101 W MOANA LN STE 2 RENO NV 93524 Washoe 775-337-2394 Physicians Marriage & Family Therapist 810550989CARIN, MARIO C 5120 S PECOS RD LAS VEGAS NV 93525 Clark 702-534-0081 Physicians Pediatrics 455450565CARING NURSES INC 2968 E RUSSELL RD LAS VEGAS NV 93530 Clark 702-791-3729 Ancillary Providers 880321660CARL, ANJA C 5380 S RAINBOW BLVD STE 324 LAS VEGAS NV 93531 Clark 702-734-3606 Rehabilitation Audiology 880330858CARLEVATO, NICHOLAS J 5443 KIETZKE LN RENO NV 93534 Washoe 775-502-1660 Physicians Radiology/Diagnostic 462843588CARLOMUSTO, CHRISTA M 3650 S EASTERN AVE LAS VEGAS NV 93542 Clark 702-731-6873 Rehabilitation Physical Therapy 880348546CARLSEN, STEPHANIE A 1500 E 2ND ST STE B RENO NV 93543 Washoe 775-982-2400 Physicians Certified Nurse Practitioner 880502320CARLSON, KURT K 855 6TH ST LOVELOCK NV 93544 Pershing 775-273-2621 Physicians Family Medicine 880201578CARLSON, LAUREN A 9127 W RUSSELL RD LAS VEGAS NV 93545 Clark 702-878-0070 Physicians Anesthesiology 043148395CARMAN, CHAD 4980 W SAHARA AVE LAS VEGAS NV 93546 Clark 702-216-7365 Physicians Emergency Medicine 824933457CARMICHAEL, COURTNEY M 1642 MACKLAND AVE MINDEN NV 93547 Douglas 530-545-0514 Rehabilitation Physical Therapy 880329446CARNEY, ANNETTE M 448 RIDGE ST STE B RENO NV 93548 Washoe 775-323-0445 Physicians Marriage & Family Therapist 549436751CAROLS POST MASTECTOMY SPECIALIST 72 N PECOS RD STE B HENDERSON NV 93549 Clark 702-568-9595 Ancillary Providers 743026408CARPENTER, CLIFTON A 1125 N MCCARRAN BLVD STE 109 SPARKS NV 93550 Washoe 775-331-8400 Physicians General Dentist 320479852CARPENTER, JAMES D 3210 E LAKE MEAD BLVD NORTH LAS VEGAS NV 93551 Clark 702-642-7711 Physicians Ophthalmology 880466854Carpenter, Jeanette 2001 ERRECART BLVD ELKO NV 93553 Elko 775-735-5151 Physicians Obstetrics/Gynecology 454855728CARPENTER, STAR 3971 S MCCARRAN BLVD RENO NV 93554 Washoe 775-284-2984 Rehabilitation Physical Therapy 880329446CARPO, GABRIEL P 2315 E CHEYENNE AVE STE 100 NORTH LAS VEGAS NV 93557 Clark 702-633-4000 Physicians Pediatrics 880388783CARR, APRIL A 620 SHADOW LN LAS VEGAS NV 93558 Clark 702-388-8436 Physicians Internal Medicine 010868234CARR, KEVIN S 15 MCCABE DR STE 200 RENO NV 93559 Washoe 775-788-5599 Rehabilitation Physical Therapy 880415575CARR, LAWRENCE J 775 FLEISCHMANN WAY CARSON CITY NV 93563 Carson City 775-445-7373 Physicians Social Worker 880502320CARREA, FRANK P 645 N ARLINGTON AVE STE 555 RENO NV 93564 Washoe 775-770-7622 Physicians Cardiology 455557052CARRERA, ELADIO S 3150 N TENAYA WAY STE 525 LAS VEGAS NV 93569 Clark 702-220-9865 Physicians Gastroenterology 262328227CARRILLO MELENDEZ, SERGIO A 3006 S MARYLAND PKWY STE 690 LAS VEGAS NV 93571 Clark 702-732-1290 Physicians Thoracic Surgery 880176637CARRINGTON, KIMBERLY L 1640 ALTA DR STE 4 LAS VEGAS NV 93572 Clark 702-474-6450 Physicians Professional Counselor 880111970CARROL, CLIFFORD 3150 N TENAYA WAY STE 525 LAS VEGAS NV 93573 Clark 702-220-9865 Physicians Gastroenterology 262328227CARROLL, JENNIFER F 1111 SHADOW LN LAS VEGAS NV 93574 Clark 702-383-4040 Physicians General Surgery 880219190CARROLL, JOSEPH T 1701 W CHARLESTON BLVD STE 490 LAS VEGAS NV 93577 Clark 702-671-5150 Physicians Critical Care 813419791CARROLL, TERESA R 3196 S MARYLAND PKWY LAS VEGAS NV 93578 Clark 702-734-9666 Physicians Certified Nurse Practitioner 880339868CARROZZA, ALEXA 526 S TONOPAH DR LAS VEGAS NV 93579 Clark 702-440-8430 Physicians Certified Nurse Practitioner 832602698CARSMAN, COURTNEY L 3700 GRANT DR STE A RENO NV 93580 Washoe 775-829-4700 Rehabilitation Occupational Therapy 880291454CARSON CITY - CHILDREN'S HEART CENTER 2874 N CARSON ST STE 200 CARSON CITY NV 93581 Carson City 775-348-8800 Physicians Pediatric Cardiology 880176637CARSON CITY DIALYSIS CENTER 3246 N CARSON ST STE 110 CARSON CITY NV 93582 Carson City 775-886-6450 Ambulatory Facilities 263558729CARSON CONVALESCENT CENTER 2898 US HIGHWAY 50 E CARSON CITY NV 93585 Carson City 775-882-3301 Rehabilitation 522067067CARSON DERMATOLOGY 1100 S CARSON ST CARSON CITY NV 93588 Carson City 775-883-7811 Physicians Dermatology 880175775CARSON ENDOSCOPY CENTER 1385 VISTA LN CARSON CITY NV 93589 Carson City 775-884-4567 Ambulatory Facilities 860872916CARSON MENTAL HEALTH CENTER 1665 OLD HOT SPRINGS RD STE 150 CARSON CITY NV 93590 Carson City 775-687-4195 Ambulatory Facilities 886000022Carson Nursing & Rehabilitation Center 2898 US HIGHWAY 50 E CARSON CITY NV 93591 Carson City 775-882-3301 Rehabilitation 800308047CARSON PHYSICAL THERAPY 680 W NYE LN STE 205 CARSON CITY NV 93592 Carson City 775-882-2211 Rehabilitation 880253654CARSON SURGICAL GROUP 1375 VISTA LN CARSON CITY NV 93595 Carson City 775-882-2067 Physicians General Surgery 880106584CARSON TAHOE CARDIOLOGY 1470 MEDICAL PKWY STE 160 CARSON CITY NV 93597 Carson City 775-445-7650 Physicians Cardiology 273686996CARSON TAHOE CONTINUING CARE HOSPITAL775 FLEISCHMANN WAY FL 2 CARSON CITY NV 93598 Carson City 775-445-7795 Hospitals 261635811CARSON TAHOE DAYTON PROFESSIONAL BUILDING901 MEDICAL CENTER DR DAYTON NV 93599 Lyon 715-884-3418 Physicians Internal Medicine 880502320CARSON TAHOE HOSPITAL 1600 MEDICAL PKWY CARSON CITY NV 93600 Carson City 775-882-1361 Hospitals Short Term Acute Care Hospital 880502320

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 31 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDCARSON TAHOE PATHOLOGY 1600 MEDICAL PKWY CARSON CITY NV 93601 Carson City 775-445-8795 Hospitals 880403765CARSON TAHOE PHYSICIAN CLINICS 2874 N CARSON ST STE 200 CARSON CITY NV 93602 Carson City 775-348-8800 Physicians Internal Medicine 020566741CARSON TAHOE REGIONAL HEALTHCARE 775 FLEISCHMANN WAY CARSON CITY NV 93603 Carson City 800-894-4674 Hospitals 880502320CARSON TAHOE REGIONAL MEDICAL CENTER1600 MEDICAL PKWY CARSON CITY NV 93605 Carson City 775-445-8000 Hospitals Short Term Acute Care Hospital 880502320CARSON TAHOE SIERRA SURGERY HOSPITAL1400 MEDICAL PKWY CARSON CITY NV 93606 Carson City 775-445-6471 Hospitals Short Term Acute Care Hospital 953216090CARSON TAHOE THERAPY 1550 HWY 395 S GARDNERVILLE NV 93607 Douglas 775-783-7842 Physicians Internal Medicine 880502320CARSON UROLOGIST LTD 1425 VISTA LN CARSON CITY NV 93611 Carson City 775-882-1030 Physicians Urology 880363142CARSON VALLEY AMBULATORY SURGERY CENTER LLC1107 US HIGHWAY 395 S GARDNERVILLE NV 93613 Douglas 775-782-1595 Hospitals Critical Access Hospital 943342656CARSON VALLEY MEDICAL CENTER 1107 US HIGHWAY 395 S GARDNERVILLE NV 93614 Douglas 775-782-1500 Hospitals Critical Access Hospital 880405927CARSON VALLEY MEDICAL CENTER RURAL HEALTH CLINIC1624 LIBRARY LN MINDEN NV 93615 Douglas 775-782-8186 Physicians Internal Medicine 261513495CARSON, JEFFREY J 2501 N GREEN VALLEY PKWY STE 116 HENDERSON NV 93621 Clark 770-364-4402 Physicians Professional Counselor 471751350CARSWELL, AIMEE 2020 PALOMINO LN STE 100 LAS VEGAS NV 93625 Clark 702-759-8400 Physicians Radiology/Diagnostic 453154648CARSWELL, AIMEE 2020 PALOMINO LN STE 100 LAS VEGAS NV 93628 Clark 702-759-8400 Physicians Radiology/Diagnostic 880119638CARTER, ERIN 1701 W CHARLESTON BLVD LAS VEGAS NV 93629 Clark 702-251-8000 Physicians Social Worker 043290453CARTER, JAN O 1155 MILL ST RENO NV 93630 Washoe 775-982-5638 Physicians Internal Medicine 201026537CARTER, KELLEY R 7495 W AZURE DR LAS VEGAS NV 93631 Clark 702-332-4273 Rehabilitation Speech Pathology 472546455CARTER, MICHAEL L 2635 BOX CANYON DR LAS VEGAS NV 93632 Clark 702-386-4700 Physicians Anesthesiology 880375544CARTER, REAGAN D 8280 W WARM SPRINGS RD LAS VEGAS NV 93634 Clark 702-878-0070 Physicians Anesthesiology 461237632CARTER, STEVEN C 10624 S EASTERN AVE HENDERSON NV 93643 Clark 702-800-5393 Physicians Internal Medicine 263668328CARTINELLA, JOSHUA 5411 KIETZKE LN RENO NV 93646 Washoe 775-954-0600 Physicians Anesthesiology 880101307CARULLO, FAUZIA I 2901 N TENAYA WAY STE 200 LAS VEGAS NV 93663 Clark 702-852-2000 Physicians Internal Medicine 273737279CARUSO, DANIEL R 5605 RIGGINS CT RENO NV 93665 Washoe 775-287-2625 Physicians Endocrinology 452424542CARUSO, NICHOLAS S 1550 W CRAIG RD STE 100 NORTH LAS VEGAS NV 93666 Clark 702-777-3615 Physicians Certified Nurse Practitioner 274752989CARY, JOHN M 880 RYLAND ST RENO NV 93702 Washoe 775-329-4600 Physicians CRNA 880182841CASALMAN, STEPHANIE C 2309 N DECATUR BLVD STE A LAS VEGAS NV 93703 Clark 702-648-6228 Physicians Family Medicine 880244719CASARELLA, RYAN P 620 SHADOW LN LAS VEGAS NV 93704 Clark 702-388-4506 Physicians Emergency Medicine 474980349CASAS, GERALD 3005 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 93705 Clark 702-898-7226 Physicians Obstetrics/Gynecology 880368954CASEJA, AHL JEFFREY 1701 W CHARLESTON BLVD STE 230 LAS VEGAS NV 93706 Clark 702-671-2341 Physicians Internal Medicine 813419791CASEY, JESSICA T 6670 S TENAYA WAY LAS VEGAS NV 93708 Clark 702-369-4999 Physicians Pediatric Urology 880382275CASEY, MICHAEL J 1707 W CHARLESTON BLVD STE 160 LAS VEGAS NV 93710 Clark 702-671-6448 Physicians Nephrology 880330858CASEY, PAUL 2090 E FLAMINGO RD STE 200 LAS VEGAS NV 93712 Clark 702-733-9271 Physicians Ophthalmology 880163960CASH, ANDREW M 9339 W SUNSET RD STE 100 LAS VEGAS NV 93716 Clark 702-630-3472 Physicians Orthopedic Surgery 462775958CASH, NICOLE E 10170 S EASTERN AVE STE 160 HENDERSON NV 93719 Clark 702-550-2273 Physicians Certified Nurse Practitioner 812168877CASILLAS, BENJAMIN 1000 S RAINBOW BLVD LAS VEGAS NV 93720 Clark 702-952-9171 Physicians Family Medicine 880213519CASONO, MYRNA A 6170 N DURANGO DR LAS VEGAS NV 93721 Clark 702-940-1550 Physicians Internal Medicine 880213519CASPY, BARBARA J 1771 E FLAMINGO RD STE 112B LAS VEGAS NV 93722 Clark 702-641-2422 Physicians Social Worker 043290453CASS, KATHLEEN A 653 N TOWN CENTER DR LAS VEGAS NV 93728 Clark 702-228-1003 Physicians Pediatric Cardiology 880176637CASSE, BILLIE K 650 SIERRA ROSE DR STE A RENO NV 93734 Washoe 775-827-8100 Physicians Dermatology 880423605CASSEN, JOYCE H 3575 PECOS MCLEOD LAS VEGAS NV 93735 Clark 702-731-2088 Physicians Ophthalmology 880107297CASSIDY, DONALD 75 PRINGLE WAY STE 711 RENO NV 93739 Washoe 775-324-7022 Physicians Internal Medicine 880201578CASSINELLI, ELIZABETH M 3950 GS RICHARDS BLVD CARSON CITY NV 93743 Carson City 775-882-8777 Physicians Dermatology 813253496CASSINELLI, SPENSER 555 W ARLINGTON AVE RENO NV 93744 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557CASTELLANO, NICOLE A 2847 SAINT ROSE PKWY STE 150 HENDERSON NV 93745 Clark 702-213-4848 Physicians Certified Nurse Practitioner 202335171CASTILLO, JASON M 4270 S DECATUR BLVD LAS VEGAS NV 93746 Clark 702-485-2100 Physicians Psychiatry 886000022CASTILLO, WILLIAM J 3006 S MARYLAND PKWY STE 400 LAS VEGAS NV 93748 Clark 702-732-1290 Physicians Pediatric Cardiology 880176637CASTLE, BRENT A 500 N RAINBOW BLVD STE 203 LAS VEGAS NV 93752 Clark 702-878-0554 Physicians Emergency Medicine 462040818CASTORINO, STEPHEN C 653 N TOWN CENTER DR STE 407 LAS VEGAS NV 93753 Clark 705-368-2244 Physicians Endocrinology 860100882CASTRO, HAZEL T 3910 S MARYLAND PKWY STE 9B LAS VEGAS NV 93757 Clark 702-982-7240 Physicians Certified Nurse Practitioner 262435817CASZATT, CEYLON T 5850 POLARIS AVE STE 100 LAS VEGAS NV 93758 Clark 702-739-9957 Physicians Occupational Medicine 752014828CATALANO, ANGELA M 2471 PROFESSIONAL CT LAS VEGAS NV 93759 Clark 702-256-5353 Physicians General Dentist 880382251CATANIA, THOMAS 2756 N GREEN VALLEY PKWY HENDERSON NV 93760 Clark 702-262-0000 Physicians Radiology/Diagnostic 455424986

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 32 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDCATEN, ALEXANDER J 2874 N CARSON ST STE 220 CARSON CITY NV 93761 Carson City 775-883-7666 Physicians Otolaryngology 680405220CATHEY, CAROL L 9402 W LAKE MEAD BLVD LAS VEGAS NV 93762 Clark 702-878-0554 Physicians Marriage & Family Therapist 880222433CATON JR, JOHN R 75 PRINGLE WAY STE 401 RENO NV 93763 Washoe 775-982-2820 Physicians Oncology 941623075CATOR, SABRINA L 1161 S VALLEY VIEW BLVD LAS VEGAS NV 93764 Clark 702-486-7670 Rehabilitation Speech Pathology 886000022CATT, WILLIAM C 4700 LAS VEGAS BLVD N NELLIS AFB NV 93765 Clark 702-653-3010 Physicians Optometry 900055371CAUGHLIN RANCH CHIROPRACTIC, LLC 4792 CAUGHLIN PKWY RENO NV 93766 Washoe 775-828-9665 Physicians Chiropractor 204812150CAVENAGH, NICOLE A 874 AMERICAN PACIFIC DR HENDERSON NV 93767 Clark 702-777-4809 Physicians Psychology (Clinical) 200363127CAVERHILL, CARMELISA 1595 ROBB DR STE 2 RENO NV 93768 Washoe 775-770-7580 Physicians Family Medicine 455557052CAVERLY, ERIN M 1707 W CHARLESTON BLVD STE 160 LAS VEGAS NV 93769 Clark 702-671-5070 Physicians General Surgery 813419791CAVES, THOMAS C 655 SIERRA ROSE DR RENO NV 93770 Washoe 775-829-7600 Physicians Gastroenterology 880213397CEARLOCK, JODY R 6925 N DURANGO DR LAS VEGAS NV 93771 Clark 702-732-6000 Physicians Radiology/Diagnostic 880232199CELENTANO, WILLIAM E 118 E HASKETT ST WINNEMUCCA NV 93779 Humboldt 775-623-5222 Physicians Family Medicine 886000088CEMPRON, EMMA B 11605 ZAGAROLO LN LAS VEGAS NV 93781 Clark 702-580-7209 Physicians Certified Nurse Practitioner 886000022CENDANA, DENNIS C 10652 S EASTERN AVE HENDERSON NV 93783 Clark 702-476-2800 Physicians Certified Nurse Practitioner 463164188CENTENNIAL DIALYSIS 8775 DEER SPRINGS WAY LAS VEGAS NV 93784 Clark 702-395-2488 Ambulatory Facilities 208944319CENTENNIAL HILLS OBGYN ASSOC. 1815 E LAKE MEAD BLVD STE 314 NORTH LAS VEGAS NV 93785 Clark 702-649-0002 Physicians Obstetrics/Gynecology 880505236CENTENNIAL MEDICAL IMAGING 7610 W CHEYENNE AVE LAS VEGAS NV 93786 Clark 702-942-1749 Physicians Internal Medicine 953216090CENTENNIAL MEDICAL IMAGING LLC 7610 W CHEYENNE AVE LAS VEGAS NV 93787 Clark 702-942-1749 Physicians Internal Medicine 260209374CENTENNIAL SPECIALTY SURGERY CENTER 5550 PAINTED MIRAGE RD STE 110 LAS VEGAS NV 93788 Clark 702-432-3800 Ambulatory Facilities 454699837CENTENNIAL SURGERY CENTER 4454 N DECATUR BLVD LAS VEGAS NV 93789 Clark 702-839-1203 Ambulatory Facilities 880499721CENTENNIAL UPRIGHT MRI 4640 W CRAIG RD NORTH LAS VEGAS NV 93790 Clark 877-800-2450 Physicians Pain Management 205493949CENTER FOR ADVANCED EYECARE 1516 VIRGINIA RANCH RD STE 2A GARDNERVILLE NV 93791 Douglas 775-783-4823 Physicians Ophthalmology 880422211CENTER FOR MATERNAL FETAL MEDICINE 2011 PINTO LN STE 200 LAS VEGAS NV 93796 Clark 702-382-3200 Physicians Obstetrics/Gynecology 880479581CENTER FOR OCCUPATIONAL HEALTH AND WELLNESS801 S RANCHO DR LAS VEGAS NV 93797 Clark 702-474-4454 Physicians Sports Medicine 870735078CENTER FOR SIGHT 5871 W CRAIG RD LAS VEGAS NV 93799 Clark 702-724-2020 Physicians Ophthalmology 450930381CENTER FOR WELLNESS AND PAIN CARE OF LAS VEGAS INC311 N BUFFALO DR STE A LAS VEGAS NV 93800 Clark 702-476-9700 Physicians Chiropractor 473384897CENTER OF HOPE 75 PRINGLE WAY RENO NV 93801 Washoe 800-894-4674 Physicians Obstetrics/Gynecology 364572218CENTRIC, RONALD W 343 FAIRVIEW DR CARSON CITY NV 93802 Carson City 775-887-0703 Physicians Psychiatry 886000022CENTRO MEDICO FAMILIAR 865 N EASTERN AVE STE D LAS VEGAS NV 93803 Clark 702-399-2345 Ambulatory Facilities 880288277CERCEK, MEGAN M 7400 RANCHARRAH PKWY STE 100 RENO NV 93804 Washoe 775-827-1113 Physicians General Dentist 844711685CERNY, MADISON S 2667 ENTERPRISE RD RENO NV 93805 Washoe 775-688-1341 Rehabilitation Speech Pathology 886000022CERVANTES, JOSIE 1501 LAMOILLE HWY ELKO NV 93806 Elko 775-400-1510 Physicians Certified Nurse Practitioner 821905957CERVANTEZ REHABILITATION SERVICE LLC 3100 E CHARLESTON BLVD STE 109 LAS VEGAS NV 93807 Clark 702-641-7009 Rehabilitation 392064462CERVANTEZ, RUEBEN F 3233 W CHARLESTON BLVD STE 101 LAS VEGAS NV 93809 Clark 702-388-1008 Rehabilitation Physical Therapy 392064462CESARETTI, LUKE S 2020 PALOMINO LN STE 100 LAS VEGAS NV 93817 Clark 888-727-1074 Physicians Radiology/Diagnostic 834721282CHAFFEE, RENEE C 1161 S VALLEY VIEW BLVD LAS VEGAS NV 93845 Clark 702-486-7670 Rehabilitation Speech Pathology 886000022CHAFFIN, DAVID B 5420 KIETZKE LN STE 103 RENO NV 93846 Washoe 775-329-2300 Physicians Ophthalmology 860879921CHALLAPALLI, RAM M 18653 WEDGE PKWY RENO NV 93847 Washoe 775-770-3327 Physicians Cardiology 455557052CHALMERS, ROBERT 3001 SAINT ROSE PKWY HENDERSON NV 93850 Clark 800-967-2289 Physicians Obstetrics/Gynecology 851279864CHAMANARA, SARAH 871 CORONADO CENTER DR STE 141 HENDERSON NV 93851 Clark 702-566-2400 Physicians Pediatrics 205204446CHAMBERLAIN, BRIAN E 7090 N DURANGO DR STE 120 LAS VEGAS NV 93852 Clark 702-645-5100 Physicians Orthodontist 880422266CHAMBERLAIN, ERIC 1640 ALTA DR STE 4 LAS VEGAS NV 93853 Clark 702-474-6450 Physicians Social Worker 880111970CHAMBERS JR, GEORGE P 7220 S CIMARRON RD STE 200 LAS VEGAS NV 93854 Clark 702-463-0800 Physicians Obstetrics/Gynecology 270540128CHAMBERS, ELIAS 9771 S EASTERN AVE STE 100 LAS VEGAS NV 93856 Clark 702-616-9655 Physicians General Dentist 208899851CHAMBERS, JOSEPH E 865 TAHOE BLVD STE 301 INCLINE VILLAGE NV 93859 Washoe 775-329-8866 Physicians Podiatry 880153120CHAMBERS-SORENSEN, SUSAN E 2375 E PRATER WAY SPARKS NV 93861 Washoe 775-331-7000 Physicians Pediatrics 475671561CHAMIAN, MA FRANCESCA N 7325 S PECOS RD STE 102 LAS VEGAS NV 93862 Clark 702-982-6402 Physicians Family Medicine 274768308CHAMPAGNE FAMILY DENTISTRY 735 SPARKS BLVD SPARKS NV 93865 Washoe 775-359-3934 Physicians General Dentist 201447368CHAMPAGNE, ANDREW R 735 SPARKS BLVD SPARKS NV 93866 Washoe 775-359-3934 Physicians General Dentist 201447368CHAMPAGNE, CARIANN E 735 SPARKS BLVD SPARKS NV 93868 Washoe 775-359-3934 Physicians Pediatric Dentist 900315595CHAMPAGNE, JASON L 735 SPARKS BLVD SPARKS NV 93870 Washoe 775-359-3934 Physicians General Dentist 201447368

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 33 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDCHAMPION PHYSICAL THERAPY, LLC 680 W NYE LN STE 205 CARSON CITY NV 93872 Carson City 775-882-2211 Rehabilitation 043821114CHAMPLIN, TAYLOR 1001 MOUNTAIN ST CARSON CITY NV 93873 Carson City 775-443-4900 Rehabilitation Speech Pathology 232446104CHAN, ANTONIO Q 2749 SUNRIDGE HEIGHTS PKWY HENDERSON NV 93874 Clark 702-568-0686 Physicians Cardiology 453198899CHAN, BRIAN G 6880 S MCCARRAN BLVD STE 9 RENO NV 93875 Washoe 775-825-8366 Physicians General Dentist 460894134CHAN, CHRISTOPHER 545 MARKS ST STE 100 HENDERSON NV 93876 Clark 702-425-3697 Physicians General Dentist 261771124CHAN, DAVID T 700 SHADOW LN STE 450 LAS VEGAS NV 93879 Clark 702-671-8660 Physicians Family Medicine 200528575CHAN, FANNY W 738 PRATER WAY SPARKS NV 93880 Washoe 775-356-3937 Physicians Optometry 272056494CHAN, HOLMAN 2650 N TENAYA WAY STE 301 LAS VEGAS NV 93881 Clark 702-878-0393 Physicians Orthopedic Surgery 880313907CHAN, HOWARD 1212 S MARYLAND PKWY LAS VEGAS NV 93885 Clark 702-385-3688 Physicians General Dentist 202000847CHAN, JOSEPH Y 850 I ST SPARKS NV 93886 Washoe 775-358-5330 Physicians Pediatric Dentist 814260663CHAN, RUTH WAI MAN 80 GIROUX ST STE 101 RENO NV 93887 Washoe 775-982-5000 Physicians Rheumatology 680416003CHAN, SANDRA 10624 S EASTERN AVE STE N HENDERSON NV 93888 Clark 702-407-6700 Physicians General Dentist 205999645CHAN, STEPHANIE C 4980 W SAHARA AVE LAS VEGAS NV 93889 Clark 702-216-7365 Physicians Emergency Medicine 824933457CHAN, WILSON 1707 W CHARLESTON BLVD STE 100 LAS VEGAS NV 93891 Clark 702-671-5070 Physicians Internal Medicine 813419791CHANCELLOR, ROBERT S 5375 S FORT APACHE RD STE 102 LAS VEGAS NV 93892 Clark 702-367-0808 Physicians Internal Medicine 834080669CHANDER, KESHAV 8970 W TROPICANA AVE STE 6 LAS VEGAS NV 93893 Clark 702-473-5333 Physicians Cardiology 455593305CHANDER, SAVITA M 2716 N Tenaya Way Las Vegas NV 93894 Clark 702-877-8600 Physicians Internal Medicine 880213519CHANDERRAJ, RAJ 876 SEVEN HILLS DR HENDERSON NV 93895 Clark 702-914-2028 Physicians Cardiology 880166329CHANDLER, SHANNON R 3962 BLUE DIAMOND RD STE 105 LAS VEGAS NV 93899 Clark 702-791-6860 Physicians Optometry 731726645CHANDNANI, HARSHA K 3186 S MARYLAND PKWY LAS VEGAS NV 93900 Clark 702-731-8000 Physicians Pediatric Critical Care 472887435CHANDRASEKAR, NR 6900 PECOS RD NORTH LAS VEGAS NV 93901 Clark 702-791-9000 Physicians Plastic & Reconstructive Surgery 043401106CHANG, ALEXANDER 5785 CENTENNIAL CENTER BLVD STE 190 LAS VEGAS NV 93902 Clark 702-383-6270 Physicians Family Medicine 886000436CHANG, ARCEL D 3560 E FLAMINGO RD LAS VEGAS NV 93903 Clark 702-433-6100 Physicians Radiology/Diagnostic 880235537CHANG, AUGUST W 1930 VILLAGE CENTER CIR LAS VEGAS NV 93904 Clark 702-438-3400 Physicians Anesthesiology 205831615CHANG, BESS L 8530 W SUNSET RD STE 350 LAS VEGAS NV 93905 Clark 702-851-1065 Physicians Neurology 364323173CHANG, BRIAN 500 N RAINBOW BLVD STE 300 LAS VEGAS NV 93906 Clark 702-450-1717 Physicians Internal Medicine 010868234CHANG, CELES H 9029 S PECOS RD HENDERSON NV 93908 Clark 702-739-8323 Physicians Certified Nurse Practitioner 203516398CHANG, DENNIS T 6900 PECOS RD NORTH LAS VEGAS NV 93910 Clark 702-791-9000 Physicians Psychiatry 886000022CHANG, HENRY 800 N GIBSON RD # 110 HENDERSON NV 93911 Clark 702-732-6000 Physicians Radiology/Diagnostic 880232199CHANG, JAYMIN 9127 W RUSSELL RD LAS VEGAS NV 93919 Clark 702-878-0070 Physicians Anesthesiology 202428069CHANG, JENNY 3730 E FLAMINGO RD LAS VEGAS NV 93928 Clark 702-804-4266 Physicians General Dentist 205179662CHANG, KEVIN 4 SUNSET WAY STE D HENDERSON NV 93929 Clark 702-732-6000 Physicians Radiology/Diagnostic 880232199CHANG, MICHAEL Y 2501 N GREEN VALLEY PKWY STE 112D HENDERSON NV 93938 Clark 702-487-6510 Physicians Anesthesiology 880375544CHANG, NING 1351 W SUNSET RD STE 100 HENDERSON NV 93940 Clark 702-835-1102 Physicians General Dentist 472164552CHANG, SCOTT C 2628 W CHARLESTON BLVD LAS VEGAS NV 93949 Clark 702-228-0031 Physicians Radiology/Diagnostic 197207580CHANG, WILLIS 3186 S MARYLAND PKWY LAS VEGAS NV 93954 Clark 702-961-7800 Physicians Emergency Medicine 880262438CHANGAWALA, NISARG J 9300 W SUNSET RD LAS VEGAS NV 93955 Clark 702-916-8431 Physicians Pulmonology 331159527CHANNAPATNA PRASANNA, NALINI 1665 OLD HOT SPRINGS RD CARSON CITY NV 93958 Carson City 775-687-4195 Physicians Social Worker 886000022CHANWELL CLINIC 2749 SUNRIDGE HEIGHTS PKWY HENDERSON NV 93959 Clark 702-898-9060 Ambulatory Facilities 770297500CHAPMAN, ALISTAIR J 1707 W CHARLESTON BLVD STE 160 LAS VEGAS NV 93960 Clark 702-671-5070 Physicians Critical Care 880330858CHAPPELL, SUSAN 675 FAIRVIEW DR STE 207 CARSON CITY NV 93962 Carson City 775-885-0888 Physicians Social Worker 886000022CHARLES, CHRISTOPHER 2040 W CHARLESTON BLVD LAS VEGAS NV 93964 Clark 702-671-2273 Physicians Psychiatry 886000022CHARLES, KIMBERLEE R 401 W 2ND ST RENO NV 93967 Washoe 775-784-4917 Physicians Psychiatry 886000022CHARLIE Y. NAHM, MD, PC 9333 W SUNSET RD STE A LAS VEGAS NV 93969 Clark 941-313-3300 Physicians Anesthesiology 204532370CHARLTON, TYEE 7537 S RAINBOW BLVD STE 109 LAS VEGAS NV 93970 Clark 702-459-2424 Rehabilitation Physical Therapy 851459632CHARNIGA, TERESA T 4500 MEADOWS LN LAS VEGAS NV 93971 Clark 702-858-8100 Physicians Family Medicine 860852466CHASE, BRIAN J 475 SARKS BLVD SPARKS NV 93973 Washoe 775-359-1565 Physicians General Dentist 473817118CHASE, CYNTHIA 3201 S MARYLAND PKWY LAS VEGAS NV 93976 Clark 702-457-5437 Physicians Pediatrics 710953164CHASE, ROBERT 939 S DECATUR BLVD LAS VEGAS NV 93977 Clark 702-583-0455 Physicians Chiropractor 571842707CHASE, SHANE 3120 S RAINBOW BLVD LAS VEGAS NV 93978 Clark 702-233-4327 Rehabilitation Audiology 262948435CHAU, MAN V 4210 W CRAIG RD STE 104 NORTH LAS VEGAS NV 93980 Clark 702-929-2022 Physicians General Dentist 852944832

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 34 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDCHAU, TRINA H 6252 S RAINBOW BLVD STE 130 LAS VEGAS NV 93982 Clark 702-734-6252 Physicians General Dentist 261425584CHAUDHERY, HUMA 2901 N TENAYA WAY STE 200 LAS VEGAS NV 93983 Clark 702-852-2000 Physicians Internal Medicine 860885795CHAVARRIA, AYSA M 9499 W CHARLESTON BLVD LAS VEGAS NV 93985 Clark 702-228-5477 Physicians Certified Nurse Practitioner 880213519CHAVEZ, JOE 1470 MEDICAL PKWY STE 160 CARSON CITY NV 93986 Carson City 775-445-7650 Physicians Cardiology 880247743CHEAM, HAY 7271 W SAHARA AVE STE 110 LAS VEGAS NV 93987 Clark 702-639-1700 Physicians Pediatric Nephrology 880495545CHEHADE, HANNA A 9260 W SUNSET RD LAS VEGAS NV 93989 Clark 702-225-3547 Physicians Obstetrics/Gynecology 460766041CHELIAN, GIRI 366 W LAKE MEAD PKWY STE 100 HENDERSON NV 93990 Clark 702-464-3090 Physicians Orthodontist 454612311CHEN, ALICE P 11700 W CHARLESTON BLVD STE 180 LAS VEGAS NV 93993 Clark 702-242-2436 Physicians Pediatric Dentist 810950476CHEN, AUSTIN Y 2231 W CHARLESTON BLVD LAS VEGAS NV 93994 Clark 702-944-2805 Physicians Obstetrics/Gynecology 880330858CHEN, C LEON 6170 W DESERT INN RD LAS VEGAS NV 93995 Clark 702-220-5000 Physicians Periodontist 043786280CHEN, ELIZABETH P 4855 BLUE DIAMOND RD STE 100 LAS VEGAS NV 93996 Clark 702-216-7305 Physicians Emergency Medicine 862775542CHEN, EVANGELINE Y 8867 W FLAMINGO RD STE 100 LAS VEGAS NV 93998 Clark 702-880-5858 Physicians General Dentist 201817974CHEN, GARY C 8530 W SUNSET RD LAS VEGAS NV 93999 Clark 702-483-4483 Physicians Gastroenterology 474436324CHEN, GEORGE T 9127 W RUSSELL RD LAS VEGAS NV 94000 Clark 702-878-0070 Physicians Anesthesiology 822526636CHEN, JAYLEEN 6940 SIERRA CENTER PKWY RENO NV 94009 Washoe 877-787-8518 Physicians Psychiatry 842050464CHEN, LI-CHIEN 2375 E PRATER WAY FL 7 SPARKS NV 94011 Washoe 775-222-0044 Physicians Infectious Diseases 260755054CHEN, LI-CHIEN 235 W 6TH ST RENO NV 94030 Washoe 775-770-6490 Physicians Infectious Diseases 261932485CHEN, MINDY L 2410 FIRE MESA ST STE 180 LAS VEGAS NV 94039 Clark 702-992-6888 Physicians Family Medicine 880330858CHEN, RICHARD 3150 N TENAYA WAY STE 480 LAS VEGAS NV 94040 Clark 702-796-7150 Physicians Cardiology 880293130CHEN, RICHARD E 60 S STEPHANIE ST STE 100 HENDERSON NV 94044 Clark 702-558-5788 Physicians General Dentist 201495127CHEN, RICHARD W 897 IRONWOOD DR MINDEN NV 94046 Douglas 775-782-1610 Physicians Family Medicine 880405927CHEN, ROLAND N 1425 VISTA LN CARSON CITY NV 94047 Carson City 775-883-1030 Physicians Urology 880201578CHEN, STEPHEN H 2950 S MARYLAND PKWY LAS VEGAS NV 94050 Clark 702-732-6000 Physicians Radiology/Diagnostic 880232199CHEN, STEPHEN T 2767 N TENAYA WAY LAS VEGAS NV 94051 Clark 702-732-6000 Physicians Psychiatry 438087550CHEN, THOMAS T 653 N TOWN CENTER DR STE 602 LAS VEGAS NV 94057 Clark 702-255-3547 Physicians Internal Medicine 203097266CHEN, VICTOR K 10619 PROFESSIONAL CIR RENO NV 94058 Washoe 775-852-4848 Physicians Gastroenterology 880182841CHEN, XIN P 2040 W CHARLESTON BLVD LAS VEGAS NV 94059 Clark 702-671-2341 Physicians Internal Medicine 880330858CHEN, YIXIANG 480 GALLETTI WAY SPARKS NV 94060 Washoe 775-688-2001 Physicians Psychiatry 886000022CHEN, YUAN-CHUNG 219 N PECOS RD HENDERSON NV 94061 Clark 702-260-7818 Physicians Family Medicine 880444678CHENEY, CAROL 1500 E 2ND ST STE B RENO NV 94062 Washoe 775-784-7500 Physicians Endocrinology 020566741CHENEY, RON M 1006 N RANCHO DR LAS VEGAS NV 94063 Clark 702-631-3136 Physicians Chiropractor 880506009CHENG, CHRISTOPHER H 4980 W SAHARA AVE LAS VEGAS NV 94064 Clark 702-216-7365 Physicians Emergency Medicine 824933457CHENG, KENNETH 975 KIRMAN AVE RENO NV 94066 Washoe 775-328-1242 Physicians Anesthesiology 421148228CHENG, MARK W 10301 JEFFREYS ST HENDERSON NV 94068 Clark 702-939-9400 Physicians Physical Medicine & Rehabilitation941179505CHENG, SHIHSHIANG 4700 LAS VEGAS BLVD N NELLIS AFB NV 94069 Clark 702-653-2830 Physicians Radiology/Diagnostic 880201578CHENG, YING-CHIA 4270 S DECATUR BLVD STE B6 LAS VEGAS NV 94070 Clark 702-485-2100 Physicians Psychiatry 886000022CHENG, ZHI 3150 N TENAYA WAY STE 480 LAS VEGAS NV 94072 Clark 702-562-5831 Physicians Internal Medicine 721597863CHENGAT, VIPINDAS 8280 W WARM SPRINGS RD LAS VEGAS NV 94073 Clark 702-492-8000 Physicians Internal Medicine 472990144CHERRINGTON, NATHAN T 7500 W LAKE MEAD BLVD STE 11 LAS VEGAS NV 94074 Clark 702-735-5066 Physicians General Dentist 270865739CHESNUT III, CHARLES H 5320 S RAINBOW BLVD LAS VEGAS NV 94075 Clark 702-853-3300 Physicians General Surgery 462964527CHESTER, ELAINE M 2831 SAINT ROSE PKWY STE 221 HENDERSON NV 94079 Clark 702-589-4871 Physicians Professional Counselor 823795906CHESTOVICH, PAUL J 1800 W CHARLESTON BLVD TRAUMA ADMIN. SUITE 505LAS VEGAS NV 94080 Clark 702-383-2092 Physicians General Surgery 880330858CHETA, JORDANA N 10120 S EASTERN AVE HENDERSON NV 94082 Clark 702-483-6200 Physicians Critical Care 464339902CHEUNG, TYLER C 3001 SAINT ROSE PKWY HENDERSON NV 94083 Clark 510-410-9049 Physicians Neurology 862775542CHEYENNE DIALYSIS 3291 N BUFFALO DR STE 150 LAS VEGAS NV 94084 Clark 702-396-1045 Ambulatory Facilities 270888094CHI, HYUNSEOK C 3073 W CRAIG RD STE 1 NORTH LAS VEGAS NV 94085 Clark 702-636-8760 Physicians General Dentist 900894850CHIANG, JIM C 895 ADAMS BLVD BOULDER CITY NV 94107 Clark 702-293-0406 Physicians Family Medicine 203270872CHIAPA, MATTHEW R 2055 E WINDMILL LN STE 105 LAS VEGAS NV 94109 Clark 702-731-2233 Physicians Optometry 880331757CHIAPAIKEO, DAVID 8930 W SUNSET RD STE 300 LAS VEGAS NV 94110 Clark 702-258-7788 Physicians Vascular Surgery 270868595CHIARELLO, STEPHEN J 2815 S JONES BLVD LAS VEGAS NV 94112 Clark 702-362-6303 Physicians Chiropractor 880264523CHIASCIONE, ROBERT P 2647 BOX CANYON DR LAS VEGAS NV 94113 Clark 702-363-5575 Physicians Internal Medicine 880328957

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 35 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDCHIBWE, MANASSEH A 213 S WHITACRE ST YERINGTON NV 94119 Lyon 775-463-2301 Physicians Certified Nurse Practitioner 880502320CHICO, CHRISTINE 850 S RANCHO DR STE 4-334 LAS VEGAS NV 94120 Clark 702-386-4700 Physicians General Practice 880375544CHIEM, PETER P 7910 S RAINBOW BLVD STE 125 LAS VEGAS NV 94122 Clark 702-457-7858 Physicians General Dentist 260604268CHIEM, WENDY 467 E SILVERADO RANCH BLVD STE 115 LAS VEGAS NV 94123 Clark 702-896-8899 Physicians General Dentist 465543086CHILD, ZACHARY A 212 ELKS POINT RD STE 200 ZEPHYR COVE NV 94125 Douglas 775-589-8950 Physicians Orthopedic Surgery 880382265CHILDREN & FAMILY COUNSELING LLC 35 N WEST ST FERNLEY NV 94128 Lyon 775-575-4141 Physicians Social Worker 274829367CHILDREN UROLOGY ASSOCIATES 653 N TOWN CENTER DR STE 114 LAS VEGAS NV 94129 Clark 702-562-3500 Physicians Pediatric Urology 880382275CHILDREN'S HEART CENTER - LAS VEGAS 10001 S EASTERN AVE STE 300 HENDERSON NV 94133 Clark 866-732-1290 Physicians Pediatric Cardiology 866732129CHILDRENS ACUTE CAR 657 N TOWN CENTER DR LAS VEGAS NV 94134 Clark 702-233-7000 Physicians Pediatrics 880266682CHILDRENS HEART CENTER 85 KIRMAN AVE STE 401 RENO NV 94135 Washoe 775-324-6644 Physicians Pediatric Cardiology 880176637CHILDRENS HEART CENTER - LAS VEGAS 3006 S MARYLAND PKWY STE 690 LAS VEGAS NV 94147 Clark 702-732-1290 Physicians Pediatric Cardiology 880176637CHILDRENS HEART CENTER NEVADA 3006 S MARYLAND PKWY STE 690 LAS VEGAS NV 94150 Clark 702-732-1290 Physicians Pediatric Cardiology 880176637CHILDRENS SPECIALTY CENTER OF NEVADA 540 W PLUMB LN STE 200 RENO NV 94151 Washoe 775-657-8981 Physicians Pediatric Hematology 205354255CHILDRENS UROLOGY ASSOCIATES 3201 S MARYLAND PKWY STE 406 LAS VEGAS NV 94153 Clark 702-369-4999 Physicians Pediatric Urology 880276559CHILDRESS, ANN C 4000 E CHARLESTON BLVD STE 130 LAS VEGAS NV 94154 Clark 702-968-4000 Physicians Psychiatry 880330858CHIN, HARVEY 2175 E CHEYENNE AVE STE 100 NORTH LAS VEGAS NV 94155 Clark 702-363-8889 Physicians General Dentist 205773964CHIN, HUBERT 1397 S LOOP RD PAHRUMP NV 94169 Nye 702-759-8600 Physicians Radiology/Diagnostic 310745303CHIN, QUEE FAH 7906 W SAHARA AVE LAS VEGAS NV 94194 Clark 702-307-1800 Physicians Sports Medicine 880417804CHING, HARRY H 3150 N TENAYA WAY STE 112 LAS VEGAS NV 94195 Clark 702-671-6480 Physicians Otolaryngology 813419791CHING, JAYME A 1700 WHEELER PEAK DR LAS VEGAS NV 94196 Clark 702-383-2565 Physicians Certified Nurse Practitioner 886000436CHING, REBECCA 9260 W SUNSET RD STE 205 LAS VEGAS NV 94197 Clark 702-982-3099 Physicians Pediatrics 812897251CHINICHIAN, SAHMON 1505 WIGWAM PKWY HENDERSON NV 94198 Clark 702-896-6043 Physicians Ophthalmology 364620877CHIODO, CHRISTOPHER C 7664 W LAKE MEAD BLVD STE 107 LAS VEGAS NV 94200 Clark 702-254-6222 Physicians Optometry 880322065CHIOVARO, JESSICA I 727 N NELLIS BLVD LAS VEGAS NV 94201 Clark 702-459-4900 Rehabilitation Physical Therapy 880386672CHIROPRACTIC HEALING CENTER 2801 N TENAYA WAY STE B LAS VEGAS NV 94202 Clark 702-215-2090 Physicians Chiropractor 800026355CHIROPRACTIC HEALING TEAM 7250 PEAK DR STE 106 LAS VEGAS NV 94203 Clark 702-215-2090 Physicians Chiropractor 043821114CHIROPRACTIC HEALTH CENTER NW 390 E MOANA LN # 3 RENO NV 94204 Washoe 775-829-7575 Physicians Chiropractor 043821114CHISTECKOFF, GUY L 8940 S MARYLAND PKWY STE 100 LAS VEGAS NV 94205 Clark 702-270-6501 Physicians General Dentist 880474720CHITTIVELU, GIRIDHARA K 10965 LAVENDER HILL DR STE 120 LAS VEGAS NV 94206 Clark 702-852-2755 Physicians Orthodontist 815355120CHIU, CHIH FONG 6420 SKY POINTE DR LAS VEGAS NV 94209 Clark 702-878-3368 Physicians General Dentist 680525737CHIU, JERRIN 4043 SPRING MOUNTAIN RD LAS VEGAS NV 94210 Clark 702-889-8338 Physicians Optometry 201704287CHO, KUAN YU 2243 S RAINBOW BLVD LAS VEGAS NV 94211 Clark 702-365-0100 Physicians General Dentist 571234871CHO, PATRICK 6170 W LAKE MEAD BLVD STE 274 LAS VEGAS NV 94212 Clark 702-339-1228 Physicians Anesthesiology 421588644CHO, SUNG J 1701 WELLNESS WAY STE 200A LAS VEGAS NV 94214 Clark 702-310-9110 Physicians Psychology (Clinical) 832170291CHOCK, STEFAN N 3131 LA CANADA ST STE 217 LAS VEGAS NV 94215 Clark 702-369-7152 Physicians General Surgery 271152943CHOI, ANDY 10473 DOUBLE R BLVD RENO NV 94216 Washoe 775-853-8899 Physicians General Dentist 201531117CHOI, CHRISTIAN S 5288 SPRING MTN RD STE 200 LAS VEGAS NV 94217 Clark 702-251-9911 Physicians Chiropractor 273036864CHOI, JINYOUNG 1725 E WARM SPRINGS RD STE 2 LAS VEGAS NV 94221 Clark 702-270-8790 Physicians General Dentist 454797322CHOI, LAUREN S 2601 N TENAYA WAY LAS VEGAS NV 94222 Clark 702-233-4950 Physicians Internal Medicine 521856279CHOI, PETER Y 2410 FIRE MESA ST STE 180 LAS VEGAS NV 94223 Clark 702-992-6875 Physicians Family Medicine 351094734CHOJI, CAM L 4432 S EASTERN AVE LAS VEGAS NV 94224 Clark 702-780-1960 Physicians Cardiology 880407499CHON, MICHAEL Y 7125 N DURANGO DR LAS VEGAS NV 94226 Clark 702-658-2311 Physicians General Dentist 205339044CHONG, DENNIS 10001 S EASTERN AVE HENDERSON NV 94227 Clark 702-617-1981 Physicians General Surgery 880432683CHOPRA, GOBINDER S 3201 S MARYLAND PKWY STE 314 LAS VEGAS NV 94228 Clark 702-796-8500 Physicians Neurology 880142399CHOU, BILL 2410 FIRE MESA ST LAS VEGAS NV 94234 Clark 702-992-6888 Physicians Sports Medicine 880330858CHOW, CANDACE S 5850 POLARIS AVE STE 100 LAS VEGAS NV 94235 Clark 702-739-9957 Physicians Family Medicine 752014828CHOW, JENNIFER 6935 ALIANTE PKWY STE 102 NORTH LAS VEGAS NV 94236 Clark 702-685-4320 Physicians Optometry 203533472CHOW, LAP C 3750 S JONES BLVD LAS VEGAS NV 94237 Clark 702-407-2548 Physicians Podiatry 204982727CHOWDHRY, BASHIR A 4160 S PECOS RD STE 10 LAS VEGAS NV 94239 Clark 702-454-7311 Physicians Thoracic Surgery 475070273CHOWDHRY, SHAHEEN N 10105 BANBRY CROSS DR STE 250 LAS VEGAS NV 94241 Clark 702-360-7600 Physicians Cardiology 880156903CHOY, ALEXANDER S 2110 E FLAMINGO RD STE 210 LAS VEGAS NV 94244 Clark 702-733-2020 Physicians Optometry 880331757

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 36 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDCHRISTENSEN, AMY E 3900 CAMBRIDGE ST LAS VEGAS NV 94246 Clark 702-307-5415 Physicians Pediatrics 860098925CHRISTENSEN, BECKY S 5570 CAMINO AL NORTE STE 1 NORTH LAS VEGAS NV 94247 Clark 702-657-0756 Physicians Certified Nurse Practitioner 463164188CHRISTENSEN, CARTER C 925 IRONWOOD DR STE 1103 MINDEN NV 94263 Douglas 775-782-0022 Physicians General Dentist 471101337CHRISTENSEN, CREIG L 2100 E CALVADA BLVD PAHRUMP NV 94265 Nye 775-727-7959 Physicians Chiropractor 463084124CHRISTENSEN, DARIN L 181 N AROYO GRAN BLVD STE B100 HENDERSON NV 94268 Clark 702-521-4625 Physicians Psychiatry 880321021CHRISTENSEN, DAVID J 10652 S EASTERN AVE HENDERSON NV 94269 Clark 702-476-2800 Physicians Internal Medicine 463164188CHRISTENSEN, DAVIN 2250 POSTAL DR STE 4 PAHRUMP NV 94272 Nye 775-727-8900 Rehabilitation Physical Therapy 264613465CHRISTENSEN, JAMES L 555 W ARLINGTON AVE RENO NV 94274 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557CHRISTENSEN, JIM 4000 E CHARLESTON BLVD LAS VEGAS NV 94275 Clark 702-432-9544 Physicians Allergy/Immunology 880329530CHRISTENSEN, STEPHANI D 8285 W ARBY AVE STE 100B LAS VEGAS NV 94277 Clark 702-735-7154 Physicians Hematology/Oncology 880350180CHRISTENSEN, TAWNI J 4855 BLUE DIAMOND RD LAS VEGAS NV 94279 Clark 702-216-7305 Physicians Emergency Medicine 824933457CHRISTENSEN, THOMAS J 350 W 6TH ST RENO NV 94280 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557CHRISTENSEN, TODD W 1550 W CRAIG RD NORTH LAS VEGAS NV 94282 Clark 702-777-3615 Physicians Emergency Medicine 371539218CHRISTENSEN, W P 9080 W CHEYENNE AVE LAS VEGAS NV 94334 Clark 702-853-7986 Rehabilitation Audiology 222748248CHRISTENSON, PETER C 2020 PALOMINO LN STE 100 LAS VEGAS NV 94335 Clark 702-384-5210 Physicians Radiology/Diagnostic 880227375CHRISTENSON, VINSON R 120 E JOHN ST CARSON CITY NV 94336 Carson City 775-885-7555 Physicians Chiropractor 880502320CHRISTIAN, SILJA 2012 S JONES BLVD LAS VEGAS NV 94338 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643CHRISTIANSEN THISTLE, SHAUNA D 9320 W SAHARA AVE LAS VEGAS NV 94339 Clark 702-383-3633 Physicians Internal Medicine 886000436CHRYSSOS, BASIL E 1470 MEDICAL PKWY STE 160 CARSON CITY NV 94340 Carson City 775-445-7650 Physicians Cardiology 880247743CHU, DAVIS C 1219 E CHARLESTON BLVD LAS VEGAS NV 94341 Clark 702-633-5410 Physicians General Practice 880371504CHU, ELEANOR 1784 BROWNING WAY STE B ELKO NV 94342 Elko 775-323-5083 Physicians Radiology/Diagnostic 810561939CHU, GORDEN 800 SHADOW LN LAS VEGAS NV 94343 Clark 702-732-6000 Physicians Radiology/Diagnostic 880232199CHU, JAY 330 S LOLA LN STE 200 PAHRUMP NV 94353 Nye 702-877-1887 Physicians Nephrology 880136673CHU, MICHELLE K 1500 E 2ND ST STE 206 RENO NV 94355 Washoe 775-789-7000 Physicians General Surgery 880179203CHU, WILLIAM W 3131 LA CANADA ST LAS VEGAS NV 94356 Clark 702-933-9400 Physicians Cardiology 880213519CHUA JR, JOHNNY M 5320 S RAINBOW BLVD STE 282 LAS VEGAS NV 94360 Clark 702-737-3808 Physicians Certified Nurse Practitioner 880268805CHUA, EDNA G 5300 SPRING MOUNTAIN RD LAS VEGAS NV 94361 Clark 702-362-6373 Physicians Certified Nurse Practitioner 273064168CHUANG, MEI-YU 1107 US HIGHWAY 395 S GARDNERVILLE NV 94362 Douglas 775-782-1530 Physicians Cardiology 860629520CHUANG, RITA B 2629 W HORIZON RIDGE PKWY STE 140 HENDERSON NV 94363 Clark 702-818-3207 Physicians Family Medicine 900010663CHUAPOCO, ROBERTO C 3131 W CHARLESTON BLVD STE 150 LAS VEGAS NV 94364 Clark 702-968-2425 Physicians Physical Medicine & Rehabilitation205644316CHUDNOW, ROBERT S 901 MEDICAL CENTER DR STE 102 DAYTON NV 94365 Lyon 775-445-7630 Physicians Family Medicine 393440945CHUE, BEVINS K 10301 JEFFREYS ST HENDERSON NV 94368 Clark 702-939-9479 Physicians Physical Medicine & Rehabilitation943405629CHUNG, BINH M 7345 S DURANGO DR MAILBOX 52 LAS VEGAS NV 94371 Clark 702-301-9123 Physicians Family Medicine 205620461CHUNG, DANNY 6485 N DECATUR BLVD STE 150 LAS VEGAS NV 94372 Clark 702-846-5745 Physicians General Dentist 833358691CHUNG, DAVID 6707 W CHARLESTON BLVD STE 1A LAS VEGAS NV 94375 Clark 702-438-0888 Physicians General Dentist 205647876CHUNYK, MARIKA 3790 PARADISE RD LAS VEGAS NV 94380 Clark 702-966-2440 Physicians Family Medicine 811476918CHUPKA JR, BARTHOLOMEW J 2012 S JONES BLVD LAS VEGAS NV 94382 Clark 702-360-1137 Rehabilitation Physical Therapy 412129643CHURCH, CODY R 5546 S FORT APACHE RD STE 100B LAS VEGAS NV 94383 Clark 941-313-3300 Rehabilitation Physical Therapy 200932822CHURCH, LEE T 4700 LAS VEGAS BLVD N NELLIS AFB NV 94384 Clark 702-653-8277 Physicians Family Medicine 463164188CHURCH, REBECCA T 10001 S EASTERN AVE HENDERSON NV 94386 Clark 702-616-5801 Physicians Certified Nurse Practitioner 880213519CHW NEVADA IMAGING COMPANY DBA NEVADA IMAGING CENTERS - SPRING VALLEY4132 S RAINBOW BLVD LAS VEGAS NV 94387 Clark 702-304-1911 Ancillary Providers 263322792CHYSNA, KEVIN R 75 PRINGLE WAY STE 401 RENO NV 94388 Washoe 775-982-5000 Physicians Neurology 030280256CIANCIO, STEVE R 1930 VILLAGE CENTER CIR LAS VEGAS NV 94389 Clark 702-438-3400 Physicians Anesthesiology 205831615CICHON, JAMIE L 9440 W SAHARA AVE STE 237 LAS VEGAS NV 94390 Clark 702-448-6060 Physicians Psychiatry 812219401CICHON, JEFFREY P 3570 E FLAMINGO RD LAS VEGAS NV 94391 Clark 702-454-3400 Physicians Orthopedic Surgery 880214018CIKLIN, ANGELA K 2821 W HORIZON RIDGE PKWY HENDERSON NV 94392 Clark 702-862-8862 Physicians Obstetrics/Gynecology 203080081CINELLI, SCOTT M 6554 S MCCARRAN BLVD RENO NV 94393 Washoe 775-324-0288 Physicians General Surgery 880266640CIRAC, NICHOLAS C 1107 US HIGHWAY 395 S GARDNERVILLE NV 94397 Douglas 775-782-1500 Physicians Anesthesiology 880101307CIRCLE OF LIFE HOSPICE 1575 DELUCCHI LN RENO NV 94414 Washoe 775-827-2298 Ancillary Providers 880440951CIRELLI, MARC A 465 W PECKHAM LN RENO NV 94415 Washoe 775-827-6666 Physicians General Dentist 461602267CIRLIG, LORIANA M 213 S WHITACRE ST YERINGTON NV 94416 Lyon 775-463-2301 Physicians Family Medicine 880502320

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 37 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDCISEK, ADAM E 2121 E FLAMINGO RD STE 110 LAS VEGAS NV 94417 Clark 702-382-8841 Physicians Dietitian 880436341CISILINO, KRISTYN 7325 S PECOS RD STE 102 LAS VEGAS NV 94418 Clark 702-982-6402 Physicians Certified Nurse Practitioner 274768308CITRO, BRIAN J 3150 N TENAYA WAY STE 550 LAS VEGAS NV 94419 Clark 702-240-6482 Physicians General Surgery 205306310CIVIC CENTER PEDIATRICS 2280 MCDANIEL ST NORTH LAS VEGAS NV 94425 Clark 702-642-0441 Physicians Pediatrics 260684470CLAIRSR, JOHN M 2250 E FLAMINGO RD LAS VEGAS NV 94426 Clark 702-784-4300 Physicians Internal Medicine 201026537CLARK SCHILLINGER EMERGENCY GROUP PC1550 W CRAIG RD NORTH LAS VEGAS NV 94430 Clark 702-777-3615 Physicians Emergency Medicine 824933457CLARK SCHILLINGER EMERGENCY GROUP, PC4855 BLUE DIAMOND RD LAS VEGAS NV 94433 Clark 337-609-2653 Physicians Emergency Medicine 824933457CLARK, ALISON J 75 PRINGLE WAY STE 1002 RENO NV 94434 Washoe 775-323-7500 Physicians Certified Nurse Practitioner 880341656CLARK, CHRISTINE C 2421 TECH CENTER CT LAS VEGAS NV 94435 Clark 702-642-4405 Physicians Podiatry 880310711CLARK, CORNELL M 888 S RANCHO DR LAS VEGAS NV 94437 Clark 702-877-5199 Physicians Family Medicine 200671647CLARK, CRAIG D 2405 W HORIZON RIDGE PKWY HENDERSON NV 94438 Clark 702-982-1300 Physicians Orthopedic Surgery 880479471CLARK, CRESSMAN 4451 N RANCHO DR LAS VEGAS NV 94439 Clark 702-313-6868 Physicians General Dentist 454797322CLARK, DENNIS H 375 N STEPHANIE ST BLDG 6 HENDERSON NV 94441 Clark 702-990-7336 Physicians General Dentist 464115275CLARK, EDWARD F 283 N PECOS RD HENDERSON NV 94444 Clark 702-430-3570 Physicians Family Medicine 880213519CLARK, ESMERALDA A 888 S RANCHO DR LAS VEGAS NV 94446 Clark 702-877-8600 Physicians Certified Nurse Practitioner 880213519CLARK, H. DONALD 645 N ARLINGTON AVE STE 620 RENO NV 94447 Washoe 775-786-4200 Physicians Pediatrics 880459167CLARK, KAREN A 1500 E 2ND ST STE 411 RENO NV 94448 Washoe 775-323-6700 Physicians Cardiology 880303924CLARK, KATIE L 2012 S JONES BLVD LAS VEGAS NV 94450 Clark 702-360-7137 Rehabilitation Occupational Therapy 412129643CLARK, MARYBETH 2121 E FLAMINGO RD STE 114 LAS VEGAS NV 94452 Clark 702-382-8841 Physicians Dietitian 880436341CLARK, NEJLAH M 3100 N TENAYA WAY LAS VEGAS NV 94453 Clark 702-962-5000 Physicians Emergency Medicine 880262438CLARK, RUSSELL P 3100 N TENAYA WAY LAS VEGAS NV 94454 Clark 972-915-3600 Physicians Emergency Medicine 880213519CLARK, TREZAH A 9127 W RUSSELL RD STE 110 LAS VEGAS NV 94456 Clark 702-878-0070 Physicians CRNA 852385334CLARK, WILLIAM W 890 MILL ST STE 200 RENO NV 94465 Washoe 775-870-1545 Physicians Anesthesiology 471680753CLARKE, TATIANA A 1161 S VALLEY VIEW BLVD LAS VEGAS NV 94466 Clark 702-486-7670 Rehabilitation Speech Pathology 742795332CLASSEN, CARINA A 1840 E SAHARA AVE STE 212 LAS VEGAS NV 94467 Clark 702-892-8007 Physicians Certified Nurse Practitioner 880334024CLAUDIA K VOGEL MD LTD. 10561 JEFFREYS ST STE 211 HENDERSON NV 94471 Clark 702-990-4530 Physicians Endocrinology 203260229CLAVEL, IRWIN O 1155 MILL ST RENO NV 94472 Washoe 775-982-7878 Physicians Internal Medicine 421307141CLEAR VIEW COUNSELING & WELLNESS CENTER4140 W CHARLESTON BLVD LAS VEGAS NV 94473 Clark 702-254-4883 Physicians Marriage & Family Therapist 200266221CLEAR VISION EYE CENTERS 8230 W SAHARA AVE LAS VEGAS NV 94475 Clark 702-944-2001 Physicians Optometry 880459268CLEARVIEW HEALTH & REHABILITAT 1180 E LAKE MEAD PKWY HENDERSON NV 94477 Clark 702-565-8555 Rehabilitation 200042621CLEAVER, ADAM G 70 E HORIZON RIDGE PKWY HENDERSON NV 94478 Clark 702-856-0422 Rehabilitation Physical Therapy 201830653CLEGG, FRANCINE R 1800 W CHARLESTON BLVD LAS VEGAS NV 94480 Clark 702-383-3736 Physicians Certified Nurse Practitioner 465554048CLEMENT, JENNIFER T 4380 BLUE DIAMOND RD STE 102 LAS VEGAS NV 94530 Clark 702-425-4424 Physicians General Dentist 261748512CLEMENTE, JENNIFER E 2930 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 94532 Clark 702-597-8999 Rehabilitation Physical Therapy 752984052CLEMENTE, LORNA 1409 E LAKE MEAD BLVD NORTH LAS VEGAS NV 94534 Clark 702-363-7720 Rehabilitation Physical Therapy 880300915CLEMMENSEN, CHARLES 1100 S CARSON ST CARSON CITY NV 94535 Carson City 775-883-7811 Physicians Dermatology 880175775CLEVELAND, NATHAN J 901 RANCHO LN LAS VEGAS NV 94536 Clark 702-383-1958 Physicians Emergency Medicine 823328660CLIFFORD J. MOLIN MD LTD 2481 PROFESSIONAL CT LAS VEGAS NV 94537 Clark 702-382-1599 Physicians Sleep Medicine 202595077CLIFFORD, KATHLEEN C 556 CALIFORNIA AVE RENO NV 94538 Washoe 775-420-0366 Physicians Professional Counselor 472998530CLIFFORD, MICHAEL E 7151 CASCADE VALLEY CT STE 103 LAS VEGAS NV 94539 Clark 702-944-5444 Physicians Rheumatology 880251449CLIFFORD, RYAN C 556 CALIFORNIA AVE RENO NV 94541 Washoe 775-420-0366 Physicians Marriage & Family Therapist 472998530CLIFTON, JOHN B 2450 W CHARLESTON BLVD LAS VEGAS NV 94542 Clark 702-877-8660 Physicians Anesthesiology 860857176CLIGNETT, CHRISTINA 420 N NELLIS BLVD LAS VEGAS NV 94543 Clark 702-641-3212 Physicians Certified Nurse Practitioner 813419791CLINE, MICHAEL G 3001 SAINT ROSE PKWY HENDERSON NV 94544 Clark 510-410-9049 Physicians Neurology 862775542CLINIC 21 OF NEVADA PLLC 5216 BOULDER HWY STE 105 LAS VEGAS NV 94545 Clark 702-547-6609 Physicians Emergency Medicine 471278547CLINICA SANTA MARIA NV 2354 E BONANZA RD LAS VEGAS NV 94546 Clark 702-399-9161 Physicians Family Medicine 880478227CLINICAL DIAGNOSTIC SERVICES LLC 845 RAILROAD ST ELKO NV 94550 Elko 775-753-3770 Ambulatory Facilities 870653010CLINICAL NEUROLOGY SPECIALISTS 1691 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 94551 Clark 702-804-1212 Physicians Neurology 010726093CLINICAL PATHOLOGY LABORATORY 400 SHADOW LN STE 102 LAS VEGAS NV 94554 Clark 702-676-4522 Ancillary Providers 742554159CLOSE, CLARE E 3150 N TENAYA WAY STE 530 LAS VEGAS NV 94567 Clark 702-220-4006 Physicians Pediatric Urology 880382275CLOSE, JACK D 3650 S EASTERN AVE LAS VEGAS NV 94569 Clark 702-731-6873 Rehabilitation Physical Therapy 880348546

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 38 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDCLOUSE, HAILEY 2012 S JONES BLVD LAS VEGAS NV 94570 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643CO, EDWARD 1701 W CHARLESTON BLVD STE 230 LAS VEGAS NV 94571 Clark 702-671-5060 Physicians Internal Medicine 880330858COARDIII, HERBERT F 118 E HASKELL ST WINNEMUCCA NV 94573 Humboldt 775-623-5222 Physicians Psychology (Clinical) 886000088COATES, JAY E 1707 W CHARLESTON BLVD STE 160 LAS VEGAS NV 94574 Clark 702-671-5150 Physicians General Surgery 886000436COATES, JULIE K 9484 W LAKE MEAD BLVD STE 8 LAS VEGAS NV 94576 Clark 702-243-7744 Rehabilitation Physical Therapy 232725850COCANOUR, AMY A 1664 N VIRGINIA MAIL STOP 152 RENO NV 94577 Washoe 775-784-4887 Rehabilitation Speech Pathology 886000024COCHRANE, GLEN S 3551 PAHRUMP VALLEY BLVD PAHRUMP NV 94578 Nye 775-727-1188 Physicians Chiropractor 262507638COCHRANE, TERANCE A 9730 S MCCARRAN BLVD RENO NV 94581 Washoe 775-787-3939 Physicians Optometry 208342706COCKS, STUART M 806 BUCHANAN BLVD STE 109 BOULDER CITY NV 94582 Clark 702-293-0041 Physicians Chiropractor 880428237CODY, SAMANTHA M 1625 E PRATER WAY STE 107 SPARKS NV 94583 Washoe 775-825-4744 Rehabilitation Speech Pathology 562328617COE, TRACY L 2650 N TENAYA WAY STE 201 LAS VEGAS NV 94584 Clark 702-735-7154 Physicians Hematology/Oncology 880213519COFFER, JANET 3700 GRANT DR STE A RENO NV 94585 Washoe 775-829-4700 Rehabilitation Physical Therapy 880291454COFFEY, LATRICIA 2340 PASEO DEL PRADO STE D301 LAS VEGAS NV 94586 Clark 702-748-7749 Physicians Psychiatry 886000022COFFMAN, RACHEL S 801 S RANCHO DR STE E2B LAS VEGAS NV 94587 Clark 702-384-2238 Physicians Social Worker 731427063COGGESHALL, DAVID R 3001 SAINT ROSE PKWY HENDERSON NV 94588 Clark 702-878-0070 Physicians Anesthesiology 731451967COHAN, MARIANNE 9850 S MARYLAND PKWY STE 3 LAS VEGAS NV 94597 Clark 702-217-7550 Physicians General Dentist 814679180COHEN, ANDREW M 655 N TOWN CENTER DR LAS VEGAS NV 94598 Clark 702-233-2200 Physicians Radiation Oncology 860868639COHEN, DAVID B 3227 E WARM SPRINGS RD LAS VEGAS NV 94602 Clark 702-597-1181 Physicians Chiropractor 880312539COHEN, MARCIA A 8430 W LAKE MEAD BLVD STE 100 LAS VEGAS NV 94605 Clark 702-576-9870 Physicians Certified Nurse Practitioner 470814384COHEN, TEDDY A 2235 N RAMPART BLVD LAS VEGAS NV 94606 Clark 702-387-8777 Physicians Podiatry 084442697COHEN, VICTOR E 4445 S EASTERN AVE STE B LAS VEGAS NV 94611 Clark 702-933-6767 Physicians Allergy/Immunology 880309683COKER, HOWARD 3012 S DURANGO DR SUUITE 1 LAS VEGAS NV 94612 Clark 702-366-0640 Physicians Internal Medicine 200365179COLBERG, CHRISTINE 3700 GRANT DR STE A RENO NV 94615 Washoe 775-829-4700 Rehabilitation Physical Therapy 880291454COLBERT, EARL J 1631 W CRAIG RD STE 10 NORTH LAS VEGAS NV 94616 Clark 702-649-6644 Physicians Orthodontist 204324081COLE, APRIL J 3040 W ANN RD STE 101 NORTH LAS VEGAS NV 94619 Clark 702-839-2244 Physicians General Dentist 300889342COLE, BARRY E 10035 CLAVERTON CT LAS VEGAS NV 94620 Clark 702-497-2235 Physicians Psychiatry 900730395COLE, JULIE A 501 S RANCHO DR STE D25 LAS VEGAS NV 94621 Clark 702-898-5297 Rehabilitation Speech Pathology 886000022COLE, KARA L 1107 HWY 395 S GARDNERVILLE NV 94622 Douglas 775-782-1615 Physicians Certified Nurse Practitioner 880405927COLE, MARY ANN 1707 W CHARLESTON BLVD STE 120 LAS VEGAS NV 94624 Clark 702-671-5140 Physicians Certified Nurse Practitioner 880330858COLEMAN, ASHLEY 5135 CAMINO AL NORTE NORTH LAS VEGAS NV 94627 Clark 269-873-3632 Physicians Social Worker 263198139COLEMAN, AVELINA V 525 MARKS ST HENDERSON NV 94628 Clark 702-383-6210 Physicians Certified Nurse Practitioner 886000436COLGAN, JAMES R 412 W JOHN ST STE B CARSON CITY NV 94629 Carson City 775-883-1030 Physicians Urology 880363142COLLAZOS-RODRIGUEZ, JUAN C 3150 N TENAYA WAY LAS VEGAS NV 94630 Clark 702-870-2099 Physicians Pediatrics 880213519COLLEGE PARK REHABILITATION CENTER 2856 E CHEYENNE AVE NORTH LAS VEGAS NV 94631 Clark 702-644-1888 Rehabilitation 200042696COLLETTI, MICHAEL P 4580 S EASTERN AVE LAS VEGAS NV 94632 Clark 702-734-2242 Physicians Rheumatology 880383450COLLIER, JOHN B 3150 N TENAYA WAY STE 125 LAS VEGAS NV 94633 Clark 702-869-0855 Physicians Pulmonology 880350180COLLINS, AMANDA G 7981 IMPERIAL TREASURE ST LAS VEGAS NV 94635 Clark 702-758-9755 Physicians Social Worker 043290453COLLINS, DEMETRIA 4000 E CHARLESTON BLVD STE 130 LAS VEGAS NV 94636 Clark 702-968-4000 Physicians Social Worker 813419791COLLINS, LINDSEY M 3362 S MCCARRAN BLVD RENO NV 94637 Washoe 775-329-5437 Physicians General Dentist 203140812COLLINS, SHANE S 615 SIERRA ROSE DR RENO NV 94638 Washoe 530-412-3494 Rehabilitation Physical Therapy 200932822COLLINS, ZACHARY D 2012 S JONES BLVD LAS VEGAS NV 94641 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643COLLIS, KAREN U 995 CAMPTON ST ELY NV 94642 White Pine 775-293-6558 Physicians Certified Nurse Practitioner 886000022COLMAN, JOSHUA S 9127 W RUSSELL RD LAS VEGAS NV 94643 Clark 702-878-0070 Physicians Anesthesiology 200420553COLOMB, ASHLEY M 7455 W WASHINGTON AVE STE 100 LAS VEGAS NV 94651 Clark 702-655-9456 Rehabilitation Physical Therapy 931331676COLOMBINI, KELSIE L 1625 E PRATER WAY STE 107 SPARKS NV 94652 Washoe 775-825-4744 Rehabilitation Occupational Therapy 562328617COLONIAL HOME CARE LLC 3585 E FLAMINGO RD STE 201 LAS VEGAS NV 94653 Clark 702-733-8533 Ancillary Providers 860853000COLOSIMO, CHARLES P 501 S RANCHO DR STE C14 LAS VEGAS NV 94656 Clark 702-384-7433 Physicians Psychology (Clinical) 880302799COLPITTS, CATHERINE A 123 17TH ST. BRIGHAM BLDG MS 31 Ms 316 RENO NV 94657 Washoe 775-784-1533 Physicians Family Medicine 860872914COLQUITT, RANDAL H 2450 W CHARLESTON BLVD LAS VEGAS NV 94658 Clark 702-877-8661 Physicians Anesthesiology 860857176COLUCCI, MARGARET R 2085 VILLAGE CENTER CIR STE 110 LAS VEGAS NV 94659 Clark 702-880-5335 Physicians Chiropractor 880456113COMEAU, LINDSEY A 670 SIERRA ROSE DR RENO NV 94661 Washoe 775-322-4550 Physicians Certified Nurse Practitioner 880502320

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 39 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDCOMEAUX, CHELSEA C 890 MILL ST RENO NV 94662 Washoe 775-323-5566 Rehabilitation Audiology 886004349COMFORT HANDS LLC 3435 W CRAIG RD STE C NORTH LAS VEGAS NV 94663 Clark 702-538-8814 Ancillary Providers 455387295COMFORT HOSPICE CARE 6655 W SAHARA AVE STE B114 LAS VEGAS NV 94664 Clark 702-489-4412 Ancillary Providers 300075622COMMUNITY FAMILY DOCTORS 4500 W OAKEY BLVD LAS VEGAS NV 94665 Clark 702-873-5110 Physicians Internal Medicine 880388735COMPASS HEALTH SYSTEMS OF NEVADA INC.5900 W ROCHELLE AVE LAS VEGAS NV 94668 Clark 702-364-1111 Physicians Psychiatry 461739850COMPLETE PAIN MANAGEMENT & REHABILITATION LLC1358 PASEO VERDE PKWY STE 100 HENDERSON NV 94669 Clark 702-982-7100 Physicians Physical Medicine & Rehabilitation261935254COMPLEX CARE HOSPITAL AT TENAYA 2500 N TENAYA WAY LAS VEGAS NV 94670 Clark 702-562-2021 Hospitals 452218443COMPREHENSIVE CANCER CENTERS OF NEVADA7445 PEAK DR LAS VEGAS NV 94671 Clark 702-952-2140 Hospitals Critical Access Hospital 880350180COMPREHENSIVE DIGESTIVE INSTITUTE OF NEVADA1665 EAST ST LAS VEGAS NV 94680 Clark 702-510-0236 Physicians Gastroenterology 474436324COMPREHENSIVE HEALTH SERVICE 2330 PASEO DEL PRADO LAS VEGAS NV 94681 Clark 702-489-9355 Ancillary Providers 460984853COMPREHENSIVE MEDICAL CARE 5380 S RAINBOW BLVD STE 236 LAS VEGAS NV 94682 Clark 702-220-5557 Physicians Internal Medicine 203485196COMPREHENSIVE PSYCHOLOGICAL SERVICES2740 S JONES BLVD LAS VEGAS NV 94684 Clark 702-515-3670 Physicians Psychology (Clinical) 260369483COMPREHENSIVE THERAPY CENTERS 1681 W HORIZON RIDGE PKWY HENDERSON NV 94685 Clark 702-835-0165 Rehabilitation 562298123COMPTON, JASON A 1707 W CHARLESTON BLVD STE 160 LAS VEGAS NV 94696 Clark 702-671-5150 Physicians General Surgery 880330858COMPTON, NANCY B 1505 WIGWAM PKWY STE 241 HENDERSON NV 94697 Clark 702-852-3112 Physicians Certified Nurse Practitioner 821510988Concentra Medical Centers 5850 POLARIS AVE STE 100 LAS VEGAS NV 94698 Clark 702-739-9957 Rehabilitation 752014828CONCENTRA URGENT CARE 5850 POLARIS AVE STE 100 LAS VEGAS NV 94705 Clark 702-739-9957 Ambulatory Facilities 752014828CONCIERGE CARE PHYSICIANS 2450 W HORIZON RIDGE PKWY STE 150 HENDERSON NV 94717 Clark 702-990-0622 Physicians Internal Medicine 204895064CONCIO, CONRADO C 4760 BLUE DIAMOND RD STE 110 LAS VEGAS NV 94720 Clark 702-383-2300 Physicians Family Medicine 886000436CONCON, ABEGAIL 2820 W CHARLESTON BLVD STE 33 LAS VEGAS NV 94721 Clark 702-880-1558 Physicians Certified Nurse Practitioner 113794290CONDOLEON, HARRY M 653 N TOWN CENTER DR STE 316 LAS VEGAS NV 94723 Clark 702-894-4440 Physicians General Surgery 208765244CONE, TERENCE M 5450 W SAHARA AVE LAS VEGAS NV 94725 Clark 702-380-8111 Physicians Anesthesiology 235762603CONGER, MICHELLE D 4835 S DURANGO DR LAS VEGAS NV 94727 Clark 702-877-5199 Physicians Family Medicine 200365179CONKEY II, JAMES V 620 SIERRA ROSE DR RENO NV 94728 Washoe 775-689-4519 Physicians Optometry 202330909CONKLIN, THOMAS R 294 E MOANA LN STE 22 RENO NV 94729 Washoe 775-329-2020 Physicians Ophthalmology 651217542CONLEY, NANCY G 10415 DOUBLE R BLVD RENO NV 94731 Washoe 775-829-2277 Physicians Family Medicine 204834432CONLU, ANDREW J 11201 S EASTERN AVE STE 120 HENDERSON NV 94733 Clark 702-731-9711 Physicians Internal Medicine 770619506CONNECT HEARING, INC. 1725 S RAINBOW BLVD STE 15 LAS VEGAS NV 94734 Clark 702-254-6666 Rehabilitation Audiology 260811994CONNER, NICOLLE 2667 ENTERPRISE RD RENO NV 94735 Washoe 775-688-1341 Rehabilitation Speech Pathology 886000022CONNERS, LISA M 2020 WELLNESS WAY STE 300 LAS VEGAS NV 94736 Clark 702-432-2233 Physicians Neurology 471182996CONNOLLY, THOMAS T 10870 W CHARLESTON BLVD STE 170 LAS VEGAS NV 94737 Clark 702-254-6412 Physicians General Dentist 260160921CONRAD LOCHNER III, ODPC 5691 RICKENBACKER RD BLDG 431 NELLIS AFB NV 94739 Clark 702-644-6671 Physicians Optometry 880337354CONRAN SR, WILLIAM V 1155 MILL ST RENO NV 94740 Washoe 775-982-5638 Physicians General Surgery 880151313CONSOLIDATED LABORATORY SERVICES INC.400 SHADOW LN STE 102 LAS VEGAS NV 94741 Clark 702-676-4522 Ancillary Providers 860880035CONSTANTIN, RODICA 3001 SAINT ROSE PKWY HENDERSON NV 94749 Clark 702-616-5466 Physicians Pediatrics 832046524CONSULTING INTERVENTIONAL CARDIOLOGY LLC112 S WATER ST STE 108 HENDERSON NV 94750 Clark 702-386-6855 Physicians Cardiology 880448246CONTACT PHYSICAL THERAPY 1450 E PRATER WAY SPARKS NV 94751 Washoe 505-898-8300 Rehabilitation 043821114CONTI, JENNIFER 2375 E PRATER WAY SPARKS NV 94752 Washoe 775-331-7000 Physicians Emergency Medicine 833597814CONTI, JENNIFER M 2375 E PRATER WAY SPARKS NV 94754 Washoe 775-331-7000 Physicians Emergency Medicine 475671561CONTI, RALPH M 3061 S MARYLAND PKWY STE 104 LAS VEGAS NV 94756 Clark 702-614-5437 Physicians Pediatrics 860876472CONTINO, JOSEPH P 8285 W ARBY AVE STE 175 LAS VEGAS NV 94761 Clark 702-255-1133 Physicians Oncology 201898649CONTINUUM ADVANCED HEALTHCARE 3111 S MARYLAND PKWY STE 100 LAS VEGAS NV 94764 Clark 702-794-0300 Rehabilitation 264488352CONTINUUM INC (THE) 3700 GRANT DR STE A RENO NV 94765 Washoe 775-829-4700 Ambulatory Facilities 880291454CONTOMITROS, ANNA T 7908 W SAHARA AVE LAS VEGAS NV 94766 Clark 702-531-5400 Physicians Obstetrics/Gynecology 208474341CONTRERAS, LAWRENCE S 2080 E FLAMINGO RD STE 111 LAS VEGAS NV 94769 Clark 702-737-8820 Rehabilitation Physical Therapy 200042642CONTRERAS, LISA M 2121 E FLAMINGO RD LAS VEGAS NV 94770 Clark 702-382-8841 Physicians Dietitian 813419791CONWAY-KLEVEN, BROOKE D 1 BREAKTHROUGH WAY LAS VEGAS NV 94771 Clark 702-732-1493 Rehabilitation Physical Therapy 260286469COOK, AMBER S 860 S RANCHO DR STE 3 LAS VEGAS NV 94772 Clark 702-878-0808 Physicians General Dentist 371797092COOK, BETH A 7660 W CHEYENNE AVE STE 114 LAS VEGAS NV 94773 Clark 702-880-1515 Rehabilitation Physical Therapy 201353026COOK, DOSHEEN 10631 PROFESSIONAL CIR STE A RENO NV 94774 Washoe 775-826-6218 Physicians Psychology (Clinical) 530139868COOK, KAITLIN M 7495 W AZURE DR STE 140 LAS VEGAS NV 94776 Clark 702-515-4009 Rehabilitation Speech Pathology 472546455

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 40 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDCOOK, LISA 1107 US HIGHWAY 395 S GARDNERVILLE NV 94777 Douglas 775-782-1600 Physicians Emergency Medicine 880405927COOK, LISA C 630 S RANCHO DR STE A LAS VEGAS NV 94779 Clark 702-998-9505 Physicians Psychology (Clinical) 813419791COOK, MARIE L 4485 S BUFFALO DR LAS VEGAS NV 94780 Clark 702-722-2440 Physicians Social Worker 823795906COOK, RICHARD J 177 CADILLAC PL RENO NV 94781 Washoe 775-827-7500 Physicians Marriage & Family Therapist 559802958COOKE, ERIN L 280 S DECATUR BLVD LAS VEGAS NV 94782 Clark 702-759-1039 Physicians Certified Nurse Practitioner 880151573COOLEY, RYAN L 1301 BERTHA HOWE AVE STE 6 MESQUITE NV 94783 Clark 435-251-2900 Physicians Cardiology 870281028COOMBS, MELISSA C 1800 W CHARLESTON BLVD LAS VEGAS NV 94784 Clark 702-383-3736 Physicians General Practice 462623421COONEY, MICHAEL J 1397 S LOOP RD PAHRUMP NV 94835 Nye 702-759-8600 Physicians Radiology/Diagnostic 741740101COONS, CHRISTINE C 5216 BOULDER HWY STE 105 LAS VEGAS NV 94859 Clark 513-846-6778 Physicians Certified Nurse Practitioner 852357914COOPER, ERIC 3001 SAINT ROSE PKWY HENDERSON NV 94860 Clark 702-616-5000 Physicians CRNA 852385334COOPER, GRANT D 1365 MEDICAL PKWY CARSON CITY NV 94869 Carson City 775-786-3040 Rehabilitation Physical Therapy 880103557COOPER, LAURA K 34 LAKES BLVD STE 101C DAYTON NV 94870 Lyon 775-246-6211 Physicians Certified Nurse Practitioner 880502320COOPER, MATTHEW M 7375 PEAK DR STE 110 LAS VEGAS NV 94871 Clark 702-948-8080 Physicians Thoracic Surgery 880133088COOPER, MICHAEL J 6161 W CHARLESTON BLVD LAS VEGAS NV 94876 Clark 702-486-4000 Physicians Social Worker 263198139COOPER, MYRA S 9260 W SUNSET RD LAS VEGAS NV 94877 Clark 702-255-3547 Physicians CRNA 460766041COOPER, SHEILA D 1800 W CHARLESTON BLVD LAS VEGAS NV 94878 Clark 702-878-0070 Physicians Anesthesiology 731451967COPELAND, IRA H 2901 N TENAYA WAY STE 100 LAS VEGAS NV 94889 Clark 702-228-4088 Physicians Internal Medicine 880252300COPELAND, LAWRENCE S 653 N TOWN CENTER DR LAS VEGAS NV 94890 Clark 702-485-2791 Physicians Internal Medicine 880252300COPENHAVER JR, JOHN W 1409 E LAKE MEAD BLVD NORTH LAS VEGAS NV 94891 Clark 702-649-7711 Physicians Radiology/Diagnostic 410916626COPPEDGE, MALIKA 2255 RENAISSANCE DR STE A LAS VEGAS NV 94892 Clark 702-876-0350 Physicians Certified Nurse Practitioner 841930669COPPEL SURGICAL SOLUTIONS 2809 W CHARLESTON BLVD LAS VEGAS NV 94894 Clark 702-476-1800 Ambulatory Facilities 460641933COQUELET-MEYER, MADELAINE H 1640 ALTA DR STE 4 LAS VEGAS NV 94895 Clark 702-474-6450 Physicians Professional Counselor 880111970CORAL MEDICAL 416 S ROCK BLVD SPARKS NV 94897 Washoe 775-359-1944 Ancillary Providers 650140174CORAM HEALTHCARE 101 N PECOS RD STE 101 LAS VEGAS NV 94898 Clark 702-453-4546 Ancillary Providers 582155369CORAM HEALTHCARE CORPORATION OF NEVADA101 N PECOS RD STE 101-105 LAS VEGAS NV 94899 Clark 702-453-4546 Ancillary Providers 581972771CORAM SPECIALTY INFUSION SERVICES, AN APRIA HEALTHCARE COMPANY6490 S MCCARRAN BLVD STE 29 RENO NV 94903 Washoe 916-857-7000 Ancillary Providers 581972771CORBETT, BRET D 1929 CALIFORNIA ST CARSON CITY NV 94907 Carson City 775-884-4994 Physicians Chiropractor 880502320CORBIN, DINA 9280 W SUNSET RD STE 438 LAS VEGAS NV 94908 Clark 702-877-1887 Physicians Nephrology 880136673CORDELL, GARY W 685 E PRATER WAY STE 103 SPARKS NV 94909 Washoe 775-358-4600 Physicians General Dentist 262128554CORDELL, JENNIFER L 1104 N DIVISION ST CARSON CITY NV 94911 Carson City 775-882-9123 Physicians Optometry 880422211CORDERO YORDAN, HERBERT 2865 SIENA HEIGHTS DR STE 331 HENDERSON NV 94912 Clark 702-407-0110 Physicians Cardiology 880213519CORDOVA JR, CHARLES R 3362 S MCCARRAN BLVD RENO NV 94914 Washoe 775-329-5437 Physicians General Dentist 203140812CORDOVA, SHEMROCK O 5412 BOULDER HWY LAS VEGAS NV 94916 Clark 702-383-2300 Physicians Family Medicine 886000436CORE CHIROPRACTIC 6600 W CHARLESTON BLVD STE 136 LAS VEGAS NV 94918 Clark 702-878-0056 Physicians Chiropractor 043821114CORE HOLDINGS INC 3595 AIRWAY DR STE 410 RENO NV 94919 Washoe 775-829-4756 Ancillary Providers 770340201CORE PHYSICAL THERAPY 68 N PECOS RD STE B HENDERSON NV 94923 Clark 702-990-4123 Rehabilitation 731734059CORE PHYSICAL THERAPY (GA) 1561 S VIRGINIA ST RENO NV 94924 Washoe 775-322-4555 Rehabilitation 043821114CORMAN, ADAM R 4980 W SAHARA AVE LAS VEGAS NV 94925 Clark 702-216-7365 Physicians Emergency Medicine 824933457CORNEJO, JENNIFER L 5380 S RAINBOW BLVD STE 324 LAS VEGAS NV 94926 Clark 702-702-6828 Rehabilitation Audiology 880330858CORNELL, DAVID E 600 S RANCHO DR STE 113 LAS VEGAS NV 94927 Clark 702-878-1065 Physicians Podiatry 470786902CORNELL, DENISE L 1835 ODDIE BLVD SPARKS NV 94928 Washoe 775-982-5140 Physicians Certified Nurse Practitioner 263303591CORNELL, WASEYA A 2380 W HORIZON RIDGE PKWY HENDERSON NV 94929 Clark 702-823-4255 Physicians Emergency Medicine 880262438CORNERSTONE FAMILY PRACTICE 10001 S EASTERN AVE STE 309 HENDERSON NV 94932 Clark 702-269-6345 Physicians Family Medicine 203249411CORNETTJR, FRANK W 7250 PEAK DR LAS VEGAS NV 94934 Clark 702-386-4700 Physicians Anesthesiology 204727467CORONADO SURGERY CENTER, LLC 2779 W HORIZON RIDGE PKWY STE 140 HENDERSON NV 94935 Clark 702-589-9257 Ambulatory Facilities 261743406CORONADO SURGICAL LLC 2779 W HORIZON RIDGE PKWY STE 200 HENDERSON NV 94936 Clark 702-990-2290 Hospitals 274700340CORPUEL, JEFFREY H 216 MOUNT ROSE ST RENO NV 94937 Washoe 775-329-5858 Physicians Psychology (Clinical) 886000022CORPUZ, FRANCISCO ANTONIO B 1219 E CHARLESTON BLVD LAS VEGAS NV 94938 Clark 702-633-5410 Physicians Certified Nurse Practitioner 880371504CORRALES, CONSUELO 3025 S MARYLAND PKWY LAS VEGAS NV 94939 Clark 702-254-5437 Physicians General Practice 880371504CORRAO, MARC 2005 SIERRA HIGHLANDS DR RENO NV 94948 Washoe 775-324-3700 Physicians Chiropractor 880342594CORREA, YOLANDA M 7271 W CHARLESTON BLVD STE 180 LAS VEGAS NV 94949 Clark 702-912-1053 Physicians Marriage & Family Therapist 557196967

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 41 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDCORRIGAN, MARK W 2450 W CHARLESTON BLVD LAS VEGAS NV 94950 Clark 702-724-8780 Physicians Anesthesiology 860857176CORTES, DAISY C 8352 W WARM SPRINGS RD STE 200 LAS VEGAS NV 94951 Clark 702-330-0555 Physicians Pediatric Hematology 822793154CORTESE, ANTOINETTE A 1400 MEDICAL PKWY CARSON CITY NV 94952 Carson City 775-883-1700 Physicians Radiology/Diagnostic 383667923COSNER, AMY 2780 S JONES BLVD STE 100A LAS VEGAS NV 94954 Clark 702-820-3061 Physicians Professional Counselor 820870653COSTA, PETER N 973 MICA DR STE 201 CARSON CITY NV 94955 Douglas 775-783-6190 Physicians Physical Medicine & Rehabilitation880425998COSTA, TIMOTHY M 801 E WILLIAMS AVE STE 2207 FALLON NV 94956 Churchill 775-867-7740 Physicians Internal Medicine 364288180COSTAS, ANDRES F 5450 W SAHARA AVE STE 340 LAS VEGAS NV 94957 Clark 702-380-8111 Physicians Anesthesiology 219487482COSTELLO, THOMAS E 2020 PALOMINO LN LAS VEGAS NV 94968 Clark 702-759-8600 Physicians Radiology/Diagnostic 310745303COTE, KIMBERLY A 2650 N TENAYA WAY STE 201 LAS VEGAS NV 94996 Clark 702-735-7154 Physicians Certified Nurse Practitioner 880213519COTTINGHAM, C SINCLAIR 2020 PALOMINO LN LAS VEGAS NV 94997 Clark 888-727-1074 Physicians Radiology/Diagnostic 822135009COTTINGHAM, C SINCLAIR C 2020 PALOMINO LN STE 100 LAS VEGAS NV 95023 Clark 888-727-1074 Physicians Radiology/Diagnostic 880119638COTTON-LEWIS, DITHRA A 4958 S RAINBOW BLVD STE 100 LAS VEGAS NV 95024 Clark 702-987-6174 Physicians Certified Nurse Practitioner 262400654COTTRELL, EARL D 7200 CATHEDRAL ROCK DR STE 130 LAS VEGAS NV 95026 Clark 702-228-8600 Physicians Vascular Surgery 300072350COTTRELL, GERALD L 1702 COUNTY RD STE B MINDEN NV 95029 Douglas 775-782-4457 Physicians Family Medicine 880502320COUGHLIN, TIMOTHY D 7111 S VIRGINIA ST STE A7 RENO NV 95030 Washoe 775-851-5700 Physicians Family Medicine 880390423COUNSELING CONNECTION 8350 W SAHARA AVE STE 130 LAS VEGAS NV 95033 Clark 702-258-5711 Physicians Marriage & Family Therapist 880310781COUNSELING OPPORTUNITIES, INC 3710 GRANT DR STE K RENO NV 95034 Washoe 775-323-7799 Physicians Professional Counselor 201229334COUREY, MONICA A 880 ALDER AVE INCLINE VILLAGE NV 95035 Washoe 775-833-4100 Physicians Emergency Medicine 862775542COUTURE DERMATOLOGY & PLASTIC SURGERY2615 BOX CANYON DR LAS VEGAS NV 95036 Clark 702-998-9001 Physicians Dermatology 453650465COVEY, CARLTON J 4700 LAS VEGAS BLVD N NELLIS AFB NV 95037 Clark 702-653-2369 Physicians Sports Medicine 710236870COVINGTON, CHRISTINA 6857 W CHARLESTON BLVD LAS VEGAS NV 95038 Clark 702-304-2144 Physicians Certified Nurse Practitioner 201026537COVINGTON, SHALLAN D 4700 LAS VEGAS BLVD N NELLIS AFB NV 95039 Clark 702-653-2965 Physicians Certified Nurse Practitioner 201427365COWAN, GARLAND A 10120 S EASTERN AVE HENDERSON NV 95040 Clark 702-487-6880 Physicians Anesthesiology 262460167COWEE, MICHELE A 302 N MINNESOTA ST CARSON CITY NV 95041 Carson City 775-884-0544 Physicians Dietitian 288708355COWIE, KATIE R 3700 GRANT DR STE A RENO NV 95042 Washoe 775-829-4700 Rehabilitation Speech Pathology 880291454COWLEY, DANIEL P 5001 E BONANZA RD STE 160 LAS VEGAS NV 95043 Clark 702-307-2273 Physicians Orthodontist 821394606COX JR, EDGAR L 1800 W CHARLESTON BLVD LAS VEGAS NV 95044 Clark 702-383-2000 Physicians Family Medicine 886000436COX, CAROLYN 3711 E SUNSET RD STE 12 LAS VEGAS NV 95056 Clark 702-932-4308 Physicians Marriage & Family Therapist 562298123COX, JEFFREY A 2843 SAINT ROSE PKWY STE 100 HENDERSON NV 95060 Clark 702-531-5437 Physicians Pediatric Dentist 432056953COX, JENNIFER E 2012 S JONES BLVD LAS VEGAS NV 95061 Clark 702-360-1137 Rehabilitation Speech Pathology 412129643COX, RICK L 158 S TAYLOR ST FALLON NV 95063 Churchill 775-867-4123 Physicians Psychology (Clinical) 886000022COX, STEVEN J 916 W OWENS AVE LAS VEGAS NV 95065 Clark 702-631-8800 Physicians Social Worker 043290453COY, MICHAEL R 1341 S RAINBOW BLVD STE 101 LAS VEGAS NV 95066 Clark 702-255-4200 Physicians Family Medicine 880407695CPAP & MORE 410 N MCCARRAN BLVD SPARKS NV 95069 Washoe 775-331-5700 Ancillary Providers 410773720CRAIG D. CLARK, M.D., A PROFESSIONAL CORPORATION2405 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 95070 Clark 702-982-1300 Physicians Orthopedic Surgery 880479471CRAIG, WILLIAM V 3370 S HIGHWAY 160 STE 8-11 PAHRUMP NV 95072 Nye 775-413-6025 Physicians Internal Medicine 261136614CRAMOND, ALEXANDER J 9645 GATEWAY DR STE B RENO NV 95073 Washoe 775-525-1347 Physicians Psychology (Clinical) 264546700CRANKSHAW, LAURA 1707 W CHARLESTON BLVD STE 160 LAS VEGAS NV 95074 Clark 702-671-5150 Physicians General Surgery 813419791CRAPKO, MATTHEW J 75 PRINGLE WAY STE 1002 RENO NV 95075 Washoe 775-323-7500 Physicians General Surgery 203707845CRAWFORD, ALYSON B 75 PRINGLE WAY STE 1002 RENO NV 95077 Washoe 775-323-7500 Physicians General Surgery 880341656CRAWFORD, BARBARA T 3001 SAINT ROSE PKWY HENDERSON NV 95078 Clark 702-616-5925 Physicians Internal Medicine 472990144CRAWFORD, BRUCE S 645 SIERRA ROSE DR STE 204 RENO NV 95080 Washoe 775-284-3482 Physicians Obstetrics/Gynecology 880502320CRAWFORD, JASON P 3915 NEIL RD RENO NV 95082 Washoe 775-870-4333 Physicians Family Medicine 271074615CRAWFORD, JOHN W 1650 COMMUNITY COLLEGE DR LAS VEGAS NV 95085 Clark 702-486-4400 Physicians Psychology (Clinical) 886000022CRAWFORD, KAREN M 600 S TONOPAH DR STE 350 LAS VEGAS NV 95086 Clark 702-384-6330 Rehabilitation Physical Therapy 880248110CRAWFORD, MARK S 9127 W RUSSELL RD LAS VEGAS NV 95088 Clark 702-878-0070 Physicians CRNA 202428069CRAWFORD, MICHELLE A 7391 W CHARLESTON BLVD STE 140 LAS VEGAS NV 95097 Clark 702-304-2144 Physicians Certified Nurse Practitioner 201026537CRAYTHORN, JUDY M 2475 W HORIZON RIDGE PKWY STE 120 HENDERSON NV 95098 Clark 702-731-2088 Physicians Ophthalmology 880107297CREATIVE DENTAL 2585 S NELLIS BLVD STE 6 LAS VEGAS NV 95103 Clark 702-641-0481 Physicians General Dentist 113729791CREED, LUTHER 2020 PALOMINO LN STE 100 LAS VEGAS NV 95104 Clark 702-759-8600 Physicians Radiology/Diagnostic 880277151CREEKSIDE HOSPICE 3675 PECOS MCLEOD STE 900 LAS VEGAS NV 95106 Clark 702-650-7669 Ancillary Providers 272398378

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 42 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDCREEKSIDE OBGYN 98 E LAKE MEAD PKWY HENDERSON NV 95107 Clark 702-564-1758 Physicians Obstetrics/Gynecology 352111732CREMEAN, BRYCE 59 DAMONTE RANCH PKWY STE F RENO NV 95108 Washoe 775-851-2204 Physicians General Dentist 461410369CREMONINI, FILIPPO 3910 S MARYLAND PKWY LAS VEGAS NV 95112 Clark 702-982-7240 Physicians Gastroenterology 262435817CRESSMAN, TODD H 5527 S RAINBOW BLVD STE A LAS VEGAS NV 95113 Clark 702-367-4440 Physicians General Dentist 454797322CRIBB, JENNIFER L 5536 S FORT APACHE RD STE 102 LAS VEGAS NV 95114 Clark 702-456-8299 Physicians Certified Nurse Practitioner 822915398CRITERION, INC. 5605 RIGGINS CT RENO NV 95117 Washoe 775-826-6090 Ancillary Providers 880307575CRITICAL CARE ASSOCIATES 2879 GEARY PL STE 2811 LAS VEGAS NV 95118 Clark 702-734-5050 Physicians Internal Medicine 208389108Critical Care Systems, Inc. 5401 LONGLEY LN STE 34 RENO NV 95119 Washoe 775-829-2100 Ambulatory Facilities 043115329CROGHAN, CARI L 2375 E PRATER WAY SPARKS NV 95120 Washoe 775-331-7000 Physicians Emergency Medicine 475671561CROKE, ROBERT P 1001 S EASTER AVE HENDERSON NV 95121 Clark 702-456-3668 Physicians Cardiology 880156903CROP, JUSTIN A 360 S LOLA LN PAHRUMP NV 95135 Nye 775-751-7580 Physicians Family Medicine 261136614CROSBY, HOLLY D 330 S CASINO CENTER BLVD LAS VEGAS NV 95136 Clark 702-671-5699 Physicians Certified Nurse Practitioner 430821959CROSS, JASON S 1707 W CHARLESTON BLVD STE 230 LAS VEGAS NV 95137 Clark 702-671-5060 Physicians Certified Nurse Practitioner 880330858CROSSLEY, DAVID M 9127 W RUSSELL RD LAS VEGAS NV 95138 Clark 702-878-0070 Physicians Anesthesiology 592905984CROUCH, JOHN E 1397 S LOOP RD PAHRUMP NV 95154 Nye 702-759-8600 Physicians Radiology/Diagnostic 752296947CROVETTI BONE AND JOINT INSTITUTE OF SOUTHERN NEVA2779 W HORIZON RIDGE PKWY STE 200 HENDERSON NV 95175 Clark 702-990-2290 Physicians Orthopedic Surgery 880454760CROW, CARIS L 169 N NELLIS BLVD LAS VEGAS NV 95176 Clark 702-384-1010 Physicians General Dentist 371797092CROW, CAROLYN A 2012 S JONES BLVD LAS VEGAS NV 95177 Clark 702-360-1137 Rehabilitation Speech Pathology 412129643CROWDER, STEPHANIE 880 RYLAND ST RENO NV 95178 Washoe 775-329-4600 Physicians CRNA 852385334CROWLEY, BRETT L 6785 W RUSSELL RD STE 140 LAS VEGAS NV 95188 Clark 702-646-8400 Physicians Chiropractor 900149607CROWLEY, MICHAEL 7326 W CHEYENNE AVE LAS VEGAS NV 95190 Clark 702-386-4700 Physicians Anesthesiology 880104778CRUET, CHARMAINE C 6580 S MCCARRAN BLVD RENO NV 95200 Washoe 775-828-5100 Physicians Certified Nurse Practitioner 455557052CRUICKSHANK, AMY 1 BREAKTHROUGH WAY LAS VEGAS NV 95211 Clark 702-732-1493 Physicians Pediatric Hematology 260286469CRUM, BRANDAN E 2001 ERRECART BLVD ELKO NV 95212 Elko 888-952-6772 Physicians Emergency Medicine 880307849CRUM, DONALD 2001 ERRECART BLVD ELKO NV 95213 Elko 775-777-0935 Physicians Emergency Medicine 205599219CRUM, MORGAN S 8333 S EASTERN AVE LAS VEGAS NV 95215 Clark 702-263-3802 Rehabilitation Physical Therapy 232725850CRUSE, ANNE M 2425 N LAMB BLVD STE 120 LAS VEGAS NV 95217 Clark 702-851-7766 Physicians Dietitian 462812104CRUTCHFIELD, MICHAEL C 8230 W SAHARA AVE STE 121 LAS VEGAS NV 95222 Clark 702-944-2001 Physicians Optometry 880459267CRUVANT, CAROLYN A 3575 PECOS MCLEOD LAS VEGAS NV 95224 Clark 702-731-2088 Physicians Ophthalmology 880316581CRUVANT, ETHAN M 3006 S MARYLAND PKWY STE 750 LAS VEGAS NV 95227 Clark 702-735-8734 Physicians General Practice 880154334CRUZ, ARIC E 863 RUSTY BRANCH AVE LAS VEGAS NV 95230 Clark 702-302-1288 Physicians Chiropractor 680479509CRUZ, JACINTA F 5536 S FORT APACHE RD STE 102 LAS VEGAS NV 95234 Clark 702-915-7001 Physicians Certified Nurse Practitioner 300498968CRUZ, JESSICA A 5876 S PECOS RD BLDG B LAS VEGAS NV 95236 Clark 702-733-0744 Physicians Certified Nurse Practitioner 461446286CRUZ, RAFAEL 821 N NELLIS BLVD LAS VEGAS NV 95237 Clark 702-438-4003 Physicians Family Medicine 880407695CRUZ, SERGIO V 1104 N DIVISION ST CARSON CITY NV 95238 Carson City 775-882-9123 Physicians Optometry 880422211CSER, MEGAN 2831 SAINT ROSE PKWY SUTIE 200 HENDERSON NV 95239 Clark 800-249-1266 Physicians Professional Counselor 452748445CUDWORTH, EUGENE H UNR SPORTSMEDICINE COMPLEX RENO NV 95240 Washoe 775-784-1999 Rehabilitation Physical Therapy 880297530CUENCO, ANDREEA 1701 W CHARLESTON BLVD STE 300 LAS VEGAS NV 95241 Clark 702-251-8000 Physicians Psychiatry 886000022CUEVA, TRICIA MAE A 7181 N HUALAPAI WAY STE 105 LAS VEGAS NV 95242 Clark 702-852-1818 Physicians General Dentist 810950476CUEVAS, MARCO 4221 MCLEOD DR LAS VEGAS NV 95244 Clark 702-474-6450 Physicians Professional Counselor 880111970CULL, DEEPTHI S 10301 JEFFREYS ST HENDERSON NV 95246 Clark 702-939-9400 Physicians Physical Medicine & Rehabilitation361509000CULLEY, LAURA K 1707 W CHARLESTON BLVD STE 100 LAS VEGAS NV 95247 Clark 702-676-3650 Physicians Internal Medicine 813419791CULPEPPER, MARAH 3481 E SUNSET RD STE 101 LAS VEGAS NV 95248 Clark 702-322-2180 Physicians General Dentist 880513323CULPEPPER, NICKOLAS H 6940 SIERRA CENTER PKWY RENO NV 95252 Washoe 775-393-2200 Physicians Psychiatry 842050464CUMMINGS, DANIEL R 880 RYLAND ST RENO NV 95253 Washoe 775-329-4600 Physicians Gastroenterology 880182841CUMMINGS, JEFFREY L 888 W BONNEVILLE AVE LAS VEGAS NV 95254 Clark 702-483-6000 Physicians Neurology 954379487CUMMINGS, JEFFREY R 306 SURPRISE AVE YERINGTON NV 95255 Lyon 775-463-2301 Physicians Orthopedic Surgery 941709925CUMMINGS, RON 2920 S RAINBOW BLVD STE 160 LAS VEGAS NV 95259 Clark 702-253-1173 Physicians Professional Counselor 556290427CUNANAN DIMAILIG, NERISSA C 4200 W CHARLESTON BLVD BLDG A LAS VEGAS NV 95260 Clark 702-312-2233 Physicians Certified Nurse Practitioner 880478227CUNNINGHAM, EDWARD H 1550 W HORIZON RIDGE PKWY STE S HENDERSON NV 95261 Clark 310-212-7006 Physicians Chiropractor 821771669CUNNINGHAM, JAMES A 1425 VISTA LN CARSON CITY NV 95262 Carson City 775-883-1030 Physicians Urology 880363142

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 43 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDCUNNINGHAM, KAYE A 5785 CENTENNIAL CENTER BLVD STE 230 LAS VEGAS NV 95263 Clark 702-383-2273 Physicians Family Medicine 886000436CUNNINGHAM, STEVE 845 AITKEN ST RENO NV 95264 Washoe 775-786-1444 Physicians Orthopedic Surgery 880107997CUNNINGHAM, SUSAN 2020 PALOMINO LN STE 100 LAS VEGAS NV 95265 Clark 702-759-8600 Physicians General Practice 474650347CUPP, KATIE A 9280 W SUNSET RD STE 312 LAS VEGAS NV 95290 Clark 702-737-5864 Physicians Certified Nurse Practitioner 880350180CURLEY, WILLIAM J 3121 S MARYLAND PKWY LAS VEGAS NV 95292 Clark 866-530-3940 Physicians Family Medicine 860852466CURRY, DIANE N 7675 LAKESIDE DR RENO NV 95294 Washoe 775-853-2974 Physicians Certified Nurse Practitioner 275565244CURRY, GORDON R 10791 DOUBLE R BLVD RENO NV 95295 Washoe 775-284-2020 Physicians Anesthesiology 880101307CURRY, JAMES D 7200 CATHEDRAL ROCK DR STE 250 LAS VEGAS NV 95310 Clark 702-383-4040 Physicians General Surgery 880219190CURRY, NAKEISHA M 1000 S RAINBOW BLVD # A LAS VEGAS NV 95313 Clark 702-464-8866 Physicians Internal Medicine 850563070CURRY-WINCHELL, BAYO K 2874 N CARSON ST STE 135 CARSON CITY NV 95314 Carson City 775-883-7855 Physicians Family Medicine 680517884CURTI, JESSICA M 900 RYLAND ST RENO NV 95317 Washoe 775-786-3555 Physicians Family Medicine 455557052CURTIS R. POTTS CHIROPRACTIC, PC 255 W MOANA LN STE 111 RENO NV 95318 Washoe 775-323-3286 Ambulatory Facilities 205121889CURTIS, DANIEL 555 W ARLINGTON AVE RENO NV 95319 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557CURTIS, DANIEL K 9127 W RUSSELL RD LAS VEGAS NV 95320 Clark 702-878-0070 Physicians Anesthesiology 822526636CURTIS, DANNY L 655 N TOWN CENTER DR LAS VEGAS NV 95331 Clark 702-233-2200 Physicians Radiation Oncology 272223260CURTIS, JOSHUA V 9080 W CHEYENNE AVE STE 150 LAS VEGAS NV 95334 Clark 702-880-1515 Rehabilitation Physical Therapy 463437639CURTIS, RUSSELL S 307 W WINNIE LN STE 2 CARSON CITY NV 95337 Carson City 775-885-2323 Physicians General Dentist 680614740CUSHNER, MALLORY H 2874 N CARSON ST STE 210 CARSON CITY NV 95338 Carson City 775-783-6190 Physicians Certified Nurse Practitioner 880502320CUSTOM PT - NW RENO 1610 ROBB DR STE D5 RENO NV 95339 Washoe 775-746-9222 Rehabilitation 043708931CUSTOM PT - SPARKS 1450 E PRATER WAY SPARKS NV 95340 Washoe 775-331-1199 Rehabilitation 043708931CUTILLAR, MARIROSE 1802 N CARSON ST STE 100 CARSON CITY NV 95341 Carson City 775-887-1590 Physicians Family Medicine 886004349CUTLER, JEROME 7125 N DURANGO DR LAS VEGAS NV 95344 Clark 702-658-2311 Physicians General Dentist 205339044CUTLER, JEROME C 6525 N DECATUR BLVD STE 150 LAS VEGAS NV 95345 Clark 702-577-1941 Physicians General Dentist 208862814CUTTER, JI A 6376 SPRING MOUNTAIN RD STE 3 LAS VEGAS NV 95347 Clark 702-220-8488 Physicians General Dentist 261613169CYKA, RONETTE 653 N TOWN CENTER DR LAS VEGAS NV 95348 Clark 702-307-9980 Physicians Obstetrics/Gynecology 861154556D'AGOSTINO, MEREDITH N 421 W PLUMB LN STE 1 RENO NV 95350 Washoe 775-525-8103 Physicians Certified Nurse Practitioner 825259010D. KEITH KLEVEN 3820 S JONES BLVD LAS VEGAS NV 95352 Clark 702-731-0831 Rehabilitation 880349542DABABNEH, NARMEEN N 480 GALLETTI WAY SPARKS NV 95353 Washoe 775-688-2001 Physicians Certified Nurse Practitioner 886000022DACCACHE, MICHEL J 526 S TONOPAH DR STE 200 LAS VEGAS NV 95354 Clark 702-435-3888 Physicians Oral Surgery 264224503DACKS, LAURA M 1707 W CHARLESTON BLVD STE 230 LAS VEGAS NV 95358 Clark 702-671-5060 Physicians General Surgery 880330858DADOURIAN, BERGE J 8205 W WARM SPRINGS RD STE 210 LAS VEGAS NV 95361 Clark 702-724-8888 Physicians Cardiology 274003150DADSERESHT, SASSAN 445 W CRAIG RD STE 121 NORTH LAS VEGAS NV 95364 Clark 702-399-9118 Physicians General Dentist 261591087DAGHER, HIKMAT N 6040 S FORT APACHE RD STE 100 LAS VEGAS NV 95366 Clark 702-476-4900 Physicians Critical Care 891485613DAGUMAN, MEILAN L 2235 E FLAMINGO RD STE 128 LAS VEGAS NV 95368 Clark 702-994-7267 Physicians Certified Nurse Practitioner 832344154DAHAGAM, CHANUKYA R 102 E LAKE MEAD PKWY HENDERSON NV 95372 Clark 702-616-5000 Physicians Internal Medicine 472990144DAHL, SARAH 171 N GIBSON RD HENDERSON NV 95373 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643DALESSANDRO, NICOLE 7195 ADVANCE WAY LAS VEGAS NV 95374 Clark 702-740-5327 Physicians Podiatry 232988962DALEY, RACHAEL L 2480 PROFESSIONAL CT LAS VEGAS NV 95375 Clark 941-313-3300 Physicians Certified Nurse Practitioner 387150427DALISKY, RYAN J 6850 N DURANGO DR STE 120 LAS VEGAS NV 95376 Clark 702-791-7855 Physicians General Surgery 261443080DALLESSIO, JOSEPH J 657 N TOWN CENTER DR LAS VEGAS NV 95379 Clark 702-233-7000 Physicians Pediatric Critical Care 880266682DALLEY, KAREN J 653 N TOWN CENTER DR LAS VEGAS NV 95380 Clark 702-869-0070 Physicians Obstetrics/Gynecology 880344224DALRYMPLE, HEATHER F 1510 W HORIZON RIDGE PKWY STE 160 HENDERSON NV 95381 Clark 702-566-8255 Rehabilitation Occupational Therapy 886000022DALRYMPLE, ITHA 6170 N DURANGO DR STE 130 LAS VEGAS NV 95382 Clark 702-940-1550 Physicians Family Medicine 880213519DALRYMPLEIV, WILLIAM 6170 N DURANGO DR STE 130 LAS VEGAS NV 95383 Clark 702-940-1550 Physicians Family Medicine 880213519DALTON, DAVID A 700 N SPRING ST CALIENTE NV 95384 Lincoln 775-726-3171 Physicians Family Medicine 430915648DALUGA, JOSEPHINE M 1800 W CHARLESTON BLVD LAS VEGAS NV 95385 Clark 702-383-2688 Physicians Occupational Medicine 886000436DALUSUNG ANGOSTA, ALONA 9975 S EASTERN AVE STE 110 LAS VEGAS NV 95387 Clark 702-361-2273 Physicians Certified Nurse Practitioner 203502995DAMAJ, NOUHAD B 6170 N DURANGO DR STE 220 LAS VEGAS NV 95389 Clark 702-641-8500 Physicians Internal Medicine 260855946DAMANIA, ZUBIN R 1930 VILLAGE CENTER CIR LAS VEGAS NV 95390 Clark 702-479-1474 Physicians Internal Medicine 880330858DAMASCO TY, EDESON G 700 E WARM SPRINGS RD LAS VEGAS NV 95391 Clark 702-216-3350 Physicians Internal Medicine 880404402DAMATO, THOMAS A 5320 S RAINBOW BLVD LAS VEGAS NV 95392 Clark 702-737-3808 Physicians Thoracic Surgery 880268805

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 44 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDDAMIANO, JOYCE C 2839 SAINT ROSE PKWY STE 130 HENDERSON NV 95394 Clark 702-558-4027 Physicians Certified Nurse Practitioner 880485076DAMMEL CHIROPRACTIC 133 W LAKE MEAD PKWY STE 200 HENDERSON NV 95395 Clark 702-531-3338 Ambulatory Facilities 043821114DAMORE, DIANE A 7495 W AZURE DR LAS VEGAS NV 95396 Clark 702-515-4015 Physicians Professional Counselor 510586058DAMPOG, RONALD RENY 10624 S EASTERN AVE STE A955 HENDERSON NV 95398 Clark 702-800-5393 Physicians Certified Nurse Practitioner 263668328DANAGHER, SEAN L 6410 S VIRGINIA ST RENO NV 95399 Washoe 775-322-5757 Rehabilitation Physical Therapy 752014828DANDOLU, VANI 1707 W CHARLESTON BLVD STE 120 LAS VEGAS NV 95400 Clark 702-671-5140 Physicians Obstetrics/Gynecology 880330858DANESHMAND, SAID T 8851 W SAHARA AVE LAS VEGAS NV 95405 Clark 702-254-1777 Physicians Obstetrics/Gynecology 204038928DANFORTH, ROBERT A 1700 W CHARLESTON BLVD LAS VEGAS NV 95406 Clark 702-774-2816 Physicians General Dentist 886000024DANG, SOPHIA D 4818 SPARKS BLVD STE 102 SPARKS NV 95407 Washoe 775-626-6300 Physicians General Dentist 300472994DANG, THOUNG 6116 W FLAMINGO RD LAS VEGAS NV 95408 Clark 702-369-5551 Physicians General Dentist 271674318DANGELI, BROOKE S 10425 CHIMNEY FLAT CT LAS VEGAS NV 95411 Clark 484-459-9045 Rehabilitation Speech Pathology 886000022DANI, PRASHANT S 5575 S DURANGO DR STE 103 LAS VEGAS NV 95412 Clark 702-435-5437 Physicians Pediatrics 880213519DANI, ROOPA P 1000 S RAINBOW BLVD LAS VEGAS NV 95413 Clark 702-259-9533 Physicians Geriatric Medicine 880213519Daniel Taheri MD PC 5731 S FORT APACHE RD # 130 LAS VEGAS NV 95414 Clark 702-272-1600 Physicians Dermatology 223951517DANIELIAN, ALFRED 10105 BANBRY CROSS DR STE 250 LAS VEGAS NV 95419 Clark 702-360-7600 Physicians Cardiology 880213519DANIELSON, MELISSA 1701 W CHARLESTON BLVD STE 300 LAS VEGAS NV 95423 Clark 702-251-8000 Physicians Marriage & Family Therapist 043290453DANISH, CHARLES K 10624 S EASTERN AVE HENDERSON NV 95425 Clark 702-800-5393 Physicians Internal Medicine 541691022DANNELS, WYATT S 240 N JONES BLVD STE B LAS VEGAS NV 95427 Clark 702-522-1929 Physicians General Dentist 861209296DANNEMILLER, ELISA M 801 E WILLIAMS AVE FALLON NV 95432 Churchill 775-423-3151 Physicians Emergency Medicine 943302301DANTON, WILLIAM G 6490 S MCCARRAN BLVD # 3 RENO NV 95435 Washoe 775-826-6218 Physicians Psychology (Clinical) 552623888DANZER, ERWIN 1569 E FLAMINGO RD STE A LAS VEGAS NV 95436 Clark 702-476-9999 Physicians Certified Nurse Practitioner 411310335DAO, ALEXANDER 1000 S RAINBOW BLVD LAS VEGAS NV 95437 Clark 702-259-0088 Physicians Family Medicine 880213519DAO, ALEXANDER K 3375 E TROPICANA AVE STE F8 LAS VEGAS NV 95438 Clark 702-964-3626 Physicians General Dentist 811004194DAO, KHOI M 655 N TOWN CENTER DR LAS VEGAS NV 95440 Clark 702-233-2200 Physicians Hematology/Oncology 232856644DAOUD, SHADI N 9260 W SUNSET RD STE 207 LAS VEGAS NV 95442 Clark 702-962-2200 Physicians Cardiology 331159527DAPRA JR, DAVID J 2811 N GREEN VALLEY PKWY HENDERSON NV 95444 Clark 702-434-2219 Physicians General Dentist 680614740DAPRA, GINA R 2375 E PRATER WAY SPARKS NV 95445 Washoe 775-331-7000 Physicians Emergency Medicine 475671561DAR, FAHAD A 169 N NELLIS BLVD LAS VEGAS NV 95446 Clark 702-384-1010 Physicians General Dentist 371797092DARBARI, SHABNAM 221 N BUFFALO DR LAS VEGAS NV 95448 Clark 702-463-3122 Physicians Nephrology 262329877DARBARI, SUNIL K 221 N BUFFALO DR LAS VEGAS NV 95450 Clark 702-224-2505 Physicians Internal Medicine 880168054DARBE, BILLYE M 64 N PECOS RD STE 1200 HENDERSON NV 95452 Clark 702-723-9054 Physicians Professional Counselor 825130853DARDICK, LAWRENCE R 7330 SMOKE RANCH RD STE B LAS VEGAS NV 95453 Clark 702-258-1001 Physicians Radiation Oncology 911220843DARNELL, EMILY 1900 N NELLIS BLVD LAS VEGAS NV 95454 Clark 702-880-4193 Physicians Certified Nurse Practitioner 880404982DARREN E. WIRTZ & ASSOCIATES 7180 CASCADE VALLEY CT STE 280 LAS VEGAS NV 95460 Clark 702-510-4508 Physicians Internal Medicine 270645201DARUKHANAVALA, AMY P 3006 S MARYLAND PKWY STE 320 LAS VEGAS NV 95461 Clark 702-992-6868 Physicians Pediatric Endocrinology 880330858DARZEV, BILIANA M 653 N TOWN CENTER DR STE 300 LAS VEGAS NV 95462 Clark 702-456-7255 Physicians Family Medicine 202692584DARZYNKIEWICZ, ROBERT J 2375 E PRATER WAY SPARKS NV 95463 Washoe 775-331-7000 Physicians Emergency Medicine 973223279DAS, SAMRAT 1800 W CHARLESTON BLVD LAS VEGAS NV 95466 Clark 702-992-6868 Physicians Pediatrics 880330858DASARI, CHANUKYA R 3175 SAINT ROSE PKWY STE 320 HENDERSON NV 95467 Clark 702-602-6600 Physicians General Surgery 821056552DASELER, JOAN RACHEL 9140 W POST RD STE A LAS VEGAS NV 95468 Clark 702-251-8000 Physicians Social Worker 043290453DATES, CRAIG A 1550 W CRAIG RD NORTH LAS VEGAS NV 95469 Clark 702-777-3615 Physicians Emergency Medicine 823517583DAUGHARTHY, JAMES B 3150 N TENAYA WAY STE 260 LAS VEGAS NV 95484 Clark 702-735-1454 Physicians Thoracic Surgery 331159527DAUGHARTHY, JENNIFER L 3100 N TENAYA WAY LAS VEGAS NV 95490 Clark 702-255-5000 Physicians Emergency Medicine 912149865DAULAT, GAUTAM 7106 SMOKE RANCH RD STE 120 LAS VEGAS NV 95492 Clark 702-565-4917 Physicians Internal Medicine 203695927DAULAT, JALDEEP H 861 CORONADO CENTER DR STE 100 HENDERSON NV 95494 Clark 702-257-7546 Physicians Dermatology 811136000DAVEE, THOMAS S 1500 E 2ND ST RENO NV 95503 Washoe 775-982-2400 Physicians Cardiology 880303924DAVID CHRISTOPHER MILLER MD LTD. 3540 W SAHARA AVE STE 831 LAS VEGAS NV 95504 Clark 702-256-3637 Physicians Infectious Diseases 263770125DAVID D. MOON, D.O., LTD. 241 N BUFFALO DR STE 1 LAS VEGAS NV 95505 Clark 702-876-2225 Physicians Family Medicine 880378078DAVID ROSENSTEIN MD A PROFESSIONAL CORP.3022 S DURANGO DR STE 100 LAS VEGAS NV 95506 Clark 702-363-0232 Physicians Internal Medicine 201427305DAVID T CHAN. MD PROFESSIONAL CORP. 106 E LAKE MEAD PKWY STE 107 HENDERSON NV 95507 Clark 702-382-7760 Physicians Internal Medicine 200528575DAVID ZIPF INC. 6970 W PATRICK LN STE 140 LAS VEGAS NV 95508 Clark 702-732-2438 Physicians Internal Medicine 205210517

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 45 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDDAVID, ELMER S 5876 S PECOS RD BLDG B LAS VEGAS NV 95509 Clark 702-733-0744 Physicians Pediatrics 461446286DAVID, JOHANNA C 1800 W CHARLESTON BLVD LAS VEGAS NV 95510 Clark 702-383-2000 Physicians Certified Nurse Practitioner 886000436DAVIDSON, JOEL I 1550 TUSCANO CT HENDERSON NV 95511 Clark 702-736-1200 Physicians General Surgery 196300703DAVIDSON, KELLIE 3131 FERNBROOK LN N # 100 HENDERSON NV 95513 Clark 763-515-8222 Rehabilitation Audiology 203507635DAVIDSON, STEPHANIE L 9127 W RUSSELL RD LAS VEGAS NV 95514 Clark 702-878-0070 Physicians Anesthesiology 860916679DAVIE, LAURIE R 198 E MAIN ST FERNLEY NV 95523 Lyon 775-575-1966 Physicians Optometry 275139769DAVIES, KAY L 4465 BOCA WAY RENO NV 95524 Washoe 775-830-0494 Physicians Professional Counselor 273412547DAVIES, MICHAEL 5055 SUN VALLEY BLVD STE 350 SUN VALLEY NV 95525 Washoe 775-971-4252 Physicians General Dentist 474666577DAVILA, ARMANDO A 1701 W CHARLESTON BLVD STE 190 LAS VEGAS NV 95527 Clark 909-558-8085 Physicians Plastic & Reconstructive Surgery 813419791DAVIN, PATRICIA A 504 N DIVISION ST CARSON CITY NV 95528 Carson City 775-883-1114 Physicians Professional Counselor 530404962DAVIS CHIROPRACTIC PA 525 E MOANA LN RENO NV 95529 Washoe 775-827-1200 Physicians Chiropractor 043821114DAVIS JR, FRANK M 1300 E PLUMB LN STE A RENO NV 95530 Washoe 775-829-8066 Physicians Podiatry 880200474DAVIS, ADRIENNE A 280 S DECATUR BLVD LAS VEGAS NV 95531 Clark 702-759-1000 Physicians Certified Nurse Practitioner 880151573DAVIS, ALLISON K 3150 N TENAYA WAY LAS VEGAS NV 95532 Clark 702-728-7757 Physicians General Surgery 860810876DAVIS, AUDREY J 401 N BUFFALO DR LAS VEGAS NV 95533 Clark 702-616-5466 Physicians Pediatrics 954474603DAVIS, BEN D 3131 LA CANADA ST STE 217 LAS VEGAS NV 95534 Clark 702-369-7152 Physicians General Surgery 271152943DAVIS, BRADLEE M 5150 MAE ANNE AVE STE 810A RENO NV 95535 Washoe 775-747-0680 Physicians General Dentist 464394010DAVIS, BRETT E 4380 BLUE DIAMOND RD STE 102 LAS VEGAS NV 95537 Clark 702-425-4424 Physicians General Dentist 261748512DAVIS, CRAIG M 8440 W LAKE MEAD BLVD STE 104 LAS VEGAS NV 95538 Clark 702-489-4838 Physicians Dermatology 364751904DAVIS, DAVID S 4840 E BONANZA RD STE 6 LAS VEGAS NV 95539 Clark 702-385-7331 Physicians Optometry 880243075DAVIS, DEMETRICE S 3100 N TENAYA WAY LAS VEGAS NV 95541 Clark 702-962-5000 Physicians Radiology/Diagnostic 814824771DAVIS, JACK 306 SURPRISE AVE YERINGTON NV 95567 Lyon 775-463-2301 Physicians Orthopedic Surgery 941709925DAVIS, JACK L 1600 MEDICAL PKWY CARSON CITY NV 95571 Carson City 775-445-8795 Physicians Orthopedic Surgery 880502320DAVIS, JANA M 4700 LAS VEGAS BLVD N NELLIS AFB NV 95573 Clark 702-653-3040 Physicians Orthopedic Surgery 860993363DAVIS, JAY 2175 E CHEYENNE AVE STE 100 NORTH LAS VEGAS NV 95574 Clark 702-363-8889 Physicians Orthodontist 205773964DAVIS, JEFFREY 216 N PRATT AVE CARSON CITY NV 95590 Carson City 775-434-8590 Physicians Social Worker 274829367DAVIS, JOHN M 1752 GOLDDUST DR SPARKS NV 95591 Washoe 775-626-5915 Physicians Internal Medicine 880502320DAVIS, JOHN S 844 W NYE LN STE 102SUITE CARSON CITY NV 95592 Carson City 941-313-3300 Physicians Neurological Surgery 880167036DAVIS, KERRY N 6375 W CHARLESTON BLVD STE A500 LAS VEGAS NV 95603 Clark 702-651-5510 Physicians General Dentist 886000024DAVIS, LARRY L 6707 W CHARLESTON BLVD LAS VEGAS NV 95604 Clark 702-878-8007 Physicians Optometry 880216334DAVIS, LAWRENCE R 525 E MOANA LN RENO NV 95605 Washoe 775-827-1200 Physicians Chiropractor 880239552DAVIS, MICHELLE 2012 S JONES BLVD LAS VEGAS NV 95606 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643DAVIS, ROBERT M 5850 POLARIS AVE STE 100 LAS VEGAS NV 95607 Clark 702-739-9957 Physicians Occupational Medicine 752014828DAVIS, RUSSELL C 7450 W CHEYENNE AVE STE 114 LAS VEGAS NV 95608 Clark 702-655-2999 Physicians Podiatry 880494803DAVIS, SARAH C 5631 S PECOS RD LAS VEGAS NV 95609 Clark 702-685-0877 Physicians Social Worker 383889285DAVIS, STEVEN H 3100 N TENAYA WAY LAS VEGAS NV 95611 Clark 702-962-5000 Physicians Interventional Radiology 474650347DAVIS, TODD L 10410 S EASTERN AVE HENDERSON NV 95640 Clark 702-616-0777 Physicians General Dentist 264222951DAVIS, TYLER E 2020 PALOMINO LN STE 100 LAS VEGAS NV 95641 Clark 702-759-8600 Physicians Emergency Medicine 832651883DAVIS, TYREE G 6375 W CHARLESTON BLVD STE A500 LAS VEGAS NV 95666 Clark 702-651-5510 Physicians General Dentist 886000024DAVIS, VENA M 6375 W CHARLESTON BLVD STE A-100 LAS VEGAS NV 95667 Clark 702-253-0818 Physicians Social Worker 813419791DAVIS, VIRGINIE M 4221 MCLEOD DR LAS VEGAS NV 95669 Clark 702-474-6450 Physicians Professional Counselor 880111970DAVIS-LABADIE, JODI S 5552 S FORT APACHE RD STE 120 LAS VEGAS NV 95670 Clark 702-641-8255 Rehabilitation Speech Pathology 886000022DAVISON, JILLIAN J 1667 LUCERNE ST STE B MINDEN NV 95671 Douglas 775-783-7606 Rehabilitation Physical Therapy 270892994DAWOOD, ALTAF 102 E LAKE MEAN PKWY HENDERSON NV 95672 Clark 702-564-2622 Physicians Internal Medicine 472990144DAWOOD, MONIZ M 700 SHADOW LN STE 240 LAS VEGAS NV 95674 Clark 702-384-0022 Physicians Cardiology 880161856DAWS, SNOW B 555 W ARLINGTON AVE RENO NV 95677 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557DAWSON, GRANT A 1219 E CHARLESTON BLVD LAS VEGAS NV 95678 Clark 702-633-5410 Physicians Family Medicine 880371504DAY, BRIAN L 1489 W WARM SPRINGS RD STE 125 HENDERSON NV 95679 Clark 702-274-9977 Physicians Chiropractor 833786035DAY, DEREK T 10170 S EASTERN AVE HENDERSON NV 95680 Clark 702-614-6777 Physicians Chiropractor 860836654DAY, MARK 56 N PECOS RD STE A HENDERSON NV 95681 Clark 702-456-9100 Physicians Family Medicine 880377999DAY, RUSSELL G 1800 W CHARLESTON BLVD LAS VEGAS NV 95682 Clark 702-383-2000 Physicians Critical Care 911984897

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 46 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDDAYAL, MOLINA B 5320 S RAINBOW BLVD STE 300 LAS VEGAS NV 95732 Clark 702-794-0073 Physicians Obstetrics/Gynecology 431878078DAYTON MEDICAL ASSOCIATES 2874 N CARSON ST STE 135 CARSON CITY NV 95733 Carson City 775-883-7855 Physicians Family Medicine 880500561DBA PROGRESSIVE PHYSICAL THERAPY 801 S RANCHO DR STE F4 LAS VEGAS NV 95735 Clark 702-735-4844 Rehabilitation 880317302DE ASIS, CHRISCILE C 3540 W SAHARA AVE STE 330 LAS VEGAS NV 95736 Clark 702-945-2321 Physicians Internal Medicine 880330858DE LEON, VICTOR A 3009 W CHARLESTON BLVD LAS VEGAS NV 95737 Clark 702-878-2801 Physicians Family Medicine 710984126DE LUNA, MICHELLE 2900 W HORIZON RIDGE PKWY HENDERSON NV 95738 Clark 702-233-9222 Physicians Certified Nurse Practitioner 880500453DE MORDAUNT, DALLIN L 6630 S MCCARRAN BLVD STE A4 RENO NV 95739 Washoe 941-313-3300 Physicians Physical Medicine & Rehabilitation880345183DE SALVO, ELENA 2780 S JONES BLVD STE 100A LAS VEGAS NV 95742 Clark 702-820-3061 Physicians Marriage & Family Therapist 820870653DE VERA, ROMMEL 1389 GALLERIA DR STE 100 HENDERSON NV 95743 Clark 725-333-8400 Physicians Family Medicine 462964527DEACH, BONNIE 3700 GRANT DR STE A RENO NV 95744 Washoe 775-829-4700 Rehabilitation Speech Pathology 880291454DEAKYNE, SUSAN L 305 STEWART ST RENO NV 95745 Washoe 775-741-0973 Physicians Social Worker 680311170DEAN, CHELSEA M 2261 PYRAMID WAY STE 2 SPARKS NV 95746 Washoe 775-331-4456 Physicians General Dentist 463352316DEAN, GREGORY A 3980 S EASTERN AVE LAS VEGAS NV 95747 Clark 702-463-9100 Physicians Radiation Oncology 880335047DEAN, HEATHER L 2874 N CARSON ST STE 220 CARSON CITY NV 95750 Carson City 775-883-7666 Rehabilitation Audiology 680405220DEARMONT, KAREN E 1500 E 2ND ST STE 202 RENO NV 95751 Washoe 775-323-1300 Physicians Obstetrics/Gynecology 880201578DEBBIE BRISTOL APN LLC 475 8TH ST ELKO NV 95753 Elko 775-777-1510 Physicians Certified Nurse Practitioner 208803622DEBEE, DANIEL 9127 W RUSSELL RD STE 110 LAS VEGAS NV 95754 Clark 702-878-0070 Physicians CRNA 592905984DEBELEN, ARNOLD Z 4375 S BUFFALO DR STE 101 LAS VEGAS NV 95763 Clark 702-894-9422 Physicians Internal Medicine 880412393DEBIPARSHAD, KEVIN P 870 SEVEN HILLS DR STE 102 HENDERSON NV 95765 Clark 702-678-4658 Physicians Orthopedic Surgery 813410849DEBOOR, SARAH A 75 PRINGLE WAY RENO NV 95767 Washoe 775-326-9132 Physicians Certified Nurse Practitioner 880341656DEBRY, PETER W 2390 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 95769 Clark 702-825-2085 Physicians Ophthalmology 880331757DECATUR & CRAIG CHIROPRACTIC 4925 W CRAIG RD LAS VEGAS NV 95771 Clark 702-656-7460 Physicians Chiropractor 043821114DEETER, MATTHEW J 6554 S MCCARRAN BLVD STE B RENO NV 95772 Washoe 775-324-0288 Physicians General Surgery 880266640DEETS, JEFFREY L 2800 E DESERT INN RD STE 200 LAS VEGAS NV 95775 Clark 702-892-9077 Rehabilitation Physical Therapy 752984052DEFONSEKA, MAHENDRA 3022 S DURANGO DR STE 100 LAS VEGAS NV 95777 Clark 702-248-2228 Physicians Gastroenterology 880174360DEFRIEZ, STEPHEN B 360 S LOLA LN PAHRUMP NV 95785 Nye 775-751-7505 Rehabilitation Physical Therapy 264613465DEGEN, MARK I 4730 S FORT APACHE RD STE 390 LAS VEGAS NV 95786 Clark 702-253-9090 Physicians Oral Surgery 200078388DEHAAN, ALEXANDER M 350 W 6TH ST RENO NV 95787 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557DeJesus, Dennis 9260 W SUNSET RD STE 201 LAS VEGAS NV 95789 Clark 702-703-4340 Physicians Radiology/Diagnostic 463758279DEJONGHE, ERIK M 655 SIERRA ROSE DR RENO NV 95790 Washoe 775-829-7600 Physicians Gastroenterology 912151670DEKAY, PETER B 645 N ARLINGTON AVE STE 340 RENO NV 95791 Washoe 775-827-0777 Physicians Obstetrics/Gynecology 880201578DEL CARMEN, RENEE F 2825 SIENA HEIGHTS DR STE 101 HENDERSON NV 95793 Clark 702-616-7049 Physicians Family Medicine 880213519DEL PILAR, TEODORA B 2021 S JONES BLVD LAS VEGAS NV 95794 Clark 702-202-0099 Physicians Certified Nurse Practitioner 261837240DEL ROSARIO, ALEX 6161 W CHARLESTON BLVD LAS VEGAS NV 95795 Clark 702-486-6045 Physicians Psychiatry 886000022DEL ROSARIO, ALEX 5440 W SAHARA AVE STE 202 LAS VEGAS NV 95796 Clark 702-380-8200 Physicians Psychiatry 379786255DEL ROSARIO, OSCAR A 320 E WARM SPRINGS RD LAS VEGAS NV 95797 Clark 702-586-0175 Physicians Certified Nurse Practitioner 452380022DEL VECCHIO, FRANCIS X 4855 BLUE DIAMOND RD LAS VEGAS NV 95798 Clark 702-216-7305 Physicians Emergency Medicine 824933457DELA CRUZ, DOMINIQUE C 7910 W TROPICAL PKWY LAS VEGAS NV 95799 Clark 702-273-3676 Physicians General Dentist 813137438DELACRUZ, NORIKO N 1701 W CHARLESTON BLVD STE 230 LAS VEGAS NV 95801 Clark 702-671-2345 Physicians Dietitian 813419791DELAMORA, MELISSA L 5578 LONGLEY LN RENO NV 95802 Washoe 775-284-8650 Physicians Certified Nurse Practitioner 264664305DELANEY, ALEXANDER P 7250 PEAK DR STE 100 LAS VEGAS NV 95804 Clark 702-386-4700 Physicians Anesthesiology 860916679DELAPLAIN, TRACEY L 6536 S MCCARRAN BLVD STE B RENO NV 95815 Washoe 775-825-5595 Physicians Obstetrics/Gynecology 880428005DELAPPE, ROY 1101 W MOANA LN STE 4 RENO NV 95817 Washoe 775-825-5005 Physicians General Dentist 450844491DELEE, FRANK J 700 SHADOW LN STE 330 LAS VEGAS NV 95819 Clark 702-388-9655 Physicians Obstetrics/Gynecology 880240425DELGADO, ALEJANDRO J 3602 E SUNSET RD LAS VEGAS NV 95820 Clark 702-932-4308 Rehabilitation Physical Therapy 562298123DELGADO, PATRICIA 3602 E SUNSET RD STE 100 LAS VEGAS NV 95822 Clark 702-932-4308 Physicians Marriage & Family Therapist 562298123DELGADO, RIZALYN 3835 S JONES BLVD STE 103 LAS VEGAS NV 95827 Clark 702-880-4193 Physicians Certified Nurse Practitioner 880404982DELGADO-ALMENARIO, STELLA M 2510 WIGWAM PKWY HENDERSON NV 95834 Clark 702-558-3551 Physicians Pediatrics 134287881DELIONBACK, LOUIS A 5975 S LOS ALTOS PKWY SPARKS NV 95836 Washoe 775-352-5300 Physicians Family Medicine 263303591DELISLE, STEVEN E 4090 N MARTIN L KING BLVD NORTH LAS VEGAS NV 95838 Clark 702-489-5460 Physicians General Dentist 272309902DELIZO, SAMMY C 2825 SIENA HEIGHTS DR HENDERSON NV 95839 Clark 702-255-3547 Physicians Certified Nurse Practitioner 880213519

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 47 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDDELMONACO, BRIAN L 1707 W CHARLESTON BLVD STE 220 LAS VEGAS NV 95840 Clark 702-671-5070 Physicians Critical Care 880330858DELPIZZO, CATHERINE 2655 ENTERPRISE RD RENO NV 95841 Washoe 775-688-1600 Physicians Social Worker 273412547DELROSARIO, EVELYN 8352 W WARM SPRINGS RD STE 300 LAS VEGAS NV 95843 Clark 702-944-4028 Physicians Pediatrics 880456336DEMAR, MARK A 1375 VISTA LN CARSON CITY NV 95846 Carson City 775-882-2067 Physicians General Surgery 880106584DEMERS FAMILY VISION GROUP, INC 670 N MCCARRAN BLVD SPARKS NV 95848 Washoe 775-358-1317 Physicians Optometry 205317308DEMERS, CHRISTOPHER P 5590 KIETZKE LN RENO NV 95849 Washoe 775-323-2080 Physicians Neurological Surgery 880167036DEMERS, LESLIE L 670 N MCCARRAN BLVD SPARKS NV 95850 Washoe 775-358-1317 Physicians Optometry 205317308DEMERS, SCOTT H 670 N MCCARRAN BLVD SPARKS NV 95851 Washoe 775-358-1317 Physicians Optometry 205317308DEMILLE, MICHAEL J 140 E HORIZON DR HENDERSON NV 95852 Clark 702-564-3711 Physicians Chiropractor 880187243DEMOSS, JEFFREY A 2825 SIENA HEIGHTS DR STE 101 HENDERSON NV 95853 Clark 702-616-7049 Physicians Family Medicine 880213519DEMPSEY, ANDREA L 7170 SMOKE RANCH RD STE 110 LAS VEGAS NV 95854 Clark 702-463-3333 Physicians Internal Medicine 383760894DEMPSEY, SEAN E 9127 W RUSSELL RD LAS VEGAS NV 95855 Clark 702-878-0070 Physicians Anesthesiology 461237632DENDATO, KENNETH M 6161 W CHARLESTON BLVD LAS VEGAS NV 95864 Clark 702-486-6045 Physicians Psychology (Clinical) 886000022DENHAM ORTHOTICS AND FITNESS 600 WHITNEY RANCH DR STE E28 HENDERSON NV 95865 Clark 702-898-6000 Ancillary Providers 880442271DENICE STARLEY DO, PC 7670 W SAHARA AVE STE 2 LAS VEGAS NV 95866 Clark 702-212-3333 Physicians Pain Management 260850917DENINA, ANTHONY R 1550 W CRAIG RD STE 100 NORTH LAS VEGAS NV 95867 Clark 702-777-3615 Physicians Certified Nurse Practitioner 453308093DENISAR-GREEN, JAMES A 118 E HASKELL ST WINNEMUCCA NV 95868 Humboldt 775-623-3554 Physicians Family Medicine 910757683DENNEY, BRUCE W 1441 PULLMAN DR SPARKS NV 95869 Washoe 775-351-2600 Physicians Critical Care 061642331DENNIS, DEBBIE A 5190 NEIL RD STE 215 RENO NV 95872 Washoe 775-682-8469 Physicians Psychiatry 886000022DENNIS, ERIC S 3100 N TENAYA WAY LAS VEGAS NV 95873 Clark 702-255-5000 Physicians Emergency Medicine 880262438DENNIS, GREGORY B 806 BUCHANAN BLVD STE 115 BOULDER CITY NV 95876 Clark 702-293-5945 Physicians Psychology (Clinical) 320048001DENNIS, SHELINDA 1201 N CARSON ST STE 200 CARSON CITY NV 95880 Carson City 775-445-7330 Physicians Certified Nurse Practitioner 880502320DENNY, LARRY 2625 S RAINBOW BLVD STE C102 LAS VEGAS NV 95881 Clark 702-387-4577 Physicians Orthopedic Surgery 571190767DENNY, LARRY D 7050 SMOKE RANCH RD STE 130 LAS VEGAS NV 95882 Clark 702-233-9911 Physicians Orthopedic Surgery 201898649DENSLEY, ROGER A 8955 S PECOS RD STE 2A HENDERSON NV 95884 Clark 702-212-6641 Physicians General Dentist 474054373DENT, BRANDON M 2375 E PRATER WAY SPARKS NV 95885 Washoe 775-331-7000 Physicians Emergency Medicine 208753074DENTAL INSURANCE PROVIDERS 8855 W FLAMINGO RD STE 102 LAS VEGAS NV 95887 Clark 702-309-4600 Physicians General Dentist 800317098DENTICE, JOE W 1700 E DESERT INN RD STE 113 LAS VEGAS NV 95888 Clark 702-862-4774 Physicians Professional Counselor 822420344DENTISTRY FOR CHILDREN ASSOCIATES 850 I ST SPARKS NV 95890 Washoe 775-358-5330 Physicians Pediatric Dentist 880114211DENTON, JAY 7890 W ANN RD STE 150 LAS VEGAS NV 95891 Clark 702-878-4397 Physicians General Dentist 472533826DENTON, LESLIE M 4880 WYNN RD LAS VEGAS NV 95892 Clark 702-871-5005 Physicians Emergency Medicine 831518661DENTON, MARGARET V 560 E WILLIAMS AVE FALLON NV 95895 Churchill 775-982-5000 Physicians Internal Medicine 912146629DENTON, SCOTT L 1524 PINTO LN LAS VEGAS NV 95896 Clark 702-944-2828 Physicians Pediatrics 886000436DEPALO, CHRISTOPHER P 4845 S RAINBOW BLVD STE 402 LAS VEGAS NV 95899 Clark 702-475-8400 Physicians Ophthalmology 450930381DEPAOLI, TONY J 1955 E PRATER WAY SPARKS NV 95900 Washoe 775-359-6780 Physicians General Dentist 231396794DERASMO, JENNIFER D 2121 E FLAMINGO RD STE 110 LAS VEGAS NV 95902 Clark 702-382-8841 Physicians Dietitian 880436341DERBY-TALBOT, TOBYN 9127 W RUSSELL RD LAS VEGAS NV 95903 Clark 702-878-0070 Physicians CRNA 200420553DERMENDJIAN, BERJ 10624 S EASTERN AVE HENDERSON NV 95913 Clark 702-800-5393 Physicians Internal Medicine 263668328DESAI, DEVANG M 645 N ARLINGTON AVE STE 440-460 RENO NV 95916 Washoe 775-770-7622 Physicians Cardiology 455557052DESAI, DIPAK K 4275 BURNHAM AVE STE 101 LAS VEGAS NV 95918 Clark 702-732-7573 Physicians Gastroenterology 880219049DESAI, JYOTI 3175 SAINT ROSE PKWY STE 200 HENDERSON NV 95922 Clark 702-676-3640 Physicians Obstetrics/Gynecology 880330858DESERT CARDIOVASCULAR SURGERY 4275 BURNHAM AVE STE 345 LAS VEGAS NV 95925 Clark 702-735-7668 Physicians Thoracic Surgery 161709885DESERT FAMILY MEDICINE OF GREEN VALLEY100 N GRN VALLEY PKWY STE 210 HENDERSON NV 95927 Clark 702-269-9995 Physicians Family Medicine 880286471DESERT GASTROENTEROLOGY ASSOCIATES 4431 S EASTERN AVE LAS VEGAS NV 95928 Clark 702-893-2000 Physicians Gastroenterology 880230469DESERT HEART SPECIALISTS 1820 E DESERT INN RD STE A LAS VEGAS NV 95931 Clark 702-732-7879 Physicians Cardiology 880166329DESERT INN 1750 E DESERT INN RD STE 100 LAS VEGAS NV 95932 Clark 702-732-1902 Ambulatory Facilities 931087002DESERT INN MEDICAL CENTER 1900 E DESERT INN RD LAS VEGAS NV 95933 Clark 702-735-1960 Physicians Obstetrics/Gynecology 880251997DESERT INSTITUTE FOR SPECIALTY CARE 9339 W SUNSET RD LAS VEGAS NV 95934 Clark 702-630-3472 Physicians Orthopedic Surgery 462775958DESERT INSTITUTE OF SPINE CARE 9339 W SUNSET RD LAS VEGAS NV 95935 Clark 702-630-3472 Physicians Orthopedic Surgery 208772860DESERT LANE CARE CENTER 660 S MARTIN L KING BLVD LAS VEGAS NV 95936 Clark 702-382-5580 Rehabilitation 200112678DESERT LANE CARE CENTER-SNF 660 S MARTIN L KING BLVD LAS VEGAS NV 95937 Clark 702-382-5580 Rehabilitation 200112678

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 48 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDDESERT MOON SLEEP LAB 2121 E FLAMINGO RD STE 208 LAS VEGAS NV 95938 Clark 702-696-9002 Ancillary Providers 870771006DESERT NECK AND BACK CARE 3300 S DECATUR BLVD STE 5 LAS VEGAS NV 95939 Clark 702-871-5556 Physicians Chiropractor 880511884Desert Orthopaedic Center 2930 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 95940 Clark 702-263-9802 Physicians Orthopedic Surgery 910858192DESERT PEDIATRICS 9280 W SUNSET RD STE 438 LAS VEGAS NV 95944 Clark 702-641-2150 Physicians Pediatrics 880334024DESERT PERINATAL ASSOCIATES 653 N TOWN CENTER DR LAS VEGAS NV 95949 Clark 866-530-3940 Physicians Obstetrics/Gynecology 522406330DESERT PREVENTATIVE 10001 S EASTERN AVE STE 402 HENDERSON NV 95958 Clark 702-617-8684 Physicians Internal Medicine 880448029DESERT RADIOLOGIST 2020 PALOMINO LN LAS VEGAS NV 95959 Clark 702-759-8600 Physicians Radiology/Diagnostic 880098322DESERT REHABILITATION CENTER 3201 S MARYLAND PKWY STE 514 LAS VEGAS NV 95960 Clark 702-893-0800 Rehabilitation 880328040DESERT ROSE OB/GYN 844 W NYE LN STE 201 CARSON CITY NV 95961 Carson City 775-884-2929 Physicians Family Medicine 880497908DESERT SHORES CHIROPRACTIC 8556 DEL WEBB BLVD LAS VEGAS NV 95962 Clark 702-243-2225 Physicians Chiropractor 753092966DESERT SPRINGS DIALYSIS 2110 E FLAMINGO RD STE 108 LAS VEGAS NV 95963 Clark 702-696-9768 Ambulatory Facilities 208659499DESERT SPRINGS HOSPITAL MEDICAL CENTER2075 E FLAMINGO RD LAS VEGAS NV 95964 Clark 702-733-8800 Hospitals Short Term Acute Care Hospital 232947273DESERT SURGICAL ASSOCIATES FISHER PLLC3131 LA CANADA ST STE 217 LAS VEGAS NV 95965 Clark 702-369-7152 Physicians General Surgery 271152943DESERT TRAILS MEDICAL 1401 S HIGHWAY 160 STE B PAHRUMP NV 95966 Nye 775-727-9000 Physicians Family Medicine 880493287DESERT VALLEY AUDIOLOGY AND BALANCE CENTER501 S RANCHO DR STE D24 LAS VEGAS NV 95967 Clark 702-383-5115 Hospitals 272387543DESERT VALLEY EAR NOSE, THROAT & ALLERGY1301 BERTHA HOWE AVE STE 6 MESQUITE NV 95968 Clark 877-616-4500 Physicians Otolaryngology 200852228DESERT VALLEY PEDIATRICS 283 N PECOS RD HENDERSON NV 95969 Clark 702-260-4525 Physicians Pediatrics 880351343DESERT WOMENS HEALT 98 E LAKE MEAD PKWY STE 105 HENDERSON NV 95971 Clark 702-564-1858 Physicians Obstetrics/Gynecology 203503482DESHAZO, GARY M 8440 W LAKE MEAD BLVD LAS VEGAS NV 95972 Clark 702-870-8852 Physicians Family Medicine 300342035DESILVA, SURESH J 1800 W CHARLESTON BLVD LAS VEGAS NV 95974 Clark 702-383-2085 Physicians Emergency Medicine 475094526DESIO, VIRGILIO 7090 POLLOCK DR LAS VEGAS NV 95988 Clark 702-479-4881 Physicians Social Worker 043290453DESIPIO JR, ROBERT F 120 MCFAUL WAY ZEPHYR COVE NV 95990 Douglas 775-588-5183 Physicians General Dentist 852905137DESMARAIS, GILLES M 2915 W CHARLESTON BLVD STE 4 LAS VEGAS NV 95991 Clark 702-822-1188 Physicians Psychiatry 201937567DESTORIES, ANDREA L 1240 E 9TH ST RENO NV 95992 Washoe 775-323-0478 Physicians Psychiatry 880300031DETMER, MICHAEL D 7326 W CHEYENNE AVE LAS VEGAS NV 95993 Clark 702-386-4700 Physicians Anesthesiology 204727467DETTLING, JAMES R 2200 S RANCHO DR STE 100 LAS VEGAS NV 95995 Clark 800-232-3550 Physicians Orthopedic Surgery 752612924DEVABHAKTUNI, SUBODH R 1701 W CHARLESTON BLVD STE 215 LAS VEGAS NV 95997 Clark 702-671-2355 Physicians Cardiology 880330858DEVALK, LAUREN 1625 E PRATER WAY STE 107 SPARKS NV 95999 Washoe 775-825-4744 Rehabilitation Occupational Therapy 562328617DEVENY, SANDRA K 118 E HASKETT ST WINNEMUCCA NV 96000 Humboldt 775-623-5222 Physicians Certified Nurse Practitioner 886000088DEVIA, ALVARO 6554 S MCCARRAN BLVD STE B RENO NV 96002 Washoe 775-324-0288 Physicians General Surgery 880266640DEVIN, ROBERT F 1055 N HILLS BLVD RENO NV 96003 Washoe 775-677-1055 Physicians General Dentist 930788526DEVLIN, JULIE M 1525 E WINDMILL LN STE 201 LAS VEGAS NV 96004 Clark 702-202-1280 Rehabilitation Physical Therapy 880386672DEVLIN, SEAN T 855 6TH ST LOVELOCK NV 96005 Pershing 775-273-2621 Physicians Family Medicine 880201578DEVOGE, SUSAN D 1005 FOREST ST RENO NV 96006 Washoe 775-329-4582 Physicians Psychology (Clinical) 234705483DEVORE, PHILLIP R 7545 W SAHARA AVE STE 200 LAS VEGAS NV 96007 Clark 702-838-0707 Physicians General Dentist 262312733DEVRIES, DOUGLAS K 2285 GREEN VISTA DR SPARKS NV 96009 Washoe 775-674-1100 Physicians Optometry 880434880DEWAN, ASHEESH K 653 N TOWN CENTER DR STE 208 LAS VEGAS NV 96010 Clark 702-731-8224 Physicians Pediatric Endocrinology 208208877DEWEESE, STEVEN G 2375 E PRATER WAY SPARKS NV 96013 Washoe 775-331-7000 Physicians Emergency Medicine 475671561DEYOUNG, ELIZABETH J 8565 S EASTERN AVE STE 140 LAS VEGAS NV 96014 Clark 702-239-7182 Physicians Social Worker 463989764DHALIWAL, NAVDEEP S 4700 LAS VEGAS BLVD N NELLIS AFB NV 96016 Clark 702-653-3244 Physicians Neurology 201789734DHALIWAL, NAVPREET K 7140 N DURANGO DR STE 110 LAS VEGAS NV 96017 Clark 702-740-5437 Physicians Orthodontist 831414127DHALIWAL, PARVIN S 725 S GREEN VALLEY PKWY STE 100 HENDERSON NV 96019 Clark 702-560-5231 Physicians General Dentist 463544011DHELARIA, RANJIT K 2375 E PRATER WAY SPARKS NV 96020 Washoe 775-331-7000 Physicians Nephrology 475676161DHESI, ROOPVINDER 2421 W CHARLESTON BLVD LAS VEGAS NV 96021 Clark 702-870-3818 Physicians General Dentist 800904460DHILLON, DEEP 7140 N DURANGO DR STE 110 LAS VEGAS NV 96022 Clark 702-740-5437 Physicians Pediatric Dentist 822856088DHILLON, GUNDEEP S 2865 SIENA HEIGHTS DR STE 131 HENDERSON NV 96023 Clark 650-725-7338 Physicians Critical Care 770465765DHILLON, GURBRINDER S 7181 N HUALAPAI WAY STE 105 LAS VEGAS NV 96024 Clark 702-852-1818 Physicians Pediatric Dentist 810950476DHILLON, MANNIMRAT K 7140 N DURANGO DR STE 110 LAS VEGAS NV 96025 Clark 702-740-5437 Physicians General Dentist 822856088DHINDSA, HARDEEP S 5470 KIETZKE LN STE 205 RENO NV 96026 Washoe 775-737-9411 Physicians Ophthalmology 581519372DHINDSA, JASMINE 75 PRINGLE WAY STE 401 RENO NV 96027 Washoe 775-982-3866 Physicians Infectious Diseases 421283849DHIR, SUMER K 343 ELM ST STE 400 RENO NV 96028 Washoe 775-323-6700 Physicians Cardiology 880303924

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 49 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDDHUDSHIA, CHARLOTTE L 3186 S MARYLAND PKWY LAS VEGAS NV 96030 Clark 702-731-8211 Physicians Certified Nurse Practitioner 860859551DHUDSHIA, NEEL 5320 S RAINBOW BLVD LAS VEGAS NV 96032 Clark 702-737-3808 Physicians Thoracic Surgery 880268805DI LAURO, MICHELE A 4180 S RAINBOW BLVD STE 810 LAS VEGAS NV 96035 Clark 702-383-3645 Physicians Family Medicine 886000436DI PINTO, BREANNA D 1201 SOUTH CARSON STREET CARSON CITY NV 96037 Carson City 775-445-7220 Physicians Certified Nurse Practitioner 880502320DI ROCCO, DARYL J 2375 E PRATER WAY SPARKS NV 96038 Washoe 775-331-7000 Physicians Emergency Medicine 475671561DIABETES & ENDOCRINOLOGY CENTER 3150 N TENAYA WAY STE 440 LAS VEGAS NV 96039 Clark 702-796-8669 Physicians Endocrinology 880378253DIABETES HEALTH CENTERS INC 4270 CAMERON ST LAS VEGAS NV 96040 Clark 702-257-9713 Ancillary Providers 204606184DIABETIC CARE NETWORK 4725 SPRING MOUNTAIN RD STE J LAS VEGAS NV 96042 Clark 702-221-7970 Ancillary Providers 382975898DIABETIC LIFE SUPPLY, LLC. 5447 S RAINBOW BLVD STE E4 LAS VEGAS NV 96043 Clark 702-966-9500 Ancillary Providers 260745818DIAGNOSTIC CENTER OF MEDICINE 5380 S RAINBOW BLVD STE 120 LAS VEGAS NV 96044 Clark 702-233-3444 Physicians Internal Medicine 200365179Diagnostic Imaging of Southern Nevada 3560 E FLAMINGO RD LAS VEGAS NV 96046 Clark 702-433-6100 Physicians Radiology/Diagnostic 953216090DIAMANDIDIS, DIMITRIOS T 2650 N TENAYA WAY LAS VEGAS NV 96048 Clark 702-735-7154 Physicians Hematology/Oncology 880133767DIAMANT, ZAFRIR Y 9127 W RUSSELL RD LAS VEGAS NV 96049 Clark 702-878-0070 Physicians Anesthesiology 860916679DIAMOND, ALAN S 5495 S RAINBOW BLVD STE 102 LAS VEGAS NV 96059 Clark 702-214-9729 Physicians Radiology/Diagnostic 611449587DIAMOND, JANE 10415 DOUBLE R BLVD RENO NV 96060 Washoe 775-829-2277 Physicians Certified Nurse Practitioner 880502320DIAO, MARIA ZARINA 10301 JEFFREYS ST HENDERSON NV 96064 Clark 702-939-9400 Physicians Certified Nurse Practitioner 113723913DIAO, NOEL A 3776 LODINA CT LAS VEGAS NV 96066 Clark 702-523-0964 Physicians Certified Nurse Practitioner 263198139DIAZ, DANIEL 1524 PINTO LN FL 2 LAS VEGAS NV 96067 Clark 702-992-6888 Physicians Sports Medicine 813419791DIAZ, DORSEY D 502 E JOHN ST CARSON CITY NV 96068 Carson City 775-434-7132 Physicians Psychology (Clinical) 886000022DIAZ, JAN MICHAEL VINCENT G 1321 S RAINBOW BLVD STE 101 LAS VEGAS NV 96069 Clark 702-476-2287 Physicians Certified Nurse Practitioner 271611732DIAZ, LUIS L 653 N TOWN CENTER DR STE 600 LAS VEGAS NV 96070 Clark 800-656-7226 Physicians Neurology 880309662DIAZ-FRIAS, JOSUE 1524 PINTO LN FL 3 LAS VEGAS NV 96073 Clark 702-992-6868 Physicians Pediatrics 813419791DICK II, MACDONALD 3006 S MARYLAND PKWY STE 470 LAS VEGAS NV 96075 Clark 702-796-9111 Physicians Pediatric Cardiology 880176637DICKENS, AARON 9480 DOUBLE DIAMOND PKWY STE 100 RENO NV 96076 Washoe 775-786-1600 Physicians Orthopedic Surgery 880107997DICKERSON, NEIL K 230 N NELLIS BLVD STE B LAS VEGAS NV 96079 Clark 702-452-2020 Physicians Optometry 880484278DICKINSON, JILL A 1201 N STEWART ST STE C CARSON CITY NV 96082 Carson City 775-830-1782 Rehabilitation Physical Therapy 880449208DICKSON, MATTHEW C 4 SUNSET WAY STE D HENDERSON NV 96085 Clark 702-732-6000 Physicians Radiology/Diagnostic 880232199DICKSON, MICHAEL 1475 MEDICAL PKWY CARSON CITY NV 96093 Carson City 775-885-2229 Physicians Pediatrics 880502320DICKSON, THOMAS S 1260 6TH ST ELKO NV 96094 Elko 775-738-3500 Physicians General Dentist 852245874DIEFENBACH, CHRISTOPHER M 555 W ARLINGTON AVE RENO NV 96096 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557DIEP, HARRISON 3835 S JONES BLVD STE 104 LAS VEGAS NV 96097 Clark 702-880-4193 Rehabilitation Physical Therapy 880404982DIEP, JIMMY 1707 W CHARLESTON BLVD STE 230 LAS VEGAS NV 96106 Clark 702-671-5060 Physicians Cardiology 880330858DIERINGER, PAUL E 75 PRINGLE WAY STE 601 RENO NV 96109 Washoe 775-326-8380 Physicians Internal Medicine 880238057DIEROLF, KAREN L 555 W ARLINGTON AVE RENO NV 96111 Washoe 775-786-3040 Rehabilitation Occupational Therapy 880103557DIETRICH, JEFFREY L 7351 PRAIRIE FALCON RD LAS VEGAS NV 96112 Clark 702-968-0520 Rehabilitation Physical Therapy 232725850DIETRICH, JOHN E 75 PRINGLE WAY STE 606 RENO NV 96113 Washoe 775-329-0333 Physicians Infectious Diseases 710860090DIFRANCESCO, LOUIS V 1930 VILLAGE CENTER CIR STE 3-968 LAS VEGAS NV 96114 Clark 702-545-0283 Physicians Anesthesiology 205831615DIGESTIVE ASSOCIATES 3100 N TENAYA WAY LAS VEGAS NV 96116 Clark 702-255-5123 Physicians Gastroenterology 262321457DIGESTIVE DISEASE CENTER 2700 CRIMSON CANYON DR STE 120 LAS VEGAS NV 96132 Clark 702-734-0505 Ambulatory Facilities 880291959DIGESTIVE HEALTH ASSOCIATES 655 SIERRA ROSE DR RENO NV 96135 Washoe 775-829-7600 Physicians Gastroenterology 880213397DIGNITY HEALTH PHYSICAL THERAPY 2110 E FLAMINGO RD STE 314 LAS VEGAS NV 96136 Clark 702-947-5200 Rehabilitation 821064183DIGNITY HEALTH ST ROSE DOMINICAN - ROSE DE LIMA CAMPUS102 E LAKE MEAD PKWY HENDERSON NV 96137 Clark 702-564-2622 Hospitals Short Term Acute Care Hospital 830713827DIGNITY HEALTH ST ROSE DOMINICAN - SAN MARTIN CAMPUS8280 W WARM SPRINGS RD LAS VEGAS NV 96140 Clark 702-492-8000 Hospitals Short Term Acute Care Hospital 830713827DIGNITY HEALTH ST ROSE DOMINICAN - SIENA CAMPUS3001 SAINT ROSE PKWY HENDERSON NV 96142 Clark 702-616-5000 Hospitals Short Term Acute Care Hospital 814978794DIGNITY SELECT NEVADA, LLC 2550 NATURE PARK DR STE 250 NORTH LAS VEGAS NV 96143 Clark 702-859-4710 Rehabilitation 821064183DIGRAZIA, JOHN C 1625 LAKESIDE DR RENO NV 96144 Washoe 775-786-2077 Physicians General Dentist 880111809DIJOHN, DAVID 1524 PINTO LN FL 3 LAS VEGAS NV 96145 Clark 702-992-6868 Physicians Pediatric Infectious Diseases 813419791DILL, YOUNG K 2538 ANTHEM VILLAGE DR STE 100 HENDERSON NV 96148 Clark 702-897-5560 Physicians General Dentist 270041147DILLON, MITZI A 1800 W CHARLESTON BLVD LAS VEGAS NV 96149 Clark 702-385-0890 Physicians Emergency Medicine 274096788DILLON, STEPHANIE W 1065 HASKELL ST RENO NV 96184 Washoe 775-329-4345 Physicians Psychology (Clinical) 584509483DINGEE, WENDY N 6375 W CHARS BLVD STE A172 LAS VEGAS NV 96185 Clark 702-880-6262 Physicians Professional Counselor 880330858

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 50 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDDINH, MEGAN V 4760 GALLERIA PKWY STE 102 SPARKS NV 96187 Washoe 775-391-6212 Physicians General Dentist 821857740DINNELL, DEBRA J 1450 E PRATER WAY SPARKS NV 96189 Washoe 775-331-1199 Rehabilitation Occupational Therapy 870699404DIONISIO, ANGELITO J 2365 REYNOLDS AVE NORTH LAS VEGAS NV 96190 Clark 702-839-0946 Physicians Internal Medicine 204883392DIORIO, ADAM C 2959 INDUSTRIAL RD STE A LAS VEGAS NV 96192 Clark 702-892-9822 Physicians Chiropractor 571173970DIORIO, JAIME S 7380 W SAHARA AVE STE 100 LAS VEGAS NV 96193 Clark 702-252-7246 Physicians Chiropractor 331010872DIORIO, MARJORIE 4221 MCLEOD DR LAS VEGAS NV 96194 Clark 702-474-6450 Physicians Professional Counselor 880111970DIORIO, ROBERT J 163 E WARM SPRINGS RD LAS VEGAS NV 96196 Clark 702-898-9000 Physicians Professional Counselor 880176535DIPALMA, JOSEPH E 3950 S EASTERN AVE LAS VEGAS NV 96198 Clark 702-629-3146 Physicians Internal Medicine 860852466DIPAOLO, CHRISTOPHER J 1470 MEDICAL PKWY STE 160 CARSON CITY NV 96200 Carson City 775-445-7650 Physicians Cardiology 880459463DISABATINO, STEPHEN 5400 S RAINBOW BLVD LAS VEGAS NV 96204 Clark 702-853-5000 Physicians Emergency Medicine 474980349DISKIN, TISH 1701 W CHARLESTON BLVD STE 300 LAS VEGAS NV 96205 Clark 702-251-8000 Physicians Social Worker 043290453DISS, JAMES W 480 GALLETTI WAY SPARKS NV 96207 Washoe 775-688-2001 Physicians Psychology (Clinical) 886000022DIXIT, SHANKER N 2480 PROFESSIONAL CT LAS VEGAS NV 96208 Clark 702-405-7100 Physicians Neurology 387150427DIXON, DONALD J 1301 BERTHA HOWE AVE MESQUITE NV 96211 Clark 702-430-5000 Physicians Family Medicine 270592513DIXON, JULIA C 910 VISTA BLVD SPARKS NV 96212 Washoe 775-982-5000 Physicians Certified Nurse Practitioner 880201578DIXON, RITU V 10623 PROFESSIONAL CIR STE B RENO NV 96213 Washoe 775-850-1188 Physicians Internal Medicine 205347693DIXON, SHERWOOD M 1500 E 2ND ST STE 206 RENO NV 96217 Washoe 775-789-7000 Physicians Vascular Surgery 880179203DIZON, ERWIN 3001 SAINT ROSE PKWY HENDERSON NV 96218 Clark 702-878-0070 Physicians CRNA 910885149DJO, LLC 1114 OAK ISLAND DR NORTH LAS VEGAS NV 96227 Clark 209-832-5200 Ancillary Providers 522165554DJOKOVIC, MARIJA 3001 SAINT ROSE PKWY HENDERSON NV 96229 Clark 510-350-2600 Physicians Certified Nurse Practitioner 862775542DJUNAIDI, ANDREW C 9127 W RUSSELL RD STE 110 LAS VEGAS NV 96231 Clark 702-878-0070 Physicians Anesthesiology 852385334DMC MEDICAL 1706 W BONANZA RD LAS VEGAS NV 96232 Clark 702-631-6863 Physicians Family Medicine 852510821DO, DOMINIC 450 E SILVERADO RANCH BLVD STE 105 LAS VEGAS NV 96233 Clark 702-263-8820 Physicians General Dentist 271653460DO, HARRY T 2040 W CHARLESTON BLVD STE 202A LAS VEGAS NV 96237 Clark 702-671-5127 Physicians Psychiatry 886000022DO, STEVEN 10470 W CHEYENNE AVE STE 110 LAS VEGAS NV 96238 Clark 702-405-7400 Physicians General Dentist 450896566DO, THANH D 4542 E TROPICANA AVE LAS VEGAS NV 96247 Clark 702-433-7827 Physicians General Dentist 364535234DO, VUONG T 9770 S MARYLAND PKWY STE 8 LAS VEGAS NV 96250 Clark 702-463-7300 Physicians General Dentist 464815739DOAN, JOSEPH 670 SIERRA ROSE DR RENO NV 96251 Washoe 775-322-4550 Physicians Nephrology 201405833DOAN, TRACI N 7780 S JONES BLVD STE 101 LAS VEGAS NV 96252 Clark 702-450-6060 Physicians General Dentist 710878385DOBBS, RYAN E 350 W 6TH ST RENO NV 96253 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557DOBLE, KRISTINA CLARISSE M 2425 N LAMB BLVD STE 120 LAS VEGAS NV 96255 Clark 702-851-7766 Physicians Certified Nurse Practitioner 462812104DOBLER, TOBIN D 255 GLENDALE AVE STE 12 SPARKS NV 96260 Washoe 775-356-8181 Physicians Chiropractor 752612924DOBREV, DOBRIN K 4700 LAS VEGAS BLVD N NELLIS AFB NV 96261 Clark 702-497-3131 Physicians Neurology 952794408DOCASAR, HAYDEE B 2789 SUNRIDGE HEIGHTS PKWY STE 100 HENDERSON NV 96262 Clark 702-427-0494 Physicians Obstetrics/Gynecology 201317784DOCCARE 2500 PERLITER AVE NORTH LAS VEGAS NV 96267 Clark 702-362-2273 Physicians Internal Medicine 821947437DOCSIDE CHIROPRACTIC 595 MOUNT ROSE ST RENO NV 96268 Washoe 775-323-3286 Physicians Chiropractor 043821114DOCTORS CENTER AT RED ROCK 8413 W LAKE MEAD BLVD LAS VEGAS NV 96269 Clark 702-233-1715 Physicians Family Medicine 880449452DOCTORS EXPRESS 655 S GREEN VALLEY PKWY STE 100 HENDERSON NV 96271 Clark 702-431-7337 Ambulatory Facilities 452253262DOCTORS HEALTH NETWORK INC. 5235 S DURANGO DR STE 103 LAS VEGAS NV 96273 Clark 702-851-7287 Physicians Endocrinology 208208877DODD HYER, M.D. LTD. 2635 BOX CANYON DR LAS VEGAS NV 96274 Clark 702-386-4700 Physicians Anesthesiology 880375544DODDS, KATHRYN E 2012 S JONES BLVD LAS VEGAS NV 96275 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643DODDY, KARYN R 1701 BEARDEN DR STE 200 LAS VEGAS NV 96276 Clark 702-310-9110 Physicians Physical Medicine & Rehabilitation880400682DODGE A SLAGLE DO LTD. 1090 WIGWAM PKWY STE 100 HENDERSON NV 96277 Clark 702-454-0201 Physicians Psychiatry 880300609DODGE, SEAN A 1665 OLD HOT SPRINGS RD CARSON CITY NV 96278 Carson City 775-687-4195 Physicians Professional Counselor 886000022DOERING, ANDREW J 1600 MEDICAL PKWY CARSON CITY NV 96279 Carson City 775-445-8000 Physicians Emergency Medicine 880502320DOGGETT, STEPHEN W 653 N TOWN CENTER DR STE 512 LAS VEGAS NV 96280 Clark 714-573-5900 Physicians Radiation Oncology 592152294DOGGWILER, KURT O 2001 ERRECART BLVD ELKO NV 96281 Elko 775-748-2037 Physicians Radiology/Diagnostic 204933877DOLAN, CHRISTOPHER M 689 SIERRA ROSE DR STE B RENO NV 96284 Washoe 775-786-2100 Physicians Orthopedic Surgery 860877841DOLEGOWSKI, EDWARD M 7301 PEAK DR LAS VEGAS NV 96285 Clark 702-940-3000 Rehabilitation Physical Therapy 880386672DOLEZAL, JAMES 1624 10TH ST STE 1 MINDEN NV 96286 Douglas 775-782-0700 Physicians Dermatology 574108582DOLLARHIDE, ROPER L 5445 W SAHARA AVE LAS VEGAS NV 96287 Clark 702-368-0508 Physicians Chiropractor 880437957

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 51 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDDOLLARHIDE, SHARON 480 GALLETTI WAY SPARKS NV 96288 Washoe 775-688-2001 Physicians Social Worker 886000022DOMANSKI, KRISTINA H 1800 W CHARLESTON BLVD LAS VEGAS NV 96289 Clark 702-383-2085 Physicians Emergency Medicine 010837065DOMBROWSKI, DANIELLE M 4700 LAS VEGAS BLVD N NELLIS AFB NV 96339 Clark 702-653-3050 Physicians Vascular Surgery 880330858DOMIANO-SADER, NANCY 9550 S EASTERN AVE LAS VEGAS NV 96340 Clark 702-292-8711 Physicians Social Worker 886000022DOMINGO, AMBER 3900 PARADISE RD STE V LAS VEGAS NV 96341 Clark 702-369-0560 Rehabilitation Physical Therapy 752014828DOMINGO, JOHN A 2670 S JONES BLVD STE 1 LAS VEGAS NV 96342 Clark 702-880-9527 Physicians General Dentist 753061380DOMINGUEZ, DONNA L 75 PRINGLE WAY STE 705 RENO NV 96343 Washoe 775-329-0333 Physicians Certified Nurse Practitioner 880502320DONAHOE, NANCY A 5320 S RAINBOW BLVD STE 282 LAS VEGAS NV 96344 Clark 702-737-3808 Physicians Thoracic Surgery 880268805DONALDSON, CRAIG W 655 N TOWN CENTER DR LAS VEGAS NV 96345 Clark 702-233-2200 Physicians Radiation Oncology 880350180DONATELLI, ROBERT A 7229 W SAHARA AVE LAS VEGAS NV 96346 Clark 702-586-2177 Rehabilitation Physical Therapy 811059967DONATELLI-SEYLER, LAUREN E 2040 W CHARLESTON BLVD STE 302 LAS VEGAS NV 96347 Clark 702-671-2273 Physicians General Surgery 880330858DONCASTER, MARIA G 3440 E RUSSELL RD STE 216 LAS VEGAS NV 96349 Clark 702-214-4253 Physicians Psychology (Clinical) 880391102DONLEY, JULIE K 1161 S VALLEY VIEW BLVD LAS VEGAS NV 96350 Clark 702-486-7670 Rehabilitation Speech Pathology 886000022DONOVAN, CATHY 5852 S PECOS RD STE 4 LAS VEGAS NV 96351 Clark 918-392-7880 Physicians Social Worker 530420433DONOVAN-VAUGHN, B D 7375 PRAIRIE FALCON RD STE 160 LAS VEGAS NV 96353 Clark 702-256-6090 Physicians Professional Counselor 043290453DONS PHARMACY 501 RALSTON ST RENO NV 96356 Washoe 775-329-2000 Ambulatory Facilities 880389061DOOLEY, JOHN E 9770 S MCCARRAN BLVD RENO NV 96357 Washoe 775-322-4589 Physicians Otolaryngology 941741654DOOLEY, STACI A 10415 DOUBLE R BLVD RENO NV 96361 Washoe 775-770-6715 Physicians Certified Nurse Practitioner 204834432DOOLEY, TIMOTHY P 9480 DOUBLE DIAMOND PKWY SUTIE 100 RENO NV 96362 Washoe 775-786-1600 Physicians Orthopedic Surgery 203707845DORILAG, MARK J 710 CORONADO CENTER DR STE 100 HENDERSON NV 96366 Clark 702-260-0102 Physicians General Dentist 263353473DOROSTKAR, PARVIN C 3186 S MARYLAND PKWY LAS VEGAS NV 96367 Clark 702-731-8000 Physicians Pediatric Critical Care 465444821DORT, SEAN D 10001 S EASTERN AVE HENDERSON NV 96368 Clark 702-914-2420 Physicians General Surgery 880232840DORWAY, DAVID D 100 N GREEN VALLEY PKWY HENDERSON NV 96371 Clark 702-870-2099 Physicians Pediatrics 880111932DOS SANTOS, LUIZ A 1070 N RANCHO DR LAS VEGAS NV 96376 Clark 702-648-3701 Physicians General Dentist 205756483DOTAIII, ANTHONY P 9260 W SUNSET RD STE 207 LAS VEGAS NV 96379 Clark 702-962-2200 Physicians Cardiology 331159527DOTSON, ANTON R 4275 BURNHAM AVE STE 345 LAS VEGAS NV 96381 Clark 702-735-7668 Physicians Allergy/Immunology 204460981DOTY, JULIANNE 4301 E SUNSET RD STE 100 HENDERSON NV 96383 Clark 702-465-8187 Physicians General Dentist 475009169DOUBRAVA, MARK W 9011 W SAHARA AVE LAS VEGAS NV 96384 Clark 702-794-2020 Physicians Ophthalmology 860852208DOUBRAVA, STERLING 2316 W CHARLESTON BLVD LAS VEGAS NV 96386 Clark 702-877-5319 Physicians Anesthesiology 860857176DOUCETTE, JASON R 6395 S MCCARRAN BLVD STE B RENO NV 96387 Washoe 775-823-9419 Physicians General Dentist 462690803DOUDS, GREGORY L 2471 PROFESSIONAL CT LAS VEGAS NV 96389 Clark 702-835-0088 Physicians Neurological Surgery 880274371DOUG STREIFEL LLC 4355 S GRAND CANYON DR LAS VEGAS NV 96391 Clark 702-222-3651 Physicians Optometry 273839166DOUGHERTY, DOUGLAS A 2020 PALOMINO LN LAS VEGAS NV 96392 Clark 702-759-8600 Physicians Radiology/Diagnostic 451649781DOUGLAS, GEOFFREY P 1800 W CHARLESTON BLVD STE 507 LAS VEGAS NV 96417 Clark 702-383-2092 Physicians Critical Care 880330858DOUGLASS, PAMELA J 3201 S MARYLAND PKWY STE 608 LAS VEGAS NV 96418 Clark 702-457-5437 Physicians Certified Nurse Practitioner 812168877DOVE, CYAANDI R 2121 E FLAMINGO SUTIE SUTIE 110 SUTIE 110 LAS VEGAS NV 96420 Clark 702-696-9005 Physicians Podiatry 141977134DOVER, ARTHUR S 1662 US HIGHWAY 395 N MINDEN NV 96425 Douglas 831-818-5632 Physicians Pediatrics 770119748DOWDING, MATTHEW 2012 S JONES BLVD LAS VEGAS NV 96426 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643DOWNES, COURTNEY M 3100 N TENAYA WAY LAS VEGAS NV 96429 Clark 702-962-5000 Physicians Emergency Medicine 880262438DOWNES, SHARON S 2012 S JONES BLVD LAS VEGAS NV 96430 Clark 702-360-1137 Rehabilitation Speech Pathology 412129643DOWNEY JR, WILLIAM L 653 N TOWN CENTER DR STE 406 LAS VEGAS NV 96431 Clark 702-260-4525 Physicians Pediatrics 880290831Downtown Reno Imaging Center 1784 BROWNING WAY STE B ELKO NV 96435 Elko 775-323-5083 Physicians Radiology/Diagnostic 810561939DOYLE, CHELSEA A 1055 S WELLS AVE RENO NV 96438 Washoe 775-329-6300 Physicians Certified Nurse Practitioner 880291454DOYLE, MICKY R 2900 CLEAR ACRE LN RENO NV 96439 Washoe 775-673-6858 Physicians Chiropractor 880474173DOYLE, NORA 2040 W CHARLESTON BLVD # 3 LAS VEGAS NV 96440 Clark 916-351-4800 Physicians Obstetrics/Gynecology 813419791DOYLE, RYAN O 2625 W HORIZON RIDGE PKWY HENDERSON NV 96441 Clark 702-896-0383 Rehabilitation Physical Therapy 202279187DOYLE, TIMOTHY J 923 MOUNTAIN ST CARSON CITY NV 96442 Carson City 775-884-4446 Physicians Neurology 860878868DOYNE MEDICAL CLINIC 1706 W BONANZA RD LAS VEGAS NV 96443 Clark 702-631-6860 Physicians Family Medicine 880504460DR AJAY NELLUTLA, INC. 3201 S MARYLAND PKWY STE 100 LAS VEGAS NV 96444 Clark 702-649-8009 Physicians Geriatric Medicine 263131980DR CARL D ROBERTSON AND DR GREGORY S KOENIG OPTOMETRISTS65 N TAYLOR ST FALLON NV 96446 Churchill 775-423-8024 Physicians Optometry 880494659DR COHEN INCORPORATED 7395 S PECOS RD STE 101 LAS VEGAS NV 96447 Clark 702-597-1181 Physicians Chiropractor 880312539

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 52 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDDR. MARIAN M. ORR PROF LLC 2340 PASEO DEL PRADO STE D307 LAS VEGAS NV 96448 Clark 702-222-1812 Physicians Psychiatry 270951419DR. PETER TRAN. D.O., FAMILY MEDICINE & GERIATRICS1776 W HORIZON RIDGE PKWY STE 120 HENDERSON NV 96449 Clark 702-363-3288 Physicians Geriatric Medicine 204089623DR. SHIRANEE JAYASOORIYA INC. 8224 W CHARLESTON BLVD STE 2 LAS VEGAS NV 96451 Clark 702-869-6070 Physicians Physical Medicine & Rehabilitation113723913DR. VS ALTERNATIVE CARE CHIROPRACTIC CLINIC LLC270 E HORIZON DR STE 109 HENDERSON NV 96452 Clark 702-735-4488 Physicians Chiropractor 611435250DRAGON, RICHARD J 1234 WATERLOO LN GARDNERVILLE NV 96453 Douglas 775-782-9755 Physicians General Dentist 432067725DRAKE, LAWRENCE A 3603 LAS VEGAS BLVD N STE 122 LAS VEGAS NV 96454 Clark 702-643-7720 Physicians General Dentist 880320316DRAKE, LILIANNE J 501 S RANCHO DR STE I60 LAS VEGAS NV 96455 Clark 702-598-1622 Rehabilitation Speech Pathology 880248852DRAPER, EDWARD M 10101 DOUBLE R BLVD RENO NV 96456 Washoe 775-982-7000 Physicians Anesthesiology 880101307DRAPER, STEVEN 20 STATE ROUTE 208 YERINGTON NV 96471 Lyon 775-463-3171 Physicians General Dentist 880276485DREITZLER, TODD 3663 E SUNSET RD STE 503 LAS VEGAS NV 96472 Clark 702-434-2800 Physicians Family Medicine 860856285DREW, JOSEPH B 1500 E 2ND ST STE B RENO NV 96473 Washoe 775-322-7811 Physicians Urology 208628418DREXLER, JOHN 2805 MOUNTAIN ST CARSON CITY NV 96474 Carson City 844-958-2054 Physicians Anesthesiology 200420553DREYER JR, FREDERICK E 999 ADAMS BLVD STE 102 BOULDER CITY NV 96483 Clark 702-361-2273 Physicians Family Medicine 203502995DREYER, FREDERICK 9975 S EASTERN AVE STE 110 LAS VEGAS NV 96485 Clark 702-361-2273 Physicians Family Medicine 886000436DREYFUS, ALICE C 8310 W SAHARA AVE LAS VEGAS NV 96487 Clark 702-243-4501 Physicians Certified Nurse Practitioner 880494739DRISKILL, BEVERLY A 8500 W CHEYENNE AVE LAS VEGAS NV 96488 Clark 866-825-3227 Physicians Certified Nurse Practitioner 886000022DROWLEY, JAMIE 4955 S DURANGO DR STE 201 LAS VEGAS NV 96490 Clark 702-933-7275 Physicians Orthodontist 830987180DRS. MEDICAL 6048 S DURANGO DR STE 115 LAS VEGAS NV 96491 Clark 702-736-4800 Ancillary Providers 262658404DRUMM, LARRY E 2365 REYNOLDS AVE BLDG C FL 2 NORTH LAS VEGAS NV 96492 Clark 702-588-7070 Physicians Family Medicine 204883392DRUMMER, ERIC M 645 N ARLINGTON AVE STE 440 RENO NV 96494 Washoe 775-770-7622 Physicians Cardiology 455557052DRUZINSKI, NICHOLAS A 7495 W AZURE DR LAS VEGAS NV 96496 Clark 702-515-4009 Rehabilitation Occupational Therapy 472546455DRYANSKI, GREGORY L 1800 W CHARLESTON BLVD LAS VEGAS NV 96497 Clark 702-383-2000 Physicians Family Medicine 886000436DRYDEN, STEVEN V 1470 MEDICAL PKWY STE 260 CARSON CITY NV 96500 Carson City 775-884-4433 Physicians Oral Surgery 880502320DUBOFF, MICHAEL 7545 W SAHARA AVE STE 200 LAS VEGAS NV 96502 Clark 702-838-0707 Physicians General Dentist 262312733DUBOIS, BRIAN W 5411 KIETZKE LN RENO NV 96511 Washoe 775-954-0600 Physicians Anesthesiology 880101307DUBOIS-CHESS, CAROL 6161 W CHARLESTON BLVD LAS VEGAS NV 96528 Clark 702-486-6045 Physicians Psychology (Clinical) 886000022DUCKETT, MOLLY 9520 PROTOTYPE CT RENO NV 96530 Washoe 775-852-6323 Rehabilitation Speech Pathology 562572878DUCKWATER HEALTH CLINIC 502 DUCKWATER FALLS RD DUCKWATER NV 96532 White Pine 775-863-0222 Physicians Family Medicine 880124254DUDDY, BLAIR K 3150 N TENAYA WAY STE 260 LAS VEGAS NV 96533 Clark 702-870-2099 Physicians Pediatrics 880111932DUDEK JR, JOHN J 2020 GOLDRING AVE STE 506 LAS VEGAS NV 96535 Clark 702-382-7055 Physicians Urology 201898649DUDHBHAI, ASGAR A 5701 W CHARLESTON BLVD STE 100 LAS VEGAS NV 96537 Clark 702-877-9514 Physicians Pediatrics 886000436DUDLEY, CAMERON M 7240 W LAKE MEAD BLVD STE 3 LAS VEGAS NV 96539 Clark 702-453-0440 Physicians Chiropractor 880329578DUDLEY, JAMES L 2900 N GREEN VALLEY PKWY HENDERSON NV 96541 Clark 702-798-7171 Physicians Chiropractor 880458010DUDLEY, JOHN H 1595 LAKESIDE DR RENO NV 96542 Washoe 775-323-4660 Physicians Chiropractor 880209249DUDLEY, THOMAS H 343 FAIRVIEW DR STE 101 CARSON CITY NV 96543 Carson City 775-885-7900 Physicians Chiropractor 880502320DUENAS, DANILO M 3150 N TENAYA WAY STE 450 LAS VEGAS NV 96545 Clark 702-796-0300 Physicians Family Medicine 880367571DUENCKELMEYER, JOERG 9127 W RUSSELL RD LAS VEGAS NV 96547 Clark 702-878-0070 Physicians Anesthesiology 822526636DUERR, JOHN E 2298 W HORIZON RIDGE PKWY STE 213 HENDERSON NV 96557 Clark 702-430-6070 Physicians Marriage & Family Therapist 043290453DUFF, MASON 9061 W POST RD LAS VEGAS NV 96558 Clark 702-434-4800 Physicians General Dentist 900009740DUFFY, AARON M 10645 DOUBLE R BLVD RENO NV 96559 Washoe 775-852-6164 Physicians General Dentist 455079229DUFFY, MARLENE A 8571 W LAKE MEAD BLVD STE 120 LAS VEGAS NV 96560 Clark 702-360-5194 Physicians Chiropractor 200725320DUGAN STANFIELD, MONIQUE 605 SIERRA ROSE DR RENO NV 96561 Washoe 775-689-5410 Physicians Psychology (Clinical) 205244843DUGAN, MARK C 1800 W CHARLESTON BLVD LAS VEGAS NV 96564 Clark 702-383-2420 Physicians Pediatric Critical Care 880313664DUGGAN, ERIKA L 10120 S EASTERN AVE HENDERSON NV 96565 Clark 702-456-9585 Physicians Optometry 452538528DUKE, DEREK A 861 CORONADO CENTER DR STE 200 HENDERSON NV 96566 Clark 702-896-0940 Physicians Neurological Surgery 271307712DUKES, TODD R 4275 BURNHAM AVE STE 220 LAS VEGAS NV 96568 Clark 702-369-0088 Physicians Family Medicine 880213519DUMLAO, JHOETTE A 102 E LAKE MEAD PKWY HENDERSON NV 96569 Clark 702-853-3000 Physicians Family Medicine 472990144DUMLER, DENNIS D 9075 S EASTERN AVE STE 4 LAS VEGAS NV 96570 Clark 702-312-7920 Physicians Chiropractor 880426896DUNAGAN IV, CLARENCE M 8670 W CHEYENNE AVE LAS VEGAS NV 96571 Clark 702-649-7711 Physicians Emergency Medicine 271977691DUNAWAY, LINDA J 555 W ARLINGTON AVE RENO NV 96573 Washoe 775-786-3040 Physicians Certified Nurse Practitioner 880201578DUNAWAY, MARY A 2121 E FLAMINGO RD STE 114 LAS VEGAS NV 96575 Clark 702-382-8841 Physicians Dietitian 880436341

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 53 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDDUNCAN, CAMERON G 6630 S MCCARRAN BLVD STE A12 RENO NV 96576 Washoe 775-221-7400 Physicians Certified Nurse Practitioner 810755153DUNETZ, WAYNE A 4440 E WASHINGTON AVE STE 109 LAS VEGAS NV 96577 Clark 702-821-6763 Physicians Podiatry 201898649DUNGO, GERALD G 7150 S DURANGO DR LAS VEGAS NV 96583 Clark 702-228-5477 Physicians Certified Nurse Practitioner 880213519DUNHAM, MATTHEW 3001 SAINT ROSE PKWY HENDERSON NV 96584 Clark 800-967-2289 Physicians Obstetrics/Gynecology 851279864DUNLAP, MERRITT W 1200 MOUNTAIN ST STE 230 CARSON CITY NV 96585 Carson City 775-883-3636 Physicians Family Medicine 880502320DUNLEAVY, SEAN M 2851 N TENAYA WAY STE 103 LAS VEGAS NV 96586 Clark 702-309-4878 Physicians Chiropractor 860854559DUNN, GERALD W 10432 PROFONDO CT LAS VEGAS NV 96587 Clark 702-610-3933 Physicians Neurology 880142399DUNN, THOMAS M 8402 CENTENNIAL PKWY STE 100 LAS VEGAS NV 96588 Clark 702-731-1616 Physicians Orthopedic Surgery 910858192DUNSMOOR, KEVIN M 2647 BOX CANYON DR LAS VEGAS NV 96595 Clark 702-363-5575 Physicians Internal Medicine 880252300DUONG, ANNIE LYNN P 9127 W RUSSELL RD STE 110 LAS VEGAS NV 96597 Clark 702-878-0070 Physicians Anesthesiology 472539837DUONG, KEN 4990 W CRAIG RD STE 15 LAS VEGAS NV 96598 Clark 702-656-5273 Physicians General Dentist 880504771DUONG, LAN T 6910 S RAINBOW BLVD STE 104 LAS VEGAS NV 96599 Clark 702-362-5437 Physicians General Dentist 208396078DUONG, SCOTT V 9127 W RUSSELL RD LAS VEGAS NV 96601 Clark 702-878-0070 Physicians Anesthesiology 910885149DUPANOVIC, JUSTINE 1201 N NEVADA ST CARSON CITY NV 96611 Carson City 775-882-2290 Physicians General Dentist 842800315DUPANOVIC, VEDRAN 525 E MOANA LN STE A RENO NV 96612 Washoe 775-823-5100 Physicians General Dentist 454797322DUPONT, BRANDI N 10555.WELLS AVE STE 120 RENO NV 96613 Washoe 775-329-6300 Physicians General Dentist 880293149DURAIZ, ZARRAR 169 N NELLIS BLVD LAS VEGAS NV 96615 Clark 702-384-1010 Physicians General Dentist 371797092DURAN, HARRY L 5891 E CHARLESTON BLVD STE 150 LAS VEGAS NV 96616 Clark 725-777-3350 Physicians Occupational Medicine 463164188DURAN, PHILLIP J 6160 W TROPICANA AVE STE E4 LAS VEGAS NV 96631 Clark 702-270-6660 Physicians Optometry 880484278DURANGO OUTPATIENT SURGERY CENTER 8530 W SUNSET RD LAS VEGAS NV 96635 Clark 702-789-5700 Ambulatory Facilities 202999408DURANT, WILLIAM J 950 RYLAND ST RENO NV 96636 Washoe 775-329-0286 Physicians Ophthalmology 205368967DURETTE, LISA A 5516 S FORT APACHE RD STE 100 LAS VEGAS NV 96637 Clark 702-646-0188 Physicians Psychiatry 200930346DURHAM, SHANE A 1000 S RAINBOW BLVD LAS VEGAS NV 96640 Clark 702-464-8866 Physicians Certified Nurse Practitioner 880213519DURKIN, MAUREEN L 247 BLUFFS AVE ELKO NV 96641 Elko 775-753-1049 Physicians Internal Medicine 911912844DURSO, JESSICA L 6945 ALIANTE PKWY STE 103 NORTH LAS VEGAS NV 96643 Clark 702-639-9100 Physicians Chiropractor 472665839DUSHMAN, ALFRED M 1505 WIGWAM PKWY HENDERSON NV 96644 Clark 702-870-2099 Physicians Pediatrics 880213519DUTTON, RONALD W 1601 E BASIN AVE PAHRUMP NV 96647 Nye 775-751-1791 Physicians Optometry 331189479DUXBURY, GEORGIANNA M 75 PRINGLE WAY STE 601 RENO NV 96648 Washoe 775-326-8380 Physicians Internal Medicine 880238057DWINELL, BRIAN THOMAS SILVER C 5411 KIETZKE LN RENO NV 96650 Washoe 775-954-0600 Physicians Anesthesiology 880101307DWIRE, JOSHUA D 2360 W HORIZON RIDGE PKWY STE 120 HENDERSON NV 96665 Clark 702-294-0433 Physicians Psychology (Clinical) 454429023DY, MELINDA 151 W BROOKS AVE NORTH LAS VEGAS NV 96667 Clark 702-399-6545 Physicians Family Medicine 752014828DY-PATACSIL, KAHRENANNE A 2810 W CHARLESTON BLVD STE 53 LAS VEGAS NV 96668 Clark 702-877-9511 Physicians Certified Nurse Practitioner 943489399DYE, CASEY A 325 HANSON ST WINNEMUCCA NV 96669 Humboldt 775-828-2873 Physicians Certified Nurse Practitioner 880345183DYKES, CALVIN R 5785 SPRING MOUNTAIN RD LAS VEGAS NV 96675 Clark 702-368-3854 Physicians General Dentist 465405967DYMEK, GARY R 2030 E FLAMINGO RD STE 130 LAS VEGAS NV 96676 Clark 702-451-2141 Physicians Social Worker 920193400Dynamic Home Care Las Vegas 2865 S JONES BLVD LAS VEGAS NV 96677 Clark 702-388-7070 Ancillary Providers 954581832EAGLE PHYSICAL THERAPY 720 ROBB DR STE 103 RENO NV 96678 Washoe 866-389-0211 Rehabilitation 043821114EAGLE VISION 3770 US HIGHWAY 395 S CARSON CITY NV 96679 Douglas 775-267-5611 Physicians Optometry 870810594EAR NOSE AND THROAT SURGERY CENTER 8840 W SUNSET RD LAS VEGAS NV 96680 Clark 702-792-6700 Ambulatory Facilities 464525209EARL, CAMERON I 653 N TOWN CENTER DR STE 108 LAS VEGAS NV 96681 Clark 702-939-3436 Physicians Plastic & Reconstructive Surgery 320188711EARL, GERALD S 5280 S EASTERN AVE LAS VEGAS NV 96683 Clark 702-798-4448 Physicians General Dentist 930697369EARL, ROBERT R 5320 W SAHARA AVE STE 3 LAS VEGAS NV 96684 Clark 702-871-4990 Physicians General Dentist 880138128EARLE OKI MD PROF CORP. 1500 E 2ND ST STE 203 RENO NV 96685 Washoe 775-829-0573 Physicians Obstetrics/Gynecology 481297352EARLE, JAMES M 2595 S CIMARRON RD STE 105 LAS VEGAS NV 96686 Clark 702-228-7147 Physicians Chiropractor 208320520EARLEY, BRIAN V 1297 NEVADA HWY STE A BOULDER CITY NV 96687 Clark 702-294-1919 Physicians Family Medicine 880213519EARLY, SEAN M 8665 S EASTERN AVE STE 103 LAS VEGAS NV 96688 Clark 702-492-1776 Rehabilitation Physical Therapy 464183002EARNEST, SPENCER D 1358 PASEO VERDE PKWY STE 200 HENDERSON NV 96689 Clark 702-564-6712 Rehabilitation Physical Therapy 880308865EASTERN SIERRA EYECARE INC. 311 W WASHINGTON ST STE B CARSON CITY NV 96691 Carson City 775-883-4664 Physicians Optometry 275139769EASTON, BRAD 6171 W CHARLESTON BLVD LAS VEGAS NV 96692 Clark 702-486-6195 Physicians Social Worker 886000022EASTON, DEAN C 800 SHADOW LN LAS VEGAS NV 96693 Clark 702-366-9700 Physicians Radiology/Diagnostic 521278857EATON, BRIAN S 6525 N BUFFALO DR STE 160 LAS VEGAS NV 96696 Clark 702-898-4600 Physicians Chiropractor 562564219

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 54 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDEAVES, DARLENE E 1590 W SUNSET RD HENDERSON NV 96698 Clark 702-486-6700 Physicians Social Worker 886000022EBERLE, JOSEPH J 5295 SUN VALLEY BLVD STE 6 SUN VALLEY NV 96700 Washoe 775-673-1055 Physicians General Dentist 261318928EBRAHIMI, NAMAN Z 6525 N DECATUR BLVD STE 150 LAS VEGAS NV 96702 Clark 702-577-1941 Physicians General Dentist 208862814ECHKO, JEANNE S 2321 ORANGEBURG PL HENDERSON NV 96704 Clark 702-403-0136 Rehabilitation Physical Therapy 880500777ECHOLS, LESLIE A 9280 W SUNSET RD STE 426 LAS VEGAS NV 96705 Clark 702-688-8110 Physicians Certified Nurse Practitioner 880213519ECKARD CHIROPRACTIC 2304 ODDIE BLVD SPARKS NV 96706 Washoe 775-358-3590 Physicians Chiropractor 043821114ECKELKAMP, MARYLYN 7200 CATHEDRAL ROCK DR STE 120 LAS VEGAS NV 96707 Clark 702-341-5888 Physicians Professional Counselor 521600459ECKERT, KATHRYN L 75 PRINGLE WAY RENO NV 96708 Washoe 775-333-8000 Physicians Pediatric Endocrinology 421580690ECKHARD, VALERIE 801 E WILLIAMS AVE STE 2209 FALLON NV 96709 Churchill 775-423-3151 Physicians CRNA 842010869ECKMANN, DAVID R 1409 E LAKE MEAD BLVD NORTH LAS VEGAS NV 96710 Clark 702-649-7711 Physicians Radiology/Diagnostic 410916626EDANO, DEBBIE E 9320 W SAHARA AVE LAS VEGAS NV 96711 Clark 702-383-3850 Physicians Internal Medicine 886000436EDANO, LOTIS GAY P 2420 PROFESSIONAL CT STE 150 LAS VEGAS NV 96712 Clark 702-853-0090 Physicians Certified Nurse Practitioner 462812104EDELSTEIN MEDICAL GROUP PLLC 8205 W WARM SPRINGS RD STE 210 LAS VEGAS NV 96717 Clark 702-735-8734 Physicians Internal Medicine 274003150EDGAR EVANGELISTA MD PC 3380 S EASTERN AVE LAS VEGAS NV 96718 Clark 702-791-3260 Physicians Neurology 270207151EDGCOMB, JOHN S 1600 MEDICAL PKWY CARSON CITY NV 96719 Carson City 775-445-8000 Physicians Emergency Medicine 880135776EDGE, DAVID W 1528 US HIGHWAY 395 N STE 215 GARDNERVILLE NV 96721 Douglas 775-783-4930 Physicians Acupuncturist 573837097EDGERLY, KAEAI S 18653 WEDGE PKWY RENO NV 96722 Washoe 775-770-3046 Physicians Certified Nurse Practitioner 880502320EDINGTON, MARK D 9895 S MARYLAND PKWY STE A LAS VEGAS NV 96723 Clark 702-372-4039 Physicians General Dentist 205137374EDISS, DIMITRY J 601 E WASHINGTON ST CARSON CITY NV 96724 Carson City 775-882-7085 Physicians Chiropractor 880502320EDISS, JOHN J 601 E WASHINGTON ST CARSON CITY NV 96725 Carson City 775-882-7085 Physicians Chiropractor 880502320EDMONDS, DAVID B 657 N TOWN CENTER DR LAS VEGAS NV 96726 Clark 702-233-7000 Physicians Pediatrics 880249971EDMUNDS, KENNETH O 1000 S RAINBOW BLVD LAS VEGAS NV 96727 Clark 702-259-0088 Physicians Internal Medicine 880213519EDMUNDS, MICHAEL R 2874 N CARSON ST STE 105 CARSON CITY NV 96728 Carson City 775-841-9991 Physicians Orthopedic Surgery 941709925EDMUNDSON, KELLY K 1101 W MOANA LN STE 2 RENO NV 96733 Washoe 775-337-2394 Physicians Marriage & Family Therapist 810550989EDNEY, SALLY W 1055 S WELLS AVE STE 120 RENO NV 96734 Washoe 775-329-6300 Physicians Certified Nurse Practitioner 880293149EDSON, DARREN S 9880 W FLAMINGO RD LAS VEGAS NV 96735 Clark 702-216-7335 Physicians Emergency Medicine 824933457EDWARDS, AUDREY M 1250 S EASTERN AVE LAS VEGAS NV 96736 Clark 702-474-6700 Physicians Psychology (Clinical) 438868401EDWARDS, CHRISTOPHER 695 SIERRA ROSE DR RENO NV 96737 Washoe 775-453-4143 Physicians Social Worker 471013467EDWARDS, DAVID A 615 SIERRA ROSE DR RENO NV 96739 Washoe 775-828-4055 Physicians General Practice 880502320EDWARDS, ERWIN M 8551 W LAKE MEAD BLVD STE 281 LAS VEGAS NV 96740 Clark 702-363-9000 Rehabilitation Physical Therapy 880386672EDWARDS, GERALD L 1875 PLUMAS ST STE 5 RENO NV 96741 Washoe 775-852-3333 Physicians Chiropractor 568710889EDWARDS, GREGORY C 2585 S JONES BLVD STE 1A LAS VEGAS NV 96743 Clark 702-433-2489 Physicians General Dentist 271914839EDWARDS, JOHNATHAN J 6655 W SAHARA AVE LAS VEGAS NV 96744 Clark 702-222-3238 Physicians Anesthesiology 860857176EDWARDS, LARRY J 1250 S EASTERN AVE LAS VEGAS NV 96746 Clark 702-474-6700 Physicians Obstetrics/Gynecology 880297479EDWARDS, MICHAEL S 5590 KIETZKE LN RENO NV 96748 Washoe 775-323-2080 Physicians Neurological Surgery 680273974EDWARDS, MICHELLE C 8828 MOHAWK ST LAS VEGAS NV 96751 Clark 702-880-4193 Physicians CRNA 880404982EDWARDS, STEVEN L 6040 S RAINBOW BLVD STE B1 LAS VEGAS NV 96759 Clark 702-876-9737 Rehabilitation Physical Therapy 201159020EDWARDS, VINCENT K 2851 EL CAMINO AVE STE 101 LAS VEGAS NV 96760 Clark 702-380-3212 Rehabilitation Physical Therapy 880250024EDWIN SUAREZ PHYSICAL THERAPY 3620 E SUNSET RD STE 100 LAS VEGAS NV 96761 Clark 702-368-6778 Rehabilitation 830375934EEKHOFF, TODD L 4655 LONGLEY LN RENO NV 96764 Washoe 775-825-6450 Rehabilitation Physical Therapy 880297530EEN, MIRIAM 2410 FIRE MESA ST STE 180 LAS VEGAS NV 96765 Clark 702-992-6888 Physicians Dietitian 813419791EGAN, ANN 1500 E 2ND ST STE 300 RENO NV 96769 Washoe 775-322-7811 Physicians Certified Nurse Practitioner 208628418EGAN, SYDNEY L 112 S JONES BLVD LAS VEGAS NV 96770 Clark 702-909-4600 Physicians Certified Nurse Practitioner 471690837EGBERT, BRYCE L 235 W 6TH ST RENO NV 96771 Washoe 775-770-3000 Physicians Anesthesiology 742791419EGGERS, RYAN 555 W ARLINGTON AVE RENO NV 96772 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557EHMANN, JENNIFER A 1107 US HIGHWAY 395 S GARDNERVILLE NV 96773 Douglas 775-782-1500 Physicians Pediatrics 942693002EICHENLAUB, TIMOTHY J 5380 S RAINBOW BLVD STE 120 LAS VEGAS NV 96774 Clark 702-233-3444 Physicians Family Medicine 880213519EID, WAEL 6040 S FORT APACHE RD STE 100 LAS VEGAS NV 96776 Clark 702-696-7256 Physicians Critical Care 272374581EINOWSKI, JEREMY T 198 E MAIN ST FERNLEY NV 96778 Lyon 775-575-1966 Physicians Optometry 880494659EISA, OLA E 2208 S NELLIS BLVD STE 5 LAS VEGAS NV 96779 Clark 702-475-9000 Physicians Family Medicine 262333043EISEN, ANDREW M 874 AMERICAN PACIFIC DR HENDERSON NV 96782 Clark 702-777-4809 Physicians Pediatrics 200363127

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 55 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDEISENBERG, DAN 8551 W LAKE MEAD BLVD STE 150 LAS VEGAS NV 96787 Clark 702-228-0031 Physicians Radiology/Diagnostic 264299275EISENBERG, DAN L 2475 W HORIZON RIDGE PKWY HENDERSON NV 96796 Clark 702-731-2088 Physicians Ophthalmology 880107297EISENBERG, MICHAEL J 8551 W LAKE MEAD BLVD LAS VEGAS NV 96798 Clark 800-400-4674 Physicians Radiology/Diagnostic 880375920EISENHAUER, DAVID E 973 MICA DR STE 201 CARSON CITY NV 96804 Douglas 775-783-6190 Physicians Orthopedic Surgery 941709925EISENMESSER, BRETT H 1600 MEDICAL PKWY CARSON CITY NV 96805 Carson City 775-445-8000 Physicians Emergency Medicine 880502320EISINGA, SABRINA 3196 S MARYLAND PKWY STE 209 LAS VEGAS NV 96807 Clark 702-944-2888 Physicians Certified Nurse Practitioner 813419791EISNER, LANCE P 2610 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 96808 Clark 702-938-0190 Physicians Podiatry 561941363EJAZ KAMBOJ, MD, INC. 1770 N BUFFALO DR STE 103 LAS VEGAS NV 96809 Clark 702-650-0009 Physicians Cardiology 134205491EKEH, OBIAGERI T 2040 W CHARLESTON BLVD STE 402 LAS VEGAS NV 96810 Clark 702-671-2231 Physicians Pediatric Critical Care 880330858EKEKWE, IKE M 4880 WYNN RD LAS VEGAS NV 96811 Clark 702-871-5005 Physicians Certified Nurse Practitioner 880213519EL SALIBI, FADI D 10001 S EASTERN AVE STE 307 HENDERSON NV 96812 Clark 702-914-6555 Physicians Infectious Diseases 264330610EL-EID, SOUZAN E 9280 W SUNSET RD STE 100 LAS VEGAS NV 96814 Clark 702-952-1251 Physicians General Surgery 880350180ELDEMERDASH, ALAA ELDIN A 1800 W CHARLESTON BLVD LAS VEGAS NV 96815 Clark 702-383-2000 Physicians Pediatrics 886000436ELDER, SEAN H 526 S TONOPAH DR LAS VEGAS NV 96816 Clark 702-440-8430 Physicians Certified Nurse Practitioner 832602698ELDRIDGE, JOSEPH C 1800 W CHARLESTON BLVD LAS VEGAS NV 96818 Clark 702-383-2085 Physicians Certified Nurse Practitioner 202977358ELITE ENDOSCOPY LLC 7150 SMOKE RANCH RD STE 150 LAS VEGAS NV 96867 Clark 702-485-5100 Ambulatory Facilities 202722461ELITE. MEDICAL CENTER 150 E HARMON AVE LAS VEGAS NV 96868 Clark 702-546-0911 Hospitals Short Term Acute Care Hospital 821298934ELITE. SPORTS MEDICINE LLC 1875 PLUMAS ST # 6A RENO NV 96869 Washoe 775-626-6817 Physicians Podiatry 900161307ELKANICH, GEORGE M 2680 CRIMSON CANYON DR LAS VEGAS NV 96870 Clark 702-737-7070 Physicians Orthopedic Surgery 880293830ELKHOURY, NABIL 9260 W SUNSET RD LAS VEGAS NV 96872 Clark 702-255-3547 Physicians Obstetrics/Gynecology 880213519ELKO CLINIC 2001 ERRECART BLVD ELKO NV 96873 Elko 775-748-2037 Physicians Cardiology 880387970ELKO ENT. SPECIALISTS 645 N ARLINGTON AVE STE 670 RENO NV 96875 Washoe 775-324-3800 Physicians Otolaryngology 880401857ELKO MENTAL HEALTH CENTER 1825 PINION RD STE A ELKO NV 96876 Elko 775-782-3671 Ambulatory Facilities 886000022ELKO PHYSICAL THERAPY 2219 N 5TH ST STE B ELKO NV 96877 Elko 775-738-9600 Rehabilitation 880211852ELLERBROCK, EMILY R 615 SIERRA ROSE DR STE 2A RENO NV 96879 Washoe 775-828-9724 Rehabilitation Physical Therapy 200932822ELLERO, JO ANN C 5411 KIETZKE LN RENO NV 96882 Washoe 775-954-0600 Physicians Anesthesiology 880101307ELLERTON, JOHN A 3131 LA CANADA ST LAS VEGAS NV 96897 Clark 702-693-6870 Physicians Hematology/Oncology 880401900ELLIOTT, AMBER L 600 WHITNEY RANCH DR HENDERSON NV 96901 Clark 702-340-0551 Physicians Marriage & Family Therapist 475260984ELLIOTT, CHARLES R 19 SIERRA ST YERINGTON NV 96902 Lyon 775-463-2020 Physicians Optometry 880494659ELLIOTT, CHELSAE R 3196 S MARYLAND PKWY STE 209 LAS VEGAS NV 96903 Clark 702-944-2888 Physicians Certified Nurse Practitioner 813419791ELLIOTT, EMILEE S 1200 MOUNTAIN ST STE 230 CARSON CITY NV 96905 Carson City 775-882-1324 Physicians Certified Nurse Practitioner 880502320ELLIOTT, FRANK S 1090 WIGWAM PKWY STE 100 HENDERSON NV 96907 Clark 702-454-0201 Physicians Psychiatry 475176228ELLIOTT, PATRICIA H 502 E JOHN ST CARSON CITY NV 96909 Carson City 775-883-2982 Physicians Social Worker 342441561ELLIOTT, STEVEN L 1200 MOUNTAIN ST STE 230 CARSON CITY NV 96910 Carson City 775-883-3636 Physicians Family Medicine 880201578ELLIS, CHARLES 5120 S PECOS RD LAS VEGAS NV 96912 Clark 702-560-5973 Physicians Professional Counselor 900837799ELLIS, DOUGLAS A 3233 W CHARLESTON BLVD LAS VEGAS NV 96913 Clark 702-258-9381 Rehabilitation Physical Therapy 880386672ELLIS, ERIN R 7040 SMOKE RANCH RD LAS VEGAS NV 96914 Clark 702-792-6700 Physicians Certified Nurse Practitioner 886000436ELLIS, LAMONT A 7391 W CHARLESTON BLVD STE 140 LAS VEGAS NV 96915 Clark 702-304-2144 Physicians Family Medicine 954715965ELLISON, JAMES 4221 MCLEOD DR LAS VEGAS NV 96936 Clark 702-474-6450 Physicians Marriage & Family Therapist 880111970ELLSWORTH, BENJAMIN B 7175 W LAKE MEAD BLVD STE 110 LAS VEGAS NV 96938 Clark 702-228-9911 Physicians Periodontist 205338830ELLSWORTH, CHAD W 2843 SAINT ROSE PKWY STE 100 HENDERSON NV 96950 Clark 702-531-5437 Physicians Pediatric Dentist 432056953ELLSWORTH, EVAN B 2660 WINDMILL PKWY HENDERSON NV 96951 Clark 702-990-2960 Physicians General Dentist 851416453ELLSWORTH, SHANE L 55 S VALLE VERDE DR STE 250 HENDERSON NV 96952 Clark 702-260-1890 Physicians General Dentist 264222951ELLWOOD, AMY 2410 FIRE MESA ST STE 180 LAS VEGAS NV 96953 Clark 702-992-6888 Physicians Social Worker 880330858ELLYIN, FRANCIS 3280 N RAINBOW BLVD STE 110 LAS VEGAS NV 96955 Clark 702-233-4555 Physicians Family Medicine 880359170ELMER, ROGER R 3025 E DESERT INN RD STE 20 LAS VEGAS NV 96956 Clark 702-798-1112 Physicians Chiropractor 880506754ELMESALLATI, HUSAMEDDIN M 7391 W CHARLESTON BLVD STE 140 LAS VEGAS NV 96959 Clark 702-304-2144 Physicians Internal Medicine 201026537ELNAGAR, SUZANNE H 3150 N TENAYA WAY STE 440 LAS VEGAS NV 96961 Clark 702-962-5921 Physicians Certified Nurse Practitioner 331159527ELPERS, AMANDA 5270 S FORT APACHE RD STE 340 LAS VEGAS NV 96962 Clark 702-273-3404 Physicians General Dentist 814017924ELSABAWI, RASHAD 9127 W RUSSELL RD LAS VEGAS NV 96966 Clark 702-878-0070 Physicians Anesthesiology 202428069ELSANOUSY, HIND E 61 N NELLIS BLVD LAS VEGAS NV 96975 Clark 702-383-6240 Physicians Family Medicine 886000436

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 56 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDELSON, ROBERT K 6130 ELTON AVE LAS VEGAS NV 96976 Clark 702-476-0297 Physicians Anesthesiology 860857176ELTGROTH, MATTHEW L 3186 S MARYLAND PKWY LAS VEGAS NV 96977 Clark 702-961-5000 Physicians Radiology/Diagnostic 822135009ELY MENTAL HEALTH CENTER 1675 AVENUE F ELY NV 97002 White Pine 775-289-1671 Ambulatory Facilities 886000022EMANUEL, CARLOS C 1815 E LAKE MEAD BLVD NORTH LAS VEGAS NV 97003 Clark 702-642-9010 Physicians Cardiology 880161856EMBREE, THOMAS J 1614 US HIGHWAY 395 N MINDEN NV 97005 Douglas 775-781-3671 Physicians Marriage & Family Therapist 270420761EMEH, OGBUGO K 2880 N TENAYA WAY STE 100 LAS VEGAS NV 97006 Clark 702-962-9550 Physicians Internal Medicine 472192630EMERALD PHARMACY AND MEDICAL SUPPLY500 S MARTIN L KING BLVD LAS VEGAS NV 97009 Clark 702-678-6267 Ambulatory Facilities 880485206EMERY, CARMEN R 2020 PALOMINO LN LAS VEGAS NV 97010 Clark 702-759-8600 Physicians Radiology/Diagnostic 474650347EMERY, GARRETT J 102 E LAKE MEAD PKWY HENDERSON NV 97035 Clark 702-856-0633 Physicians Emergency Medicine 880262438EMERY, PAUL T 8205 W WARM SPRINGS RD LAS VEGAS NV 97038 Clark 702-616-5801 Physicians Internal Medicine 880252300EMM, ADRIAN S 1001 RIO VISTA DR FALLON NV 97040 Churchill 775-423-3634 Physicians Chiropractor 880120723EMMANUEL NWAPA MD PC 1800 INDUSTRIAL RD STE 110 LAS VEGAS NV 97041 Clark 702-380-8200 Physicians Psychiatry 262640503EMMERICH, MARIE L 897 IRONWOOD DR MINDEN NV 97042 Douglas 775-782-1610 Physicians Certified Nurse Practitioner 261513495EMPEY, LONNIE R 1301 BERTHA HOWE AVE MESQUITE NV 97044 Clark 702-430-5000 Physicians Internal Medicine 270592513EMPICARE 880 SEVEN HILLS DR STE 140 HENDERSON NV 97049 Clark 702-990-2290 Ancillary Providers 311538883EMS TOXICOLOGY 6171 MCLEOD DR STE A LAS VEGAS NV 97051 Clark 949-467-9213 Ancillary Providers 472681024ENCOMPASS HEALTH REHABILITATION HOSPITAL OF DESERT CANYON9175 W OQUENDO RD LAS VEGAS NV 97052 Clark 702-252-7342 Hospitals 272457834ENCOMPASS HEALTH REHABILITATION HOSPITAL OF HENDERSON10301 JEFFREYS ST HENDERSON NV 97053 Clark 702-939-9400 Hospitals 631262946ENCOMPASS HEALTH REHABILITATION HOSPITAL OF LAS VEGAS1250 S VALLEY VIEW BLVD LAS VEGAS NV 97054 Clark 702-877-8898 Hospitals 251693810ENDER ANESTHESIOLOGY PC 1930 VILLAGE CENTER CIR LAS VEGAS NV 97055 Clark 702-612-2063 Physicians Anesthesiology 208562398ENDER, JEFFREY I 1930 VILLAGE CENTER CIR LAS VEGAS NV 97056 Clark 720-250-6264 Physicians Anesthesiology 208562398ENDOCRINE ASSOCIATES 540 W PLUMB LN RENO NV 97057 Washoe 775-746-3338 Physicians Endocrinology 880514820ENDOSCOPY CENTER OF NEVADA - WEST 700 SHADOW LN LAS VEGAS NV 97058 Clark 702-380-0809 Ambulatory Facilities 880279768ENDURANCE PHYSICAL THERAPY 129 W LAKE MEAD PKWY HENDERSON NV 97059 Clark 702-564-6712 Rehabilitation 043821114ENGEL, STUART A 9811 W CHARLESTON BLVD LAS VEGAS NV 97060 Clark 702-808-1045 Physicians General Surgery 562373479ENGINEER, NITIN J 2821 W HORIZON RIDGE PKWY STE 130 HENDERSON NV 97061 Clark 702-242-6911 Physicians Hand Surgery 843850495ENGLAND, BEAU T 5920 S RAINBOW BLVD STE 9 LAS VEGAS NV 97063 Clark 800-598-5300 Rehabilitation Audiology 810966997ENGLER, MICHAEL A 1397 S LOOP RD PAHRUMP NV 97065 Nye 775-727-5500 Physicians Internal Medicine 880213519ENGLISH, HARRY A 343 ELM ST RENO NV 97066 Washoe 775-336-6900 Physicians Anesthesiology 880101307ENGORN, DAVID 8402 CENTENNIAL PKWY LAS VEGAS NV 97082 Clark 702-869-3486 Physicians Podiatry 910858192ENHANCE DENTAL 1215 S FORT APACHE RD STE 230 LAS VEGAS NV 97086 Clark 702-437-1007 Physicians General Dentist 432102303ENNIS, RAVEN D 4270 S DECATUR BLVD STE B6 LAS VEGAS NV 97087 Clark 702-485-2100 Physicians Certified Nurse Practitioner 812219401ENRIQUEZ, LINDSEY N 1800 W CHARLESTON BLVD LAS VEGAS NV 97088 Clark 720-383-2000 Physicians Certified Nurse Practitioner 886000436ENSIGN, LARS D 155 HIGHWAY 50 STATELINE NV 97090 Douglas 775-589-8900 Physicians Emergency Medicine 942693002ENT VOICE & SINUS CENTER OF NEVADA 8985 S PECOS RD STE 3B HENDERSON NV 97093 Clark 702-647-2900 Physicians Otolaryngology 208718031ENTEZARI, TOKAMEH 235 W 6TH ST RENO NV 97094 Washoe 775-329-5001 Physicians Internal Medicine 352182577EPIC MEDICAL SOLUTIONS 3230 W HACIENDA AVE STE 305 LAS VEGAS NV 97095 Clark 888-885-2386 Ancillary Providers 860978140ERGER, AMY 241 RIDGE ST STE 101 RENO NV 97096 Washoe 775-786-7325 Physicians Chiropractor 208069555ERIC GERSON, MD, LTD 1409 E LAKE MEAD BLVD NORTH LAS VEGAS NV 97097 Clark 702-657-5507 Ancillary Providers 204036565ERICKSON, CLINTON 1600 MEDICAL PKWY CARSON CITY NV 97099 Carson City 775-445-8000 Physicians Emergency Medicine 880502320ERICKSON, ROBERT A 9127 W RUSSELL RD LAS VEGAS NV 97101 Clark 702-878-0070 Physicians CRNA 910885149ERICKSON, VICTORIA 480 GALLETTI WAY SPARKS NV 97110 Washoe 775-688-2001 Physicians Social Worker 886000022ERICSSON, NANA 2110 E FLAMINGO RD LAS VEGAS NV 97111 Clark 702-942-3333 Physicians Internal Medicine 010932934ERISMAN, ALLEN A 3100 N TENAYA WAY LAS VEGAS NV 97112 Clark 702-255-5000 Physicians Emergency Medicine 351835133ERKULVRAWATR, EDSON 6950 W DESERT INN RD STE 110 LAS VEGAS NV 97114 Clark 702-259-5550 Physicians Pain Management 880319744ERLENBUSCH, CLEMENCIA M 1050 E SAHARA AVE LAS VEGAS NV 97116 Clark 702-880-4193 Rehabilitation Physical Therapy 880404982ERMOCILLA, CARLOS A 3121 S MARYLAND PKWY STE 101 LAS VEGAS NV 97128 Clark 702-320-3627 Physicians Family Medicine 010727744EROGUL, JOHN Y 2874 N CARSON ST STE 300 CARSON CITY NV 97132 Carson City 775-445-5500 Physicians Radiology/Diagnostic 880279310ERSKINE, SARAH T 595 W LAKE MEAD PKWY HENDERSON NV 97134 Clark 702-566-5500 Physicians Certified Nurse Practitioner 880213519ERWIN, CHERYL L 448 RIDGE ST STE B RENO NV 97135 Washoe 775-331-6723 Physicians Marriage & Family Therapist 459114146ERWIN, ROBERT C 255 GLENDALE AVE STE 12 SPARKS NV 97136 Washoe 775-356-8181 Physicians Occupational Medicine 752014828

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 57 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDESAU, JOHN 2575 LINDELL RD LAS VEGAS NV 97137 Clark 702-362-3937 Physicians Anesthesiology 621807965ESCAMIS, PAT 100 N GREEN VALLEY PKWY STE 110 HENDERSON NV 97138 Clark 702-933-1485 Physicians Certified Nurse Practitioner 821357714ESCOBAR, CAMILA 2012 S JONES BLVD LAS VEGAS NV 97140 Clark 702-360-1137 Rehabilitation Physical Therapy 412129643ESGUERRA TEH, CYNTHIA 2440 PROFESSIONAL CT LAS VEGAS NV 97141 Clark 702-240-8155 Physicians Internal Medicine 880386657ESLAVA, ANDREA 9895 S MARYLAND PKWY STE A LAS VEGAS NV 97143 Clark 702-372-4039 Physicians General Dentist 205137374ESPANOL, KATRINA 6930 S CIMARRON RD STE 160 LAS VEGAS NV 97144 Clark 702-368-6778 Rehabilitation Physical Therapy 830375934ESPARTERO, YOYEN A 8280 W WARM SPRINGS RD LAS VEGAS NV 97145 Clark 702-492-8000 Physicians Certified Nurse Practitioner 472990144ESPEJO, JOSHUA R 3163 N RAINBOW BLVD LAS VEGAS NV 97146 Clark 702-805-1178 Physicians General Dentist 844668645ESPINOSA, MATTHEW J 4920 W LONE MOUNTAIN RD LAS VEGAS NV 97148 Clark 702-655-0055 Physicians Certified Nurse Practitioner 880213519ESPITIA, CARMEN 1640 E CHARLESTON BLVD LAS VEGAS NV 97149 Clark 702-647-2583 Physicians Family Medicine 261937235ESQUENAZI, JACOB 2450 W CHARLESTON BLVD LAS VEGAS NV 97150 Clark 702-724-8780 Physicians Anesthesiology 472989595ESQUIVEL, LARAINE 8280 W WARM SPRINGS RD LAS VEGAS NV 97151 Clark 510-350-2600 Physicians Certified Nurse Practitioner 862775542ESSENTIAL WOMENS HEALTH ASSOCIATES 282 W HORIZON STE 130 HENDERSON NV 97152 Clark 702-862-8862 Physicians Obstetrics/Gynecology 203080081ESSEX, CRAIG 6161 W CHARLESTON BLVD LAS VEGAS NV 97154 Clark 702-486-6045 Physicians Psychiatry 886000022ESTELA, CESAR A 150 E HARMON AVE LAS VEGAS NV 97155 Clark 702-796-1116 Physicians Physical Medicine & Rehabilitation274677807ESTEPA, CHRISTINE T 6870 S RAINBOW BLVD LAS VEGAS NV 97156 Clark 702-396-6000 Physicians Family Medicine 812168877ESTEVEZ, ROGER 2755 E DESERT INN RD STE 275 LAS VEGAS NV 97159 Clark 702-570-6107 Physicians Internal Medicine 201026537ESTHERLOIDA P LUPERTE MD PLLC 8280 W WARM SPRINGS RD LAS VEGAS NV 97165 Clark 702-732-3299 Physicians Internal Medicine 263653254ESTILLORE, CESAR S 4212 W CHARLESTON BLVD LAS VEGAS NV 97166 Clark 702-312-2233 Physicians Certified Nurse Practitioner 721597863ESTIPONA, CATHERINE D 8040 S VIRGINIA ST RENO NV 97167 Washoe 775-852-3636 Physicians Certified Nurse Practitioner 455557052ESTRADA, EDMUNDO C 5850 POLARIS AVE STE 100 LAS VEGAS NV 97168 Clark 702-739-9957 Physicians Occupational Medicine 752014828Estrada, Jacqueline 4221 MCLEOD DR LAS VEGAS NV 97169 Clark 702-474-6450 Physicians Marriage & Family Therapist 880111970ESTRELLA, ENRICO 5570 CAMINO AL NORTE STE 1 NORTH LAS VEGAS NV 97171 Clark 702-657-0756 Physicians Certified Nurse Practitioner 463164188ESTRELLER, ROBERT 10030 W SAHARA AVE LAS VEGAS NV 97188 Clark 702-570-8105 Physicians Certified Nurse Practitioner 463164188ETEBAR, RAMIN 2031 N BUFFALO DR LAS VEGAS NV 97205 Clark 702-383-3750 Physicians Internal Medicine 880303083ETEZADI - AMOLI, NEDA 1664 N VIRGINIA ST RENO NV 97208 Washoe 775-784-4414 Physicians Obstetrics/Gynecology 860881749ETMAN, JOSHUA 4818 W LONE MOUNTAIN RD LAS VEGAS NV 97209 Clark 702-655-9533 Physicians General Dentist 471972577ETTER, BOYD A 555 W ARLINGTON AVE RENO NV 97210 Washoe 775-788-5242 Rehabilitation Physical Therapy 510513345ETTER, SHERYL L 415 US HIGHWAY 95A S STE C-302 FERNLEY NV 97212 Lyon 775-575-1818 Rehabilitation Physical Therapy 510513345EUGENE ROSENMAN, MD, LTD. 2775 S JONES BLVD STE 101 LAS VEGAS NV 97214 Clark 702-685-3300 Physicians Psychiatry 050604856EUTENEIER, JENNA L 2012 S JONES BLVD LAS VEGAS NV 97215 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643EVAN C. ALLEN MD PC 2510 WIGWAM PKWY STE 109 HENDERSON NV 97216 Clark 702-541-8240 Physicians Family Medicine 562656085EVAN, ALEXIA L 2831 SAINT ROSE PKWY STE 221 HENDERSON NV 97217 Clark 702-279-2230 Physicians Social Worker 823795906EVANGELISTA, EDGAR JAY B 6040 BADURA AVE LAS VEGAS NV 97218 Clark 702-800-7831 Physicians Neurology 270207151EVANS, BRIAN 5220 NEIL RD STE 220 RENO NV 97219 Washoe 775-829-7700 Physicians General Dentist 811094354EVANS, CHRISTOPHER P 70 E HORIZON RIDGE PKWY HENDERSON NV 97221 Clark 702-856-0422 Rehabilitation Physical Therapy 201830653EVANS, DARWIN H 3896 N MARTIN L KING BLVD NORTH LAS VEGAS NV 97223 Clark 702-614-1792 Physicians General Dentist 204714412EVANS, DONALD A 4555 E CHARLESTON BLVD STE 101 LAS VEGAS NV 97225 Clark 702-457-2225 Physicians Chiropractor 161631585EVANS, EDD L 9127 W RUSSELL RD LAS VEGAS NV 97229 Clark 702-878-0070 Physicians Anesthesiology 200420553EVANS, EMILY S 2667 ENTERPRISE RD RENO NV 97238 Washoe 901-605-7861 Rehabilitation Speech Pathology 886000022EVANS, JACQUELINE R 3211 W CHARLESTON BLVD LAS VEGAS NV 97239 Clark 702-871-3730 Physicians Social Worker 263198139EVANS, JASON E 75 PRINGLE WAY STE 705 RENO NV 97240 Washoe 775-329-0333 Physicians Certified Nurse Practitioner 941741654EVANS, JOHN C 1500 E 2ND ST STE B RENO NV 97241 Washoe 775-982-2400 Physicians Cardiology 880303924EVANS, NICOLE S 70 E HORIZN RIDGE PKWY STE 180 HENDERSON NV 97242 Clark 702-856-0422 Rehabilitation Physical Therapy 201830653EVANS, STEVEN D 2450 W CHARLESTON BLVD LAS VEGAS NV 97244 Clark 702-877-8661 Physicians Anesthesiology 860857176EVANS, WILLIAM N 3006 S MARYLAND PKWY STE 690 LAS VEGAS NV 97248 Clark 702-732-1290 Physicians Pediatric Cardiology 880330858EVARTSJR, FRANK 1750 LOCUST ST STE A RENO NV 97253 Washoe 775-323-5133 Physicians Psychology (Clinical) 860858514EVELYN REYES APRN 5860 S PECOS RD STE 200 LAS VEGAS NV 97254 Clark 702-780-1313 Physicians Certified Nurse Practitioner 852058371EVENSEN, ERIK P 500 N RAINBOW BLVD STE 203 LAS VEGAS NV 97255 Clark 702-878-0554 Physicians Emergency Medicine 204311300EVENSON, JEFFERY M 1000 S RAINBOW BLVD LAS VEGAS NV 97256 Clark 702-255-4200 Physicians Internal Medicine 880345631EVERETT-BRIDGEWATER, LISA S 3636 WATERFALL CT SPARKS NV 97259 Washoe 775-626-7608 Rehabilitation Physical Therapy 886000022

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 58 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDEVERLY, KATIE R 3820 S JONES BLVD LAS VEGAS NV 97260 Clark 702-818-5000 Rehabilitation Physical Therapy 134222973EVERS, REEVE R 1111 SIERRA VISTA DR LAS VEGAS NV 97261 Clark 702-732-2020 Physicians Optometry 880322065EVERTS, WILLIAM C 855 6TH ST LOVELOCK NV 97262 Pershing 775-273-2621 Physicians Emergency Medicine 880201578EWALD JR, ERIC J 155 HIGHWAY 50 STATELINE NV 97263 Douglas 775-589-8900 Physicians Family Medicine 942693002EXCEL CHIRO CARE 5288 SPRING MOUNTAIN RD STE 250 LAS VEGAS NV 97264 Clark 702-251-9911 Physicians Chiropractor 880419556EXCEL CHIROPRACTIC 9455 W RUSSELL RD STE C LAS VEGAS NV 97266 Clark 702-220-7646 Physicians Chiropractor 113656491EXCEL PHYSICAL THERAPY 1650 US HIGHWAY 395 N MINDEN NV 97267 Douglas 866-389-0211 Rehabilitation 043821114EXCEL PHYSICAL THERAPY LLC 5288 SPRING MTN RD STE 200 LAS VEGAS NV 97268 Clark 702-251-9911 Physicians Chiropractor 451768536EXECUTIVE HEALTH AND WELLNESS CENTER8463 W LAKE MEAD BLVD LAS VEGAS NV 97270 Clark 702-304-0854 Physicians Internal Medicine 203119253EXELLABS 3365 E FLAMINGO RD STE 3 LAS VEGAS NV 97271 Clark 954-254-9331 Ancillary Providers 474125399EYE ASSOCIATES OF NEVADA WELLISH PC 2110 E FLAMINGO RD LAS VEGAS NV 97272 Clark 866-530-3940 Physicians Ophthalmology 880331757EYE CARE ASSOCIATES OF NEVADA 2285 GREEN VISTA DR SPARKS NV 97273 Washoe 775-674-1100 Physicians Ophthalmology 880404140EYE SURGERY CENTER OF NEVADA 3839 N CARSON ST CARSON CITY NV 97281 Carson City 775-882-2988 Physicians Ophthalmology 880230413EYE SURGERY CENTER OF NORTHERN NEVADA LLC5420 KIETZKE LN RENO NV 97282 Washoe 775-329-2300 Ambulatory Facilities 205368967EYEZONE OF CARSON CITY 911 TOPSY LN STE 236 CARSON CITY NV 97283 Douglas 775-267-9150 Physicians Optometry 203190243EZEANOLUE, ADAOBI U 1701 WELLNESS WAY STE 200A LAS VEGAS NV 97284 Clark 702-310-9110 Physicians Certified Nurse Practitioner 832170291EZEANOLUE, BIBIANA C 169 N NELLIS BLVD LAS VEGAS NV 97285 Clark 702-384-1010 Physicians General Dentist 300889342EZEANOLUE, CHINENYE O 2704 N TENAYA WAY LAS VEGAS NV 97288 Clark 702-877-5199 Physicians Internal Medicine 880400682EZEANOLUE, DOLUE D 1701 WELLNESS WAY STE 200 LAS VEGAS NV 97289 Clark 702-310-9110 Physicians Pain Management 880400682EZEANOLUE, ECHEZONA E 1524 PINTO LN LAS VEGAS NV 97294 Clark 702-944-2828 Physicians Pediatric Infectious Diseases 880330858EZELL, DAKOTA J 5255 LONGLEY LN STE 140 RENO NV 97295 Washoe 775-823-5350 Rehabilitation Physical Therapy 880297530EZENWATA, CHINOMSO D 1000 S RAINBOW BLVD LAS VEGAS NV 97296 Clark 702-479-4881 Physicians Certified Nurse Practitioner 880213519EZPELETA, CARLOS E 63 N NELLIS BLVD LAS VEGAS NV 97297 Clark 702-383-6250 Physicians Internal Medicine 886000436EZUGHA, HERBERT O 2500 WIGWAM PKWY STE 111 HENDERSON NV 97298 Clark 702-852-1155 Physicians Neurology 842192842FABELLA, SOTERO F 1905 MCDANIEL ST STE 102 NORTH LAS VEGAS NV 97300 Clark 702-649-1980 Physicians Pediatrics 880222373FABELLA-HICKS, VERNA 2445 FIRE MESA ST STE 190 LAS VEGAS NV 97302 Clark 702-212-3008 Physicians Psychology (Clinical) 043290453FABITO, DANIEL E 1748 W HORIZON RIDGE PKWY HENDERSON NV 97303 Clark 702-892-1300 Physicians Anesthesiology 270333996FACHOLAS, JAMIE A 2780 S JONES BLVD STE 100A LAS VEGAS NV 97307 Clark 702-820-3061 Physicians Professional Counselor 820870653FADDIS, SPENCER J 6180 N DECATUR BLVD STE 100 LAS VEGAS NV 97308 Clark 702-359-3107 Physicians General Dentist 821271826FADELL, DAVID M 100 N GRN VALLEY PKWY STE 310 HENDERSON NV 97310 Clark 702-565-6565 Physicians Orthopedic Surgery 880365656FAGAN JR, PHILIP J 901 ADAMS BLVD BOULDER CITY NV 97316 Clark 702-293-4111 Physicians Emergency Medicine 452755700FAHEY, DAVID A 1715 KUENZLI ST RENO NV 97351 Washoe 775-329-5162 Physicians Psychology (Clinical) 886004349FAHIM, KHURRAM 5642 S EASTERN AVE STE B LAS VEGAS NV 97352 Clark 702-456-0005 Physicians General Dentist 811465445FAHLQUIST, JEANNIE M 880 RYLAND ST RENO NV 97353 Washoe 775-329-4600 Physicians Certified Nurse Practitioner 880182841FAIN, MATTHEW D 1707 W CHARLESTON BLVD STE 230 LAS VEGAS NV 97354 Clark 702-939-8557 Physicians Pulmonology 813419791FAIRCHILD, JOANNE 1701 W CHARLESTON BLVD STE 300 LAS VEGAS NV 97357 Clark 702-251-8000 Physicians Social Worker 043290453FAIRLEY, JEMILA M 5380 S RAINBOW BLVD STE 324 LAS VEGAS NV 97358 Clark 702-734-3606 Rehabilitation Audiology 880330858FAJARDO, NOEL R 3910 S MARYLAND PKWY LAS VEGAS NV 97359 Clark 877-584-2787 Physicians Gastroenterology 262435817FAJARDO, ROMAN G 2020 WELLNESS WAY STE 300 LAS VEGAS NV 97360 Clark 702-485-5000 Physicians Ophthalmology 262563581FAJET, MARIO I 916 W OWENS AVE LAS VEGAS NV 97362 Clark 702-636-3000 Physicians Psychiatry 430687806FAKHOURI, IBRAHIM T 6857 W CHARLESTON BLVD LAS VEGAS NV 97363 Clark 702-304-2144 Physicians Family Medicine 201026537FAKHRA, SAHBA 9011 W SAHARA AVE STE 101 LAS VEGAS NV 97366 Clark 702-794-2020 Physicians Optometry 330587175FAKHREDDINE, EVAN T 2012 S JONES BLVD LAS VEGAS NV 97368 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643FAKIEL, MARTIN D 2110 E FLAMINGO RD STE 205 LAS VEGAS NV 97369 Clark 702-620-5105 Physicians Psychiatry 832362194FALCO, MARK H 1707 W CHARLESTON BLVD STE 190 LAS VEGAS NV 97371 Clark 702-671-5110 Physicians General Surgery 813419791FALCONE-WHARTON, AMY M 861 CORONADO CENTER DR STE 131 HENDERSON NV 97372 Clark 725-777-0414 Physicians Obstetrics/Gynecology 842331498FALK, JESSE J 7260 S RAINBOW BLVD STE 104 LAS VEGAS NV 97373 Clark 702-896-7211 Physicians Oral Surgery 205337268FALKNER, CAMILLE A 1397 GALLERIA DR STE 203 HENDERSON NV 97382 Clark 702-476-3400 Physicians Obstetrics/Gynecology 202999408FALKOWITZ, JODY 1800 W CHARLESTON BLVD LAS VEGAS NV 97383 Clark 702-383-2000 Physicians Certified Nurse Practitioner 886000436FALLAHIAN, AMIR H 1397 S LOOP RD PAHRUMP NV 97384 Nye 702-759-8600 Physicians Radiology/Diagnostic 752296947FALLON DIALYSIS 1103 NEW RIVER PKWY SEARCHLIGHT NV 97408 Clark 415-203-2551 Ambulatory Facilities 953372911

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 59 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDFALLON MENTAL HEALTH CENTER 151 N MAINE ST FALLON NV 97410 Churchill 775-423-7141 Ambulatory Facilities 886000022FALLON PHYSICAL THERAPY 2180 RENO HWY FALLON NV 97411 Churchill 775-423-5233 Rehabilitation 911456113FALLON, NANCY J 2725 S JONES BLVD STE 105 LAS VEGAS NV 97413 Clark 702-248-4488 Physicians Chiropractor 880436616FALVO, MICHAEL R 1297 NEVADA HWY STE A BOULDER CITY NV 97414 Clark 702-294-1919 Physicians Internal Medicine 880312440FAMAKINWA, TITILOLA A 1701 WELLNESS WAY STE 200 LAS VEGAS NV 97415 Clark 702-310-9110 Physicians Internal Medicine 880400682FAMILY AND SPORTS PHYSICAL THERAPY 7351 PRAIRIE FALCON RD STE 100 LAS VEGAS NV 97416 Clark 702-968-0520 Rehabilitation 880447923FAMILY CARE HOME HEALTH INC 1945 E WARM SPRINGS RD LAS VEGAS NV 97417 Clark 702-650-9366 Ancillary Providers 141912625FAMILY CENTER CHIROPRACTIC 7720 W SAHARA AVE STE 104 LAS VEGAS NV 97418 Clark 702-240-0500 Physicians Chiropractor 043821114FAMILY CHIROPRACTIC 3830 E FLAMINGO RD STE C2 LAS VEGAS NV 97419 Clark 702-435-8900 Physicians Chiropractor 043821114FAMILY DOCTORS OF BOULDER CITY 895 ADAMS BLVD BOULDER CITY NV 97421 Clark 702-293-0406 Ambulatory Facilities 880212754FAMILY MEDICAL CENTER 282 E LAKE MEAD PKWY HENDERSON NV 97423 Clark 702-567-9002 Physicians Family Medicine 880512379FAMILY MEDICAL CLINIC 885 RAILROAD ST ELKO NV 97424 Elko 775-778-9633 Ambulatory Facilities 200264348FAMILY TREE MEDICAL CENTER 3510 E TROPICANA AVE STE K LAS VEGAS NV 97425 Clark 702-947-1000 Physicians Family Medicine 880499017FANG, ALICE H 2450 W CHARLESTON BLVD LAS VEGAS NV 97428 Clark 702-877-8661 Physicians Anesthesiology 860857176FANG, QIN 2850 W HORIZON RIDGE PKWY HENDERSON NV 97430 Clark 702-726-6344 Physicians Nephrology 462812104FANG, TOM C 10619 PROFESSIONAL CIR RENO NV 97432 Washoe 775-852-4848 Physicians Gastroenterology 880182841FANNING, CARA F 3121 S MARYLAND PKWY STE 412 LAS VEGAS NV 97433 Clark 702-991-2999 Physicians Infectious Diseases 463257714FANT, EMILY L 3575 PECOS MCLEOD LAS VEGAS NV 97436 Clark 702-731-2088 Physicians Ophthalmology 880252819FARABI, ALIREZA 280 S DECATUR BLVD LAS VEGAS NV 97441 Clark 702-759-1000 Physicians Infectious Diseases 886000436FARAHANI, HOMAYOUN C 7391 W CHARLESTON BLVD STE 140 LAS VEGAS NV 97444 Clark 702-304-2144 Physicians Family Medicine 474209984FARANESH, RANA S 5250 S PECOS RD STE 102 LAS VEGAS NV 97484 Clark 702-454-5200 Physicians General Dentist 475631022FARANESH, SAMER 2843 SAINT ROSE PKWY STE 100 HENDERSON NV 97492 Clark 702-492-1955 Physicians Orthodontist 821566699FARBMAN, ERIC S 2231 W CHARLESTON BLVD LAS VEGAS NV 97495 Clark 702-383-2631 Physicians Neurology 886000436FARHANG, FARZIN 1701 BEARDEN DR STE 200 LAS VEGAS NV 97497 Clark 702-310-9110 Physicians Physical Medicine & Rehabilitation202367478FARID, FARID L 880 SEVEN HILLS DR STE 140 HENDERSON NV 97504 Clark 702-914-6050 Physicians Internal Medicine 880498147FARLEY, VICTORIA E 6460 MEDICAL CENTER ST LAS VEGAS NV 97505 Clark 702-255-6647 Physicians Dermatology 880213519FARMER, TRACI R 2851 EL CAMINO AVE STE 101 LAS VEGAS NV 97507 Clark 702-380-3210 Physicians Certified Nurse Practitioner 954806004FARNWORTH, CARLA R 1535 MEDICAL PKWY STE B CARSON CITY NV 97524 Carson City 775-445-7960 Physicians Certified Nurse Practitioner 880502320FAROKH, SAMIRA 3896 N MARTIN L KING BLVD NORTH LAS VEGAS NV 97528 Clark 702-614-1792 Physicians General Dentist 204714412FAROOQ, ASMA 1701 W CHARLESTON BLVD STE 160 LAS VEGAS NV 97533 Clark 702-671-5127 Physicians Psychiatry 886000022FARRELL BARTAKIAN, KIMBERLY M 340 E WARM SPRINGS RD STE 2A LAS VEGAS NV 97534 Clark 702-385-3090 Physicians Chiropractor 880456748FARRIMOND, DERALD 7324 W CHEYENNE AVE STE 7 LAS VEGAS NV 97535 Clark 702-575-9705 Physicians Psychiatry 886000022FARRIMOND, DONALD M 2205 GLENDALE AVE STE 131 SPARKS NV 97536 Washoe 775-331-3361 Physicians Family Medicine 680517884FARRINGER, BRUCE E 1500 E 2ND ST STE 202 RENO NV 97537 Washoe 775-323-1300 Physicians Obstetrics/Gynecology 880502320FARROW, SIMON J 2020 WELLNESS WAY LAS VEGAS NV 97538 Clark 702-432-2233 Physicians Neurology 361643028FARZIN FARHANGNEJAD M.D. PC 2842 E LAKE MEAD BLVD NORTH LAS VEGAS NV 97539 Clark 702-314-2400 Physicians Pain Management 202367478FARZIN, FARZANEH 3730 S EASTERN AVE LAS VEGAS NV 97540 Clark 702-952-3400 Physicians Radiation Oncology 880350180FATHIE, AREZO M 5135 S DURANGO DR LAS VEGAS NV 97542 Clark 702-407-9994 Physicians Internal Medicine 880494024FATKIN, KENNETH E 1485 W WARM SPRINGS RD HENDERSON NV 97543 Clark 702-435-7987 Physicians Podiatry 465010353FAUCHER, DINA A 4270 S DECATUR BLVD STE B6 LAS VEGAS NV 97545 Clark 702-485-2100 Physicians Certified Nurse Practitioner 812219401FAUSETT, JAMES A 5380 S RAINBOW BLVD LAS VEGAS NV 97546 Clark 702-873-3556 Physicians Podiatry 880165950FAWAD AND ASSOCIATES INC. 2287 MORESCA AVE HENDERSON NV 97547 Clark 702-921-6829 Physicians Internal Medicine 510601411FAYAD, JOSEPH M 6900 PECOS RD NORTH LAS VEGAS NV 97549 Clark 702-255-5900 Physicians Gastroenterology 880230469FAYAD, LUIS E 1950 E DESERT INN RD STE A LAS VEGAS NV 97550 Clark 702-735-7154 Physicians Hematology/Oncology 880133767FAYAD, SAHAR 2121 E FLAMINGO RD STE 110 LAS VEGAS NV 97551 Clark 702-382-8841 Physicians Dietitian 880436341FAYLONA, EDGARDO A 2300 W CHARLESTON BLVD LAS VEGAS NV 97552 Clark 702-579-2307 Physicians Hematology/Oncology 235233308FAYLONA, MARIA A 4212 W CHARLESTON BLVD LAS VEGAS NV 97558 Clark 702-312-2233 Physicians Family Medicine 880388856FAZAL, ARSALAN 1701 W CHARLESTON BLVD STE 230 LAS VEGAS NV 97560 Clark 702-671-2358 Physicians Internal Medicine 880330858FAZEKAS, KARL 151 W BROOKS AVE NORTH LAS VEGAS NV 97561 Clark 702-399-6545 Physicians Family Medicine 952641993FEARNLEY, BRIAN J 10085 DOUBLE R BLVD RENO NV 97563 Washoe 775-786-3040 Rehabilitation Physical Therapy 880297530FEDERIZO, AMBER M 8352 W WARM SPRINGS RD STE 200 LAS VEGAS NV 97567 Clark 702-330-0555 Physicians Certified Nurse Practitioner 822793154

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 60 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDFEDYUSHKINA, SVETLANA 9630 ORCHID BAY DR LAS VEGAS NV 97568 Clark 917-301-2278 Rehabilitation Speech Pathology 886000022FEIKES, J R 5320 S RAINBOW BLVD LAS VEGAS NV 97569 Clark 702-737-3808 Physicians Thoracic Surgery 880133088FEIKES, QUYNH 1701 N GREEN VALLEY PKWY STE 5C HENDERSON NV 97570 Clark 702-614-6550 Physicians Thoracic Surgery 880133088FEINGOLD, ROBERT 2466 E DESERT INN RD STE D LAS VEGAS NV 97574 Clark 702-737-1483 Physicians Internal Medicine 880449452FELDMAN, JANET B 3440 E RUSSELL RD STE 223 LAS VEGAS NV 97575 Clark 702-438-8407 Physicians Social Worker 135427422FELDMAN, JASON L 10016 SUMMIT CANYON DR LAS VEGAS NV 97577 Clark 702-245-6979 Physicians Anesthesiology 263654631FELDMAN, STUART M 8955 S PECOS RD STE 2B HENDERSON NV 97578 Clark 702-407-2548 Physicians Podiatry 431958110FELTER, BRUCE 3005 W HORIZON RIDGE PKWY STE 101 HENDERSON NV 97580 Clark 702-739-8722 Physicians Social Worker 043290453FENG, SOPHY W 2405 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 97581 Clark 702-433-5357 Physicians Obstetrics/Gynecology 200742056FENG, WALDO C 653 N TOWN CENTER DR LAS VEGAS NV 97582 Clark 702-916-1996 Physicians Pediatric Urology 880382275FENIO, DARYL G 645 SIERRA ROSE DR STE 205 RENO NV 97585 Washoe 775-828-1200 Physicians Anesthesiology 880101307FENIX, JB 657 N TOWN CENTER DR LAS VEGAS NV 97600 Clark 702-233-7000 Physicians Pediatric Critical Care 880367250FENN, EDWARD L 3005 W HORIZON RIDGE PKWY HENDERSON NV 97601 Clark 702-428-2870 Physicians Professional Counselor 043290453FENN, JEFFREY M 9127 W RUSSELL RD LAS VEGAS NV 97602 Clark 702-878-0070 Physicians Anesthesiology 731451967FENWICK, PETER R 1155 MILL ST RENO NV 97611 Washoe 775-982-5638 Physicians Family Medicine 880502320FERDOWSALI, KAMERON 1573 MULLER PKWY GARDNERVILLE NV 97614 Douglas 775-222-0044 Physicians Critical Care 260755054FERDOWSIAN, MEHRDAD M 6525 N BUFFALO DR STE 130 LAS VEGAS NV 97620 Clark 702-851-0911 Physicians Family Medicine 264351209FERGUS, LAUREN 2847 SAINT ROSE PKWY STE 150 HENDERSON NV 97627 Clark 702-213-4848 Physicians Certified Nurse Practitioner 202335171FERGUSON, ADRIANA 1025 ROBERTA LN SPARKS NV 97628 Washoe 775-825-4744 Rehabilitation Speech Pathology 562328617FERGUSON, MARY T 2375 E PRATER WAY SPARKS NV 97629 Washoe 775-331-7000 Physicians Emergency Medicine 475671561FERGUSON, SCOTT R 3001 SAINT ROSE PKWY HENDERSON NV 97630 Clark 877-297-7507 Physicians Emergency Medicine 273869424FERIA-ARIAS, ENRIQUE 555 W ARLINGTON AVE RENO NV 97632 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557FERMIN, JOSEPH N 8230 W SAHARA AVE LAS VEGAS NV 97633 Clark 702-944-2001 Physicians Optometry 880459268FERN-RISKA, VICKI 2310 BLACK RIVER FALLS DR HENDERSON NV 97635 Clark 702-370-8894 Physicians Professional Counselor 880406542FERNANDEZ, GILDA R 1321 S RAINBOW BLVD STE 101 LAS VEGAS NV 97636 Clark 702-476-2287 Physicians Certified Nurse Practitioner 271611732FERNANDEZ, NICOLE 6525 N DECATUR BLVD STE 150 LAS VEGAS NV 97637 Clark 702-577-1941 Physicians General Dentist 208862814FERNANDEZ, PILAR 3551 PAHRUMP VALLEY BLVD PAHRUMP NV 97638 Nye 775-727-1188 Physicians Chiropractor 262507638FERNANDEZ, SUSAN R 6843 W TROPICANA AVE STE 100 LAS VEGAS NV 97647 Clark 702-818-3303 Physicians Pediatrics 546854728FERNANDO, RENE D 7965 S RAINBOW BLVD STE 145 LAS VEGAS NV 97649 Clark 702-871-6180 Physicians General Dentist 522357953FERNLEY MENTAL HEALTH CENTER 415 US HIGHWAY 95A S STE 1 FERNLEY NV 97650 Lyon 775-575-7744 Ambulatory Facilities 886000022FERRARI, DANIELLA 8565 S EASTERN AVE STE 140 LAS VEGAS NV 97651 Clark 702-805-4189 Physicians Dietitian 831066208FERRARI, ERIC M 4270 S DECATUR BLVD STE B6 LAS VEGAS NV 97652 Clark 702-485-2100 Physicians Certified Nurse Practitioner 812219401FERRAZ, REYNALD JOSEPH S 1590 W SUNSET RD HENDERSON NV 97653 Clark 702-486-6700 Physicians Psychiatry 886000022FERREIRA, MIRIAN I 3514 SPRING VISTAS DR LAS VEGAS NV 97654 Clark 702-217-3301 Physicians Professional Counselor 886000022FERRETTO, WENDY L 645 N ARLINGTON AVE STE 655 RENO NV 97655 Washoe 775-333-5555 Physicians Certified Nurse Practitioner 455557052FERTILITY CENTER OF LAS VEGAS 8851 W SAHARA AVE STE 100 LAS VEGAS NV 97656 Clark 702-254-1777 Physicians Obstetrics/Gynecology 204038928FEYGE, MARGARET M 555 W ARLINGTON AVE RENO NV 97658 Washoe 775-786-3040 Rehabilitation Occupational Therapy 880103557FICALORA, DANIEL P 1640 ALTA DR STE 4 LAS VEGAS NV 97663 Clark 702-474-6450 Physicians Professional Counselor 880111970FICKLIN, DARYL G 861 CORONADO CENTER DR STE 1 HENDERSON NV 97665 Clark 702-454-1322 Physicians Internal Medicine 200365179FIDELITY HOME HEALTH SERVICES LLC 5250 S PECOS RD STE 100B LAS VEGAS NV 97667 Clark 702-912-4442 Ancillary Providers 463806953FIEDLER, BRIAN S 1409 E LAKE MEAD BLVD NORTH LAS VEGAS NV 97668 Clark 702-649-7711 Physicians Radiology/Diagnostic 410916626FIELDEN, SCOTT D 9127 W RUSSELL RD LAS VEGAS NV 97669 Clark 702-878-0070 Physicians Anesthesiology 910885149FIELDS, YESSENIA C 9771 S EASTERN AVE STE 100 LAS VEGAS NV 97678 Clark 702-616-9655 Physicians General Dentist 208899851FIFE, BRIAN K 4116 W CRAIG RD STE 100 NORTH LAS VEGAS NV 97680 Clark 702-655-1199 Physicians Chiropractor 880295129FIFE, CANDICE L 575 E PLUMB LN STE 100 RENO NV 97682 Washoe 775-329-0623 Physicians Marriage & Family Therapist 880090713FIFE, PENNY J 9402 W LAKE MEAD BLVD LAS VEGAS NV 97683 Clark 702-878-0554 Physicians Marriage & Family Therapist 204341053FIGEROA, TILENE 9570 S MCCARRAN BLVD STE 110 RENO NV 97684 Washoe 775-746-2555 Physicians Chiropractor 473689136FIGGINS, ROBERT C 2250 POSTAL DR PAHRUMP NV 97685 Nye 775-727-8900 Rehabilitation Occupational Therapy 264613465FIGUEROA, ANGELLA S 175 N STEPHANIE ST STE 170 HENDERSON NV 97686 Clark 702-997-5958 Physicians General Dentist 208863082FIGUEROA, EVELYN 525 MARKS ST HENDERSON NV 97687 Clark 702-671-1000 Physicians Certified Nurse Practitioner 886000436FIHN, GREG E 7455 W AZURE DR # C LAS VEGAS NV 97688 Clark 702-434-3446 Physicians Family Medicine 260242453

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 61 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDFIKRU, SAMANTHA A 888 W BONNEVILLE AVE LAS VEGAS NV 97689 Clark 702-483-6000 Physicians Certified Nurse Practitioner 481163756FIL, SAMANTHA 1707 W CHARLESTON BLVD STE 230 LAS VEGAS NV 97690 Clark 702-671-5060 Physicians Certified Nurse Practitioner 880330858FILDES, JOHN J 1707 W CHARLESTON BLVD STE 230 LAS VEGAS NV 97691 Clark 702-671-5010 Physicians General Surgery 813419791FINCH, SUDHIR E 657 N TOWN CENTER DR FL PICU LAS VEGAS NV 97695 Clark 702-233-7445 Physicians Pediatric Critical Care 880266682FINE, MILES B 500 N RAINBOW BLVD STE 210 LAS VEGAS NV 97696 Clark 702-880-1212 Physicians Otolaryngology 880355915FINK, KELLY 2031 N BUFFALO DR LAS VEGAS NV 97700 Clark 702-383-2650 Physicians Certified Nurse Practitioner 886000436FINLEY, BRIAN J 6490 S MCCARRAN BLVD # 3 RENO NV 97701 Washoe 775-337-1334 Rehabilitation Physical Therapy 202778303FINLEY, STEPHEN H 555 W ARLINGTON AVE RENO NV 97702 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557FINN, CHERYL J 699 SIERRA ROSE DR STE A RENO NV 97703 Washoe 775-689-3737 Physicians Certified Nurse Practitioner 208628418FINN, KYLEE A 1075 N HILLS BLVD RENO NV 97705 Washoe 775-982-5000 Physicians Family Medicine 952833205FINSETH, DANICA L 3246 N CARSON ST STE 120 CARSON CITY NV 97706 Carson City 775-885-9965 Rehabilitation Physical Therapy 880463764FIRST CHOICE CHIROPRACTIC LLC 5642 S EASTERN AVE STE C LAS VEGAS NV 97707 Clark 702-736-8535 Physicians Chiropractor 860884316FIRST CHOICE CHIROPRACTIC, INC. 5235 S DURANGO DR LAS VEGAS NV 97709 Clark 702-385-3333 Physicians Chiropractor 043821114FIRSTLIGHT HOMECARE OF HENDERSON, NV205 E WARM SPRINGS RD STE 108 LAS VEGAS NV 97710 Clark 702-467-4424 Ancillary Providers 473987728FISCH, JEFFREY D 3121 S MARYLAND PKWY STE 300 LAS VEGAS NV 97711 Clark 702-732-1493 Physicians Obstetrics/Gynecology 880482164FISCHER, MICHAEL J 3839 N CARSON ST CARSON CITY NV 97712 Carson City 775-882-2988 Physicians Ophthalmology 880230413FISCHER, PAUL 3186 S MARYLAND PKWY LAS VEGAS NV 97714 Clark 702-893-3833 Physicians Emergency Medicine 880366100FISCHER, PAUL J 805 N DIVISION ST CARSON CITY NV 97715 Carson City 775-882-5800 Physicians Chiropractor 880502320FISHELL, MICHAEL L 866 SEVEN HILLS DR STE 203 HENDERSON NV 97718 Clark 702-932-0606 Physicians Pain Management 470872433FISHER, CHRISTOPHER A 7140 SMOKE RANCH RD LAS VEGAS NV 97720 Clark 702-320-8111 Physicians Pain Management 880366031FISHER, CHRISTOPHER J 3131 LA CANADA ST STE 140 LAS VEGAS NV 97721 Clark 702-369-7152 Physicians General Surgery 650701512FISHER, JAY D 1800 W CHARLESTON BLVD LAS VEGAS NV 97725 Clark 330-493-4443 Physicians Emergency Medicine 465145577FISHER, ROBERT 2450 W CHARLESTON BLVD LAS VEGAS NV 97775 Clark 702-724-8780 Physicians Anesthesiology 204727467FISHER, WARREN J 821 N NELLIS BLVD LAS VEGAS NV 97777 Clark 702-438-4003 Physicians Family Medicine 880213519FISHER, WHITNEY A 7260 S RAINBOW BLVD STE 104 LAS VEGAS NV 97781 Clark 702-896-7211 Physicians General Dentist 205337268FISHMAN, EDWARD N 5375 S FORT APACHE RD LAS VEGAS NV 97783 Clark 702-253-6888 Physicians Family Medicine 880403261FISK, JACOB W 6945 ALIANTE PKWY STE 103 NORTH LAS VEGAS NV 97784 Clark 702-639-9100 Physicians Chiropractor 472665839FITZGERALD, JOSHUA B 401 W 2ND ST STE 216 RENO NV 97785 Washoe 775-784-4917 Physicians Psychiatry 886000022FITZPATRICK, SEAN 9480 DOUBLE DIAMOND PKWY STE 100 RENO NV 97786 Washoe 775-786-1600 Physicians Orthopedic Surgery 880107997FIVE STAR DIALYSIS CENTER 2400 TECH CENTER CT LAS VEGAS NV 97787 Clark 702-869-3771 Ambulatory Facilities 880319050FLAMINGO CHIROPRACTIC 3585 E FLAMINGO RD STE 202 LAS VEGAS NV 97789 Clark 702-435-8900 Physicians Chiropractor 261847668FLAMINGO CHIROPRACTIC LLC 3585 E FLAMINGO RD STE 202 LAS VEGAS NV 97790 Clark 702-435-8900 Physicians Chiropractor 880321308FLAMINGO SURGERY CENTER 2565 E FLAMINGO RD LAS VEGAS NV 97791 Clark 702-697-7900 Ambulatory Facilities 621679326FLANGAS, GARY M 8285 W ARBY AVE STE 280 LAS VEGAS NV 97794 Clark 702-737-7753 Physicians Neurological Surgery 880460674FLANNERY, KEVIN P 475 SPARKS BLVD SPARKS NV 97797 Washoe 775-359-1565 Physicians General Dentist 473817118FLAVIANO III, CASIANO R 10001 S EASTERN AVE STE 210 HENDERSON NV 97800 Clark 702-792-6700 Physicians Sports Medicine 364469805FLEISCHER, MITCHELL J 1517 S VIRGINIA ST RENO NV 97801 Washoe 775-786-0101 Physicians Chiropractor 530626374FLEISCHMANN, CHANNING M 555 W ARLINGTON AVE RENO NV 97802 Washoe 775-786-3040 Rehabilitation Physical Therapy 880103557FLEISCHMANN, MELISSA 9520 PROTOTYPE CT RENO NV 97803 Washoe 775-852-6323 Rehabilitation Speech Pathology 562572878FLEISHER, CHARLES W 3530 E FLAMINGO RD LAS VEGAS NV 97804 Clark 702-487-6000 Physicians Obstetrics/Gynecology 880384150FLEMING, HILARI L 5590 KIETZKE LN RENO NV 97806 Washoe 775-323-2080 Physicians Neurological Surgery 880167036FLEMING, KIMBERLY O 2012 S JONES BLVD LAS VEGAS NV 97807 Clark 702-360-1137 Rehabilitation Speech Pathology 412129643FLEMING, MICHAEL A 3376 S EASTERN AVE STE 174 LAS VEGAS NV 97808 Clark 702-796-1915 Physicians Chiropractor 800011181FLEMING, PAMELA H 1817 S EASTERN AVE LAS VEGAS NV 97810 Clark 702-385-3090 Physicians Chiropractor 880241286FLETCHER, DEBBIE 480 GALLETTI WAY SPARKS NV 97813 Washoe 775-688-2001 Physicians Psychology (Clinical) 886000022FLETCHER, DIRK G 2321 PYRAMID WAY STE B SPARKS NV 97814 Washoe 775-331-1919 Physicians Anesthesiology 880101307FLETCHER, JULIETTE 2660 OLIVE PL RENO NV 97828 Washoe 775-846-9953 Rehabilitation Physical Therapy 886000022FLEURY, AIMEE C 3131 LA CANADA ST LAS VEGAS NV 97829 Clark 702-693-6870 Physicians Obstetrics/Gynecology 880401900FLIEGLER, ROBERT J 3245 CHURCHILL DR WASHOE VALLEY NV 97830 Washoe 775-315-8616 Physicians Internal Medicine 880502320FLIGNOR, WILLIAM A 3131 LA CANADA ST STE 200 LAS VEGAS NV 97831 Clark 702-933-9400 Physicians Cardiology 880213519FLINN, DANIEL C 555 W ARLINGTON AVE RENO NV 97832 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 62 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDFLINT, JAN R 1800 E SAHARA AVE STE 110 LAS VEGAS NV 97833 Clark 702-796-8857 Physicians Marriage & Family Therapist 880305204FLIPPIN, BRANDON L 2930 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 97834 Clark 702-597-8999 Rehabilitation Physical Therapy 752984052FLISSER, LAWRENCE 9017 S PECOS RD STE 4555 HENDERSON NV 97836 Clark 702-277-6269 Rehabilitation Physical Therapy 812508355FLITCRAFT, CHRISTINA 1900 N NELLIS BLVD LAS VEGAS NV 97837 Clark 702-880-4193 Physicians Certified Nurse Practitioner 880404982FLOOD, ADAM C 360 S LOLA LN PAHRUMP NV 97844 Nye 775-751-7500 Physicians Emergency Medicine 352653380FLOOD, ROBERT D 1000 S RAINBOW BLVD LAS VEGAS NV 97845 Clark 702-479-4881 Physicians Certified Nurse Practitioner 880213519FLORA, NICOLE R 3201 S MARYLAND PKWY STE 414 LAS VEGAS NV 97846 Clark 702-262-1130 Physicians Family Medicine 262775400FLOREANI, ANTHONY A 236 W 6TH ST STE 100 RENO NV 97847 Washoe 775-329-9010 Physicians Pulmonology 880173816FLORENCE, KARMA L 480 GALLETTI WAY SPARKS NV 97848 Washoe 775-688-2001 Physicians Certified Nurse Practitioner 886000022FLORES ERAZO, ANTONIO M 3150 N TENAYA WAY STE 125 LAS VEGAS NV 97849 Clark 702-869-0855 Physicians Pulmonology 880170236FLORES, CARMEN E 1707 W CHARLESTON BLVD STE 160 LAS VEGAS NV 97850 Clark 702-671-5150 Physicians General Surgery 813419791FLORES, PATRICK H 3100 N TENAYA WAY LAS VEGAS NV 97851 Clark 702-255-5025 Physicians Emergency Medicine 880262438FLORES, RANDY 2450 W CHARLESTON BLVD LAS VEGAS NV 97852 Clark 702-724-8780 Physicians Anesthesiology 860857176FLORIANI, JONATHAN R 1590 W SUNSET RD HENDERSON NV 97853 Clark 702-486-6700 Physicians Psychiatry 886000022FLOTO, JON K 210 S TAYLOR ST FALLON NV 97854 Churchill 775-423-5878 Physicians Chiropractor 880502320FLOWERS, JAMES L 150 E HARMON AVE LAS VEGAS NV 97855 Clark 702-796-1116 Physicians Internal Medicine 203502995FLUITT, KELLY J 1200 MOUNTAIN ST STE 230 CARSON CITY NV 97859 Carson City 775-883-3636 Physicians Certified Nurse Practitioner 880502320FLYNN, CATHERINE 1524 PINTO LN LAS VEGAS NV 97860 Clark 702-383-3642 Physicians Certified Nurse Practitioner 886000436FLYNN, DARIN M 1600 MEDICAL PKWY CARSON CITY NV 97861 Carson City 702-878-0070 Physicians Anesthesiology 852385334FLYNN, THOMAS 300 BRINKBY AVE STE 101 RENO NV 97870 Washoe 775-829-8222 Physicians Oral Surgery 202717649FOCUS MENTAL HEALTH SOLUTIONS LLC 3016 W CHARLESTON BLVD STE 150 LAS VEGAS NV 97871 Clark 702-790-2701 Physicians Psychiatry 461203260FOGELBACH, VANESSA L 3006 S MARYLAND PKWY STE 690 LAS VEGAS NV 97872 Clark 702-732-1290 Physicians Certified Nurse Practitioner 880176637FOGGIA, DAVID A 8530 W SUNSET RD STE 230 LAS VEGAS NV 97873 Clark 702-792-6700 Physicians Otolaryngology 880341714FOLAYAN, MARSHA A 6857 W CHARLESTON BLVD LAS VEGAS NV 97880 Clark 702-304-2144 Physicians Internal Medicine 201026537FOLEY, DANAE S 1155 MILL ST RENO NV 97886 Washoe 775-982-4342 Physicians Certified Nurse Practitioner 880502320FOLEY, LISA K 615 SIERRA ROSE DR RENO NV 97887 Washoe 775-826-1002 Physicians Social Worker 273412547FONG, ANDREA 653 N TOWN CENTER DR LAS VEGAS NV 97888 Clark 702-796-7546 Physicians Dermatology 886000436FONG, BRUCE K 9333 DOUBLE R BLVD RENO NV 97889 Washoe 775-828-5388 Physicians Internal Medicine 880502320FONG, HENLEY H 8504 DEL WEBB BLVD LAS VEGAS NV 97890 Clark 702-360-8696 Physicians General Dentist 264222951FONTANA, JOANNE 15 MCCABE DR STE 200 RENO NV 97891 Washoe 775-982-2862 Physicians Social Worker 530524996FONTE, CARLOS E 3201 S MARYLAND PKWY STE 502 LAS VEGAS NV 97892 Clark 702-733-8600 Physicians Cardiology 880332598FONTENELLE-GILMER, MICHELLE A 3016 W CHARLESTON BLVD LAS VEGAS NV 97894 Clark 702-790-2701 Physicians Psychiatry 813419791FONTENOT, ROY J 7250 PEAK DR STE 2 LAS VEGAS NV 97895 Clark 702-386-4700 Physicians Anesthesiology 204727467FONTESJR, ROGER A 8205 W WARM SPRINGS RD STE 250 LAS VEGAS NV 97898 Clark 702-731-4088 Physicians Orthopedic Surgery 910858192FONTILLAS, RICARDO A 1090 WIGWAM PKWY HENDERSON NV 97910 Clark 702-454-0201 Physicians Psychiatry 880500918FOON, KENNETH A 1 BREAKTHROUGH WAY LAS VEGAS NV 97911 Clark 702-822-5373 Physicians Hematology/Oncology 223141761FOOT & ANKLE CENTER 1703 CIVIC CENTER DR STE 03 NORTH LAS VEGAS NV 97912 Clark 702-791-3668 Physicians Podiatry 455453515FOOT AND ANKLE CENTER 1703 CIVIC CENTER DR STE 3 NORTH LAS VEGAS NV 97913 Clark 702-921-6829 Physicians Podiatry 202930706FOOT AND ANKLE INSTITUTE 340 FALCON RIDGE PKWY STE 300A MESQUITE NV 97914 Clark 702-346-7678 Physicians Podiatry 870414618FOOT AND ANKLE SURGICAL GROUP 999 ADAMS BLVD STE 104 BOULDER CITY NV 97915 Clark 702-454-6226 Physicians Podiatry 200284598FOOT ANKLE AND LOWER LEG 7135 W SAHARA AVE STE 201 LAS VEGAS NV 97918 Clark 702-878-2455 Physicians Podiatry 880386819FOOT, ANKLE & LOWER LEG CENTER 7135 W SAHARA AVE STE 201 LAS VEGAS NV 97919 Clark 702-878-2455 Physicians Podiatry 880368193FOOTEII, RONALD H 2320 PASEO DEL PRADO STE B207 LAS VEGAS NV 97920 Clark 702-873-4567 Physicians Anesthesiology 380729262FOOTHILLS PEDIATRICS 7751 W FLAMINGO RD STE A100 LAS VEGAS NV 97921 Clark 702-614-5437 Physicians Pediatrics 860876472FOOTHILLS PEDIATRICS LLC 6850 N DURANGO DR LAS VEGAS NV 97926 Clark 702-750-2438 Physicians Pediatrics 880512540FORAGE, JAMES S 861 CORONADO CENTER DR HENDERSON NV 97933 Clark 702-948-9088 Physicians Neurological Surgery 880274371FORAKER, ERIC W 2780 S JONES BLVD STE 100A LAS VEGAS NV 97935 Clark 702-820-3061 Physicians Marriage & Family Therapist 820870653FORBES, LAURA L 3773 BAKER LN STE 2 RENO NV 97936 Washoe 775-826-0557 Rehabilitation Occupational Therapy 453449190FORBES, SCOTT D 898 S VALLEY VIEW BLVD LAS VEGAS NV 97938 Clark 702-877-0707 Physicians Chiropractor 880325407FORCIER, STEVEN B 2450 W CHARLESTON BLVD LAS VEGAS NV 97940 Clark 702-877-8661 Physicians CRNA 860857176FORD CENTER FOR FOOT SURGERY 2321 PYRAMID WAY SPARKS NV 97941 Washoe 775-331-1919 Ambulatory Facilities 880269974

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 63 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDFORD, JUDITH P 6301 MOUNTAIN VISTA ST STE 203 HENDERSON NV 97942 Clark 702-719-6000 Physicians Internal Medicine 880252300FORD, KEITH C 1701 COUNTY RD STE L MINDEN NV 97967 Douglas 775-782-1000 Physicians Chiropractor 880502320FORD, L B 2321 PYRAMID WAY SPARKS NV 97968 Washoe 775-331-2321 Physicians Podiatry 880141324FOREMAN, DEREK R 2080 E CALVADA BLVD PAHRUMP NV 97970 Nye 775-537-6110 Physicians Chiropractor 261767312FOREST III, JOHN A 2874 N CARSON ST STE 220 CARSON CITY NV 97971 Carson City 775-883-7666 Physicians Otolaryngology 680405220FORMAN, CHRISTOPHER W 2874 N CARSON ST STE 200 CARSON CITY NV 97973 Carson City 775-445-7170 Physicians Internal Medicine 880449978FORMAN, MICHELLE M 9990 DOUBLE R BLVD STE 200 RENO NV 97975 Washoe 775-348-8800 Rehabilitation Physical Therapy 270028866FORMAN, MITCHELL D 874 AMERICAN PACIFIC DR HENDERSON NV 97976 Clark 702-777-4809 Physicians Rheumatology 813419791FORNBACHER, JASMINA S 7325 S PECOS RD STE 102 LAS VEGAS NV 97978 Clark 702-982-6402 Physicians Certified Nurse Practitioner 274768308FORSYTH, BOBBY J 5288 SPRING MOUNTAIN RD STE 250 LAS VEGAS NV 97979 Clark 702-251-9911 Physicians Chiropractor 880419556FORSYTH, ROBERT D 3121 S MARYLAND PKWY LAS VEGAS NV 97981 Clark 702-320-3627 Physicians Internal Medicine 860852466FORTE, DANA M 9010 W CHEYENNE AVE LAS VEGAS NV 97982 Clark 702-240-8646 Physicians Family Medicine 886000436FORTUNATO, MICHAEL A 10120 S EASTERN AVE STE 130 HENDERSON NV 97984 Clark 702-487-6880 Physicians Anesthesiology 262460167FORVILLY, SCOTT M 120 MCFAUL WAY ZEPHYR COVE NV 97985 Douglas 775-588-5183 Physicians General Dentist 852905137FOSTER CHIROPRACTIC CENTER 1525 W WARM SPRINGS RD STE 300 HENDERSON NV 97986 Clark 702-566-3552 Physicians Chiropractor 203378250FOSTER, BRIELLE S 2012 S JONES BLVD LAS VEGAS NV 97987 Clark 702-360-1137 Rehabilitation Speech Pathology 412129643FOSTER, GEORGE D 3005 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 97988 Clark 702-898-7226 Physicians Obstetrics/Gynecology 880368954FOSTER, GUY T 200 BATH ST STE 1 CARSON CITY NV 97989 Carson City 775-882-2106 Physicians Pulmonology 880502320FOSTER, JULIE A 1007 N CURRY ST STE 300 CARSON CITY NV 97991 Carson City 775-841-2100 Physicians Family Medicine 880502320FOSTER, MICHAEL P 4270 S DECATUR BLVD STE B3-4 LAS VEGAS NV 97992 Clark 702-227-1835 Rehabilitation Physical Therapy 752014828FOSTER, STEPHEN R 2340 E CALVADA BLVD PAHRUMP NV 97994 Nye 775-727-0888 Physicians Chiropractor 260619587FOTEDAR, ANIL 700 SHADOW LN STE 240 LAS VEGAS NV 97995 Clark 702-384-0022 Physicians Cardiology 880161856FOULK, R CAMERON 59 DAMONTE RANCH PKWY STE F RENO NV 97999 Washoe 775-851-2204 Physicians General Dentist 461410369FOUSE, MATTHEW 8205 W WARM SPRINGS RD STE 250 LAS VEGAS NV 98000 Clark 702-731-1616 Physicians Orthopedic Surgery 910858192FOWLER-GREENE, PAMELA R 2012 S JONES BLVD LAS VEGAS NV 98008 Clark 702-360-1137 Rehabilitation Speech Pathology 412129643FOX, CARA LOUISE 1200 MOUNTAIN ST STE 230 CARSON CITY NV 98010 Carson City 775-883-3636 Physicians Family Medicine 880502320FOX, GERALD D 7171 W CRAIG RD STE 102 LAS VEGAS NV 98012 Clark 702-655-0331 Physicians General Dentist 452993092FOX, HEATHER 9505 HILLWOOD DR STE 100 LAS VEGAS NV 98014 Clark 702-303-4220 Rehabilitation Physical Therapy 851479761FOX, JASON H 2020 PALOMINO LN STE 100 LAS VEGAS NV 98015 Clark 702-759-8600 Physicians Radiology/Diagnostic 814824771FOX, SANDIE W 505 S ARLINGTON AVE RENO NV 98042 Washoe 775-544-5650 Physicians Social Worker 530403166FRADKIN, KEVIN D 653 N TOWN CENTER DR STE 608 LAS VEGAS NV 98043 Clark 702-836-3636 Physicians General Surgery 262592680FRAGA, GUILLERMO H 2564 WIGWAM PKWY HENDERSON NV 98044 Clark 702-452-3002 Physicians Internal Medicine 880372629FRANCIOSA, STEFAN V 9990 DOUBLE R BLVD STE 200 RENO NV 98045 Washoe 775-348-8800 Physicians Radiology/Diagnostic 270028866FRANCIS, CHARLES C 1664 N VIRGINIA ST RENO NV 98048 Washoe 775-784-4887 Rehabilitation Speech Pathology 860881749FRANCIS, ELROY 730 N EASTERN AVE LAS VEGAS NV 98049 Clark 702-307-2736 Physicians Chiropractor 830379272FRANCIS, PERRY T 2145 GREEN VISTA DR STE 110 SPARKS NV 98050 Washoe 775-331-9477 Physicians General Dentist 200214976FRANCIS, SAMUAL 3730 S EASTERN AVE LAS VEGAS NV 98052 Clark 702-952-3400 Physicians Radiation Oncology 880350180FRANCO, CHRISTOPHER R 6375 W CHARS BLVD BLDG A-17 LAS VEGAS NV 98053 Clark 702-880-6262 Physicians Social Worker 880330858FRANCO, NICOLE K 3120 S RAINBOW BLVD LAS VEGAS NV 98055 Clark 702-233-4327 Rehabilitation Audiology 262948435FRANCOIS, HOWARD 2020 PALOMINO LN LAS VEGAS NV 98057 Clark 888-727-1074 Physicians Radiology/Diagnostic 481290229FRANK TOPPO MD INC. 1470 E CALVADA BLVD STE 300 PAHRUMP NV 98082 Nye 775-727-1555 Physicians General Practice 262507638FRANK, PATRICK J 2380 W HORIZON RIDGE PKWY HENDERSON NV 98084 Clark 702-616-5600 Physicians Emergency Medicine 880262438FRANK, SHARON C 3201 S MARYLAND PKWY STE 414 LAS VEGAS NV 98085 Clark 702-735-1400 Physicians Orthopedic Surgery 880269037FRANKEL, DESHA A 1040 WIGWAM PKWY STE 110 HENDERSON NV 98086 Clark 702-558-6430 Physicians Gastroenterology 880240483FRANKLIN, LEONARD C 999 ADAMS BLVD STE 104 BOULDER CITY NV 98087 Clark 702-454-6226 Physicians Podiatry 200284598FRANZEN, JUNE A 1301 BERTHA HOWE AVE MESQUITE NV 98090 Clark 702-430-5000 Physicians Certified Nurse Practitioner 201015697FRASER, DOUGLAS R 1707 W CHARLESTON BLVD STE 230 LAS VEGAS NV 98091 Clark 702-671-5150 Physicians General Surgery 813419791FRAYNA, CAMILLE 5032 S VIRGINIA ST RENO NV 98093 Washoe 775-787-8900 Physicians General Dentist 320479852FRAZIER, ALENA 2012 S JONES BLVD LAS VEGAS NV 98095 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643FRED J FRICKE MD & ASSOCIATES 1775 BROWNING WAY ELKO NV 98096 Elko 775-777-9622 Physicians Gastroenterology 770597981FREDA, MICHAEL R 6165 RIDGEVIEW CT STE G RENO NV 98097 Washoe 775-823-4080 Physicians Marriage & Family Therapist 153446209

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 64 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDFREDERIKSEN, RYAN A 645 N ARLINGTON AVE STE 250A RENO NV 98099 Washoe 775-329-7707 Physicians Radiology/Diagnostic 880145500FREE, PATRICK L 4231 N RANCHO DR LAS VEGAS NV 98101 Clark 702-383-3800 Physicians Certified Nurse Practitioner 886000436FREEDMAN, DONIELLE 7336 W POST RD STE 109 LAS VEGAS NV 98102 Clark 702-360-6003 Physicians Internal Medicine 886000436FREEDOM HEALTH SERVICES INC. 2600 S RAINBOW BLVD STE 108 LAS VEGAS NV 98103 Clark 702-921-6823 Physicians Internal Medicine 680551963FREEDOM MEDICAL SUPPLY LLC 8868 S EASTERN AVE STE 115 LAS VEGAS NV 98105 Clark 702-386-9997 Ancillary Providers 273857986FREEDOM REHABILITATION CENTERS 6800 W CHEYENNE AVE LAS VEGAS NV 98106 Clark 702-309-4878 Rehabilitation 043821114FREEMAN, BRIAN J 3119 N RAINBOW BLVD LAS VEGAS NV 98108 Clark 702-342-1604 Physicians General Dentist 832088060FREEMAN, JOHN A 10745 DOUBLE R BLVD STE 13 RENO NV 98111 Washoe 775-850-6500 Physicians Urology 208628418FREEMAN, STANLEY W 6655 W SAHARA AVE STE B200 LAS VEGAS NV 98113 Clark 702-222-3238 Physicians Anesthesiology 308549116FREEMAN, STEPANIDA 861 CORONADO CENTER DR HENDERSON NV 98114 Clark 725-777-0414 Physicians Obstetrics/Gynecology 842331498FREEZE, CLAUDE G 880 RYLAND ST RENO NV 98115 Washoe 775-329-4600 Physicians CRNA 880182841FREI, KATHERINE M 2411 W HORIZON RIDGE PKWY HENDERSON NV 98116 Clark 702-458-1300 Rehabilitation Physical Therapy 880277259FREIS, EDMOND S 9127 W RUSSELL RD LAS VEGAS NV 98117 Clark 702-878-0070 Physicians Anesthesiology 592905984FREMONT CHILDRENS CLINIC 5575 S DURANGO DR STE 103 LAS VEGAS NV 98126 Clark 702-435-5437 Physicians Pediatrics 880213519FREMONT CHILDRENS CLINIC -WIGWAM 1505 WIGWAM PKWY HENDERSON NV 98127 Clark 702-870-2099 Physicians Pediatrics 880213519FREMONT CHILDRENS CLINIC TENAYA 3201 S MARYLAND PKWY LAS VEGAS NV 98128 Clark 702-254-5004 Physicians Pediatrics 880213519FREMONT EMERGENCY SERVICES 8670 W CHEYENNE AVE STE 120 LAS VEGAS NV 98130 Clark 702-576-9608 Physicians Emergency Medicine 880262438FREMONT EMERGENCY SERVICES MANDAVIA LTD7202 N ALIANTE PKWY NORTH LAS VEGAS NV 98136 Clark 702-962-7900 Physicians Emergency Medicine 880262438FREMONT MEDICAL CENTER 520 FREMONT ST LAS VEGAS NV 98138 Clark 702-385-5200 Physicians Family Medicine 880213519FREMONT MEDICAL CENTER-W. CHARLESTON9499 W CHARLESTON BLVD STE 150 LAS VEGAS NV 98139 Clark 702-228-5477 Physicians Family Medicine 880213519FREMONT MEDICAL CENTER-W. LAKE MEAD595 W LAKE MEAD PKWY HENDERSON NV 98140 Clark 702-566-5500 Physicians Family Medicine 880213519FREMONT MEDICAL CENTER-WYNN RD. 4880 WYNN RD LAS VEGAS NV 98141 Clark 702-759-8600 Physicians Family Medicine 880213519FRENCH, CODY J 2012 S JONES BLVD LAS VEGAS NV 98142 Clark 702-360-1137 Rehabilitation Physical Therapy 412129643FRENCH, MIRIAM F 9127 W RUSSELL RD STE 110 LAS VEGAS NV 98143 Clark 702-878-0070 Physicians CRNA 860857176Fresenius Kidney Care - Centennial NV 7465 W AZURE DR LAS VEGAS NV 98153 Clark 702-395-2602 Ambulatory Facilities 264088317Fresenius Kidney Care - South Rainbow 7040 W SUNSET RD LAS VEGAS NV 98154 Clark 702-248-1807 Ambulatory Facilities 260708388FRESENIUS MEDICAL CARE LAKE MEADE NORTH1905 CIVIC CENTER DR STE 201 NORTH LAS VEGAS NV 98155 Clark 702-214-9516 Ambulatory Facilities 272150922FRESENIUS MEDICAL CARE LAKE MEADE NORTH (JV AS OF 5/1/13)1905 CIVIC CENTER DR STE 201 NORTH LAS VEGAS NV 98156 Clark 702-214-9516 Ambulatory Facilities 931087002FRESENIUS MEDICAL CARE NORTHWEST LAS VEGAS DBA BIO-MEDICAL A3150 N TENAYA WAY STE 110 LAS VEGAS NV 98157 Clark 702-233-8801 Ambulatory Facilities 931087002FRESENIUS MEDICAL CARE WEST SAHARA (JV AS OF 5/1/2013)7710 W SAHARA AVE LAS VEGAS NV 98160 Clark 702-243-2763 Ambulatory Facilities 272150922FREY, BRET W 1155 MILL ST RENO NV 98161 Washoe 775-324-4040 Physicians Emergency Medicine 943223279FREY, CORY L 555 W ARLINGTON AVE RENO NV 98162 Washoe 775-786-3040 Physicians Certified Nurse Practitioner 880103557FREY, LAUREN 10577 ACACIA PARK PL LAS VEGAS NV 98163 Clark 702-919-6519 Rehabilitation Speech Pathology 833161215FRICKE, JOHANNA S 1524 PINTO LN LAS VEGAS NV 98164 Clark 702-383-3642 Physicians Pediatrics 880330858FRICKEJR, FRED J 2375 E PRATER WAY SPARKS NV 98168 Washoe 775-331-7000 Physicians Gastroenterology 880182841FRIEDLANDER, STEVEN M 610 SIERRA ROSE DR RENO NV 98171 Washoe 775-356-7272 Physicians Ophthalmology 880502320Friedman, Garrett 3150 N TENAYA WAY STE 510 LAS VEGAS NV 98172 Clark 702-962-2300 Physicians Colorectal Surgery 331159527FRIEDRICH, KARL D 975 RYLAND ST STE 100 RENO NV 98174 Washoe 775-982-5000 Physicians Family Medicine 261513495FRIESEN, CLIFFORD M 8440 W LAKE MEAD BLVD LAS VEGAS NV 98176 Clark 702-395-1070 Physicians Anesthesiology 547515613FRIESEN, LEILANI 3603 LAS VEGAS BLVD N STE 120 LAS VEGAS NV 98177 Clark 702-545-0055 Physicians General Dentist 844945741FROLEK, HOLLY 171 N GIBSON RD HENDERSON NV 98180 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643FRONDARINA-BELTRAN, GLADYS G 6270 MCLEOD DR STE 100 LAS VEGAS NV 98184 Clark 702-792-5112 Physicians Certified Nurse Practitioner 880423070FRUGOLI, STEPHEN G 513 W BRIDGE ST STE A YERINGTON NV 98185 Lyon 775-463-1800 Physicians General Dentist 205213099FRY, MICHAEL F 973 MICA DR STE 201 CARSON CITY NV 98186 Douglas 775-783-6190 Physicians Orthopedic Surgery 941709925FRYBERGER, SARAH J 118 E HASKELL ST WINNEMUCCA NV 98190 Humboldt 775-623-5222 Physicians Pediatric Hematology 886000088FRYIII, PAUL J 1520 VIRGINIA RANCH RD STE 101 GARDNERVILLE NV 98191 Douglas 775-782-2442 Physicians Orthopedic Surgery 343227095FU, JUIAN-JUIAN L 861 CORONADO CENTER DR STE 100 HENDERSON NV 98192 Clark 702-257-7546 Physicians Dermatology 811136000FU, SUZAN 8370 W CHEYENNE AVE STE 103 LAS VEGAS NV 98202 Clark 702-388-8989 Physicians General Dentist 371797092FULE, GIAN 9127 W RUSSELL RD STE 110 LAS VEGAS NV 98205 Clark 702-878-0070 Physicians CRNA 852385334FULKERSON, GRETCHEN L 10001 S EASTERN AVE STE 407 HENDERSON NV 98214 Clark 702-269-6345 Physicians Certified Nurse Practitioner 200363127FULLER, ALEXIS M 9127 W RUSSELL RD STE 110 LAS VEGAS NV 98215 Clark 702-878-0070 Physicians Anesthesiology 860916679

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 65 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDFULLER, BRUCE W 917 TAHOE BLVD STE 101 INCLINE VILLAGE NV 98224 Washoe 775-324-0699 Physicians Dermatology 813253496FULLER, CATHERINE A 1649 LUCERNE ST MINDEN NV 98225 Douglas 775-782-1603 Physicians Certified Nurse Practitioner 261513495FULLER, COLIN M 2385 E PRATER WAY STE 205 SPARKS NV 98229 Washoe 775-356-4514 Physicians Cardiology 880247743FULLER, PETER C 102 E LAKE MEAD PKWY HENDERSON NV 98231 Clark 702-856-0633 Physicians Emergency Medicine 880262438FULLER-BROWN, LINDA J 6161 W CHARLESTON BLVD LAS VEGAS NV 98233 Clark 702-486-6045 Physicians Psychiatry 886000022FULTON, DUSTIN 801 E WILLIAMS AVE STE 2209 FALLON NV 98234 Churchill 775-423-3151 Physicians CRNA 842010869FUNAMOTO, KAZUMI 7720 W SAHARA AVE STE 110 LAS VEGAS NV 98235 Clark 702-242-4680 Physicians General Dentist 205673651FUNKE, KAI 805 W 7TH ST STE 201 RENO NV 98236 Washoe 775-337-6700 Physicians General Dentist 455317825FUQUAY, EMILY 7425 W AZURE DR STE 140 LAS VEGAS NV 98237 Clark 702-515-4009 Rehabilitation Speech Pathology 472546455FURBEE, LINDA 407 N WALSH ST CARSON CITY NV 98238 Carson City 775-884-0707 Physicians Marriage & Family Therapist 567705052FURMAN, TATSIANA N 1470 MEDICAL PKWY STE 160 CARSON CITY NV 98239 Carson City 775-445-7650 Physicians Certified Nurse Practitioner 880502320FURUBAYASHI, JILL K 235 W 6TH ST RENO NV 98241 Washoe 775-770-3207 Physicians Radiology/Diagnostic 880145500FUSCO, ARTHUR A 700 SHADOW LN LAS VEGAS NV 98243 Clark 702-382-8222 Physicians General Surgery 880163725FUST, KENNETH D 9975 S EASTERN AVE STE 110B LAS VEGAS NV 98244 Clark 702-434-2800 Physicians Chiropractor 860856285FUTCH, SCOTT 5032 S VIRGINIA ST RENO NV 98246 Washoe 775-787-8900 Physicians General Dentist 320479852FUTORAN, ROBERT J 341 N BUFFALO DR STE D LAS VEGAS NV 98247 Clark 702-410-5822 Physicians Obstetrics/Gynecology 880298946FYDA, THOMAS M 845 AITKEN ST RENO NV 98249 Washoe 775-786-1600 Physicians Orthopedic Surgery 880201578FYFE, CHRISTOPHER 6161 W CHARLESTON BLVD LAS VEGAS NV 98252 Clark 702-486-6045 Physicians Psychology (Clinical) 886000022G. D SHOENBERGER, INC. 636 LANDER ST RENO NV 98253 Washoe 775-448-6828 Physicians Psychology (Clinical) 264816223GAAL, WADE R 1701 W CHARLESTON BLVD STE 250 LAS VEGAS NV 98254 Clark 702-671-2355 Physicians Sports Medicine 880330858GABAEFF, DINA R 2020 PALOMINO LN LAS VEGAS NV 98256 Clark 888-727-1074 Physicians Radiology/Diagnostic 341090399GABEL DISTRIBUTORS, LLC 9811 W CHARLESTON BLVD # 2638 LAS VEGAS NV 98282 Clark 702-489-2288 Ancillary Providers 260432205GABLER, MACKENZIE L 1800 W CHARLESTON BLVD LAS VEGAS NV 98283 Clark 702-383-2085 Physicians Emergency Medicine 472319983GABRIEL, ANTHONY P 9771 S EASTERN AVE STE 100 LAS VEGAS NV 98318 Clark 702-616-9655 Physicians General Dentist 208899851GABRIEL, KENT W 704 W NYE LN STE 102 CARSON CITY NV 98320 Carson City 775-885-8890 Physicians Orthopedic Surgery 880382506GABRIEL, SCOTT T 5380 S RAINBOW BLVD STE 210 LAS VEGAS NV 98322 Clark 702-382-8222 Physicians General Surgery 880163725GADA, ELAN G 821 N NELLIS BLVD STE 100 LAS VEGAS NV 98326 Clark 702-438-4003 Physicians Internal Medicine 880213519GADIENT, PAUL M 3001 SAINT ROSE PKWY HENDERSON NV 98327 Clark 510-410-9049 Physicians Neurology 862775542GAERLAN, MARIA STELLA M 2810 W CHARLESTON BLVD LAS VEGAS NV 98328 Clark 702-870-2213 Physicians Physical Medicine & Rehabilitation463590224GAERLAN, MARY GRACE G 3235 S EASTERN AVE LAS VEGAS NV 98330 Clark 702-490-9009 Physicians Certified Nurse Practitioner 464547744GAETKE, MARK J 1530 E 6TH ST RENO NV 98337 Washoe 775-322-5757 Physicians Family Medicine 263356798GAFFNEY, SHANNON 7500 SMOKE RANCH RD STE 100 LAS VEGAS NV 98338 Clark 702-254-5004 Physicians Radiology/Diagnostic 942965646GAIL P KRIVAN MD LTD. 604 W WASHINGTON ST CARSON CITY NV 98339 Carson City 775-885-6777 Physicians Pain Management 830423162GAITHO, ZELLUYAH W 4270 S DECATUR BLVD STE B6 LAS VEGAS NV 98340 Clark 702-485-2100 Physicians Certified Nurse Practitioner 812219401GAJJELA, HEMLATA R 1501 E CALVADA BLVD PAHRUMP NV 98341 Nye 702-454-6226 Physicians Pediatrics 880407938GALADA, MICHAEL R 7785 N DURANGO DR STE 140 LAS VEGAS NV 98345 Clark 702-987-8668 Physicians General Dentist 472157924GALANO, LISA 9520 PROTOTYPE CT RENO NV 98359 Washoe 775-852-6323 Rehabilitation Speech Pathology 562572878GALANOPOULOS, CHRISTOS A 75 PRINGLE WAY STE 906 RENO NV 98360 Washoe 775-982-6270 Physicians General Surgery 326748902GALANOPOULOS, MICHELLE C 3773 BAKER LN STE 2 RENO NV 98362 Washoe 775-826-0557 Rehabilitation Occupational Therapy 453449190GALBRAITH, AMBER 8720 SPANISH RIDGE AVE LAS VEGAS NV 98364 Clark 702-222-0034 Physicians Professional Counselor 593840668GALE, RUSSELL 880 RYLAND ST RENO NV 98365 Washoe 775-329-4600 Physicians Anesthesiology 880182841GALEK, KRISTINE E 1664 N VIRGINIA ST STOP 152 RENO NV 98366 Washoe 775-784-4887 Rehabilitation Speech Pathology 886000024GALGANA, DIANNE LYNN 3061 S MARYLAND PKWY STE 101 LAS VEGAS NV 98368 Clark 702-254-5437 Physicians Certified Nurse Practitioner 680640053GALGANA, DIANNE LYNN 1524 PINTO LN FL 3 LAS VEGAS NV 98369 Clark 702-944-2828 Physicians Certified Nurse Practitioner 813419791GALIN, CLAIRE M 874 AMERICAN PACIFIC DR HENDERSON NV 98370 Clark 702-777-4765 Physicians Neurology 200363127GALINDO, ALVARO 1524 PINTO LN FL 3 LAS VEGAS NV 98371 Clark 702-944-2828 Physicians Pediatric Cardiology 880330858GALLAGHER, ANNEMARIE E 5740 S EASTERN AVE STE 100 LAS VEGAS NV 98373 Clark 702-707-3554 Physicians Physical Medicine & Rehabilitation812656810GALLAGHER, TIMOTHY M 2450 W CHARLESTON BLVD LAS VEGAS NV 98375 Clark 702-724-8780 Physicians Anesthesiology 860857176GALLAGHERJR, RONALD J 1681 W HORIZON RIDGE PKWY HENDERSON NV 98376 Clark 702-835-0165 Rehabilitation Physical Therapy 562298123GALLARELLO, PETER L 1703 CIVIC CENTER DR NORTH LAS VEGAS NV 98377 Clark 702-791-3668 Physicians Podiatry 202930706GALLOFIN, LEO L 2457 HAMONAH DR HENDERSON NV 98378 Clark 213-926-1235 Physicians Psychiatry 886000022

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 66 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDGALLOWAY, HEATHER 2760 LAKE SAHARA DR STE 104 LAS VEGAS NV 98379 Clark 702-527-2821 Physicians Acupuncturist 530961536GALSTER, KELLEN T 2040 W CHARLESTON BLVD STE 504 LAS VEGAS NV 98380 Clark 702-671-6437 Physicians Emergency Medicine 680395200GALVAN, ERIC V 555 W ARLINGTON AVE RENO NV 98381 Washoe 775-786-3040 Rehabilitation Occupational Therapy 880103557GALVAN, KELLY A 1025 ROBERTA LN SPARKS NV 98382 Washoe 775-825-4744 Rehabilitation Speech Pathology 562328617GALVEZ, AGNES 2850 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 98383 Clark 702-726-6344 Physicians Dietitian 462812104GALVIN, KERRI A 7380 S EASTERN AVE LAS VEGAS NV 98388 Clark 702-562-2202 Physicians Chiropractor 043668756GALVIN, STEPHEN M 360 S LOLA LN PAHRUMP NV 98390 Nye 775-751-7500 Physicians Emergency Medicine 352653380GALVIN, SUSAN C 2316 W CHARLESTON BLVD LAS VEGAS NV 98391 Clark 702-877-8600 Physicians Family Medicine 311358549GALVIS, ALVARO E 1524 PINTO LN FL 3 LAS VEGAS NV 98392 Clark 702-992-6868 Physicians Pediatrics 880330858GAMBLE, MARIA E 3100 N TENAYA WAY LAS VEGAS NV 98394 Clark 702-878-0070 Physicians CRNA 592905984GAMBOA, MIRNA 3230 E CHARLESTON BLVD STE 109 LAS VEGAS NV 98402 Clark 702-478-6914 Physicians Chiropractor 743195153GAME, JAMES A 620 SHADOW LN LAS VEGAS NV 98403 Clark 702-388-4500 Physicians Emergency Medicine 204311300GAMETT, BRIAN C 2610 W HORIZON RIDGE PKWY STE 104 HENDERSON NV 98404 Clark 702-492-6325 Physicians Chiropractor 880321308GAMETT, KEVIN M 950 RYLAND ST RENO NV 98405 Washoe 775-329-0286 Physicians Ophthalmology 541691022GAMMOH, NATALY 556 N EASTERN AVE LAS VEGAS NV 98406 Clark 702-388-9400 Physicians Optometry 880484278GAN-LIM, LEONARDO A 2440 PROFESSIONAL CT STE 110 LAS VEGAS NV 98407 Clark 702-240-8155 Physicians Geriatric Medicine 880386657GANCHAN, RICHARD P 1500 E 2ND ST RENO NV 98408 Washoe 775-982-2400 Physicians Cardiology 880303924GANDHI, KABIR 2020 PALOMINO LN STE 100 LAS VEGAS NV 98409 Clark 702-759-8600 Physicians Radiology/Diagnostic 824448065GANDHI, NIRAV S 3001 SAINT ROSE PKWY HENDERSON NV 98411 Clark 702-216-3350 Physicians Internal Medicine 274002331GANDOTRA, VISHAL 5701 W CHARLESTON BLVD STE 100 LAS VEGAS NV 98415 Clark 702-877-9514 Physicians Gastroenterology 262964031GANDOTRA, VIVEK 1001 WHITNEY RANCH DR STE 110 HENDERSON NV 98416 Clark 702-233-2787 Physicians General Dentist 830987180GANDY, DONALD D 4855 BLUE DIAMOND RD LAS VEGAS NV 98417 Clark 702-216-7305 Physicians Emergency Medicine 824933457GANESAN, RAJIV J 1524 PINTO LN LAS VEGAS NV 98418 Clark 702-992-6888 Physicians Family Medicine 813419791GANN, MICHAEL 1180 N TOWN CENTER DR LAS VEGAS NV 98419 Clark 702-333-2907 Physicians Psychology (Clinical) 493528965GANNAM, CAMILLE V 735 SPARKS BLVD SPARKS NV 98420 Washoe 775-359-3934 Physicians Pediatric Dentist 900315595GANSER, JOHN H 645 N ARLINGTON AVE STE 525 RENO NV 98421 Washoe 775-323-7500 Physicians General Surgery 880341656GANSERT, GARY G 2375 E PRATER WAY SPARKS NV 98426 Washoe 775-331-7000 Physicians Emergency Medicine 475671561GANSERT, GUY G 1155 MILL ST RENO NV 98427 Washoe 775-324-4040 Physicians Emergency Medicine 880303529GANSERT, TOBEY B 880 RYLAND ST RENO NV 98429 Washoe 775-329-4600 Physicians Anesthesiology 880101307GANTE, ROSMAN J 5550 PAINTED MIRAGE RD STE 120 LAS VEGAS NV 98445 Clark 702-898-7633 Rehabilitation Physical Therapy 010676323GANZ, LINDA 105 N PECOS RD HENDERSON NV 98448 Clark 702-558-9900 Rehabilitation Speech Pathology 200365059GAO, HONG 1385 VISTA LN CARSON CITY NV 98449 Carson City 775-884-4567 Physicians Gastroenterology 880182841GAO, ROBERT R 10301 JEFFREYS ST HENDERSON NV 98450 Clark 702-269-0781 Physicians Physical Medicine & Rehabilitation352176059GARAGOZLOO, BEHZAD 6485 N DECATUR BLVD STE 150 LAS VEGAS NV 98451 Clark 702-846-5745 Physicians General Dentist 833358691GARAVENTA, ALICIA M 555 W ARLINGTON AVE RENO NV 98457 Washoe 775-786-3040 Physicians Certified Nurse Practitioner 880103557GARAYCOCHEA, CHRISTIAN I 3153 E WARM SPRINGS RD LAS VEGAS NV 98458 Clark 702-487-6510 Physicians Anesthesiology 464348451GARBER, JASON E 2471 PROFESSIONAL CT LAS VEGAS NV 98459 Clark 702-835-0088 Physicians Neurological Surgery 822636612GARBETT, DEBORAH A 1825 PINION RD STE A ELKO NV 98461 Elko 775-738-8021 Physicians Professional Counselor 886000022GARCIA JAYNE, SONIA M 2645 W HORIZON RIDGE PKWY STE 120 HENDERSON NV 98462 Clark 702-790-2211 Physicians Family Medicine 812140000GARCIA, CHARLES B 1550 W CRAIG RD NORTH LAS VEGAS NV 98463 Clark 702-777-3615 Physicians Emergency Medicine 824933457GARCIA, CLAUDIA L 3039 W HORIZON RIDGE PKWY STE 110 HENDERSON NV 98464 Clark 702-910-2700 Physicians Pediatrics 463599133GARCIA, EDELIZ C 7391 W CHARLESTON BLVD STE 140 LAS VEGAS NV 98467 Clark 702-304-2144 Physicians Certified Nurse Practitioner 911822851GARCIA, ELENA B 9280 W SUNSET RD STE 320 LAS VEGAS NV 98483 Clark 702-739-9555 Physicians Family Medicine 880477529GARCIA, EMILY 7425 W AZURE DR STE 140 LAS VEGAS NV 98486 Clark 702-515-4009 Rehabilitation Speech Pathology 472546455GARCIA, FRANCISCO E 6161 W CHARLESTON BLVD LAS VEGAS NV 98487 Clark 702-486-6045 Physicians Psychiatry 886000022GARCIA, GABRIEL 129 W LAKE MEAD PKWY HENDERSON NV 98488 Clark 702-564-4440 Physicians Anesthesiology 201053968GARCIA, JEAN 681 MALL RING CIR HENDERSON NV 98490 Clark 702-433-4727 Physicians Optometry 272757783GARCIA, ROWENA C 2440 PROFESSIONAL CT STE 110 LAS VEGAS NV 98491 Clark 702-240-8155 Physicians Certified Nurse Practitioner 880386657GARCIA, SALVADOR J 2831 SAINT ROSE PKWY STE 200 HENDERSON NV 98492 Clark 800-249-1266 Physicians Marriage & Family Therapist 452748445GARCIA-ROJAS, XAVIER 645 N ARLINGTON AVE STE 250A RENO NV 98493 Washoe 775-329-7707 Physicians Radiology/Diagnostic 880145500GARD IV, EARL B 2605 S DECATUR BLVD STE 116 LAS VEGAS NV 98495 Clark 702-876-2525 Physicians General Dentist 274500829

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 67 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDGARDNER, GERALDINE 704 W NYE LN STE 102 CARSON CITY NV 98496 Carson City 775-687-8570 Physicians Cardiology 880247743GARDNER, JEFFERY G 8280 W WARM SPRINGS RD LAS VEGAS NV 98497 Clark 510-350-2600 Physicians Emergency Medicine 862775542GARDNER, KELLY R 102 E LAKE MEAD PKWY HENDERSON NV 98498 Clark 702-616-5000 Physicians Interventional Radiology 880119638GARDNER, LAWRENCE D 3006 S MARYLAND PRKW STE 630 LAS VEGAS NV 98531 Clark 702-733-0222 Physicians General Surgery 880139360GARDNER, MICHAEL C 1521 W WILSON RD PAHRUMP NV 98533 Nye 775-727-1900 Physicians Orthodontist 204709406GARDNER, MICHAEL S 1550 W CRAIG RD NORTH LAS VEGAS NV 98534 Clark 702-777-3615 Physicians Certified Nurse Practitioner 824933457GARDNER, RONALD E 410 NEVADA HWY STE 180 BOULDER CITY NV 98535 Clark 702-293-2436 Physicians General Dentist 886000022GARDNER, YUN H 2435 PYRAMID WAY STE B SPARKS NV 98536 Washoe 775-432-2742 Physicians Professional Counselor 452506491GARDNERVILLE HEALTH AND REHABILITATION CENTER1573 MULLER PKWY GARDNERVILLE NV 98537 Douglas 775-782-6620 Rehabilitation 912190795GARDUQUE, NATHANIEL I 975 RYLAND ST RENO NV 98538 Washoe 775-982-5000 Physicians Certified Nurse Practitioner 261513495GARETTO, THOMAS P 2320 PASEO DEL PRADO STE B LAS VEGAS NV 98541 Clark 702-382-1960 Physicians Anesthesiology 161679125GAREY, BELINDA L 1161 S VALLEY VIEW BLVD LAS VEGAS NV 98542 Clark 702-486-7670 Rehabilitation Occupational Therapy 886000022GAREY-SAGE, JONATHAN S 699 SIERRA ROSE DR STE A RENO NV 98543 Washoe 775-689-3737 Physicians Urology 208628418GARG, AMIT 2580 SAINT ROSE PKWY STE 140 HENDERSON NV 98545 Clark 702-862-8862 Physicians Obstetrics/Gynecology 270024561GARG, SHILPI 85 KIRMAN AVE STE 401 RENO NV 98546 Washoe 775-324-6644 Physicians Pediatric Cardiology 880176637GARGYA, SUKUMAR C 1595 ROBB DR STE 2 RENO NV 98547 Washoe 775-770-7580 Physicians Internal Medicine 455557052GARHARDT, STEVEN C 3663 E SUNSET RD STE 505 LAS VEGAS NV 98549 Clark 702-944-7000 Physicians General Dentist 880423284GARLAND, CHARVELA D 3186 S MARYLAND PKWY LAS VEGAS NV 98550 Clark 702-961-7310 Physicians Certified Nurse Practitioner 331159527GARLICK, EUGENE F 8431 W LAKE MEAD BLVD LAS VEGAS NV 98553 Clark 702-255-1616 Physicians Chiropractor 556854587GARNER CHIROPRACTIC 6600 W CHARLESTON BLVD STE 136 LAS VEGAS NV 98555 Clark 702-878-0056 Physicians Chiropractor 043821114GARNER, DEBRA 280 S DECATUR BLVD LAS VEGAS NV 98556 Clark 702-759-1000 Physicians Certified Nurse Practitioner 880151573GARNER, STACI J 366 W LAKE MEAD PKWY STE 100 HENDERSON NV 98557 Clark 702-464-3090 Physicians General Dentist 454612311GAROL, BENJAMIN D 10101 DOUBLE R BLVD RENO NV 98558 Washoe 775-982-7000 Physicians Anesthesiology 880101307GAROL, WHITNEY E 3701 BAKER LN STE 1 RENO NV 98575 Washoe 775-825-1000 Physicians Pediatric Dentist 203707845GARR, WHITNEY 8766 S MARYLAND PKWY STE 107 LAS VEGAS NV 98576 Clark 702-376-2838 Physicians Social Worker 510578850GARRETT, ERIC J 475 N MOAPA VALLEY BLVD OVERTON NV 98577 Clark 702-397-6700 Rehabilitation Physical Therapy 880511122GARRETT, GAIL M 7260 S RAINBOW BLVD STE 104 LAS VEGAS NV 98580 Clark 702-896-7211 Physicians General Dentist 205337268GARRISON, JOHN A 7391 W CHARLESTON BLVD LAS VEGAS NV 98583 Clark 702-304-2144 Physicians Internal Medicine 830579552GARTH, KEVIN L 9127 W RUSSELL RD LAS VEGAS NV 98584 Clark 702-878-0070 Physicians Anesthesiology 910885149GARVEY, DAVID J 2001 ERRECART BLVD ELKO NV 98593 Elko 888-952-6772 Physicians Emergency Medicine 880307849GARVIN, NONA CECILIA J 5785 CENTENNIAL CENTER BLVD STE 230 LAS VEGAS NV 98594 Clark 702-383-2273 Physicians Certified Nurse Practitioner 886000436GARWOOD, HEIDI R 8565 S EASTERN AVE STE 140 LAS VEGAS NV 98595 Clark 702-239-7182 Physicians Social Worker 831066208GASPAR DE ALBA, MARIO J 630 S RANCHO DR STE A LAS VEGAS NV 98596 Clark 702-998-9505 Physicians Pediatrics 880330858GASPAR, ARNEL V 2851 N TENAYA WAY STE 205 LAS VEGAS NV 98597 Clark 702-655-9456 Rehabilitation Physical Therapy 200042642GASPAR, TIFFANIE M 1161 S VALLEY VIEW BLVD LAS VEGAS NV 98602 Clark 702-486-7670 Rehabilitation Physical Therapy 886000022GASPARRE, RICHARD R 975 RYLAND ST STE 100 RENO NV 98603 Washoe 775-982-5000 Physicians Family Medicine 941415069GASSEN, JOSEPH A 1155 MILL ST BLDG 55 RENO NV 98604 Washoe 775-982-4100 Physicians Pediatrics 270539995GASSEN, VINCENT A 1505 WIGWAM PKWY STE 100 HENDERSON NV 98606 Clark 702-896-6043 Physicians Optometry 260076062GASTER, BRIAN G 2100 N RAMPART BLVD LAS VEGAS NV 98610 Clark 814-849-8344 Physicians Optometry 880107297GASTROENTEROLOGY & HEPATOLOGY INSTITUTE OF NV2875 SAINT ROSE PKWY HENDERSON NV 98613 Clark 702-558-4027 Physicians Gastroenterology 880485076GASTROENTEROLOGY CENTER OF NEVADA LLP DESAI3150 N TENAYA WAY STE 225 LAS VEGAS NV 98616 Clark 702-240-2454 Physicians Gastroenterology 880219049Gastroenterology Consultants - Reno North 880 RYLAND ST RENO NV 98623 Washoe 775-329-4600 Ambulatory Facilities 860872914Gastroenterology Consultants - Reno South Meadows10619 PROFESSIONAL CIR RENO NV 98624 Washoe 775-852-4848 Ambulatory Facilities 208148996GATAN, MA CECILIA J 2543 S BRUCE ST STE 200 LAS VEGAS NV 98626 Clark 702-732-2438 Physicians Certified Nurse Practitioner 462812104GATCHALIAN, MARIA CATHERINE G 633 N DECATUR BLVD LAS VEGAS NV 98628 Clark 702-258-4900 Physicians Certified Nurse Practitioner 880476261GATES, DAVID W 10410 S EASTERN AVE HENDERSON NV 98629 Clark 702-616-0777 Physicians General Dentist 264222951GATES, KATHLEEN P 3186 S MARYLAND PKWY LAS VEGAS NV 98630 Clark 701-431-8240 Physicians Pediatrics 860859551GATES, RANDALL R 1175 HARVARD WAY RENO NV 98631 Washoe 775-329-4402 Physicians Chiropractor 880502320GATICALES, JOSE ROBERT K 1501 E CALVADA BLVD PAHRUMP NV 98632 Nye 702-454-6226 Physicians Certified Nurse Practitioner 880213519GATLIN, ROBERT A 1701 N GREEN VALLEY PKWY STE 5C HENDERSON NV 98635 Clark 702-614-6550 Physicians Obstetrics/Gynecology 880149093GAULIN, PAUL E 118 E HASKELL ST STE D WINNEMUCCA NV 98636 Humboldt 775-621-5699 Physicians General Surgery 800001045

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 68 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDGAUMOND, JORDANA L 1120 SHADOW LN # D100 LAS VEGAS NV 98637 Clark 702-383-2224 Physicians General Surgery 886000436GAUTAM, PAWAN 3039 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 98638 Clark 702-489-5237 Physicians Orthodontist 471855148GAUTHAM G REDDY MD LTD 321 N PECOS RD STE 300 HENDERSON NV 98640 Clark 702-616-9471 Physicians Family Medicine 020530969GAUTHAM G. REDDY MD LLC 2401 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 98641 Clark 702-385-7001 Physicians Family Medicine 020530969GAUTHIER, MARY E 888 W BONNEVILLE AVE LAS VEGAS NV 98643 Clark 702-483-6000 Physicians Certified Nurse Practitioner 886000436GAY, LAURENCE G 1155 MILL ST RENO NV 98644 Washoe 775-982-5638 Physicians Geriatric Medicine 880502320GEARIN, AMY A 1975 VILLAGE CENTER CIR STE 160 LAS VEGAS NV 98645 Clark 702-367-4040 Physicians General Dentist 743165898GEATRAKAS, CHRISTINA S 1397 S LOOP RD PAHRUMP NV 98646 Nye 702-759-8600 Physicians Radiology/Diagnostic 481290229GEBHARD, THOMAS A 102 E LAKE MEAD PKWY HENDERSON NV 98666 Clark 702-616-5000 Physicians Interventional Radiology 880307447GEBHARDT, MEGAN 2012 S JONES BLVD LAS VEGAS NV 98667 Clark 702-360-1137 Rehabilitation Speech Pathology 412129643GEBRE, ERMIAS A 3186 S MARYLAND PKWY LAS VEGAS NV 98670 Clark 702-878-0070 Physicians Internal Medicine 592905984GEE, BRYCE C 2261 N RAMPART BLVD LAS VEGAS NV 98676 Clark 702-363-8655 Physicians General Dentist 880311385GEEB, UTE G 2031 N BUFFALO DR LAS VEGAS NV 98677 Clark 702-383-2650 Physicians Internal Medicine 886000436GEIGER, KATHRYN M 421 W PLUMB LN STE I RENO NV 98678 Washoe 775-525-8103 Physicians Social Worker 825259010GEISLER, ANDREW L 6630 S MCCARRAN BLVD STE A4 RENO NV 98680 Washoe 775-853-7513 Physicians Physical Medicine & Rehabilitation880329853GELLER, AMALIA A 7751 W FLAMINGO RD LAS VEGAS NV 98686 Clark 702-804-6555 Physicians Neurology 810973046GELO III, JOSEPH L 3955 S DURANGO DR STE B3 LAS VEGAS NV 98688 Clark 702-242-6777 Physicians General Dentist 461007727GELORMINI, RUSSELL G 2020 PALOMINO LN LAS VEGAS NV 98691 Clark 702-759-8600 Physicians Radiology/Diagnostic 310745303GEMIL, HATIM O 7391 W CHARLESTON BLVD STE 140 LAS VEGAS NV 98711 Clark 702-304-2144 Physicians Internal Medicine 201026537GENERAL & VASCULAR ASSOCIATES 1500 E 2ND ST STE 206 RENO NV 98713 Washoe 775-789-7000 Physicians Vascular Surgery 880179203GENERAL AND VASCULAR ASSOC 1500 E 2ND ST STE 206 RENO NV 98715 Washoe 775-789-7000 Physicians Vascular Surgery 880179203GENERAL VASCULAR SPECIALISTS 7200 CATHEDRAL ROCK DR STE 130 LAS VEGAS NV 98716 Clark 702-228-8600 Physicians Vascular Surgery 300072350GENESIS HOME HEALTH SERVICES 2620 RUBY VISTA DR ELKO NV 98717 Elko 775-753-7626 Ancillary Providers 201257046GENESIS HOME HEALTH SERVICES INC. 705 AVENUE K ELY NV 98718 White Pine 775-289-2226 Ancillary Providers 201257046GENESIS REHABILITATION SERVICES 1565 VIRGINIA RANCH RD GARDNERVILLE NV 98719 Douglas 775-309-4860 Rehabilitation Physical Therapy 232446104GENNIS, DAVID P 5915 S RAINBOW BLVD STE 105 LAS VEGAS NV 98720 Clark 702-209-0370 Physicians Marriage & Family Therapist 464547744GENOMICARE 5115 S DURANGO DR LAS VEGAS NV 98721 Clark 702-478-2524 Ambulatory Facilities 880401900Gentiva Certified HealthCare Corp. 415 US HIGHWAY 95A S STE F-604 FERNLEY NV 98722 Lyon 775-575-1286 Ancillary Providers 112645333GENTIVA HEALTH SERVICES 1677 HELM DR LAS VEGAS NV 98725 Clark 702-951-6900 Ancillary Providers 860898663GENTNER, TIMOTHY G 1200 MOUNTAIN ST STE 230 CARSON CITY NV 98731 Carson City 775-883-3636 Physicians Family Medicine 880502320GEORGE R MCMICKLE M D P C 653 N TOWN CENTER DR STE 318 LAS VEGAS NV 98732 Clark 702-215-6950 Ambulatory Facilities 880505822GEORGE, CONSTANTINE 6252 S RAINBOW BLVD STE 110 LAS VEGAS NV 98733 Clark 702-419-3482 Physicians Internal Medicine 202925472GEORGE, VENETA 9127 W RUSSELL RD STE 110 LAS VEGAS NV 98734 Clark 702-878-0070 Physicians Anesthesiology 852385334GEPHARDT, STEPHEN A 7220 S CIMARRON RD STE 270 LAS VEGAS NV 98743 Clark 702-832-5247 Physicians Anesthesiology 880375544GERA, PAUL M 5420 KIETZKE LN STE 106 RENO NV 98747 Washoe 775-851-2444 Physicians Anesthesiology 880101307GERACCI, GARY J 6525 N DECATUR BLVD STE 150 LAS VEGAS NV 98758 Clark 702-577-1941 Physicians Oral Surgery 208862814GERATRIC SOLUTIONS LLC 9278 MONTEREY CLIFFS AVE LAS VEGAS NV 98764 Clark 702-407-8241 Physicians Geriatric Medicine 208840995GERBER CHIROPRACTIC 6600 W CHARLESTON BLVD STE 136 LAS VEGAS NV 98765 Clark 702-878-0056 Physicians Chiropractor 880379216GERBER, JOHN R 6600 W CHARLESTON BLVD STE 136 LAS VEGAS NV 98766 Clark 702-878-0056 Physicians Chiropractor 880379216GERBER, KATHARINE E 6600 W CHARLESTON BLVD STE 136 LAS VEGAS NV 98767 Clark 702-878-0056 Physicians Chiropractor 880379216GERBER-WINN, TINA 3595 US HIGHWAY 50 UNIT 3 SILVER SPGS NV 98768 Lyon 775-577-0319 Physicians Professional Counselor 886000022GERHARD, GRANT D 8300 W CHEYENNE AVE STE 106 LAS VEGAS NV 98769 Clark 702-656-0911 Physicians Emergency Medicine 463164188GERIATRIC MEDICAL ASSOCIATES OF NEVADA LLC9811 W CHARLESTON BLVD STE 2-304 LAS VEGAS NV 98784 Clark 702-464-7855 Physicians Geriatric Medicine 262785337GERK, LAUREN E 801 E WILLIAMS AVE STE 2209 FALLON NV 98786 Churchill 775-423-3151 Physicians CRNA 842010869GERLACH, ALEXANDRA M 780 VISTA BLVD STE 100 SPARKS NV 98787 Washoe 775-348-8800 Rehabilitation Physical Therapy 270028866GERMIN CLINICAL NEUROLOGY WEST 7751 W FLAMINGO RD STE A100 LAS VEGAS NV 98788 Clark 702-804-6555 Physicians Neurology 010726093GERMIN, LEO R 1691 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 98789 Clark 702-804-1212 Physicians Neurology 880397161GERSON, ERIC A 3560 E FLAMINGO RD LAS VEGAS NV 98794 Clark 800-767-6747 Physicians Radiology/Diagnostic 880235537GERTZ, JIL M 1811 S RAINBOW BLVD STE 210 LAS VEGAS NV 98802 Clark 702-641-8255 Rehabilitation Speech Pathology 721589409GERVASI, BERNADETTE C 68 N PECOS RD STE B HENDERSON NV 98805 Clark 702-990-4123 Rehabilitation Physical Therapy 731734059GEVEDON, MILLARD L 1050 W GALLERIA DR HENDERSON NV 98807 Clark 702-878-0070 Physicians Anesthesiology 592905984

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 69 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDGEWELBER, CIVON L 1001 SHADOW LN LAS VEGAS NV 98816 Clark 702-774-2652 Physicians General Dentist 886000024GEX, GREGORY P 8285 W ARBY AVE STE 380 LAS VEGAS NV 98817 Clark 702-366-1268 Physicians Obstetrics/Gynecology 205666446GEX, RODERICK A 9127 W RUSSELL RD LAS VEGAS NV 98818 Clark 702-878-0070 Physicians Anesthesiology 731451967GHADISHAH, BABAK 201 N BUFFALO DR LAS VEGAS NV 98828 Clark 702-242-2737 Physicians Internal Medicine 880329986GHALI, HANY F 1600 MEDICAL PKWY CARSON CITY NV 98829 Carson City 775-445-8795 Physicians Critical Care 341847350GHANEIAN, ATOUSA 10001 S EASTERN AVE STE 310 HENDERSON NV 98852 Clark 702-566-2400 Physicians Pediatrics 205204446GHANI, MUHAMMAD S 58 N PECOS RD HENDERSON NV 98853 Clark 702-222-3238 Physicians Hematology/Oncology 890747319GHAYAL, PRIYA D 8879 W FLAMINGO RD STE 101 LAS VEGAS NV 98858 Clark 702-646-1150 Rehabilitation Physical Therapy 834243918GHAZAL, CAROLYN G 3119 N RAINBOW BLVD LAS VEGAS NV 98859 Clark 702-342-1604 Physicians General Dentist 832088060GHAZIKHANIAN, VARAND 4101 WAGON TRAIL AVE LAS VEGAS NV 98867 Clark 702-942-4123 Physicians Radiology/Diagnostic 880119638GHERTNER, STUART 6161 W CHARLESTON BLVD LAS VEGAS NV 98870 Clark 702-486-6045 Physicians Psychology (Clinical) 886000022GHIDOSSI, STEPHANIE A 1025 ROBERTA LN SPARKS NV 98871 Washoe 775-825-4744 Rehabilitation Speech Pathology 562328617GHILONI, NICHOLAS 10410 S EASTERN AVE STE 210 HENDERSON NV 98872 Clark 702-733-2982 Physicians Internal Medicine 880407449GHIM, HEEYUP 1475 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 98874 Clark 702-564-4498 Physicians General Dentist 261893674GHOBRIAL, PIERRE B 7125 N DURANGO DR LAS VEGAS NV 98875 Clark 702-658-2311 Physicians General Dentist 205339044GHODSI, SHARAM 4011 MEADOWS LN STE 101 LAS VEGAS NV 98876 Clark 702-259-5295 Physicians General Dentist 330815542GHOLDOIAN, C G 1500 E 2ND ST STE 300 RENO NV 98877 Washoe 775-689-3737 Physicians Urology 203707845GHOVANLOU FAMILY MEDICINE CORPORATION3150 N TENAYA WAY STE 480 LAS VEGAS NV 98878 Clark 702-243-2327 Physicians Family Medicine 205496001GHUMAN, BABUK 7140 SMOKE RANCH RD LAS VEGAS NV 98879 Clark 702-320-8111 Physicians Anesthesiology 880366031GIACALONE, MARIA A 7341 W CHARLESTON BLVD LAS VEGAS NV 98881 Clark 702-233-3366 Physicians Chiropractor 201871646GIAMBRONE, TRACEY E 1875 PLUMAS ST RENO NV 98883 Washoe 866-530-3940 Physicians Podiatry 900161307GIANG, DENNIS 5871 W CRAIG RD LAS VEGAS NV 98884 Clark 702-724-2020 Physicians Optometry 201730312GIBB, ERI 1301 BERTHA HOWE AVE STE 1 MESQUITE NV 98886 Clark 877-455-4778 Physicians Family Medicine 270531464GIBBS, MARY-LIBERTY Y 6210 N DURANGO DR BLDG 11 LAS VEGAS NV 98887 Clark 702-940-1540 Physicians Family Medicine 880213519GIBSON III, JAMES I 70 E HORIZN RIDGE PKWY STE 170 HENDERSON NV 98888 Clark 702-564-1037 Physicians Orthodontist 205081689GIBSON, MATTHEW S 8280 W WARM SPRINGS RD LAS VEGAS NV 98889 Clark 702-492-8000 Physicians Internal Medicine 472990144GIDDINGS, MICHELLE N 112 S JONES BLVD LAS VEGAS NV 98890 Clark 702-909-4600 Physicians Certified Nurse Practitioner 263198139GIESBRECHT, BENJAMIN L 975 KIRMAN AVE RENO NV 98892 Washoe 775-786-7200 Physicians Psychology (Clinical) 930788526GILBERT, WARREN S 2205 GLENDALE AVE STE 131 SPARKS NV 98893 Washoe 775-331-3361 Physicians Family Medicine 263356798GILBERT-ELIOT, TRUDY 458 COURT ST RENO NV 98895 Washoe 775-324-1234 Physicians Marriage & Family Therapist 743088330GILES, JOHN D 340 FALCON RIDGE PKWY MESQUITE NV 98898 Clark 702-346-3105 Rehabilitation Physical Therapy 880511122GILL, MANDEEP K 8300 W CHEYENNE AVE STE 106 LAS VEGAS NV 98899 Clark 702-656-0911 Physicians Family Medicine 463164188GILLESPIE, SUSANNE H 605 SIERRA ROSE DR STE 4 RENO NV 98901 Washoe 775-689-5410 Rehabilitation Physical Therapy 205244843GILLILAND, JEFFREY 6900 PECOS RD NORTH LAS VEGAS NV 98903 Clark 702-791-9000 Physicians Psychology (Clinical) 886000022GILLIS, CARRIE 11201 S EASTERN AVE STE 220 HENDERSON NV 98904 Clark 702-614-0324 Rehabilitation Physical Therapy 134243035GILMER, BRIAN B 555 N ARLINGTON AVE RENO NV 98905 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557GILMORE, CARRIE L 513 W BRIDGE ST STE E YERINGTON NV 98907 Lyon 775-463-4500 Rehabilitation Physical Therapy 454267173GILMOUR, DUNCAN M 2020 WELLNESS WAY STE 300 LAS VEGAS NV 98908 Clark 702-432-2233 Physicians Neurology 471182996GILSON-LUCIER, NANCY L 310 SURPRISE AVE YERINGTON NV 98909 Lyon 775-463-3191 Physicians Social Worker 886000022GINI, RYAN 9710 S MCCARRAN BLVD RENO NV 98910 Washoe 775-624-6000 Physicians Family Medicine 880502320GINSBURG, DAVID L 5380 S RAINBOW BLVD LAS VEGAS NV 98912 Clark 702-463-4040 Physicians Neurology 880330858GINTHER, CORY R 2475 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 98913 Clark 702-463-3501 Rehabilitation Physical Therapy 204635517GIOIA, FRANK R 657 N TOWN CENTER DR LAS VEGAS NV 98914 Clark 702-233-7000 Physicians Pediatric Critical Care 880266682Giovannetti, Mark 3471 CHEECHAKO DR *PLEASE DO NOT PUBLISH IN DIRECTORYRENO NV 98915 Washoe 952-595-1100 Physicians Radiology/Diagnostic 412007905GIRALDO, MAUREEN G 1701 W CHARLESTON BLVD STE 300 LAS VEGAS NV 98916 Clark 702-251-8000 Physicians Social Worker 043290453GIREESH, GINI 2831 SAINT ROSE PKWY STE 221 HENDERSON NV 98917 Clark 702-589-4871 Physicians Certified Nurse Practitioner 823795906GIRISGEN, STEVE T 3614 S MARYLAND PKWY LAS VEGAS NV 98918 Clark 702-341-7254 Physicians Optometry 880429060GIRROIR, AUDREY L 3186 S MARYLAND PKWY LAS VEGAS NV 98921 Clark 702-731-8000 Physicians Certified Nurse Practitioner 331159527GIST, SHANNON 871 CORONADO CENTER DR STE 261 HENDERSON NV 98923 Clark 702-830-9685 Physicians Dietitian 141995877GITLIN, LAURA G 7110 SMOKE RANCH RD LAS VEGAS NV 98924 Clark 702-869-5544 Physicians Gastroenterology 880446368GITNACHT, DEMIAN 595 W LAKE MEAD PKWY HENDERSON NV 98925 Clark 702-565-1007 Physicians Family Medicine 880213519

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 70 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDGLADDING, JEFFREY 1155 MILL ST RENO NV 98926 Washoe 775-982-5638 Physicians Anesthesiology 880101307GLANTZ, KATHERYNE W 2345 E PRATER WAY STE 315 SPARKS NV 98942 Washoe 775-331-3668 Physicians Podiatry 203707845GLASER, CRYSTAL M 3662 E SUNSET RD LAS VEGAS NV 98945 Clark 702-434-2800 Physicians Chiropractor 200775852GLASGOW, JAMES 8571 W LAKE MEAD BLVD STE 120 LAS VEGAS NV 98946 Clark 702-360-5194 Physicians Chiropractor 200725320GLASS, TANYA A 2941 ARIEL DR RENO NV 98947 Washoe 775-232-1419 Rehabilitation Occupational Therapy 562328617GLASSMAN, IRWIN G 1934 E SAHARA AVE LAS VEGAS NV 98948 Clark 702-369-5758 Physicians Obstetrics/Gynecology 421717339GLASSMAN, KRAMER AND SCARFF, P.C. 1934 E SAHARA AVE LAS VEGAS NV 98953 Clark 702-369-5758 Physicians Obstetrics/Gynecology 880299277GLAUNER, KATHI S 1107 US HIGHWAY 395 S GARDNERVILLE NV 98954 Douglas 775-782-1600 Physicians Emergency Medicine 880405927GLEASON, GRACE A 3050 N ORMSBY BLVD CARSON CITY NV 98955 Carson City 775-781-0092 Physicians Certified Nurse Practitioner 461707288GLICK, MICHAEL A 18653 WEDGE PKWY RENO NV 98983 Washoe 775-770-7210 Physicians Family Medicine 352160780GLOBAL CARE OF NEVADA 4420 ARVILLE ST LAS VEGAS NV 98984 Clark 702-365-0310 Ancillary Providers 880473079GLOEB, DONALD J 9280 W SUNSET RD STE 236 LAS VEGAS NV 98985 Clark 702-341-6610 Physicians Obstetrics/Gynecology 869871624GLOVINSKY, MARVIN A 1919 S JONES BLVD LAS VEGAS NV 98987 Clark 702-362-7785 Physicians Psychology (Clinical) 880200261GLOVSKY, PAMELA L 2055 W CHARLESTON BLVD LAS VEGAS NV 98988 Clark 702-630-9940 Physicians Professional Counselor 464183791GLUCK, GEORGE S 8585 S EASTERN AVE STE 100 LAS VEGAS NV 98989 Clark 702-798-8585 Physicians Orthopedic Surgery 811579106GLYMAN, MARK L 2030 E FLAMINGO RD STE 288 LAS VEGAS NV 98993 Clark 702-892-0833 Physicians Oral Surgery 880315086GLYNN, KATHRYN M 9990 DOUBLE R BLVD STE 200 RENO NV 98995 Washoe 775-348-8800 Physicians Pain Management 270028866GNANESWER BILLAKANTI MD PC 7627 GOSSAMER WIND ST LAS VEGAS NV 98996 Clark 702-964-1013 Physicians Internal Medicine 201975918GNOYSKI, JOSEPH M 653 N TOWN CENTER DR STE 410 LAS VEGAS NV 98997 Clark 702-456-3120 Physicians Physical Medicine & Rehabilitation880447615GO, ANANSA K 6170 N DURANGO DR STE 220 LAS VEGAS NV 99000 Clark 702-641-8500 Physicians Certified Nurse Practitioner 260855946GO, RITCH 3110 S VALLEY VIEW BLVD LAS VEGAS NV 99001 Clark 702-877-9511 Physicians Certified Nurse Practitioner 943489399GOCKE, JAMES M 897 IRONWOOD DR MINDEN NV 99002 Douglas 775-782-1610 Physicians Certified Nurse Practitioner 261513495GODFREY, THOMAS H 1580 E DESERT INN RD LAS VEGAS NV 99003 Clark 702-655-6777 Physicians General Dentist 331207123GODFREY, TIMIAN M 3550 W CHEYENNE AVE STE 130 NORTH LAS VEGAS NV 99004 Clark 702-570-5200 Physicians Certified Nurse Practitioner 880250024GOEBEL, DIANE S 6980 S CIMARRON RD STE 100 LAS VEGAS NV 99005 Clark 702-464-7841 Physicians Pediatrics 203416144GOEDHART, RENAE S 1480 E CALVADA BLVD STE 400 PAHRUMP NV 99008 Nye 775-751-6111 Physicians Certified Nurse Practitioner 262775400GOEL, HITESH 7391 W CHARLESTON BLVD STE 140 LAS VEGAS NV 99013 Clark 702-304-2144 Physicians Internal Medicine 201026537GOETTING, BRUCE C 2635 BOX CANYON DR LAS VEGAS NV 99014 Clark 702-386-4700 Physicians Anesthesiology 880375544GOETZ, GREGORY L 9811 W CHARLESTON BLVD STE 2 LAS VEGAS NV 99016 Clark 702-921-6829 Physicians Anesthesiology 201643180GOFFSTEIN, CHAD D 9127 W RUSSELL RD LAS VEGAS NV 99017 Clark 702-878-0070 Physicians Anesthesiology 731451967GOGINENI, DILIP 6161 W CHARLESTON BLVD LAS VEGAS NV 99027 Clark 702-486-6045 Physicians Psychiatry 886000022GOLAN INTEGRATED PHYSICAL MEDICINE PC321 N PECOS RD STE 200 HENDERSON NV 99029 Clark 702-263-4925 Ambulatory Facilities 463084124GOLAN INTERGRATIVE PHYSICAL MEDICINE 3061 S MARYLAND PKWY # 201 LAS VEGAS NV 99030 Clark 702-396-4993 Physicians Sports Medicine 463084124GOLAN, DAVID R 3753 HOWARD HUGHES PKWY LAS VEGAS NV 99031 Clark 702-419-5379 Physicians General Practice 463084124GOLBERG, LESLIE L 1664 N VIRGINIA ST RENO NV 99034 Washoe 775-784-4887 Rehabilitation Speech Pathology 860881749GOLDBERG, ERIC L 316 CALIFORNIA AVE STE 551 RENO NV 99035 Washoe 775-829-9880 Physicians Radiology/Diagnostic 364779215GOLDBERG, GARY J 3100 N TENAYA WAY LAS VEGAS NV 99039 Clark 972-915-3600 Physicians Emergency Medicine 880262438GOLDBERG, IRA J 1420 E CALVADA BLVD STE 300 PAHRUMP NV 99040 Nye 775-727-4700 Physicians Marriage & Family Therapist 562298123GOLDEN HEALTH FAMILY MEDICAL CENTER 1993 ERRECART BLVD ELKO NV 99046 Elko 775-753-1049 Physicians Family Medicine 911912844GOLDEN HOME HEALTH NEVADA 3750 S JONES BLVD LAS VEGAS NV 99047 Clark 702-778-8365 Ancillary Providers 273565285GOLDEN VALLEY FAMILY MEDICAL CENTER 515 W HASKELL ST WINNEMUCCA NV 99049 Humboldt 775-625-4653 Physicians Family Medicine 911912844GOLDEN, ANGELIQUE C 1161 S VALLEY VIEW BLVD LAS VEGAS NV 99050 Clark 702-486-7670 Rehabilitation Speech Pathology 886000022GOLDMAN, BETH A 1535 W WARM SPRINGS RD HENDERSON NV 99051 Clark 702-450-3385 Physicians Family Medicine 462964527GOLDMAN, JOSHUA J 1701 W CHARLESTON BLVD STE 190 LAS VEGAS NV 99052 Clark 702-671-5110 Physicians Plastic & Reconstructive Surgery 813419791GOLDSMITH, IVAN L 5375 S FORT APACHE RD LAS VEGAS NV 99053 Clark 702-367-0808 Physicians Internal Medicine 880319371GOLDSTEIN, GREG E 235 W 6TH ST RENO NV 99054 Washoe 775-770-3000 Physicians Interventional Radiology 412007905GOLI, VIJAY 7500 SMOKE RANCH RD STE 200 LAS VEGAS NV 99055 Clark 702-233-0727 Physicians Urology 880366609GOLLARD, RUSSELL P 4750 W OAKEY BLVD SECOND FLOOR LAS VEGAS NV 99057 Clark 702-724-8787 Physicians Hematology/Oncology 880370553GOLSHANI, KEVIN R 1505 WIGWAM PKWY HENDERSON NV 99061 Clark 702-258-3773 Physicians Orthopedic Surgery 880313907GOMEZ, ANTONIO 1859 C ST SPARKS NV 99064 Washoe 775-359-8136 Physicians Professional Counselor 546928842GOMEZ, MYRON J 75 PRINGLE WAY STE 804 RENO NV 99065 Washoe 775-323-7500 Physicians General Surgery 880341656

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 71 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDGOMEZ, NADIA A 2231 W CHARLESTON BLVD LAS VEGAS NV 99067 Clark 702-968-4347 Physicians Obstetrics/Gynecology 880330858GOMEZ, RICHARD L 7250 PEAK DR LAS VEGAS NV 99070 Clark 702-386-4700 Physicians Anesthesiology 569192907GONDEK, LINDSAY 7425 W AZURE DR STE 140 LAS VEGAS NV 99074 Clark 702-515-4009 Rehabilitation Speech Pathology 472546455GONDY, ANITA V 7160 SMOKE RANCH RD LAS VEGAS NV 99075 Clark 702-254-8900 Physicians Obstetrics/Gynecology 880400613GONG, ROBERT C 2789 SUNRIDGE HEIGHTS PKWY HENDERSON NV 99076 Clark 702-614-0850 Physicians Internal Medicine 880443995GONZALES, BECKY R 4275 BURNHAM AVE STE 260 LAS VEGAS NV 99078 Clark 702-862-8862 Physicians Certified Nurse Practitioner 880384150GONZALES, CECILIO 7751 W FLAMINGO RD STE B102 LAS VEGAS NV 99079 Clark 702-257-0101 Physicians Certified Nurse Practitioner 852575060GONZALES, THOMAS R 1825 E FLAMINGO RD LAS VEGAS NV 99080 Clark 702-798-6684 Physicians General Dentist 880266825GONZALEZ DIAZ, WADDY O 2385 E PRATER WAY STE 302 SPARKS NV 99081 Washoe 775-356-4514 Physicians Cardiology 263303591GONZALEZ MELENDEZ, ADALICE 171 N GIBSON RD HENDERSON NV 99082 Clark 702-360-1137 Rehabilitation Speech Pathology 412129643GONZALEZ, CHELSEA 9480 DOUBLE DIAMOND PKWY STE 100 RENO NV 99083 Washoe 775-786-1600 Rehabilitation Occupational Therapy 880107997GONZALEZ, DINO J 653 N TOWN CENTER DR LAS VEGAS NV 99084 Clark 702-243-7483 Physicians Internal Medicine 201329601GONZALEZ, JONATHAN 9127 W RUSSELL RD STE 110 LAS VEGAS NV 99087 Clark 702-878-0070 Physicians CRNA 860916679GONZALEZ, JOSE R 9480 S EASTERN AVE STE 262 HENDERSON NV 99096 Clark 702-407-7700 Physicians Certified Nurse Practitioner 263668328GONZALEZ, KAREN S 595 W LAKE MEAD PKWY HENDERSON NV 99097 Clark 702-566-5500 Physicians Family Medicine 880213519GONZALEZ, MARILYN 9975 S EASTERN AVE STE 100 LAS VEGAS NV 99098 Clark 702-270-4636 Physicians Optometry 880484278GONZALEZ, RICARDO J 9710 S MCCARRAN BLVD RENO NV 99113 Washoe 775-624-6492 Physicians Family Medicine 880300031GOOD CHOICE PEDIATRICS, LLC. 3050 E BONANZA RD STE 130 LAS VEGAS NV 99114 Clark 702-383-0663 Physicians Pediatrics 271942969GOOD NIGHT PEDIATRICS 2651 N GREEN VALLEY PKWY STE 101D HENDERSON NV 99115 Clark 702-939-6800 Ambulatory Facilities 203943976GOOD SHEPHERD HEALTHCARE 1661 E FLAMINGO RD LAS VEGAS NV 99118 Clark 800-782-7666 Rehabilitation 880491469GOOD SHEPHERD HEALTHCARE LLC 4275 BURNHAM AVE LAS VEGAS NV 99124 Clark 702-834-4705 Rehabilitation 880491469GOOD SHEPHERD HOME HEALTH SERVICES 2821 W HORIZON RIDGE PKWY HENDERSON NV 99126 Clark 702-893-3333 Ancillary Providers 611623495GOOD SHEPHERD REHAB CENTERS 4275 BURNHAM AVE LAS VEGAS NV 99127 Clark 702-319-7333 Rehabilitation 043821114GOOD SHEPHERD REHAB. CENTERS OF LAS VEGAS INC.2235 E FLAMINGO RD STE 170 LAS VEGAS NV 99130 Clark 702-380-1060 Rehabilitation 320197195GOOD SHEPHERD REHABILITATION INSTITUTE INC.2451 S BUFFALO DR STE 100 LAS VEGAS NV 99132 Clark 480-921-8944 Ambulatory Facilities 880467229GOODE, RANDALL 973 MICA DR STE 102 CARSON CITY NV 99133 Douglas 775-267-9222 Physicians Anesthesiology 261413745GOODE, ROLAND 699 SIERRA ROSE DR STE A RENO NV 99134 Washoe 775-689-3737 Physicians Urology 208628418GOODENBERGER, DANIEL M 1800 W CHARLESTON BLVD LAS VEGAS NV 99136 Clark 702-671-2345 Physicians Pulmonology 880330858GOODHEART MEDICAL GROUP 1316 E CALVADA BLVD PAHRUMP NV 99139 Nye 775-751-6111 Ambulatory Facilities 464749687GOODMAN JR., OSCAR B 9280 W SUNSET RD STE 100 LAS VEGAS NV 99140 Clark 702-952-1251 Physicians Hematology/Oncology 880350180GOODMAN, ANA P 1181 S BUFFALO DR STE 105 LAS VEGAS NV 99141 Clark 702-360-1137 Rehabilitation Physical Therapy 412129643GOODMAN, CHRISTOPHER E 556 N EASTERN AVE STE I LAS VEGAS NV 99144 Clark 702-960-4484 Physicians General Dentist 821732242GOODMAN, MARGARET E 8551 W LAKE MEAD BLVD LAS VEGAS NV 99146 Clark 702-255-8785 Physicians Neurology 880365169GOODMAN, PAIGEONE N 1000 S RAINBOW BLVD LAS VEGAS NV 99148 Clark 702-479-4881 Physicians Certified Nurse Practitioner 880213519GOODMAN, ROBYN M 5990 SILVER LAKE RD STE A RENO NV 99149 Washoe 775-971-3971 Physicians General Dentist 262003264GOODRICH, ALLYN P 1631 NEVADA HWY BOULDER CITY NV 99152 Clark 702-293-2436 Physicians General Dentist 880513323GOODSELL, JOHN T 8280 W WARM SPRINGS RD LAS VEGAS NV 99153 Clark 702-878-0070 Physicians Anesthesiology 200420553GOODSON, TINA L 2810 W CHARLESTON BLVD STE 78 LAS VEGAS NV 99163 Clark 702-968-5084 Physicians Psychiatry 716003252GOODWILL-FREDA, KAREN S 6165 RIDGEVIEW CT RENO NV 99164 Washoe 775-823-4080 Physicians Marriage & Family Therapist 530380251GOODWIN, AMY L 7171 W CRAIG RD STE 102 LAS VEGAS NV 99166 Clark 702-655-0331 Physicians Pediatric Dentist 452993092GOODWIN, DEBORAH V 525 MARKS ST HENDERSON NV 99169 Clark 702-383-6210 Physicians Family Medicine 886000436GOPAL, NITHYA 9260 W SUNSET RD LAS VEGAS NV 99172 Clark 702-255-3547 Physicians Obstetrics/Gynecology 460766041GOPENG, JENNIFER S 1701 S TORREY PINES DR LAS VEGAS NV 99173 Clark 702-871-0005 Physicians Family Medicine 815145222GORALKA, MICHAEL R 2874 N CARSON ST STE 200 CARSON CITY NV 99174 Carson City 775-348-8800 Physicians Internal Medicine 880449978GORAVANCHI, SOHEIL 9127 W RUSSELL RD LAS VEGAS NV 99175 Clark 702-878-0070 Physicians Anesthesiology 200420553GORAYA, MANBIR 1600 MEDICAL PKWY CARSON CITY NV 99186 Carson City 240-686-2310 Physicians Certified Nurse Practitioner 461707288GORAYA, MANBIR 2375 E PRATER WAY FL 7 SPARKS NV 99188 Washoe 775-222-0044 Physicians Certified Nurse Practitioner 260755054GORCZYCA, DAVID P 3186 S MARYLAND PKWY LAS VEGAS NV 99214 Clark 702-961-5000 Physicians Radiology/Diagnostic 050589923GORDON JR, STUART C 575 E PLUMB LN STE 100 RENO NV 99239 Washoe 775-329-0623 Physicians Social Worker 880090713GORDON, JANEENE 9280 W SUNSET RD STE 320 LAS VEGAS NV 99240 Clark 702-641-2150 Physicians Pediatrics 880334024GORDON, JESSICA S 6857 W CHARLESTON BLVD LAS VEGAS NV 99241 Clark 702-304-2144 Physicians Internal Medicine 201026537

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 72 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDGORDON, KENYETTA M 1302 W CRAIG RD NORTH LAS VEGAS NV 99243 Clark 702-657-9555 Physicians Family Medicine 880213519GORDON, MATTHEW W 10539 PROFESSIONAL CIR STE 200 RENO NV 99244 Washoe 775-445-7022 Physicians Family Medicine 880502320GORDON, STEPHEN W 3186 S MARYLAND PKWY LAS VEGAS NV 99245 Clark 706-863-9595 Physicians Plastic & Reconstructive Surgery 831346162GORGONA, MARIA T 75 PRINGLE WAY STE 601 RENO NV 99246 Washoe 775-326-8380 Physicians Internal Medicine 880238057GORI, VINCENT D 7361 W LAKE MEAD BLVD STE 104 LAS VEGAS NV 99249 Clark 702-804-6133 Physicians Optometry 880484278GOROZA, EDMUND R 1155 MILL ST RENO NV 99250 Washoe 775-982-5463 Physicians Pediatrics 880367250GORSKI, LAURA A 2011 PINTO LN LAS VEGAS NV 99251 Clark 702-382-3200 Physicians Obstetrics/Gynecology 880479581GOSNELL, DONNA 6884 W CHARLESTON BLVD STE A LAS VEGAS NV 99252 Clark 702-253-6626 Physicians Professional Counselor 880237624GOSTANIAN, HAROUT V 731 MALL RING CIR STE 101 HENDERSON NV 99256 Clark 702-734-5333 Physicians Pediatric Dentist 711021054GOSWAMI, URVASHI 580 W 5TH ST RENO NV 99257 Washoe 775-786-4673 Physicians Psychiatry 886000022GOTHELF, DAVID S 8851 W SAHARA AVE # SUIT100 LAS VEGAS NV 99258 Clark 702-254-1777 Physicians Family Medicine 880285933GOTTLIEB, ANN M 7501 W LAKE MEAD BLVD LAS VEGAS NV 99259 Clark 702-240-0606 Rehabilitation Occupational Therapy 412129643GOTTLIEB, MARK S 653 N TOWN CENTER DR STE 306 LAS VEGAS NV 99262 Clark 702-233-7950 Physicians Family Medicine 462964527GOUD, CHETAN 1550 W CRAIG RD NORTH LAS VEGAS NV 99263 Clark 702-777-3615 Physicians Emergency Medicine 824933457GOULD, AIDEN S 2375 E PRATER WAY SPARKS NV 99264 Washoe 775-331-7000 Physicians Emergency Medicine 475671561GOULD, NATALIE S 3131 LA CANADA ST STE 241 LAS VEGAS NV 99266 Clark 702-588-7440 Physicians Obstetrics/Gynecology 880401900GOWANJR, THOMAS J 657 N TOWN CENTER DR LAS VEGAS NV 99268 Clark 702-233-7033 Physicians Emergency Medicine 421679415GOWERN, NATALIE 2831 SAINT ROSE PKWY SUTIE 200 HENDERSON NV 99271 Clark 800-249-1266 Physicians Marriage & Family Therapist 452748445GOWHARI, DANIEL B 102 E LAKE MEAD PKWY HENDERSON NV 99272 Clark 702-523-9707 Physicians Emergency Medicine 274933934GOYA, IRENE 4000 E CHARLESTON BLVD STE 130 LAS VEGAS NV 99326 Clark 702-968-4000 Physicians Certified Nurse Practitioner 813419791GOYAL, DHARMENDRA K 5190 NEIL RD RENO NV 99328 Washoe 775-784-6388 Physicians Psychiatry 582089405GOYAL, MITALI 4550 E CHARLESTON BLVD LAS VEGAS NV 99329 Clark 702-459-5500 Physicians Internal Medicine 205617292GOZ, VADIM 555 W ARLINGTON AVE RENO NV 99332 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557GRABER III, RAYMOND B 3362 S MCCARRAN BLVD RENO NV 99333 Washoe 775-329-5437 Physicians General Dentist 203140812GRABERT, JASON R 620 SHADOW LN LAS VEGAS NV 99334 Clark 702-388-4500 Physicians Emergency Medicine 204311300GRABOW, RYAN J 3175 SAINT ROSE PKWY STE 330BOX HENDERSON NV 99336 Clark 702-433-9533 Physicians Orthopedic Surgery 263276519GRACE, TIFFINY M 2225 CIVIC CENTER DR NORTH LAS VEGAS NV 99343 Clark 702-877-5114 Physicians Pediatrics 880456336GRAFF, DAVID C 7301 PEAK DR STE 101 LAS VEGAS NV 99344 Clark 702-940-2000 Rehabilitation Physical Therapy 880386672GRAHAM, CHARLES D 2001 ERRECART BLVD ELKO NV 99346 Elko 775-738-5151 Physicians Internal Medicine 274436135GRAHAM, CHARLES E 3006 S MARYLAND PKWY STE 530 LAS VEGAS NV 99382 Clark 702-796-7000 Physicians Ophthalmology 880339276GRANATA, ANGELA M 7455 W WASHINGTON AVE STE 460 LAS VEGAS NV 99384 Clark 702-765-0884 Physicians Podiatry 810793781GRANATA, JAYMES D 7455 W WASHINGTON AVE STE 460 LAS VEGAS NV 99385 Clark 702-765-0884 Physicians Orthopedic Surgery 810793781GRAND DESERT MEDICAL 2001 S RAINBOW BLVD STE 130 LAS VEGAS NV 99386 Clark 702-202-0099 Physicians Family Medicine 463657029GRANDIERI, RENEE 1397 S LOOP RD PAHRUMP NV 99387 Nye 775-727-5500 Physicians Certified Nurse Practitioner 880213519GRANT, DOUGLAS 2200 PASEO VERDE PKWY STE 190 HENDERSON NV 99390 Clark 702-589-4871 Physicians Psychology (Clinical) 823795906GRANT, KENNETH D 874 AMERICAN PACIFIC DR HENDERSON NV 99391 Clark 702-777-4809 Physicians Rheumatology 886000436GRANT, ROBBIE L 395 W MINOR ST WINNEMUCCA NV 99394 Humboldt 775-623-6622 Physicians Family Medicine 547252290GRAUL, ERIKA K 1007 N CURRY ST CARSON CITY NV 99395 Carson City 775-841-2100 Physicians Certified Nurse Practitioner 880502320GRAUSZ, BRADLEY 2375 E PRATER WAY SPARKS NV 99396 Washoe 775-331-7000 Physicians Emergency Medicine 833597814GRAVLEY, MICHELLE A 2881 BUSINESS PARK CT STE 220 LAS VEGAS NV 99397 Clark 702-508-2112 Physicians Psychology (Clinical) 043290453GRAY III, WILLIAM J 689 SIERRA ROSE DR STE B RENO NV 99398 Washoe 775-786-2100 Physicians Orthopedic Surgery 203707845GRAY, BRIDGET J 2941 ARIEL DR RENO NV 99399 Washoe 775-830-6849 Rehabilitation Speech Pathology 886000022GRAY, HANS P 1141 STEAMBOAT PKWY STE 900 RENO NV 99400 Washoe 775-357-9515 Physicians Pediatric Dentist 823681103GRAY, HELEN N 645 N ARLINGTON AVE STE 555 RENO NV 99401 Washoe 775-770-3304 Physicians Family Medicine 880201578GRAY, JANET P 3041 E FLAMINGO RD LAS VEGAS NV 99403 Clark 702-436-0835 Physicians Certified Nurse Practitioner 880330858GRAY, JOHN F 10619 PROFESSIONAL CIR RENO NV 99404 Washoe 775-852-4848 Physicians Gastroenterology 880182841GRAY, LINDSAY L 855 RAILROAD ST ELKO NV 99405 Elko 775-322-4550 Physicians Certified Nurse Practitioner 201405833GRAY, TODD A 1701 COUNTY RD STE I MINDEN NV 99408 Douglas 775-782-8077 Physicians Pediatric Dentist 461355649GRAYSON, CRYSTAL 540 W PLUMB LN STE 1A RENO NV 99409 Washoe 775-322-4666 Physicians Social Worker 880502320GREAT BASIN IMAGING 775 FLEISCHMANN WAY CARSON CITY NV 99410 Carson City 800-894-4674 Physicians Radiology/Diagnostic 880337502GREAT BASIN NUTRITION LLC 783 BASQUE WAY STE 103 CARSON CITY NV 99414 Carson City 775-720-3490 Physicians Dietitian 832886211

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 73 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDGREAT BASIN PHYSICAL THERAPY & PERFORMANCE CENTER1701 COUNTRY RD STE B MINDEN NV 99415 Douglas 775-782-3074 Rehabilitation 043821114GREAT WEST MEDICAL ASSOCIATES 5915 S RAINBOW BLVD STE 105 LAS VEGAS NV 99416 Clark 702-220-9865 Physicians Gastroenterology 262328227GREEN CHIROPRACTIC 525 E MOANA LN RENO NV 99419 Washoe 775-827-1200 Physicians Chiropractor 043821114GREEN OAKS PHYSICAL THERAPY 225 GREEN VISTA DR SPARKS NV 99420 Washoe 866-389-0211 Rehabilitation 043821114GREEN VALLEY DIALYSIS 1489 W WARM SPRINGS RD STE 122 HENDERSON NV 99421 Clark 702-450-8877 Ambulatory Facilities 208684590GREEN VALLEY SURGERY CENTER 7365 S PECOS RD LAS VEGAS NV 99422 Clark 702-857-6500 Ambulatory Facilities 812240255GREEN, DAWN L 3900 PARADISE RD STE 251 LAS VEGAS NV 99423 Clark 702-369-7444 Physicians General Dentist 880272510GREEN, MICHELE 316 E BRIDGER AVE STE 202 LAS VEGAS NV 99424 Clark 702-685-0877 Physicians Social Worker 263198139GREEN, SAMUEL E 3150 N TENAYA WAY STE 460 LAS VEGAS NV 99426 Clark 702-233-1000 Physicians Cardiology 880293130GREEN, TRACEY D 2345 E PRATER WAY STE 207 SPARKS NV 99429 Washoe 775-356-4547 Physicians Family Medicine 880425014GREEN, WILLIAM M 155 HIGHWAY 50 STATELINE NV 99430 Douglas 775-589-8949 Physicians Emergency Medicine 942693002GREENAWALT CHIROPRACTIC 7500 W SAHARA AVE LAS VEGAS NV 99432 Clark 702-363-8989 Physicians Chiropractor 880248365GREENAWALT, RONALD L 525 E MOANA LN RENO NV 99433 Washoe 775-827-1200 Physicians Chiropractor 880239552GREENBERG, ALAN H 1800 W CHARLESTON BLVD STE 409 LAS VEGAS NV 99434 Clark 702-383-7815 Physicians Infectious Diseases 113539919GREENBERG, HARRY L 653 N TOWN CENTER DR STE 414 LAS VEGAS NV 99438 Clark 702-456-3120 Physicians Dermatology 880193208GREENBERG, MATTHEW H 6170 N DURANGO DR STE 160 LAS VEGAS NV 99440 Clark 702-222-1000 Rehabilitation Physical Therapy 860861354GREENE, NOAH H 2470 E FLAMINGO RD STE A LAS VEGAS NV 99445 Clark 702-566-4278 Physicians Cardiology 880217735GREENE, SKYLER W 800 N GIBSON RD # 110 HENDERSON NV 99447 Clark 702-732-6000 Physicians Radiology/Diagnostic 880232199GREENFIELD, LISA M 1155 MILL ST # Z11 RENO NV 99456 Washoe 775-324-4040 Physicians Emergency Medicine 880303529GREENHALGH, ANGELA S 2000 WELLNESS WAY LAS VEGAS NV 99457 Clark 702-384-5101 Physicians Certified Nurse Practitioner 463084124GREENLY, LUCY M 3700 GRANT DR STE A RENO NV 99458 Washoe 775-829-4700 Rehabilitation Speech Pathology 880291454GREENSLADE, CINDY L 5631 S PECOS RD LAS VEGAS NV 99459 Clark 702-685-0877 Physicians Psychology (Clinical) 383889285GREENSPON, PAMELA L 653 N TOWN CENTER DR LAS VEGAS NV 99460 Clark 702-671-2231 Physicians Pediatrics 880351343GREENSTEIN, FRANCINE L 8440 W LAKE MEAD BLVD STE 206 LAS VEGAS NV 99463 Clark 702-242-4222 Physicians Marriage & Family Therapist 202629280GREENWOOD, LAUREN 506 HOLCOMB AVE RENO NV 99464 Washoe 775-324-5506 Physicians Psychology (Clinical) 566722504GREGG, SAMANTHA 11091 KILKERRAN CT LAS VEGAS NV 99465 Clark 702-655-2455 Rehabilitation Occupational Therapy 204799231GREGORY JR, MAURICE D 2020 GOLDRING AVE STE 503 LAS VEGAS NV 99466 Clark 702-933-6530 Physicians Pain Management 900512551GREGORY L. GOETZ DO A PROFESSIONAL CORP.7140 SMOKE RANCH RD LAS VEGAS NV 99467 Clark 702-320-8111 Physicians Anesthesiology 201643180GREGORY, DON E 9975 S EASTERN AVE STE 110 LAS VEGAS NV 99468 Clark 702-361-2273 Physicians Family Medicine 203502995GREGORY, JUAN 880 RYLAND ST RENO NV 99469 Washoe 775-329-4600 Physicians Pediatric Gastroenterology 880182841GREGORY, MARIA G 3131 LA CANADA ST LAS VEGAS NV 99471 Clark 702-731-8115 Physicians Neurology 331159527GREGORY, WILLIAM B 2375 E PRATER WAY SPARKS NV 99473 Washoe 775-331-7000 Physicians Emergency Medicine 208753074GREY, VICTORIA A 690 EDISON WAY RENO NV 99475 Washoe 775-858-3303 Physicians Social Worker 273412547GRIFFIN, CLAIRE 1800 E SAHARA AVE STE 104 LAS VEGAS NV 99477 Clark 702-586-8693 Physicians Social Worker 043290453GRIFFITH, AMANDA M 1600 MEDICAL PKWY CARSON CITY NV 99478 Carson City 240-686-2310 Physicians Internal Medicine 833789381GRIFFITH, JOHN L 2020 PALOMINO LN LAS VEGAS NV 99507 Clark 702-759-8600 Physicians Radiology/Diagnostic 842544520GRIFFITHS, PAMELA S 3230 S BUFFALO DR LAS VEGAS NV 99533 Clark 702-254-1797 Physicians Psychiatry 886000022GRIGGS, DENNIS L 2136 E DESERT INN RD STE A LAS VEGAS NV 99534 Clark 702-734-0505 Physicians CRNA 880217178GRIGORE, ALINA M 1930 VILLAGE CENTER CIR LAS VEGAS NV 99536 Clark 713-203-2475 Physicians Anesthesiology 474457492GRIGORIEV, VICTOR E 7500 SMOKE RANCH RD STE 200 LAS VEGAS NV 99538 Clark 702-233-0727 Physicians Urology 880366609GRIGSBY, DARYL 9750 COVINGTON CROSS DR STE 150 LAS VEGAS NV 99539 Clark 702-878-8584 Physicians General Dentist 814029871GRIGSBY, KENNETH J 2450 W CHARLESTON BLVD LAS VEGAS NV 99540 Clark 702-877-8660 Physicians Anesthesiology 860857176GRIM, CLARENCE E 118 E HASKELL ST WINNEMUCCA NV 99541 Humboldt 775-623-5222 Physicians Geriatric Medicine 886000088GRIMES, ALFRED H 550 W WASHINGTON ST STE 2 CARSON CITY NV 99542 Carson City 775-783-3494 Physicians Pain Management 880502320GRINSELL, JOHN W 1500 E 2ND ST RENO NV 99544 Washoe 775-982-2400 Physicians Cardiology 880303924GRINSELL, RANDI F 595 BELL ST RENO NV 99545 Washoe 775-770-3304 Physicians Family Medicine 611496658GROESBECK, PAUL S 3120 S RAINBOW BLVD STE 202 LAS VEGAS NV 99547 Clark 702-233-4327 Rehabilitation Audiology 464865267GRONDEL, ROBERT J 10561 JEFFREYS ST STE 230 HENDERSON NV 99550 Clark 702-565-6565 Physicians Orthopedic Surgery 880365656GRONSETH, AARON D 3001 SAINT ROSE PKWY HENDERSON NV 99552 Clark 702-616-5000 Physicians Emergency Medicine 880262438GROSS, KEITH M 240 US HIGHWAY 95A S STE A FERNLEY NV 99553 Lyon 775-575-6300 Physicians Dermatology 954748863GROSSETT, ROBERT T 1409 E LAKE MEAD BLVD NORTH LAS VEGAS NV 99555 Clark 702-649-7711 Physicians Radiology/Diagnostic 262841907

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 74 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDGROSSMAN, DYLLEN 10624 S EASTERN AVE HENDERSON NV 99556 Clark 702-800-5393 Physicians Internal Medicine 263668328GROSSMAN, GARY J 201 N BUFFALO DR LAS VEGAS NV 99559 Clark 702-242-2737 Physicians Internal Medicine 880125958GROSSMAN, TRACI E 8560 S EASTERN AVE STE 140 LAS VEGAS NV 99563 Clark 702-914-3420 Physicians Internal Medicine 200896846GROSSMITH, JOHN 10195 W TWAIN AVE STE B LAS VEGAS NV 99566 Clark 727-868-9563 Physicians Neurological Surgery 813195842GROVER, JASWINDER S 7140 SMOKE RANCH RD LAS VEGAS NV 99567 Clark 702-320-8111 Physicians Orthopedic Surgery 880366031GROW, MARC P 2213 N 5TH ST STE B ELKO NV 99569 Elko 775-777-0901 Rehabilitation Physical Therapy 200702179GRUBIC, DANIEL P 6542 S MCCARRAN BLVD STE A RENO NV 99571 Washoe 775-825-0608 Physicians Chiropractor 880203566GRZYWACZ, ROBERT B 3221 E WARM SPRINGS RD LAS VEGAS NV 99572 Clark 702-733-7617 Physicians Podiatry 562376299GUADALUPE MEDICAL CENTER 1820 E LAKE MEAD BLVD STE M NORTH LAS VEGAS NV 99574 Clark 702-384-1110 Physicians Obstetrics/Gynecology 880371504GUADALUPE MEDICAL CENTER 1 C 731 N NELLIS BLVD LAS VEGAS NV 99575 Clark 702-384-1110 Physicians General Practice 880371504GUARINO, EMILY J 7501 W LAKE MEAD BLVD LAS VEGAS NV 99583 Clark 702-240-0606 Rehabilitation Occupational Therapy 412129643GUARNERA, SALVATORE M 8522 DEL WEBB BLVD LAS VEGAS NV 99586 Clark 702-254-9192 Physicians Pulmonology 860881655GUBLER, CHAD N 11221 S EASTERN AVE STE 200 HENDERSON NV 99589 Clark 702-558-9977 Physicians General Dentist 880472836GUBLER, RANDY L 3320 N BUFFALO DR STE 107 LAS VEGAS NV 99590 Clark 702-256-8454 Physicians Podiatry 880424803GUBLER, SEAN T 11221 S EASTERN AVE STE 200 HENDERSON NV 99591 Clark 702-558-9977 Physicians General Dentist 208043859GUERARD, EMILY J 5423 RENO CORPORATE DR RENO NV 99592 Washoe 775-329-0873 Physicians Hematology/Oncology 880152239GUERRERO, LISA M 10608 S EASTERN AVE STE H HENDERSON NV 99593 Clark 702-385-2242 Physicians Optometry 880163014GUERRERO, MAE B 1219 E CHARLESTON BLVD LAS VEGAS NV 99595 Clark 702-384-1110 Physicians Certified Nurse Practitioner 880423070GUERRERO, MICHELLE L 2005 PARADISE PEAK DR LAS VEGAS NV 99596 Clark 702-327-5126 Physicians Certified Nurse Practitioner 474980349GUEVARA, LUIS F 7351 W CHARLESTON BLVD STE 140 LAS VEGAS NV 99597 Clark 702-360-4836 Physicians Psychology (Clinical) 043290453GUEVARA, MAGDALENA 9140 W POST RD STE A LAS VEGAS NV 99598 Clark 702-251-8000 Physicians Marriage & Family Therapist 043290453GUEVARA, NATALIE M 6040 S FORT APACHE RD STE 100 LAS VEGAS NV 99599 Clark 702-476-4900 Physicians Certified Nurse Practitioner 272374581GUEYIKIAN, ARA 1621 S EASTERN AVE LAS VEGAS NV 99600 Clark 702-330-9887 Physicians Internal Medicine 472990144GUIANG, ELAINE D 4275 BURNHAM AVE STE 340 LAS VEGAS NV 99602 Clark 702-734-6363 Physicians Certified Nurse Practitioner 880213519GUIDED ALLIANCE PHARMACY, INC 9290 PROTOTYPE DR SUTIE ASUTIE A RENO NV 99603 Washoe 775-853-4273 Ancillary Providers 260360937GUIDENG JR, ROMULO J 6525 N DECATUR BLVD STE 150 LAS VEGAS NV 99604 Clark 702-577-1941 Physicians General Dentist 208862814GUIDROZ PHYSICAL THERAPY 206 S MINNESOTA ST CARSON CITY NV 99608 Carson City 775-841-5555 Rehabilitation 043821114GUILBEAULT, ARMAND R 5320 W SAHARA AVE STE 1 LAS VEGAS NV 99609 Clark 702-362-1401 Physicians Chiropractor 880167703GUILLEN, ANTHONY V 735 SPARKS BLVD SPARKS NV 99611 Washoe 775-359-3934 Physicians General Dentist 201447368GUILLERMO FRAGA, M.D. A PROFESSIONAL CORP.2649 WIGWAM PKWY STE 100 HENDERSON NV 99613 Clark 702-489-4500 Ambulatory Facilities 880372629GUILLERMO, GLEN 1800 W CHARLESTON BLVD LAS VEGAS NV 99614 Clark 702-385-0890 Physicians Emergency Medicine 271562128GUILLERMO, GLEN 1800 W CHARLESTON BLVD LAS VEGAS NV 99616 Clark 330-493-4443 Physicians Emergency Medicine 462623421GUIRGUIS, NADIM M 1725 E WARM SPRINGS RD STE 1 LAS VEGAS NV 99664 Clark 702-270-8790 Physicians Orthodontist 454797322GUISTI, MARK L 2363 N 5TH ST ELKO NV 99670 Elko 775-738-3508 Physicians Optometry 820467017GUJRATHI, SUNIL K 3100 N TENAYA WAY LAS VEGAS NV 99671 Clark 702-962-5000 Physicians Interventional Radiology 752296947GULATI, NEAL 7175 W LAKE MEAD BLVD STE 110 LAS VEGAS NV 99696 Clark 702-228-9911 Physicians General Dentist 205338830GUMINA, ANTONIO 2510 WIGWAM PKWY STE 103 HENDERSON NV 99699 Clark 702-734-2292 Physicians Family Medicine 880499017GUNALP, FEZA N 2320 PASEO DEL PRADO LAS VEGAS NV 99701 Clark 702-873-4567 Physicians Anesthesiology 161679125GUNDRE, PRASHANT R 653 N TOWN CENTER DR STE 202 LAS VEGAS NV 99703 Clark 702-791-1454 Physicians Critical Care 272374581GUNN, CAITLIN E 59 DAMONTE RANCH PKWY STE F RENO NV 99706 Washoe 775-851-2204 Physicians General Dentist 461410369GUNNARSON, DANIEL F 1665 OLD HOT SPRINGS RD CARSON CITY NV 99709 Carson City 775-687-4195 Physicians Psychology (Clinical) 886000022GUNNELL, STEVEN F 1775 BROWNING WAY STE 201 ELKO NV 99711 Elko 775-777-3535 Physicians Orthopedic Surgery 331038798GUNTER, MICHAEL J 2600 S RAINBOW BLVD STE 108 LAS VEGAS NV 99712 Clark 702-921-6823 Physicians Family Medicine 880387993GUO, LI YEE 8801 W SAHARA AVE STE 250 LAS VEGAS NV 99719 Clark 702-360-6148 Physicians Internal Medicine 860878472GUO, WEN L 5576 S FORT APACHE RD LAS VEGAS NV 99721 Clark 702-895-9968 Ambulatory Facilities 275139125GUPTA, ANERI 1559 WATASHEAMU RD GARDNERVILLE NV 99722 Douglas 775-265-4215 Physicians Family Medicine 880120754GUPTA, ANURAG 3245 S RAINBOW BLVD STE 100 LAS VEGAS NV 99724 Clark 702-228-4900 Physicians Psychiatry 464885917GUPTA, ARIKA 415 W SOPHIA ST STE 100 CARSON CITY NV 99726 Carson City 775-841-5530 Physicians Nephrology 204035391GUPTA, ARVIN A 1750 E DESERT INN RD LAS VEGAS NV 99728 Clark 702-732-2438 Physicians Nephrology 462812104GUPTA, ASHOK K 2020 PALOMINO LN LAS VEGAS NV 99730 Clark 702-759-8600 Physicians Radiology/Diagnostic 822135009GUPTA, KARAN 6040 S FORT APACHE RD STE 100 LAS VEGAS NV 99755 Clark 702-476-4900 Physicians Critical Care 272374581

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 75 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDGUPTA, MANISH P 8352 W WARM SPRINGS RD FL 3 LAS VEGAS NV 99756 Clark 702-851-7287 Physicians Cardiology 465010353GUPTA, MANISHA 6127 S RAINBOW BLVD STE 100 LAS VEGAS NV 99759 Clark 702-242-5251 Physicians General Dentist 205377911GUPTA, RACHNA 765 N NELLIS BLVD LAS VEGAS NV 99760 Clark 702-791-3931 Physicians Ophthalmology 201361069GUPTA, RITA R 9127 W RUSSELL RD LAS VEGAS NV 99761 Clark 702-878-0070 Physicians Anesthesiology 910885149GUPTA, SUMIT 1 BREAKTHROUGH WAY LAS VEGAS NV 99770 Clark 702-732-1493 Physicians Pediatric Hematology 260286469GUPTA, VIKAS 9280 W SUNSET RD STE 100 LAS VEGAS NV 99771 Clark 702-952-3390 Physicians Hematology/Oncology 880350180GURRIES, MADISON M 1493 MEDICAL PKWY CARSON CITY NV 99774 Carson City 775-883-7666 Rehabilitation Audiology 680405220GURTON, ALEXANDRA J 1161 S VALLEY VIEW BLVD LAS VEGAS NV 99776 Clark 702-486-9290 Rehabilitation Physical Therapy 886000022GURURAJ, ARJUN V 7455 W WASHINGTON AVE STE 300 LAS VEGAS NV 99777 Clark 702-240-6482 Physicians Cardiology 880156903GUTGLUECK, ERIC R 7751 W FLAMINGO RD STE A100 LAS VEGAS NV 99780 Clark 702-804-6555 Physicians Neurology 010726093GUTIERREZ OLIVARES, KARLA T 4955 S DURANGO DR STE 201 LAS VEGAS NV 99783 Clark 702-933-7275 Physicians General Dentist 830987180GUTIERREZ, ROBERT C 3717 S ROSECREST CIR LAS VEGAS NV 99784 Clark 702-940-4263 Physicians Orthopedic Surgery 743040607GUTIERREZ, TAMARA L 3300 E FLAMINGO RD LAS VEGAS NV 99785 Clark 702-434-9919 Physicians Optometry 204941218GUVEN, EMIR B 322 KAREN AVE STE 1406 LAS VEGAS NV 99786 Clark 414-530-1522 Physicians Endocrinology 391678306GUYDEN, THOMAS E 1701 W CHARLESTON BLVD STE 300 LAS VEGAS NV 99787 Clark 702-251-8000 Physicians Psychiatry 043290453GUYER, JESSICA C 2219 N 5TH ST STE B ELKO NV 99789 Elko 775-738-9600 Rehabilitation Physical Therapy 880211852GUZMAN, ARTURO M 1375 VISTA LN CARSON CITY NV 99792 Carson City 775-882-2067 Physicians General Surgery 880106584GUZMAN, ELOISE E 6900 PECOS RD NORTH LAS VEGAS NV 99793 Clark 702-791-9000 Physicians Internal Medicine 201026537GWEN OBRYAN PHD LTD 325 FLINT ST RENO NV 99796 Washoe 775-329-3339 Physicians Psychology (Clinical) 880506470GYANG, ANDREW A 1000 S RAINBOW BLVD LAS VEGAS NV 99797 Clark 702-952-9171 Physicians Internal Medicine 800458769GYGER, VICTORIA I 8275 S EASTERN AVE STE 123 LAS VEGAS NV 99798 Clark 702-739-0469 Physicians Marriage & Family Therapist 530343813H. DHINDSA RETINA EYE CENTER LTD. 5470 KIETZKE LN STE 205 RENO NV 99799 Washoe 775-737-9408 Physicians Ophthalmology 452698394H. KENNETH KOPOLOW, OD, PC 4300 MEADOWS LN STE 126 LAS VEGAS NV 99800 Clark 702-258-0072 Physicians Optometry 880299615HA, ANNIE 2261 N RAMPART BLVD LAS VEGAS NV 99801 Clark 702-363-8655 Physicians General Dentist 880311385HA, EDWARD S 9260 W SUNSET RD STE 200 LAS VEGAS NV 99802 Clark 702-255-3547 Physicians CRNA 880213519HA, TOAN D 10660 SOUTHERN HIGHLANDS PKWY STE 101 LAS VEGAS NV 99803 Clark 702-435-6527 Physicians Optometry 886000022HAAS, DAVID K 2950 S MARYLAND PKWY LAS VEGAS NV 99804 Clark 702-732-6000 Physicians Radiology/Diagnostic 880232199HABASHI, TOURAJ 9895 S MARYLAND PKWY STE A LAS VEGAS NV 99812 Clark 702-387-6453 Physicians General Dentist 880398268HABBI, MARIA D 2435 FIRE MESA ST LAS VEGAS NV 99813 Clark 725-200-3242 Physicians Family Medicine 260790928HABER, JORDANA J 1800 W CHARLESTON BLVD LAS VEGAS NV 99815 Clark 702-383-2000 Physicians Emergency Medicine 452755789HABIB MEDICAL, LLC. 210 N SANDHILL BLVD MESQUITE NV 99865 Clark 702-345-5000 Physicians Internal Medicine 300427805HABIB, ASMA 210 N SANDHILL BLVD MESQUITE NV 99866 Clark 702-345-5000 Physicians Internal Medicine 300427805HABIBI, ALIREZA 2350 W HORIZON RIDGE PKWY HENDERSON NV 99868 Clark 702-564-8556 Physicians Pediatrics 203416144HABICHT, MICHAEL E 1107 US HIGHWAY 395 S GARDNERVILLE NV 99869 Douglas 775-782-1600 Physicians Emergency Medicine 465554048HACK, HOWARD M 8413 W LAKE MEAD BLVD LAS VEGAS NV 99886 Clark 702-247-6401 Physicians Gastroenterology 270384420HADADI, ELAF 2175 E CHEYENNE AVE STE 100 NORTH LAS VEGAS NV 99887 Clark 702-363-8889 Physicians General Dentist 205773964HADDAD, ZAID I 2820 W CHARLESTON BLVD STE 33 LAS VEGAS NV 99901 Clark 702-880-1558 Physicians Nephrology 113794290HADI, FREIDUN 581 N EASTERN AVE LAS VEGAS NV 99902 Clark 702-444-7810 Physicians General Dentist 843606834HADI, SAMIR S 2020 PALOMINO LN LAS VEGAS NV 99905 Clark 888-727-1074 Physicians Interventional Radiology 050589923HADJIEV, CHRISTO A 821 N NELLIS BLVD STE 110 LAS VEGAS NV 99929 Clark 702-438-4003 Physicians Family Medicine 390807065HADUONG, QUAN 7250 PEAK DR LAS VEGAS NV 99930 Clark 702-386-4700 Physicians Anesthesiology 880375544HADWAN, SUZAN 3006 S MARYLAND PKWY STE 765 LAS VEGAS NV 99934 Clark 702-961-7318 Physicians Neurology 331159527HAEFNER, DAVID 1785 E SAHARA AVE STE 320 LAS VEGAS NV 99935 Clark 702-795-8808 Physicians CRNA 880310098HAERING, RICHARD S 2375 E PRATER WAY SPARKS NV 99937 Washoe 775-331-7000 Physicians Emergency Medicine 475671561HAFEN, RYAN D 2450 W CHARLESTON BLVD LAS VEGAS NV 99938 Clark 702-724-8780 Physicians Anesthesiology 200420553HAFIDA, SAMAR Y 1524 PINTO LN LAS VEGAS NV 99949 Clark 702-383-3642 Physicians Endocrinology 886000436HAFZALAH, MINA 657 N TOWN CENTER DR LAS VEGAS NV 99950 Clark 702-233-7000 Physicians Pediatric Critical Care 880266682HAGBERG, SONYA 6345 S JONES BLVD STE 300 LAS VEGAS NV 99951 Clark 702-515-4009 Rehabilitation Physical Therapy 472546455HAGEN, JENNIFER M 975 KIRMAN AVE STE 111 RENO NV 99952 Washoe 775-982-5000 Physicians Geriatric Medicine 860881749HAGERTY, ANA M 3030 S JONES BLVD STE 105 LAS VEGAS NV 99953 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643HAHL-HARWICK, ELISA 2649 W HORIZON RIDGE PKWY STE 130 HENDERSON NV 99954 Clark 702-696-9490 Physicians Marriage & Family Therapist 418607409

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 76 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDHAHM, GEORGE V 1299 BERTHA HOWE AVE MESQUITE NV 99957 Clark 702-346-8040 Physicians General Surgery 270531464HAHN, ANGELA R 2021 N RAINBOW BLVD STE 100 LAS VEGAS NV 99958 Clark 702-515-0200 Physicians Optometry 271192356HAHN, BYRONN G 66 N PECOS RD STE A HENDERSON NV 99975 Clark 702-777-4700 Physicians General Dentist 205534808HAHN, DAWN D 1912 COYOTE PASS WAY HENDERSON NV 99976 Clark 727-207-5682 Physicians Social Worker 880213519HAHN, GARLIN 3125 E TROPICANA AVE STE C LAS VEGAS NV 99977 Clark 702-641-2300 Physicians General Dentist 471515507HAHN, MARK E 18653 WEDGE PKWY RENO NV 99978 Washoe 775-770-7210 Physicians Internal Medicine 611496658HAILSTONE, TRAVIS G 6252 S RAINBOW BLVD LAS VEGAS NV 99979 Clark 702-253-5410 Physicians Family Medicine 202925472HAISUPA, APICHAI 4080 N MARTIN L KING BLVD STE 101A NORTH LAS VEGAS NV 99981 Clark 702-360-9142 Rehabilitation Physical Therapy 200042642HAKIM, SARA 5150 MAE ANNE AVE STE 810A RENO NV 99982 Washoe 775-747-0680 Physicians General Dentist 464394010HAKIMI, ATI 1000 S RAINBOW BLVD LAS VEGAS NV 99983 Clark 702-952-9171 Physicians Family Medicine 880213519HAKIMPOURSR, KHOSSROW 6357 W CHARLESTON BLVD LAS VEGAS NV 99984 Clark 702-885-7185 Physicians Internal Medicine 463315805HAKKI, NASER K 1800 W CHARLESTON BLVD LAS VEGAS NV 99986 Clark 702-383-2000 Physicians Internal Medicine 453782550HALACOGLU, WILLIAM B 4855 BLUE DIAMOND RD STE 100 LAS VEGAS NV 99988 Clark 702-216-7305 Physicians Emergency Medicine 851070665HALD, DAVID E 1500 E 2ND ST STE 300 RENO NV 100024 Washoe 775-689-3737 Physicians Urology 208628418HALD, SHERRIE A 645 N ARLINGTON AVE STE 400 RENO NV 100026 Washoe 775-329-6241 Physicians Obstetrics/Gynecology 880464669HALE, LETTI L 2213 N GREEN VALLEY PKWY STE 102 HENDERSON NV 100027 Clark 702-547-6453 Physicians General Dentist 203718526HALEDON PHYSICAL THERAPY AND SPORTS MEDICINE LLC4765 S DURANGO DR STE 106 LAS VEGAS NV 100028 Clark 702-898-7633 Rehabilitation 043821114HALES, CHARLES F 2020 PALOMINO LN STE 100 LAS VEGAS NV 100029 Clark 702-759-8600 Physicians Radiology/Diagnostic 880227375HALES, KEIR F 2020 PALOMINO LN LAS VEGAS NV 100031 Clark 702-384-5210 Physicians Radiology/Diagnostic 752296947HALES, KELSEY 2012 S JONES BLVD LAS VEGAS NV 100056 Clark 702-497-3480 Rehabilitation Occupational Therapy 412129643HALEY, MICHAEL D 25 MCCABE DR RENO NV 100057 Washoe 775-982-5000 Physicians Internal Medicine 500569948HALKIII, JOHN J 1000 N DIVISION ST STE 100 CARSON CITY NV 100059 Carson City 775-461-3300 Physicians Orthopedic Surgery 880103557HALL & WRYE PLASTIC SURGEONS LTD. 635 SIERRA ROSE DR RENO NV 100060 Washoe 775-284-8296 Physicians Plastic & Reconstructive Surgery 880473899HALL AND WRYE PLASTIC SURGEONS LTD. 635 SIERRA ROSE DR RENO NV 100061 Washoe 775-284-8296 Physicians Plastic & Reconstructive Surgery 880473899HALL JR, WESLEY W 635 SIERRA ROSE DR STE A RENO NV 100062 Washoe 775-284-8296 Physicians Plastic & Reconstructive Surgery 880473899HALL, ASHLEY 9520 PROTOTYPE CT RENO NV 100063 Washoe 775-852-6323 Rehabilitation Speech Pathology 562572878HALL, BRIAN A 1475 MEDICAL PKWY CARSON CITY NV 100064 Carson City 775-885-2229 Physicians Pediatrics 880502320HALL, CHAD G 6771 W CHARLESTON BLVD LAS VEGAS NV 100065 Clark 702-450-1717 Physicians Internal Medicine 010868234HALL, CHRISTOPHER T 75 PRINGLE WAY RENO NV 100067 Washoe 775-323-7500 Physicians Certified Nurse Practitioner 880341656HALL, CLIFTON S 630 S RANCHO DR STE E LAS VEGAS NV 100068 Clark 702-258-1001 Physicians Dermatology 742791419HALL, MANDY 1665 OLD HOT SPRINGS RD STE 150 CARSON CITY NV 100069 Carson City 775-687-4195 Physicians Social Worker 886000022HALL, MARIA D 4221 MCLEOD DR LAS VEGAS NV 100070 Clark 702-474-6450 Physicians Social Worker 880111970HALL, MICHAEL S 245 MOUNT ROSE ST RENO NV 100071 Washoe 775-448-6828 Physicians Marriage & Family Therapist 263002455HALL, SCOTT L 330 E LIBERTY ST STE 100 RENO NV 100072 Washoe 775-398-3630 Physicians Family Medicine 880363493HALLAN, STEVEN C 75 PRINGLE WAY STE 401 RENO NV 100073 Washoe 775-348-8800 Rehabilitation Physical Therapy 880302345HALLGREN, RICK W 4925 W CRAIG RD LAS VEGAS NV 100074 Clark 702-656-7460 Physicians Chiropractor 880295129HALLING, JON D 9127 W RUSSELL RD LAS VEGAS NV 100077 Clark 702-878-0070 Physicians Anesthesiology 910885149HALLMAN, BRENDA 804 MILL ST RENO NV 100086 Washoe 775-337-6940 Physicians Marriage & Family Therapist 710930980HALLMAN, DANIEL L 68 N PECOS RD STE A HENDERSON NV 100087 Clark 702-456-1441 Physicians Podiatry 455188741HALOW, KEVIN D 1375 VISTA LN CARSON CITY NV 100088 Carson City 775-882-2067 Physicians General Surgery 880106584HALTERMAN, TIMOTHY E 10619 PROFESSIONAL CIR RENO NV 100089 Washoe 775-852-4848 Physicians Gastroenterology 880182841HAM, JOHN M 1120 SHADOW LN LAS VEGAS NV 100090 Clark 702-383-2224 Physicians Vascular Surgery 880330858HAMBLIN, JACOB S 4492 S PECOS RD LAS VEGAS NV 100091 Clark 702-701-7999 Physicians General Dentist 472246740HAMBY CHIROPRACTIC 133 W LAKE MEAD PKWY STE 200 HENDERSON NV 100100 Clark 702-531-3338 Physicians Chiropractor 043821114HAMID T. HAIDER MD PLLC 5945 S RAINBOW BLVD STE 140 LAS VEGAS NV 100101 Clark 702-366-1764 Physicians Internal Medicine 261754980HAMID, SHAZIA 612 SILVER GROVE ST LAS VEGAS NV 100102 Clark 702-463-8762 Physicians Internal Medicine 262499321HAMILTON, ELIZABETH C 10001 S EASTERN AVE STE 200 HENDERSON NV 100104 Clark 702-914-2420 Physicians General Surgery 880232840HAMILTON, JOSHUA M 1401 HILLSHIRE DR STE 130 LAS VEGAS NV 100107 Clark 702-289-4883 Physicians Certified Nurse Practitioner 043290453HAMILTON, STEPHEN R 1299 BERTHA HOWE AVE MESQUITE NV 100109 Clark 702-345-4311 Physicians CRNA 760482007HAMMER, DAVID B 9127 W RUSSELL RD LAS VEGAS NV 100110 Clark 702-878-0070 Physicians Anesthesiology 592905984HAMMOND, ALEXANDRIA J 7325 S PECOS RD STE 101 LAS VEGAS NV 100119 Clark 702-897-1120 Physicians General Dentist 880252241

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 77 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDHAMOR, PAUL L 2825 SIENA HEIGHTS DR HENDERSON NV 100120 Clark 702-616-7049 Physicians Internal Medicine 880213519HAMPTON, RYAN A 10624 S EASTERN AVE STE A-955 HENDERSON NV 100122 Clark 702-800-5393 Physicians Internal Medicine 263668328HAMRICK, TERRE L 4550 W OAKEY BLVD STE 106 LAS VEGAS NV 100124 Clark 702-333-2298 Physicians Social Worker 753087916HAMTAK, JAMES A 101 HOT SPRINGS RD STE 6 CARSON CITY NV 100125 Carson City 775-883-3113 Physicians Chiropractor 880152068HAMWI, FADI 700 E WARM SPRINGS RD LAS VEGAS NV 100127 Clark 702-216-3350 Physicians Internal Medicine 880368011HAMZA, HADIZA E 2660 CRIMSON CANYON DR LAS VEGAS NV 100128 Clark 702-904-8038 Physicians Internal Medicine 274002331HAN, DAEHYUN 5001 E BONANZA RD STE 160 LAS VEGAS NV 100130 Clark 702-307-2273 Physicians General Dentist 821394606HAN, IRENE S 4301 E SUNSET RD STE 100 HENDERSON NV 100131 Clark 702-465-8187 Physicians General Dentist 475009169HANCOCK, KYLE J 2800 E DESERT INN RD STE 100 LAS VEGAS NV 100133 Clark 702-731-1616 Physicians Orthopedic Surgery 910858192HAND DESERT THERAPISTS 2205 GLENDALE AVE STE 129 SPARKS NV 100134 Washoe 775-284-2984 Rehabilitation 880329446HAND SURGERY SPECIALISTS OF NEVADA 4530 S EASTERN AVE STE 1 LAS VEGAS NV 100140 Clark 702-645-7800 Physicians Orthopedic Surgery 260816957HAND, WENDY A 555 W ARLINGTON AVE RENO NV 100142 Washoe 775-788-5242 Rehabilitation Physical Therapy 880103557HANDELMAN, BRUCE H 9127 W RUSSELL RD LAS VEGAS NV 100143 Clark 702-878-0070 Physicians Anesthesiology 860916679HANDELMAN, MARK C 2585 BOX CANYON DR STE 110 LAS VEGAS NV 100152 Clark 702-538-7773 Physicians Internal Medicine 880252300HANDLER, LIONEL B 10105 BANBURRY CROSS DR STE 350 LAS VEGAS NV 100154 Clark 702-243-6400 Physicians Dermatology 880384013HANF, TED C 5570 CAMINO AL NORTE STE 1 NORTH LAS VEGAS NV 100155 Clark 702-657-0756 Physicians Family Medicine 463164188HANG, JOHN S 2311 S CASINO DR STE D-2 LAUGHLIN NV 100170 Clark 702-299-9919 Physicians General Dentist 452645665HANI, PEDRO P 4 SUNSET WAY STE A3 HENDERSON NV 100185 Clark 702-434-9690 Physicians Pulmonology 200607742HANIF, BADRUNNISA I 1707 W CHARLESTON BLVD STE 230 LAS VEGAS NV 100187 Clark 702-671-5060 Physicians Internal Medicine 880330858HANKS, TYRONE H 3020 W ANN RD NORTH LAS VEGAS NV 100188 Clark 702-701-9501 Physicians Family Medicine 550843582HANNA JR, KENNY E 9975 S EASTERN AVE LAS VEGAS NV 100195 Clark 702-909-4990 Physicians Hand Surgery 860993363HANNA, ABBOUD 2425 N LAMB BLVD LAS VEGAS NV 100197 Clark 702-851-7766 Physicians Nephrology 860959487HANNA, BERNADINE A 6140 S FORT APACHE RD STE 100 LAS VEGAS NV 100198 Clark 702-384-1160 Physicians General Surgery 731674189HANNETT, MICHAEL J 6823 PONDEROSA WAY LAS VEGAS NV 100199 Clark 702-338-2533 Rehabilitation Physical Therapy 843878858HANSEN, BENJAMIN P 4796 CAUGHLIN PKWY RENO NV 100201 Washoe 775-982-5000 Physicians Family Medicine 880291454HANSEN, BRETT M 1107 US HIGHWAY 395 S GARDNERVILLE NV 100202 Douglas 775-782-1600 Physicians Emergency Medicine 261513495HANSEN, BRYAN C 10635 PROFESSIONAL CIR STE B RENO NV 100204 Washoe 775-284-4900 Physicians Chiropractor 421626958HANSEN, DAN R 1000 S RAINBOW BLVD LAS VEGAS NV 100206 Clark 702-259-0088 Physicians Internal Medicine 880213519HANSEN, DEBORAH A 7301 PEAK DR STE 101 LAS VEGAS NV 100207 Clark 702-940-2000 Rehabilitation Occupational Therapy 880386672HANSEN, DONALD C 1550 W CRAIG RD NORTH LAS VEGAS NV 100209 Clark 702-777-3615 Physicians Emergency Medicine 824933457HANSEN, JOHN C 75 PRINGLE WAY RENO NV 100210 Washoe 775-323-7500 Physicians General Surgery 880341656HANSEN, JOSEPH E 6707 W CHARLESTON BLVD STE 1 LAS VEGAS NV 100213 Clark 702-438-0888 Physicians General Dentist 880120723HANSEN, KIPLING G 1928 E SAHARA AVE LAS VEGAS NV 100214 Clark 702-457-4727 Physicians Chiropractor 880187803HANSEN, LOREN K 3885 S DECATUR BLVD STE 1080 LAS VEGAS NV 100216 Clark 702-873-8955 Physicians Podiatry 880226432HANSEN, MARK 1707 W CHARLESTON BLVD STE 230 LAS VEGAS NV 100217 Clark 702-671-5070 Physicians Pulmonology 813419791HANSEN, MELISSA S 500 S RANCHO DR STE 12 LAS VEGAS NV 100219 Clark 702-877-1877 Physicians Certified Nurse Practitioner 880136773HANSEN, P MICHAEL 9320 W SAHARA AVE LAS VEGAS NV 100221 Clark 702-383-3633 Physicians Family Medicine 886000436HANSEN, SEAN O 3575 PECOS MCLEOD LAS VEGAS NV 100222 Clark 702-731-2088 Physicians Ophthalmology 880107297HANSEN, STEPHANIE K 8280 W WARM SPRINGS RD LAS VEGAS NV 100223 Clark 702-492-8000 Physicians Internal Medicine 472990144HANSEN, STEVEN O 3575 PECOS MCLEOD LAS VEGAS NV 100225 Clark 702-731-2088 Physicians Ophthalmology 880107297HANSEN, TRENT 1701 W CHARLESTON BLVD STE 300 LAS VEGAS NV 100233 Clark 702-251-8000 Physicians Social Worker 043290453HANSEN, ZACHARY 3362 S MCCARRAN BLVD RENO NV 100234 Washoe 775-329-5437 Physicians General Dentist 203140812HANSON, CHAD M 2930 W HORIZON RIDGE PKWY HENDERSON NV 100235 Clark 702-263-9082 Physicians Orthopedic Surgery 910858192HANSON, ERIC H 5495 S RAINBOW BLVD STE 102 LAS VEGAS NV 100242 Clark 702-478-2424 Physicians Preventive Medicine 203783646HANSON, KEITH D 6630 S MCCARRAN BLVD STE 25 RENO NV 100243 Washoe 775-827-7555 Physicians Anesthesiology 880101307HANSON, MICHAEL E 9127 W RUSSELL RD LAS VEGAS NV 100258 Clark 702-878-0070 Physicians Anesthesiology 592905984HANSON, PAMELA M 9310 SUN CITY BLVD STE 105 LAS VEGAS NV 100267 Clark 702-341-8352 Rehabilitation Speech Pathology 043611712HANSON, PETER A 6410 S VIRGINIA ST RENO NV 100268 Washoe 775-322-5757 Physicians Sports Medicine 752014828HANSON, ZACHARY D 10624 S EASTERN AVE STE A955 HENDERSON NV 100269 Clark 702-800-5393 Physicians Internal Medicine 263668328HANUSA, HEIDI 8908 BIG BEAR PINES AVE LAS VEGAS NV 100270 Clark 702-370-4244 Physicians Marriage & Family Therapist 886000022HAPPYLAND PEDIATRICS 1430 E CALVADA BLVD STE 600 PAHRUMP NV 100271 Nye 775-537-0777 Physicians Pediatrics 880484361

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 78 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDHAQ, ALI 10624 S EASTERN AVE STE A955 HENDERSON NV 100272 Clark 702-800-5393 Physicians Internal Medicine 263668328HAQUE, MOFIZ 102 E LAKE MEAD PKWY HENDERSON NV 100273 Clark 702-564-2622 Physicians Internal Medicine 472990144HARB, MOUCHIR S 6276 S RAINBOW BLVD STE 100 LAS VEGAS NV 100274 Clark 702-220-5557 Physicians Neurology 203203968HARBACH, GREGORY P 801 E WILLIAMS AVE FALLON NV 100276 Churchill 775-867-7740 Physicians Orthopedic Surgery 611604897HARBOR ISLAND MEDICAL CENTER AT SUMMERLIN8440 W LAKE MEAD BLVD STE 103 LAS VEGAS NV 100277 Clark 702-870-8852 Physicians Family Medicine 300342035HARBOR PHYSICAL THERAPY 135 W 2ND ST WINNEMUCCA NV 100278 Humboldt 800-748-6861 Rehabilitation 043821114HARDER, GREGORY S 4955 S DURANGO DR STE 214 LAS VEGAS NV 100279 Clark 702-685-5297 Physicians Psychology (Clinical) 204554570HARDIE, VIRGINIA C 1748 W HORIZON RIDGE PKWY HENDERSON NV 100280 Clark 702-982-1300 Physicians Anesthesiology 270333996HARDING, EDWARD M 1401 S HIGHWAY 160 STE B PAHRUMP NV 100282 Nye 775-751-0695 Physicians Family Medicine 262775400HARDING, OLAYINKA R 7000 SPRING MOUNTAIN RD LAS VEGAS NV 100286 Clark 702-873-2400 Physicians Psychiatry 900621800HARDING, PATRICIA A 9260 W SUNSET RD STE 200 LAS VEGAS NV 100288 Clark 702-255-3547 Physicians Obstetrics/Gynecology 460766041HARDMAN, JULIAN D 2020 PALOMINO LN STE 100 LAS VEGAS NV 100290 Clark 702-759-8600 Physicians Radiology/Diagnostic 201651590HARDWICK, JOHN R 2375 E PRATER WAY SPARKS NV 100315 Washoe 775-331-7000 Physicians Emergency Medicine 475671561HARDWICK, WAYNE 2375 E PRATER WAY SPARKS NV 100318 Washoe 775-331-7000 Physicians Emergency Medicine 475671561HARDY, JOSEPH P 874 AMERICAN PACIFIC DR HENDERSON NV 100319 Clark 702-777-4809 Physicians Family Medicine 200363127HARDY, STEVEN L 6825 ALIANTE PKWY NORTH LAS VEGAS NV 100321 Clark 702-294-2739 Physicians General Dentist 432074722HARGRAVE, RALPH D 9708 GILESPIE ST STE A101 LAS VEGAS NV 100322 Clark 702-897-1300 Physicians General Dentist 721551212HARIG, TRACY K 555 W ARLINGTON AVE RENO NV 100323 Washoe 775-786-3040 Physicians Certified Nurse Practitioner 880103557HARJES, CHRISTOPHER D 1701 COUNTY RD STE D MINDEN NV 100327 Douglas 775-782-4559 Rehabilitation Audiology 710947976HARKER, STEVEN W 6960 SMOKE RANCH RD STE 150 LAS VEGAS NV 100331 Clark 702-384-5101 Physicians Certified Nurse Practitioner 880329731HARMER, DOUGLAS P 340 FALCON RIDGE PKWY STE 300 MESQUITE NV 100333 Clark 702-346-5202 Physicians General Dentist 204468831HARMON HOSPITAL 2170 E HARMON AVE LAS VEGAS NV 100334 Clark 702-794-0100 Hospitals Short Term Acute Care Hospital 200042580Harmon Hospital - Skilled Nursing Facility 2170 E HARMON AVE LAS VEGAS NV 100336 Clark 702-794-0100 Rehabilitation 200042580HARMON, AMY 1565 VIRGINIA RANCH RD GARDNERVILLE NV 100337 Douglas 775-782-3100 Rehabilitation Occupational Therapy 232446104HARMON, TERESITA S 3370 S HIGHWAY 160 STE 8-11 PAHRUMP NV 100338 Nye 775-413-6025 Physicians Internal Medicine 261136614HARMONY HEALTHCARE 1701 W CHARLESTON BLVD STE 300 LAS VEGAS NV 100341 Clark 702-251-8000 Physicians Professional Counselor 043290453HARMONY HOME HEALTH SERVICES 1210 S VALLEY VIEW BLVD LAS VEGAS NV 100344 Clark 702-880-7525 Ancillary Providers 841396314HARMONY HOSPICE 5550 S JONES BLVD LAS VEGAS NV 100345 Clark 702-471-0205 Ancillary Providers 202535270HAROUNI, GEORGE 731 MALL RING CIR STE 201 HENDERSON NV 100346 Clark 702-434-9464 Physicians General Dentist 880479038HAROUNI, RAMA 8205 W WARM SPRINGS RD STE 110 LAS VEGAS NV 100347 Clark 702-724-8888 Physicians Internal Medicine 274003150HARPER, JEANNE M 5070 ION DR SPANISH SPGS NV 100348 Washoe 775-786-3040 Rehabilitation Occupational Therapy 880103557HARPER, JORDAN E 2904 W HORIZON RIDGE PKWY STE 101 HENDERSON NV 100350 Clark 949-529-4950 Physicians Social Worker 821536074HARPER, PHILLIP C 1385 VISTA LN CARSON CITY NV 100351 Carson City 775-884-4567 Physicians Gastroenterology 880182841HARRAHS HEALTH & WELLNESS WHOLE HEALTH CENTER4100 W FLAMINGO RD STE 2100 LAS VEGAS NV 100352 Clark 702-822-5000 Ambulatory Facilities 911912844HARRIES, KARYN 5320 S RAINBOW BLVD BLDG 2 LAS VEGAS NV 100353 Clark 702-944-7105 Physicians Family Medicine 880213519HARRIGAL, CHIVONNE L 5423 RENO CORPORATE DR RENO NV 100354 Washoe 775-329-0873 Physicians Radiology/Diagnostic 880152239HARRINGTON, DUSTIN K 280 VISTA KNOLL PKWY STE 114 RENO NV 100356 Washoe 775-971-9282 Physicians General Dentist 474661062HARRINGTON, JENNIFER A 5975 S LOS ALTOS PKWY SPARKS NV 100357 Washoe 775-352-5300 Physicians Certified Nurse Practitioner 263303591HARRINGTON, JUDITH D 1701 N GREEN VALLEY PKWY STE 5C HENDERSON NV 100358 Clark 702-614-6550 Physicians Psychology (Clinical) 880406542HARRINGTON, MARCIA K 575 E PLUMB LN STE 100 RENO NV 100359 Washoe 775-329-0623 Physicians Psychology (Clinical) 880090713HARRINGTON, WILLIAM Z 3100 N TENAYA WAY LAS VEGAS NV 100360 Clark 972-915-3600 Physicians Emergency Medicine 943293742HARRIS, ANTHONY F 2831 SAINT ROSE PKWY STE 221 HENDERSON NV 100361 Clark 702-589-4871 Physicians Social Worker 823795906HARRIS, BRANDON 6950 W DESERT INN RD STE 110 LAS VEGAS NV 100362 Clark 702-259-5550 Physicians Anesthesiology 880504513HARRIS, BRUCE S 3896 N MARTIN L KING BLVD NORTH LAS VEGAS NV 100364 Clark 702-614-1792 Physicians Orthodontist 204714412HARRIS, JOSEPH L 235 W 6TH ST FL 2 RENO NV 100370 Washoe 775-770-6395 Physicians Obstetrics/Gynecology 880293082HARRIS, KELLY 945 S RAINBOW BLVD LAS VEGAS NV 100372 Clark 702-331-8585 Physicians General Dentist 371797092HARRIS, MARLAINA 1404 HEATHER RIDGE RD NORTH LAS VEGAS NV 100373 Clark 702-325-4495 Rehabilitation Speech Pathology 886000022Harris, Merlelynn 4221 MCLEOD DR LAS VEGAS NV 100374 Clark 702-474-6450 Physicians Marriage & Family Therapist 880111970HARRIS, RICHARD G 605 SIERRA ROSE DR STE 4 RENO NV 100376 Washoe 775-689-5410 Physicians Anesthesiology 205244843HARRIS, RODNEY G 9777 BERMUDA RD STE 100 LAS VEGAS NV 100378 Clark 702-699-5551 Physicians General Dentist 460471007HARRIS, SCOTT J 874 AMERICAN PACIFIC DR HENDERSON NV 100379 Clark 702-777-4809 Physicians Rheumatology 880252300

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 79 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDHARRIS, SHANNON D 2200 PASEO VERDE PKWY STE 190 HENDERSON NV 100380 Clark 702-589-4871 Physicians Social Worker 823795906HARRISON, ANDREW J 2020 PALOMINO LN STE 100 LAS VEGAS NV 100381 Clark 702-759-8600 Physicians Radiology/Diagnostic 453154648HARRISON, CLARK A 880 RYLAND ST RENO NV 100385 Washoe 775-329-4600 Physicians Gastroenterology 860872914HARRISON, JONATHAN H 2020 PALOMINO LN STE 100 LAS VEGAS NV 100387 Clark 888-727-1074 Physicians Radiology/Diagnostic 880119638HARRISON, NOEL 3196 S MARYLAND PKWY STE 209 LAS VEGAS NV 100412 Clark 702-944-2888 Physicians Obstetrics/Gynecology 880330858HARROLD, JOSHUA M 630 S RANCHO DR STE A LAS VEGAS NV 100413 Clark 702-998-9505 Physicians Certified Nurse Practitioner 813419791HARSH, LAURA L 1460 S CURRY ST STE 100 CARSON CITY NV 100414 Carson City 775-883-3336 Physicians Certified Nurse Practitioner 460466378HART, BENJAMIN 1800 W CHARLESTON BLVD LAS VEGAS NV 100416 Clark 702-383-2000 Physicians Sports Medicine 886000436HART, DAVID M 2380 W HORIZON RIDGE PKWY STE 110 HENDERSON NV 100418 Clark 702-823-4255 Physicians Emergency Medicine 880262438HART, DUBLIN J 1698 COUNTY RD MINDEN NV 100419 Douglas 775-782-5143 Physicians Chiropractor 880502320HART, HEDDAMARIE U 7150 N DURANGO DR STE 110 LAS VEGAS NV 100421 Clark 702-254-4278 Physicians General Dentist 421716950HART, JEFFREY L 5871 W CRAIG RD LAS VEGAS NV 100422 Clark 702-724-2020 Physicians Ophthalmology 060870990HART, VALERIE C 7751 W FLAMINGO RD STE B102 LAS VEGAS NV 100425 Clark 702-257-0101 Physicians Certified Nurse Practitioner 852575060HARTER, STEVEN 653 N TOWN CENTER DR LAS VEGAS NV 100427 Clark 702-255-3547 Physicians Obstetrics/Gynecology 270024561HARTIG, KRISTA G 70 E HORIZN RIDGE PKWY STE 180 HENDERSON NV 100429 Clark 702-856-0422 Rehabilitation Physical Therapy 201830653HARTLEY, JAMES M 9127 W RUSSELL RD LAS VEGAS NV 100430 Clark 702-878-0070 Physicians CRNA 461237632HARTMAN, CINTHIA 9480 DOUBLE DIAMOND PKWY STE 100 RENO NV 100439 Washoe 775-786-1600 Rehabilitation Occupational Therapy 880107997HARTMAN, CRAIG A 5380 S RAINBOW BLVD STE 226 LAS VEGAS NV 100441 Clark 702-220-3223 Physicians Obstetrics/Gynecology 200717897HARTMAN, TODD A 5705 CENTENNIAL CENTER BLVD LAS VEGAS NV 100443 Clark 702-868-2020 Physicians Optometry 880404140HARTWELL, PHILIP 190 E MESQUITE BLVD STE 1 MESQUITE NV 100444 Clark 702-346-4234 Physicians Family Medicine 710873416HARTZ, TERESA M 825 ERIE MAIN TONOPAH NV 100445 Nye 775-482-6233 Physicians Certified Nurse Practitioner 311658282HARVEY, WILLIAM F 815 S 7TH ST LAS VEGAS NV 100447 Clark 702-384-1630 Physicians Optometry 880158192HARWARD, ANTHONY C 129 W LAKE MEAD PKWY STE B18 HENDERSON NV 100448 Clark 702-564-4440 Physicians CRNA 880325221HARWOOD, RAYMOND M 123 17TH STREET BRIGHAM BLDG, RENO NV 100449 Washoe 775-784-1533 Physicians Oncology 860881749HASFURTHER, DANIEL L 2805 MOUNTAIN ST CARSON CITY NV 100450 Carson City 844-958-2054 Physicians Anesthesiology 731451967HASHEMI, NEDA 901 N RANCHO DR STE 250 LAS VEGAS NV 100459 Clark 702-383-2224 Physicians Nephrology 886000436HASHTROUDI, SAMAN N 7310 SMOKE RANCH RD STE F LAS VEGAS NV 100478 Clark 702-254-7507 Physicians General Dentist 680614740HASIJA, DEEPA 4445 S JONES BLVD LAS VEGAS NV 100495 Clark 702-487-7055 Physicians Psychiatry 886000022HASLAM, BRYCE S 4380 BLUE DIAMOND RD STE 102 LAS VEGAS NV 100496 Clark 702-425-4424 Physicians General Dentist 261748512HASLETT, KATRINA N 5380 S RAINBOW BLVD LAS VEGAS NV 100497 Clark 702-243-0202 Physicians Obstetrics/Gynecology 263102488HASS, JESSICA L 2950 SUNRIDGE HEIGHTS PKWY STE 100 HENDERSON NV 100498 Clark 702-767-0555 Physicians Social Worker 821536074HASSANALI, SALIMA 4275 BURNHAM AVE STE 220 LAS VEGAS NV 100499 Clark 702-369-0088 Physicians Internal Medicine 880213519HASSANZADEH, KAMBIZ 2020 PALOMINO LN LAS VEGAS NV 100500 Clark 702-759-8600 Physicians Radiology/Diagnostic 760373635HASSE, DAVID F 555 W ARLINGTON AVE RENO NV 100525 Washoe 775-788-5242 Rehabilitation Physical Therapy 880103557HASSEN, AMY L 874 AMERICAN PACIFIC DR HENDERSON NV 100530 Clark 702-777-4809 Rehabilitation Physical Therapy 200363127HASSIN, IAN B 4075 S DURANGO DR STE 108 LAS VEGAS NV 100531 Clark 702-901-8230 Physicians Family Medicine 463164188HASTINGS III, ROBERT W 590 EUREKA AVE RENO NV 100546 Washoe 775-323-5083 Physicians Radiology/Diagnostic 880511493HASTINGS, DULYNN 900 RYLAND ST RENO NV 100548 Washoe 775-786-3555 Physicians Family Medicine 455557052HASTINGS, JOHN H 1621 E FLAMINGO RD STE 17 LAS VEGAS NV 100549 Clark 702-333-1200 Physicians General Dentist 820995314HASTY, SHAUN M 2874 N CARSON ST STE 200 CARSON CITY NV 100551 Carson City 775-348-8800 Physicians Certified Nurse Practitioner 020566741HATCH, ROWDY 2055 E SAHARA AVE LAS VEGAS NV 100552 Clark 702-735-1760 Rehabilitation Physical Therapy 232725850HATCHER JR, GLEN 351 N BUFFALO DR STE B LAS VEGAS NV 100553 Clark 702-255-6665 Physicians Ophthalmology 454018658HATEFI, SAHAEL 7171 W CRAIG RD STE 102 LAS VEGAS NV 100570 Clark 702-655-0331 Physicians General Dentist 452993092HATFIELD, GREGORY K 2881 BUSINESS PARK CT STE 130 LAS VEGAS NV 100572 Clark 702-341-9551 Rehabilitation Physical Therapy 880160063HATLEY, CHARLES L 1001 SHADOW LN LAS VEGAS NV 100573 Clark 702-774-2661 Physicians General Dentist 886000024HATTER, COLLEEN E 9140 W POST RD STE A LAS VEGAS NV 100574 Clark 702-251-8000 Physicians Social Worker 043290453HAUSER, LEAH J 900 RYLAND ST RENO NV 100575 Washoe 775-323-2157 Physicians Otolaryngology 472079650HAUT, SUSAN C 240 HUMAHUACA ST PAHRUMP NV 100576 Nye 775-751-7406 Physicians Social Worker 886000022HAVILAND, MONIQUE B 1667 LUCERNE ST STE B MINDEN NV 100577 Douglas 775-783-7606 Rehabilitation Physical Therapy 270892994HAVILL, DIANA 8875 S EASTERN AVE LAS VEGAS NV 100578 Clark 702-492-9439 Physicians Psychiatry 464223565HAVINS, BRADLEY S 874 AMERICAN PACIFIC DR HENDERSON NV 100580 Clark 702-777-4808 Physicians Family Medicine 200363127

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 80 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDHAVINS, WELDON E 2575 LINDELL RD LAS VEGAS NV 100581 Clark 702-362-3937 Physicians Ophthalmology 880107297HAWKES, JAMES 8280 W WARM SPRINGS RD LAS VEGAS NV 100590 Clark 702-492-8000 Physicians Internal Medicine 472990144HAWKINS, JOHN A 2375 E PRATER WAY SPARKS NV 100591 Washoe 775-331-7000 Physicians Emergency Medicine 833597814HAWKINS, LAKISHA Y 1800 W CHARLESTON BLVD LAS VEGAS NV 100592 Clark 702-207-8253 Physicians Internal Medicine 208753074HAWTHORNE MENTAL HEALTH CENTER 1000 C ST HAWTHORNE NV 100594 Mineral 775-945-3387 Ambulatory Facilities 886000022HAWWASS, DALIA F 170 W CHARLESTON ST STE 230 LAS VEGAS NV 100595 Clark 702-671-2358 Physicians Cardiology 330587175HAY, LAURA T 555 W ARLINGTON AVE RENO NV 100596 Washoe 775-786-3040 Physicians Certified Nurse Practitioner 880361999HAYDEN, STEPHEN J 1559 WATASHEAMU RD GARDNERVILLE NV 100598 Douglas 775-265-4215 Physicians Certified Nurse Practitioner 880120754HAYES JR, WILLIAM R 845 AITKEN ST RENO NV 100599 Washoe 775-786-1444 Physicians Orthopedic Surgery 880502320HAYES, AMBER L 5265 VISTA BLVD BLDG B SPARKS NV 100601 Washoe 775-352-5335 Physicians Family Medicine 263303591HAYES, AMY SUE 1475 MEDICAL PKWY CARSON CITY NV 100602 Carson City 775-883-3636 Physicians Obstetrics/Gynecology 880502320HAYES, CHELSEA A 9127 W RUSSELL RD STE 110 LAS VEGAS NV 100603 Clark 702-878-0070 Physicians CRNA 852385334HAYES, HAROLD R 2020 PALOMINO LN LAS VEGAS NV 100612 Clark 888-727-1074 Physicians Radiology/Diagnostic 760373635HAYES, JAMES 360 S LOLA LN PAHRUMP NV 100637 Nye 775-751-7500 Physicians Emergency Medicine 352653380HAYES, ROBERT C 1397 S LOOP RD PAHRUMP NV 100641 Nye 775-727-5500 Physicians Family Medicine 880213519HAYMAN, NONI A 2831 SAINT ROSE PKWY STE 222 HENDERSON NV 100642 Clark 702-589-4871 Physicians Certified Nurse Practitioner 823795906HAYS, AMANDA 2012 S JONES BLVD LAS VEGAS NV 100643 Clark 702-360-1137 Rehabilitation Physical Therapy 412129643HAZEN, JON M 2040 W CHARLESTON BLVD STE 200 LAS VEGAS NV 100644 Clark 702-671-2300 Physicians Obstetrics/Gynecology 886000436HAZEN, MELANIE 1707 W CHARLESTON BLVD STE 120 LAS VEGAS NV 100651 Clark 702-671-5140 Physicians Certified Nurse Practitioner 880330858HCPNV FREMONT INPATIENT TEAM 1000 S RAINBOW BLVD LAS VEGAS NV 100652 Clark 702-671-6819 Physicians Internal Medicine 880213519HEADS UP GUIDANCE AND WELLNESS CENTERS OF NEVADA2801 S VALLEY VIEW BLVD STE 6 LAS VEGAS NV 100653 Clark 800-873-2246 Physicians Social Worker 263198139HEALEY, ERIN M 1955 S CASINO DR STE 118 LAUGHLIN NV 100654 Clark 702-299-7203 Physicians Certified Nurse Practitioner 860993363Healogics Specialty Physicians of Nevada-Johnson PLLC6850 N DURANGO DR STE 16 LAS VEGAS NV 100657 Clark 702-835-9777 Physicians Preventive Medicine 471119669HEALTH AND CARE PROFESSIONAL NETWORK4850 W FLAMINGO RD LAS VEGAS NV 100662 Clark 702-871-9917 Ancillary Providers 743159630HEALTH EXPRESS CENTER 1320 E PEBBLE RD STE 100 LAS VEGAS NV 100663 Clark 702-616-1905 Physicians Family Medicine 208064212HEALTH FIRST MEDICAL CENTER 1641 E FLAMINGO RD STE 10 LAS VEGAS NV 100664 Clark 702-734-4377 Physicians Internal Medicine 451766179Health Services Wingfield Hills 2350 WINGFIELD HILLS RD SPARKS NV 100665 Washoe 775-335-8275 Rehabilitation 261305666HEALTHCARE PARTNERS MEDICAL GROUP BACCHUS LTD596 E LAKE MEAD PKWY HENDERSON NV 100666 Clark 702-566-5500 Physicians Hematology/Oncology 880213519HEALTHCARE PARTNERS OF NEVADA 700 E WARM SPRINGS RD STE 300 LAS VEGAS NV 100675 Clark 702-507-2430 Physicians Family Medicine 880213519HEALY, SARA A 75 PRINGLE WAY RENO NV 100676 Washoe 775-982-5437 Physicians Pediatric Infectious Diseases 912073120HEAPE, STEPHEN R 2805 MOUNTAIN ST CARSON CITY NV 100677 Carson City 775-283-0228 Physicians Anesthesiology 860916679HEAPHY, MICHAEL R 4814 SPARKS BLVD SPARKS NV 100686 Washoe 775-324-0699 Physicians Dermatology 813253496HEARING CARE OF CARSON CITY, LTD 408 N ROOP ST CARSON CITY NV 100687 Carson City 775-885-9888 Rehabilitation Audiology 455217489HEARNE, ISAAC 294 E MOANA LN STE 22 RENO NV 100688 Washoe 775-827-8855 Physicians Ophthalmology 880272685HEART AND VASCULAR THERAPEUTICS 7020 SMOKE RANCH RD STE 150 LAS VEGAS NV 100691 Clark 702-366-9522 Physicians Cardiology 880436794HEARTHSTONE 1950 BARING BLVD SPARKS NV 100692 Washoe 775-626-2224 Rehabilitation 522067067HEARTHSTONE OF NORTHERN NEVADA 1950 BARING BLVD SPARKS NV 100693 Washoe 775-626-2224 Rehabilitation 200042709HEATH, JUSTIN L 50 COMMERCIAL WY FALLON NV 100695 Churchill 775-423-7575 Physicians Family Medicine 941294954HEATON-ASHBY, MARGARET R 5578 LONGLEY LN RENO NV 100696 Washoe 775-284-8650 Physicians Professional Counselor 264664305HECK, JOSEPH 1800 W CHARLESTON BLVD LAS VEGAS NV 100697 Clark 330-493-4443 Physicians Emergency Medicine 203260231HECK, JOSEPH 1800 W CHARLESTON BLVD LAS VEGAS NV 100698 Clark 702-383-3736 Physicians Emergency Medicine 843376866HECKELMAN, AARON W 4855 BLUE DIAMOND RD LAS VEGAS NV 100747 Clark 702-216-7305 Physicians Emergency Medicine 274933934HECTOR, JENNIFER 2831 SAINT ROSE PKWY STE 200 HENDERSON NV 100799 Clark 800-249-1266 Physicians Marriage & Family Therapist 452748445HEDDERLY, CHRISTINA 4855 BLUE DIAMOND RD LAS VEGAS NV 100800 Clark 702-216-7305 Physicians Emergency Medicine 824933457HEDDERMAN, MICHAEL J 2450 W CHARLESTON BLVD LAS VEGAS NV 100801 Clark 702-877-8660 Physicians CRNA 860857176HEEREN, JACQUELYN S 3120 S RAINBOW BLVD STE 202 LAS VEGAS NV 100802 Clark 702-233-4327 Rehabilitation Audiology 262948435HEEREN, PAUL V 10105 BANBRY CROSS DR STE 250 LAS VEGAS NV 100807 Clark 702-360-7600 Physicians Cardiology 880156903HEFLIN, JOSEPH W 1201 SOUTH CARSON STREET CARSON CITY NV 100809 Carson City 775-445-7330 Physicians Internal Medicine 061835881HEIDE, AARON C 2345 E PRATER WAY STE 107 SPARKS NV 100810 Washoe 775-352-5300 Physicians Neurology 263303591HEIDEMAN, GREGORY 6950 SMOKE RANCH RD STE 150 LAS VEGAS NV 100811 Clark 702-304-1902 Physicians General Dentist 721617958HEILMAN, KERRI S 3030 S JONES BLVD STE 105 LAS VEGAS NV 100812 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 81 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDHEILMAN, TIMOTHY J 995 TAHOE BLVD INCLINE VLG NV 100813 Washoe 775-833-2929 Physicians Family Medicine 943385709HEINE, KARL G 601 WHITNEY RANCH DR STE C13 HENDERSON NV 100814 Clark 702-257-7546 Physicians Dermatology 611063125HEINEMANN, JEFFREY J 1299 MOUNTAIN ST CARSON CITY NV 100815 Carson City 702-878-0070 Physicians Anesthesiology 461237632HEINEN, MARGARET 925 ROBERTA LN SPARKS NV 100824 Washoe 775-359-8464 Physicians General Dentist 474185856HEINER, SARAH C 596 E LAKE MEAD PKWY HENDERSON NV 100825 Clark 702-566-5500 Physicians Internal Medicine 880213519HEINHOLD, MICHELLE G 1420 E CALVADA BLVD STE 300 PAHRUMP NV 100830 Nye 775-727-4700 Physicians Social Worker 562298123HEINONEN, MARK B 129 W LAKE MEAD PKWY HENDERSON NV 100834 Clark 702-564-4440 Physicians Anesthesiology 930798039HEINRICH, CALVIN K 9484 W LAKE MEAD BLVD STE 2 LAS VEGAS NV 100835 Clark 702-304-8338 Physicians Orthodontist 943377514HEINS, JOANNE K 2450 W CHARLESTON BLVD LAS VEGAS NV 100851 Clark 702-877-8661 Physicians CRNA 860857176HEINTZ, DANIEL J 5586 S FORT APACHE RD LAS VEGAS NV 100853 Clark 702-944-4028 Physicians Pediatric Pulmonology 880456336HEINZE, MICHELLE C 8565 S EASTERN AVE STE 186 LAS VEGAS NV 100855 Clark 702-480-7692 Physicians Marriage & Family Therapist 530294038HEJAZI, MASSOUD M 6835 W TROPICANA AVE STE 110 LAS VEGAS NV 100856 Clark 702-804-0153 Physicians General Dentist 510482788HELD, CHARLES N 2145 GREEN VISTA DR SPARKS NV 100857 Washoe 775-781-1407 Physicians Pulmonology 300117493HELD, NANCY A 3680 GRANT DR STE F RENO NV 100859 Washoe 775-825-2252 Physicians Professional Counselor 497482692HELFMAN, TODD A 1624 10TH ST STE 1 MINDEN NV 100860 Douglas 775-782-0700 Physicians Dermatology 592582062HELIOS DERMATOLOGY 653 N TOWN CENTER DR STE 114 LAS VEGAS NV 100863 Clark 702-562-3500 Physicians Dermatology 710986824HELMI, NABIH 7326 W CHEYENNE AVE LAS VEGAS NV 100865 Clark 702-386-4700 Physicians Anesthesiology 204727467HELMI, NABIH 7326 W CHEYENNE AVE LAS VEGAS NV 100866 Clark 702-386-4700 Physicians Anesthesiology 880375544HELMI, NADER N 7326 W CHEYENNE AVE LAS VEGAS NV 100867 Clark 702-386-4700 Physicians Anesthesiology 860857176HELMICK, KENT D 8145 W SAHARA AVE STE 510 LAS VEGAS NV 100870 Clark 702-360-0106 Physicians Optometry 880201142HELMREICH, MARY A 10619 PROFESSIONAL CIR RENO NV 100871 Washoe 775-329-4600 Physicians Certified Nurse Practitioner 880182841HEMALOVA-WINKLER, IVANA 2350 W HORIZON RIDGE PKWY HENDERSON NV 100872 Clark 702-564-8556 Physicians Pediatrics 203416144HEMENWAY, LEEANNE D 255 W MOANA LN RENO NV 100873 Washoe 775-525-0270 Physicians Psychology (Clinical) 886004349HENAO, ALEJANDRA 2012 S JONES BLVD LAS VEGAS NV 100874 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643HENDEE, FADI 1664 N VIRGINIA ST STOP 153 RENO NV 100875 Washoe 775-784-4474 Physicians Endocrinology 860881749HENDERSHOT, WADE 2800 E DESERT INN RD STE 100 LAS VEGAS NV 100876 Clark 702-731-1616 Physicians Podiatry 910858192HENDERSON - CHILDRENS HEART CENTER 10001 S EASTERN AVE STE 300 HENDERSON NV 100881 Clark 702-260-1019 Physicians Pediatric Cardiology 880176637HENDERSON ANESTHESIA LLC 1110 WIGWAM PKWY STE 105 HENDERSON NV 100882 Clark 702-564-1344 Physicians Anesthesiology 262979938HENDERSON HEALTHCARE CENTER 1180 E LAKE MEAD PKWY HENDERSON NV 100883 Clark 702-565-8555 Rehabilitation 200042687HENDERSON HOSPITAL 1050 W GALLERIA DR HENDERSON NV 100885 Clark 702-963-7000 Hospitals Short Term Acute Care Hospital 886000022HENDERSON PEDIATRICS, LLP 600 WHITNEY RANCH DR STE 1 HENDERSON NV 100886 Clark 573-624-9383 Physicians Pediatrics 450475943HENDERSON SURGERY CENTER 1110 WIGWAM PKWY HENDERSON NV 100887 Clark 702-564-1344 Ambulatory Facilities 208159200HENDERSON SURGERY CENTER LLC 1110 WIGWAM PKWY HENDERSON NV 100888 Clark 702-564-1344 Ambulatory Facilities 208615920HENDERSON, NANCY R 501 HAMMILL LN RENO NV 100889 Washoe 775-682-4000 Rehabilitation Audiology 260139402HENDERSON, PATRICK R 645 N ARLINGTON AVE STE 250A RENO NV 100891 Washoe 855-896-8446 Physicians Radiology/Diagnostic 880145500HENDERSON, SAMANTHA M 102 E LAKE MEAD PKWY HENDERSON NV 100893 Clark 510-350-2600 Physicians Certified Nurse Practitioner 862775542HENDERSON, SELENA N 291 N PECOS RD HENDERSON NV 100894 Clark 702-206-1694 Physicians Certified Nurse Practitioner 263992356HENDRICKSON, TIMOTHY 2001 ERRECART BLVD ELKO NV 100895 Elko 888-952-6772 Physicians Nephrology 474209984HENDRIX, GRACE K 5940 MELLO AVE LAS VEGAS NV 100896 Clark 702-336-3310 Rehabilitation Physical Therapy 886000022HENNER, JOHN R 3100 N TENAYA WAY LAS VEGAS NV 100897 Clark 702-255-5025 Physicians Emergency Medicine 880262438HENNINGS, ESTEBAN C 1219 E CHARLESTON BLVD LAS VEGAS NV 100899 Clark 702-384-1110 Physicians Internal Medicine 208378402HENRIE, KAMERON C 8280 W WARM SPRINGS RD LAS VEGAS NV 100902 Clark 702-878-0070 Physicians CRNA 200420553HENRY JR, ROBERT E 800 SHADOW LN LAS VEGAS NV 100911 Clark 702-366-9700 Physicians Radiology/Diagnostic 521278857HENRY, ALONZO F 9127 W RUSSELL RD LAS VEGAS NV 100913 Clark 702-878-0070 Physicians Anesthesiology 731451967HENRY, APRIL 235 W 6TH ST STE 2401 RENO NV 100922 Washoe 775-770-7100 Physicians Pediatrics 880367250HENRY, JERRY T 341 N BUFFALO DR STE A LAS VEGAS NV 100925 Clark 702-242-3870 Physicians Podiatry 880328174HENRY, KEVIN M 6950 W DESERT INN RD STE 110 LAS VEGAS NV 100928 Clark 702-259-5550 Physicians Anesthesiology 880319744HENRY, NATHAN W 1301 BERTHA HOWE AVE STE 1 MESQUITE NV 100930 Clark 702-346-0800 Physicians Certified Nurse Practitioner 270531464HEPPLER, RHETT K 9080 W CHEYENNE AVE LAS VEGAS NV 100931 Clark 702-853-7986 Rehabilitation Audiology 364659496HERAYPUR, SHEILA 9800 W SKYE CANYON PARK DR STE 120 LAS VEGAS NV 100933 Clark 702-852-1444 Physicians General Dentist 822856088HERBIG, RALPH D 1540 HWY 395 SUITE GARDNERVILLE NV 100934 Douglas 775-782-7166 Physicians Family Medicine 261513495

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 82 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDHERD, EDWIN P 657 N TOWN CENTER DR LAS VEGAS NV 100938 Clark 702-233-7000 Physicians Pediatrics 880266682HERING, DANIEL J 2000 GOLDRING AVE LAS VEGAS NV 100939 Clark 702-384-5101 Physicians Certified Nurse Practitioner 880329731HERMAN, ALLISON N 2012 S JONES BLVD LAS VEGAS NV 100940 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643HERMANSEN, DOUGLAS B 3551 E BONANZA RD STE 108 LAS VEGAS NV 100941 Clark 702-437-0800 Physicians Chiropractor 880298339HERMANSON, JENNIFER M 2012 S JONES BLVD LAS VEGAS NV 100942 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643HERMANV, FREDERICK F 1250 S BUFFALO DR STE 170 LAS VEGAS NV 100943 Clark 702-255-7924 Physicians Allergy/Immunology 571270885HERNANDEZ SALAS, EDIRIEL 1299 BERTHA HOWE AVE MESQUITE NV 100944 Clark 702-345-4303 Physicians Emergency Medicine 474980349HERNANDEZ, CELESTINE Q 1995 ERRECART BLVD STE 102 ELKO NV 100945 Elko 775-738-3111 Physicians Pediatrics 880387970HERNANDEZ, EMMA S 2831 SAINT ROSE PKWY SUTIE 200 HENDERSON NV 100947 Clark 800-249-1266 Physicians Marriage & Family Therapist 452748445HERNANDEZ, GUSTAVO 175 N STEPHANIE ST STE 170 HENDERSON NV 100948 Clark 702-997-5958 Physicians General Dentist 208863082HERNANDEZ, JUSTINA 10870 W CHARLESTON BLVD STE 170 LAS VEGAS NV 100950 Clark 702-254-6412 Physicians General Dentist 260160921HERNANDEZ, LOIDA M 4441 S EASTERN AVE LAS VEGAS NV 100952 Clark 702-876-1000 Physicians Internal Medicine 470874258HERNANDEZ-CASSIS, CARLOS 10561 JEFFREYS ST HENDERSON NV 100954 Clark 702-990-4530 Physicians Endocrinology 203260229HERPOLSHEIMER, ARTHUR H 8285 W ARBY AVE STE 280 LAS VEGAS NV 100955 Clark 702-862-8862 Physicians Obstetrics/Gynecology 880478907HERR, JOHN E 4425 S PECOS RD LAS VEGAS NV 100957 Clark 702-435-3535 Physicians Orthopedic Surgery 880311362HERRERA ECHAVEZ, KARINA 8530 W SUNSET RD LAS VEGAS NV 100958 Clark 702-483-4484 Physicians Internal Medicine 880330858HERRERA, EVELYN 7125 N DURANGO DR LAS VEGAS NV 100959 Clark 702-658-2311 Physicians General Dentist 205339044HERRERA, THOMAS T 180 W PECKHAM LN STE 1140 RENO NV 100962 Washoe 775-825-6800 Physicians Chiropractor 880178014HERRERO, CARMELO 2625 WIGWAM PKWY HENDERSON NV 100964 Clark 702-492-1162 Physicians Gastroenterology 262193664HERRERO, REBECCA L 1934 E SAHARA AVE LAS VEGAS NV 100967 Clark 702-369-5758 Physicians Obstetrics/Gynecology 263147146HERSCHAFT, EDWARD E 1700 W CHARLESTON BLVD LAS VEGAS NV 100970 Clark 702-774-2816 Physicians General Dentist 886000024HERSHEWE, GERARD L 1500 E 2ND ST STE 203 RENO NV 100971 Washoe 775-329-4500 Physicians Neurology 880201578HERSHKOP, JOSEPH 1825 PINION RD STE E ELKO NV 100972 Elko 775-753-6540 Physicians Pediatrics 270269925HERZMAN JR, JAMES S 5465 MEADOWOOD MALL CIR RENO NV 100973 Washoe 775-826-4100 Physicians Optometry 861235381HERZMANJR, JAMES 1987 N CARSON ST STE 5 CARSON CITY NV 100975 Carson City 775-883-2015 Physicians Optometry 880422211HERZOG, ERIC F 1020 NEW RIVER PKWY FALLON NV 100976 Churchill 775-428-2633 Physicians Family Medicine 263303591HESS, CHRISTY 1505 WIGWAM PKWY STE 130 HENDERSON NV 100977 Clark 702-856-1400 Physicians Certified Nurse Practitioner 880350180HESS, MATTHEW C 4700 LAS VEGAS BLVD N NELLIS AFB NV 100978 Clark 702-653-3808 Physicians Sports Medicine 542029018HESS, SHANNON L 1475 MEDICAL PKWY CARSON CITY NV 100979 Carson City 775-883-3636 Physicians Obstetrics/Gynecology 880502320HESTDALEN, KRISTIN A 1665 OLD HOT SPRINGS RD STE 150 CARSON CITY NV 100980 Carson City 775-687-4195 Physicians Psychiatry 880090713HETTINGA, ROSE A 2300 CORPORATE CIR STE 190 HENDERSON NV 100987 Clark 702-369-0142 Physicians Family Medicine 880368011HEWELL, GALEN B 3100 N TENAYA WAY LAS VEGAS NV 100990 Clark 702-962-5000 Physicians Radiology/Diagnostic 741740101HIBBERT, ALFREDO A 4000 E CHARLESTON BLVD LAS VEGAS NV 101016 Clark 702-921-6829 Physicians Internal Medicine 880423070HIBLER, JOHN T 3640 WARREN WAY STE 100 RENO NV 101017 Washoe 775-324-0699 Physicians Dermatology 813253496HICKEY, DAEMIN P 555 W ARLINGTON AVE RENO NV 101018 Washoe 775-786-1358 Rehabilitation Physical Therapy 880103557HICKMAN, MEGAN 366 W LAKE MEAD PKWY STE 100 HENDERSON NV 101020 Clark 702-464-3090 Physicians General Dentist 454612311HICKS JR, VICTOR J 18653 WEDGE PKWY RENO NV 101021 Washoe 800-656-7226 Physicians Certified Nurse Practitioner 455557052HIDAJI, LILLIE 8285 W ARBY AVE STE 255 LAS VEGAS NV 101025 Clark 702-476-2944 Physicians Pediatrics 831025026HIDALGO, JAMES R 8821 W SAHARA AVE LAS VEGAS NV 101027 Clark 702-876-3300 Physicians Chiropractor 880307790HIDALGO, JANET O 556 N EASTERN AVE STE A LAS VEGAS NV 101029 Clark 702-388-9400 Physicians Optometry 900511943HIGBEE, JEFFREY W 350 FALCON RIDGE PKWY STE 101 MESQUITE NV 101031 Clark 888-963-9601 Physicians Pediatric Dentist 272175866HIGGINS, GERALD 10624 S EASTERN AVE STE Q HENDERSON NV 101032 Clark 702-617-8676 Physicians Orthopedic Surgery 273148970HIGGINS, GERALD L 8551 W LAKE MEAD BLVD LAS VEGAS NV 101038 Clark 800-400-4674 Physicians Orthopedic Surgery 880124009HIGGINS, RUSSELL D 3430 E FLAMINGO RD STE 324 LAS VEGAS NV 101046 Clark 702-749-3200 Physicians Social Worker 611538453HIGGS, WILLIAM T 82 E GLENDALE AVE SPARKS NV 101047 Washoe 775-331-3361 Physicians Family Medicine 680517884HIGH DESERT THERAPIST INC 1701 COUNTY RD STE B MINDEN NV 101049 Douglas 775-782-4466 Rehabilitation 880329446HIGH DESERT THERAPISTS INC 5 PINE CONE RD DAYTON NV 101059 Lyon 877-611-3415 Rehabilitation 043821114HIGH DESERT THERAPISTS, INC. 2874 N CARSON ST STE 100 CARSON CITY NV 101066 Carson City 775-883-4161 Rehabilitation 880329446HIGH SIERRA PSYCHIATRY LLC 6940 SIERRA CENTER PKWY RENO NV 101068 Washoe 775-393-2200 Ambulatory Facilities 824510357HIGHLAND MANOR OF MESQUITE 272 W PIONEER BLVD MESQUITE NV 101069 Clark 702-346-7666 Rehabilitation 371138846Highland Village of Elko Skilled Nursing 2850 RUBY VISTA DR ELKO NV 101070 Elko 775-753-5500 Rehabilitation 371138846

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 83 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDHighland Village of Fallon Skilled Nursing 550 N SHERMAN ST FALLON NV 101071 Churchill 775-423-7800 Rehabilitation 371138846HIGHLEY, CHRISTOPHER C 1200 MOUNTAIN ST STE 230 CARSON CITY NV 101072 Carson City 775-882-1324 Physicians Family Medicine 880502320HIGHSMITH, JENNIFER 2450 VASSAR ST RENO NV 101074 Washoe 775-284-5851 Physicians Psychology (Clinical) 880502320HIGHSMITH, WYKEISHA L 6161 W CHARLESTON BLVD LAS VEGAS NV 101075 Clark 702-486-6045 Physicians Certified Nurse Practitioner 886000022HIGSON, LISA J 330 CRAMPTON ST RENO NV 101076 Washoe 775-786-7200 Physicians Optometry 770440944HIJAZI, BILAL M 1550 W CRAIG RD NORTH LAS VEGAS NV 101077 Clark 702-777-3615 Physicians Emergency Medicine 201831764HIJAZI, BISHR 657 N TOWN CENTER DR LAS VEGAS NV 101158 Clark 702-233-7000 Physicians Hand Surgery 201898649HIJAZI, MAEN 2810 W CHARLESTON BLVD STE F56 LAS VEGAS NV 101160 Clark 702-486-5107 Physicians General Dentist 474637588HILL SR, JEFFREY D 3870 W ANN RD STE 110 NORTH LAS VEGAS NV 101161 Clark 702-396-7100 Rehabilitation Physical Therapy 592456868HILL, DARREN J 880 RYLAND ST RENO NV 101162 Washoe 775-329-4600 Physicians Certified Nurse Practitioner 880182841HILL, DEREK M 9127 W RUSSELL RD STE 110 LAS VEGAS NV 101164 Clark 702-878-0070 Physicians CRNA 910885149HILL, ERIN L 975 RYLAND ST RENO NV 101173 Washoe 775-982-5000 Physicians Certified Nurse Practitioner 261513495HILL, HARRY H 5470 KIETZKE LN STE 300 RENO NV 101176 Washoe 775-432-4127 Physicians Physical Medicine & Rehabilitation852786067HILL, JASON F 2375 E PRATER WAY SPARKS NV 101179 Washoe 775-331-7000 Physicians Emergency Medicine 833597814HILL, KENNETH E 1378 PASEO VERDE PKWY STE 100 HENDERSON NV 101181 Clark 702-897-7267 Physicians General Dentist 201176066HILL, MONICA 3700 GRANT DR RENO NV 101182 Washoe 775-829-4700 Rehabilitation Physical Therapy 880291454HILL, PHYLLIS A 1650 COMMUNITY COLLEGE DR LAS VEGAS NV 101183 Clark 702-486-7117 Physicians Certified Nurse Practitioner 840506701HILL, SHARLENE J 15 MCCABE DR STE 200 RENO NV 101184 Washoe 775-982-2862 Physicians Marriage & Family Therapist 471013467HILL-FISHER, KAREN A 675 SIERRA ROSE DR RENO NV 101186 Washoe 775-360-6500 Physicians Dietitian 460877991HILLAM, RULON B 1457 S CARSON ST STE 101 CARSON CITY NV 101187 Carson City 775-372-9898 Physicians General Dentist 822154965HILLARD, GRACE 75 PRINGLE WAY STE 512 RENO NV 101189 Washoe 775-982-3866 Physicians Certified Nurse Practitioner 273686996HILLEGASS III, LOUIS J 7301 PEAK DR LAS VEGAS NV 101193 Clark 702-940-3000 Rehabilitation Physical Therapy 880386672HILLIER, RICHARD L 2121 LAS VEGAS BLVD S LAS VEGAS NV 101195 Clark 702-486-5750 Physicians Certified Nurse Practitioner 886000022HILLOCK, RONALD W 7455 W WASHINGTON AVE STE 160 LAS VEGAS NV 101196 Clark 702-878-0393 Physicians Orthopedic Surgery 880313907HILLSTEAD, ROBERT D 600 WHITNEY RANCH DR STE D-19A HENDERSON NV 101197 Clark 702-451-1522 Physicians Optometry 880391936HILLSTROM, JANEL I 1301 BERTHA HOWE AVE STE 1 MESQUITE NV 101198 Clark 702-346-0800 Physicians Certified Nurse Practitioner 270531464HILLYER, ANDREW C 135 W 2ND ST WINNEMUCCA NV 101199 Humboldt 775-623-4813 Rehabilitation Physical Therapy 880201578HILTON, DANIEL B 6850 W DURANGO DR STE 314 LAS VEGAS NV 101201 Clark 702-834-5886 Physicians Otolaryngology 270387135HILTS, JOHN F 1155 MILL ST BLDG 55 RENO NV 101202 Washoe 775-982-4100 Physicians Anesthesiology 880101307HIME, GLENN J 2716 N TENAYA WAY LAS VEGAS NV 101213 Clark 702-579-3203 Physicians Anesthesiology 800028201HINDLE, DAVID C 800 HOPE PL LAS VEGAS NV 101214 Clark 702-383-2085 Physicians Emergency Medicine 203260231HINES, RONALD W 3777 S PECOS-MCLEOD INTCH # 103 LAS VEGAS NV 101228 Clark 702-434-2023 Physicians Podiatry 731130289HINOJOSA, SERGIO 3073 W CRAIG RD STE 1 NORTH LAS VEGAS NV 101229 Clark 702-636-8760 Physicians General Dentist 900894850HINSON, SCARLETT B 3186 S MARYLAND PKWY LAS VEGAS NV 101236 Clark 702-878-0070 Physicians CRNA 200420553HIRATA, SUSAN R 3006 S MARYLAND PKWY STE 400 LAS VEGAS NV 101245 Clark 702-796-1820 Physicians Pediatrics 204242929HIRSCHFELD, BRUCE J 7200 CATHEDRAL ROCK DR STE 130 LAS VEGAS NV 101247 Clark 702-228-8600 Physicians Vascular Surgery 300072350HISS, PAUL W 2285 GREEN VISTA DR SPARKS NV 101250 Washoe 775-674-1100 Physicians Ophthalmology 880275507HIXSON, MICHAEL M 8670 W CHEYENNE AVE STE 120 LAS VEGAS NV 101256 Clark 702-576-9608 Physicians Emergency Medicine 880262438HIXSON, PAIGE M 3001 SAINT ROSE PKWY HENDERSON NV 101258 Clark 702-616-5925 Physicians Internal Medicine 472990144HO CAIN, KITTY U 3100 N TENAYA WAY LAS VEGAS NV 101259 Clark 702-962-5000 Physicians Radiology/Diagnostic 842544520HO, ARTHUR C 2450 W CHARLESTON BLVD LAS VEGAS NV 101284 Clark 702-877-8660 Physicians Anesthesiology 910885149HO, LESTER 4817 LAKERIDGE TER W RENO NV 101293 Washoe 775-303-2151 Physicians Obstetrics/Gynecology 462179701HO, LIAWATY 3730 S EASTERN AVE LAS VEGAS NV 101295 Clark 702-952-3400 Physicians Hematology/Oncology 880350180HO, RALPH T 2020 PALOMINO LN LAS VEGAS NV 101298 Clark 702-759-8600 Physicians Interventional Radiology 831984436HO, TIMOTHY N 11350 SOUTHERN HIGHLANDS PKWY STE 100 LAS VEGAS NV 101299 Clark 702-242-0088 Physicians General Dentist 271426081HO, VINCENT D 870 SEVEN HILLS DR STE 203 HENDERSON NV 101300 Clark 702-463-4788 Physicians Psychiatry 462967514HO, YUNG C 2450 W CHARLESTON BLVD LAS VEGAS NV 101302 Clark 702-877-8606 Physicians Anesthesiology 860857176HOANG, BRYAN N 7171 W CRAIG RD STE 102 LAS VEGAS NV 101303 Clark 702-655-0331 Physicians General Dentist 452993092HOANG, LISA 9210 S EASTERN AVE STE 130 LAS VEGAS NV 101305 Clark 702-492-1564 Physicians General Dentist 472096676HOANG, LYNDA 655 SIERRA ROSE DR RENO NV 101313 Washoe 775-829-7600 Physicians Internal Medicine 880213397HOANG, LYNH T 9516 W FLAMINGO RD STE 200 LAS VEGAS NV 101314 Clark 702-254-3135 Physicians General Dentist 273147586

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 84 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDHOANG, STANLEY 9127 W RUSSELL RD LAS VEGAS NV 101316 Clark 702-878-0070 Physicians Anesthesiology 200420553HOANG, VUNGHI 1155 MILL ST RENO NV 101325 Washoe 775-982-7878 Physicians Internal Medicine 202901522HOARD, DONALD E 3150 N TENAYA WAY STE 165 LAS VEGAS NV 101326 Clark 702-877-0814 Physicians Urology 362988793HOBAN, ASHLEY E 653 N TOWN CENTER DR STE 104 LAS VEGAS NV 101329 Clark 702-838-9013 Physicians Pediatric Dentist 453667181HOBBS, WILLIAM N 2020 GOLDRING AVE STE 206 LAS VEGAS NV 101330 Clark 702-382-2273 Physicians Internal Medicine 880252300HOBERG, MATTHEW J 10101 DOUBLE R BLVD RENO NV 101331 Washoe 775-982-7000 Physicians Anesthesiology 880101307HOCK, CHRISTOPHER C 1125 N MCCARRAN BLVD STE 111 SPARKS NV 101347 Washoe 775-331-8400 Physicians Oral Surgery 383984569HOCKENBERRY, BRANDON J 975 RYLAND ST RENO NV 101350 Washoe 775-982-5000 Physicians Sports Medicine 261513495HOCKENBERRY, TIMOTHY W 801 E WILLIAMS AVE STE 2209 FALLON NV 101352 Churchill 775-423-3151 Physicians Family Medicine 880321712HODAPP, HEATH H 2350 W HORIZON RIDGE PKWY HENDERSON NV 101353 Clark 702-564-8556 Physicians Pediatrics 203416144HODES, MICHAEL A 3735 LAKESIDE DR STE A RENO NV 101355 Washoe 775-682-4000 Rehabilitation Audiology 260139402HODGE, RICHARD G 2020 PALOMINO LN LAS VEGAS NV 101358 Clark 702-759-8600 Physicians Radiology/Diagnostic 832651883HOEFLER, EDWARD C 3186 S MARYLAND PKWY LAS VEGAS NV 101378 Clark 702-961-5000 Physicians Internal Medicine 954806004HOEPFNER, MARK 2200 S RANCHO DR LAS VEGAS NV 101395 Clark 702-677-3544 Physicians General Surgery 752612924HOEPFNER, MARK T 700 SHADOW LN STE 335 LAS VEGAS NV 101396 Clark 702-382-6591 Physicians General Surgery 880374882HOER, STEVEN R 10561 JEFFREYS ST STE 230 HENDERSON NV 101398 Clark 702-565-6565 Physicians Orthopedic Surgery 880365656HOFFERT, SUSAN D 204 S JONES BLVD LAS VEGAS NV 101402 Clark 702-366-9309 Rehabilitation Physical Therapy 330997860HOFFLANDER, RONALD S 3201 S MARYLAND PKWY STE 601 LAS VEGAS NV 101403 Clark 702-894-4440 Physicians General Surgery 680501863HOFFMAN, MATTHEW T 2020 PALOMINO LN STE 100 LAS VEGAS NV 101405 Clark 702-759-8600 Physicians Radiology/Diagnostic 880119638HOFFMAN, NICOLE M 4161 S EASTERN AVE STE A9 LAS VEGAS NV 101430 Clark 702-948-2520 Rehabilitation Physical Therapy 371523297HOFMANN, GLEN E 3639 WARREN WAY STE 100 RENO NV 101433 Washoe 775-827-3639 Physicians Obstetrics/Gynecology 880456336HOGAN, KENNETH J 2675 E FLAMINGO RD STE 9 LAS VEGAS NV 101434 Clark 702-650-2227 Physicians Chiropractor 880372033HOGAN, MARY BETH 3006 S MARYLAND PKWY LAS VEGAS NV 101435 Clark 702-992-6837 Physicians Pediatric Allergy/Immunology 550564945HOGGARD, ANEITRA D 9127 W RUSSELL RD STE 110 LAS VEGAS NV 101436 Clark 702-878-0070 Physicians Anesthesiology 461237632HOGLE, DAVID M 1995 ERRECART BLVD STE 102 ELKO NV 101445 Elko 775-738-3111 Physicians Internal Medicine 880387970HOHL, LISA M 525 MARKS ST HENDERSON NV 101446 Clark 702-671-1000 Physicians Family Medicine 886000436HOLDEN, EDWARD E 2865 SIENA HEIGHTS DR HENDERSON NV 101447 Clark 702-731-8224 Physicians Cardiology 880156903HOLDER, NANCY E 6040 S FORT APACHE RD STE 100 LAS VEGAS NV 101448 Clark 702-476-4900 Physicians Pulmonology 272374581HOLDRIDGE, REGAN C 1505 WIGWAM PKWY HENDERSON NV 101449 Clark 702-856-1400 Physicians Oncology 880350180HOLLAND, AARON M 418 CHENEY ST RENO NV 101451 Washoe 775-354-1017 Physicians Professional Counselor 473622602HOLLAND, DAVID L 3059 S MARYLAND PKWY LAS VEGAS NV 101452 Clark 702-735-1454 Physicians Thoracic Surgery 880133088HOLLAND, JONATHAN D 3600 N BUFFALO DR STE 100 LAS VEGAS NV 101453 Clark 702-405-6100 Physicians General Dentist 680667814HOLLAND, KATHLEEN J 880 RYLAND ST RENO NV 101454 Washoe 775-329-4600 Physicians Gastroenterology 880182841HOLLIFIELD, RODNEY D 653 N TOWN CENTER DR LAS VEGAS NV 101455 Clark 702-369-0200 Physicians Ophthalmology 260076062HOLLIS, PAMELA M 5412 BOULDER HWY LAS VEGAS NV 101457 Clark 702-291-2171 Physicians Social Worker 561326126HOLLOWAY, MARGARET W 900 E LONG ST CARSON CITY NV 101458 Carson City 775-881-7135 Physicians Certified Nurse Practitioner 886000189HOLLOWAY, WINONA 215 W BRIDGE ST YERINGTON NV 101459 Lyon 775-463-3191 Physicians Social Worker 886000022HOLMAN, JOHN R 1201 SOUTH CARSON STREET CARSON CITY NV 101460 Carson City 775-885-4685 Physicians Family Medicine 880502320HOLMES, CORINNE M 680 W NYE LN CARSON CITY NV 101463 Carson City 775-882-2211 Rehabilitation Physical Therapy 880253654HOLMES, JOHN L 1905 MCDANIEL ST STE 107 NORTH LAS VEGAS NV 101464 Clark 702-649-7711 Physicians Family Medicine 880368011HOLMGREN, LEONARD P 1107 US HIGHWAY 395 S GARDNERVILLE NV 101466 Douglas 775-782-1533 Physicians Radiology/Diagnostic 680464311HOLMGREN, NICOLE M 2012 S JONES BLVD LAS VEGAS NV 101467 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643HOLPER, STEVEN A 3233 W CHARLESTON BLVD STE 202 LAS VEGAS NV 101470 Clark 702-878-3510 Physicians Pain Management 411310335HOLROYD, STEVEN E 2470 WRONDEL WAY STE 120 RENO NV 101471 Washoe 775-354-2555 Physicians Psychiatry 880300031HOLT, LARRY 9079 W POST RD STE 100 LAS VEGAS NV 101473 Clark 702-659-6509 Physicians Chiropractor 822917919HOLT, MATTHEW 1301 BERTHA HOWE AVE STE 7 MESQUITE NV 101475 Clark 702-346-1899 Rehabilitation Physical Therapy 201621111HOLT-EVARTS, SALLY J 542 LANDER ST STE B RENO NV 101476 Washoe 775-786-2955 Physicians Marriage & Family Therapist 502609222HOLTMAN, THOMAS 4358 W CHEYENNE AVE NORTH LAS VEGAS NV 101477 Clark 702-735-9500 Physicians General Dentist 830987180HOLTZ, MICHAEL J 1800 W CHARLESTON BLVD LAS VEGAS NV 101478 Clark 702-383-7885 Physicians Emergency Medicine 472319983HOM, KAREN 7425 W AZURE DR STE 110 LAS VEGAS NV 101527 Clark 702-227-6453 Physicians General Dentist 205612325HOM, VICKI 4570 S EASTERN AVE STE 21 LAS VEGAS NV 101528 Clark 702-733-6033 Physicians Pediatrics 880473141

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 85 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDHOME HEALTH CARE OF NORTHERN NEVADA LLC3785 BAKER LN RENO NV 101531 Washoe 775-432-1223 Ancillary Providers 886000022HOME HELPERS & DIRECT LINK OF HENDERSON441 CADENCE VIEW WAY HENDERSON NV 101532 Clark 702-832-5560 Ancillary Providers 454987976HOMOKAY, DANIELLE A 7425 W AZURE DR STE 140 LAS VEGAS NV 101533 Clark 702-515-4009 Rehabilitation Occupational Therapy 472546455HOMZE, ERIC J 90 FALCON DR STE 110 FERNLEY NV 101534 Lyon 775-575-0777 Physicians General Dentist 821648832HON, LARRY S 390 N STEPHANIE ST STE 104 HENDERSON NV 101535 Clark 702-947-7700 Physicians General Dentist 825225039HONG, CHRISTOPHER J 1701 W CHARLESTON BLVD STE 290 LAS VEGAS NV 101538 Clark 702-671-5127 Physicians Psychiatry 886000022HONG, HYUN J 4834 SPARKS BLVD STE 100 SPARKS NV 101539 Washoe 775-356-8100 Physicians Family Medicine 900005167HONG, JAMES J 8821 W SAHARA AVE STE 110 LAS VEGAS NV 101541 Clark 702-255-1848 Physicians General Dentist 880475002HONG, JUN 6420 SPRING MOUNTAIN RD LAS VEGAS NV 101542 Clark 702-898-8300 Physicians Chiropractor 472068456HONG, PATRICK S 8689 W CHARLESTON BLVD LAS VEGAS NV 101543 Clark 702-304-5900 Physicians Internal Medicine 880213519HONG, PAULINE H 950 RYLAND ST RENO NV 101544 Washoe 775-329-0286 Physicians Ophthalmology 880502320HONG, RANDY C 5465 SIMMONS ST NORTH LAS VEGAS NV 101545 Clark 702-638-1005 Physicians General Dentist 201316628HONG, TERESA O 8205 W WARM SPRINGS RD LAS VEGAS NV 101546 Clark 702-616-5801 Physicians Family Medicine 880213519HONSBERG, ANGELICA E 1707 W CHARLESTON BLVD STE 230 LAS VEGAS NV 101547 Clark 702-671-5060 Physicians Pulmonology 886000436HOON, VRIJENDRA K 6161 W CHARLESTON BLVD LAS VEGAS NV 101549 Clark 702-486-6045 Physicians Internal Medicine 886000022HOOSHMAND, BABAK 7391 W CHARLESTON BLVD LAS VEGAS NV 101551 Clark 702-304-2144 Physicians Infectious Diseases 201026537HOOVER EMERGENCY PHYSICIANS 901 ADAMS BLVD BOULDER CITY NV 101552 Clark 800-894-4674 Physicians Emergency Medicine 273918725HOPE, THOMAS J 75 PRINGLE WAY STE 601 RENO NV 101553 Washoe 775-326-8380 Physicians Internal Medicine 455557052HOPPER, BRADLEY J 3430 E TROPICANA AVE LAS VEGAS NV 101555 Clark 702-450-5353 Physicians Chiropractor 860880822HOQUE, MOHAMMED M 2020 PALOMINO LN LAS VEGAS NV 101557 Clark 888-727-1074 Physicians Radiology/Diagnostic 821793574HORAN, JENNIFER H 2375 E PRATER WAY SPARKS NV 101582 Washoe 775-331-7000 Physicians Emergency Medicine 475671561HORBAL, MATTHEW J 1800 W CHARLESTON BLVD LAS VEGAS NV 101583 Clark 702-383-2000 Physicians Emergency Medicine 450603718HORGAN, BENJAMIN T 725 N MINNESOTA ST CARSON CITY NV 101632 Carson City 775-883-6700 Physicians General Dentist 141981667HORGAN, JOHN E 7111 S VIRGINIA ST STE A7 RENO NV 101633 Washoe 775-851-5700 Physicians Family Medicine 880390423HORIZON SPECIALTY HOSPITAL OF LAS VEGAS640 S MARTIN L KING BLVD LAS VEGAS NV 101635 Clark 702-382-3155 Hospitals 200112678HORIZON SURGICAL CENTER LLC 10561 JEFFREYS ST HENDERSON NV 101639 Clark 702-724-8900 Ambulatory Facilities 261484153HORIZON WOMENS HEALTH 3005 W HRZN RG PKWY STE 100 HENDERSON NV 101640 Clark 702-898-7226 Physicians Obstetrics/Gynecology 880368954HORNBACK, JENNIFER K 7111 S VIRGINIA ST STE A7 RENO NV 101642 Washoe 775-851-5700 Physicians Family Medicine 880502320HORNE, ROBERT L 3025 W SAHARA AVE LAS VEGAS NV 101643 Clark 702-822-1188 Physicians Psychiatry 371652546HORROCKS, JAMES S 10120 S EASTERN AVE STE 140 HENDERSON NV 101644 Clark 702-407-9431 Rehabilitation Physical Therapy 232725850HORSLEY, STEPHEN B 9280 W SUNSET RD STE 300 LAS VEGAS NV 101646 Clark 702-796-0022 Physicians General Surgery 880418505HORTON, AMANDA L 3325 RESEARCH WAY CARSON CITY NV 101650 Carson City 775-887-5140 Physicians Certified Nurse Practitioner 880502320HORTON, KIPPER S 180 W HUFFAKER LN RENO NV 101651 Washoe 775-621-8727 Physicians Marriage & Family Therapist 601607885HORTON, RYAN W 1107 US HIGHWAY 395 S GARDNERVILLE NV 101653 Douglas 775-782-1600 Physicians Emergency Medicine 274436135HORVATH, DENISE M 3150 N TENAYA WAY STE 125 LAS VEGAS NV 101688 Clark 702-869-0855 Physicians Certified Nurse Practitioner 880350180HORVATH, ZOLTAN T 3230 E FLAMINGO RD STE 334 LAS VEGAS NV 101689 Clark 702-454-8236 Physicians Critical Care 080800559HORWICH, PERRY 2020 PALOMINO LN STE 100 LAS VEGAS NV 101692 Clark 702-759-8600 Physicians Radiology/Diagnostic 451649781HORWICH, PERRY J 2020 PALOMINO LN STE 100 LAS VEGAS NV 101697 Clark 702-759-8600 Physicians Radiology/Diagnostic 880119638HOSKINS, DAVID S 1664 US HIGHWAY 395 N STE 201 MINDEN NV 101698 Douglas 775-782-4800 Physicians Family Medicine 880502320HOSPITALISTS MEDICINE PHYSICIANS OF NEVADA, PC1800 W CHARLESTON BLVD LAS VEGAS NV 101699 Clark 330-493-4443 Physicians Internal Medicine 208753074HOSSAIN, TANVIR B 3201 S MARYLAND PKWY STE 100 LAS VEGAS NV 101700 Clark 702-649-8009 Physicians Internal Medicine 203971411HOU, JOHN S 3530 E FLAMINGO RD STE 100 LAS VEGAS NV 101701 Clark 702-737-8657 Physicians Internal Medicine 880288009HOUCHIN, KENNETH W 875 14TH ST ELKO NV 101702 Elko 775-738-5193 Physicians Ophthalmology 880418659HOUPIS, JACOB J 9127 W RUSSELL RD LAS VEGAS NV 101703 Clark 702-878-0070 Physicians Anesthesiology 461237632HOUSE, NINA R 118 E HASKELL ST WINNEMUCCA NV 101712 Humboldt 305-223-3000 Physicians Emergency Medicine 202319275HOUSEL, DARREN W 6301 MOUNTAIN VISTA ST STE 101 HENDERSON NV 101713 Clark 702-777-1200 Physicians Obstetrics/Gynecology 731398041HOUSHAN, IYAD G 2040 W CHARLESTON BLVD STE 300 LAS VEGAS NV 101715 Clark 702-671-2345 Physicians Internal Medicine 880330858HOUSTON, DARRIN F 500 N RAINBOW BLVD STE 203 LAS VEGAS NV 101718 Clark 702-878-0554 Physicians Emergency Medicine 204311300HOUTROUW, CYNTHIA R 360 S LOLA LN PAHRUMP NV 101720 Nye 775-751-7500 Physicians Certified Nurse Practitioner 383924217HOVANESSIAN, ARMEN A 2020 PALOMINO LN LAS VEGAS NV 101721 Clark 702-759-8600 Physicians Radiology/Diagnostic 341090399HOVENIC, WHITNEY W 640 W MOANA LN RENO NV 101746 Washoe 775-324-0699 Physicians Dermatology 813253496

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 86 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDHOVEROUND 3110 POLARIS AVE STE 39 LAS VEGAS NV 101748 Clark 800-701-5781 Ancillary Providers 593123992HOVERSTEN, GREGORY 5850 POLARIS AVE STE 100 LAS VEGAS NV 101752 Clark 702-739-9957 Physicians Emergency Medicine 752014828HOVERSTEN, MARY E 10120 S EASTERN AVE STE 130 HENDERSON NV 101753 Clark 702-487-6880 Physicians CRNA 262460167HOWELL, LESLIE J 2465 E TWAIN AVE LAS VEGAS NV 101754 Clark 702-789-6260 Physicians Psychiatry 043290453HOWES, TIMOTHY R 2375 E PRATER WAY SPARKS NV 101755 Washoe 775-331-7000 Physicians Emergency Medicine 475671561HOWIE, DAVID I 600 S RANCHO DR STE 113 LAS VEGAS NV 101756 Clark 702-878-1065 Physicians Orthopedic Surgery 880508242HOWTON, MARCIA J 1005 TERMINAL WAY STE 165 RENO NV 101757 Washoe 775-348-1313 Physicians Anesthesiology 880337983HOYE, STEPHEN 2020 PALOMINO LN STE 100 LAS VEGAS NV 101758 Clark 888-727-1074 Physicians Radiology/Diagnostic 834325292HOYE, STEPHEN L 2020 PALOMINO LN STE 100 LAS VEGAS NV 101783 Clark 702-759-8600 Physicians Radiology/Diagnostic 880119638HRUSKA, JEROME F 3006 S MARYLAND PKWY STE 780 LAS VEGAS NV 101784 Clark 702-737-0740 Physicians Infectious Diseases 880188590HRUSKA, JEROME K 620 SHADOW LN LAS VEGAS NV 101785 Clark 788-342-8000 Physicians Pulmonology 880329731HSIAO, MARK S 2800 E DESERT INN RD STE 100 LAS VEGAS NV 101788 Clark 702-731-1616 Physicians Orthopedic Surgery 910858192HSIAO, MINYI 4333 LAS VEGAS BLVD N LAS VEGAS NV 101792 Clark 702-660-3196 Physicians Orthodontist 475433671HSIAO, NANCY M 525 MARKS ST HENDERSON NV 101807 Clark 702-383-6210 Physicians Internal Medicine 880330858HSIEH, JASON 4045 S EASTERN AVE LAS VEGAS NV 101809 Clark 702-892-9878 Physicians General Dentist 364612429HSIEH, MELISSA J 7425 W AZURE DR STE 140 LAS VEGAS NV 101810 Clark 702-933-9394 Rehabilitation Physical Therapy 880252372HSIEH, TING-HUI 10619 PROFESSIONAL CIR RENO NV 101813 Washoe 775-329-4600 Physicians Gastroenterology 880182841HSIUNG, KEVIN 1050 W GALLERIA DR HENDERSON NV 101815 Clark 702-963-7000 Physicians Obstetrics/Gynecology 462964527HSIUNG, ROGER 6080 S DURANGO DR STE 105 LAS VEGAS NV 101816 Clark 702-586-6688 Physicians Colorectal Surgery 270754976HSU, ANDREW C 10381 DOUBLE R BLVD RENO NV 101817 Washoe 775-348-8800 Physicians Physical Medicine & Rehabilitation270028866HSU, FRANK K 2020 PALOMINO LN LAS VEGAS NV 101820 Clark 702-759-8600 Physicians Radiology/Diagnostic 275233957HSU, GREGORY S 299 N PECOS RD HENDERSON NV 101845 Clark 702-450-6000 Physicians Ophthalmology 880369971HSU, JAMES S 3150 N TENAYA WAY STE 125 LAS VEGAS NV 101846 Clark 702-869-0855 Physicians Pulmonology 880170236HSU, JAY R 601 S RANCHO DR LAS VEGAS NV 101850 Clark 702-383-0677 Physicians Cardiology 460766041HSU, PATRICK C 2375 S JONES BLVD STE 16 LAS VEGAS NV 101851 Clark 702-222-9066 Physicians Cardiology 880292024HSU, SHANNON 2471 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 101854 Clark 702-742-3093 Physicians Social Worker 201427365HSUEH, KAREN J 5288 SPRING MOUNTAIN RD LAS VEGAS NV 101855 Clark 702-697-0888 Physicians Optometry 203453629HSUEH, PATRICK M 5164 MEADOWLAND MALL CIR # F109 RENO NV 101856 Washoe 775-829-8366 Physicians Ophthalmology 880469502HU, ANDERSON 9260 W SUNSET RD STE 200 LAS VEGAS NV 101857 Clark 702-255-3547 Physicians Anesthesiology 880213519HUA, ANTHONY 6545 S FORT APACHE RD STE 110 LAS VEGAS NV 101858 Clark 702-331-4444 Physicians General Dentist 262473394HUANG, BETSY 98 E LAKE MEAD PKWY HENDERSON NV 101859 Clark 702-868-0327 Physicians Pediatrics 880330858HUANG, CHRISTINE 6021 W CHEYENNE AVE LAS VEGAS NV 101860 Clark 702-658-9494 Rehabilitation Speech Pathology 931054024HUANG, KIMBALL Y 2831 BUSINESS PARK CT STE C LAS VEGAS NV 101861 Clark 702-240-0088 Physicians Internal Medicine 880213519HUANG, MAY 2950 S MARYLAND PKWY LAS VEGAS NV 101863 Clark 702-732-6000 Physicians Radiology/Diagnostic 880232199HUANG, NELSON 3001 SAINT ROSE PKWY HENDERSON NV 101871 Clark 510-350-2600 Physicians Emergency Medicine 453460014HUANG, RYAN 2995 S JONES BLVD STE A LAS VEGAS NV 101922 Clark 702-805-1880 Physicians Family Medicine 204477738HUANG, STEVE J 2835 SAINT ROSE PKWY STE 100 HENDERSON NV 101923 Clark 702-270-2999 Physicians Oral Surgery 843778010HUANG, WENDY C 4700 LAS VEGAS BLVD N NELLIS AFB NV 101950 Clark 702-653-2344 Physicians Emergency Medicine 943293742HUANG, WILSON H 2011 PINTO LN STE 200 LAS VEGAS NV 101951 Clark 702-382-3200 Physicians Obstetrics/Gynecology 880479581HUB CITY PHYSICAL THERAPY 135 W 2ND ST WINNEMUCCA NV 101952 Humboldt 800-748-6861 Rehabilitation 043821114HUBBARD, MICHAEL R 6630 S MCCARRAN BLVD STE 25 RENO NV 101953 Washoe 775-827-7555 Physicians Anesthesiology 880101307HUBBARD, TIANA D 3450 W CHEYENNE AVE NORTH LAS VEGAS NV 101967 Clark 314-406-9081 Physicians Certified Nurse Practitioner 203881412HUBBARD, WENDY K 204 S JONES BLVD LAS VEGAS NV 101968 Clark 702-366-9309 Rehabilitation Physical Therapy 330997860HUBER, DOUGLAS 453 HOTEL PLZ BOULDER CITY NV 101969 Clark 702-294-1100 Physicians General Dentist 205630402HUCK, ELIZABETH L 4640 W CRAIG RD NORTH LAS VEGAS NV 101970 Clark 877-800-2450 Physicians Radiology/Diagnostic 260199135HUDKINS, MATTHEW G 2020 PALOMINO LN STE 100 LAS VEGAS NV 101975 Clark 702-759-8600 Physicians Radiology/Diagnostic 208846496HUDON, TIA B 2316 W CHARLESTON BLVD LAS VEGAS NV 102003 Clark 702-877-8625 Physicians Certified Nurse Practitioner 880330858HUDSON, JOSEPH C 4700 LAS VEGAS BLVD N NELLIS AFB NV 102004 Clark 702-404-1142 Physicians Preventive Medicine 411310335HUDSON, KRISTEN A 3001 SAINT ROSE PKWY HENDERSON NV 102005 Clark 510-410-9049 Physicians Neurology 862775542HUDSON, MICHAEL L 6925 N DURANGO DR LAS VEGAS NV 102006 Clark 702-732-6000 Physicians Radiology/Diagnostic 880232199HUDSON, SASCHA 7500 W LAKE MEAD BLVD STE 11 LAS VEGAS NV 102015 Clark 702-735-5066 Physicians General Dentist 270865739

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 87 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDHUDSON, STACEY A 6630 S MCCARRAN BLVD STE 12 RENO NV 102018 Washoe 775-852-3624 Physicians Otolaryngology 134237625HUDSON, THOMAS D 1397 S LOOP RD PAHRUMP NV 102022 Nye 702-759-8600 Physicians Radiology/Diagnostic 474650347HUEFTLE, MARK G 5225 CANYON DR RENO NV 102042 Washoe 952-595-1100 Physicians Radiology/Diagnostic 111352310HUEFTLE, MARY ANN E 5465 MEADOWOOD MALL CIR RENO NV 102044 Washoe 702-341-7254 Physicians Optometry 880482478HUESCA DOMINGUEZ, MICHELLE D 7425 W AZURE DR STE 140 LAS VEGAS NV 102045 Clark 702-515-4002 Rehabilitation Occupational Therapy 472546455HUETE, BERNA A 1500 W SUNSET RD STE 140 HENDERSON NV 102046 Clark 702-515-4009 Rehabilitation Occupational Therapy 472546455HUEY, DOYLE W 595 W LAKE MEAD PKWY HENDERSON NV 102047 Clark 702-566-5500 Physicians Family Medicine 880213519HUFFJR, LAWRENCE R 2800 E DESERT INN RD STE 100 LAS VEGAS NV 102048 Clark 702-697-7217 Physicians Orthopedic Surgery 910858192HUG-ENGLISH, CHERYL A UNIVERSITY OF NEVADA RENO T S RENO NV 102052 Washoe 775-784-6598 Physicians General Practice 880502320HUGELMEYER, CHARLES D 1800 W CHARLESTON BLVD LAS VEGAS NV 102053 Clark 702-383-2085 Physicians Emergency Medicine 202977358HUGG, NATHAN L 500 S RANCHO DR STE 12 LAS VEGAS NV 102090 Clark 702-877-1887 Physicians Certified Nurse Practitioner 880136773HUGGINS, DON W 180 W HUFFAKER LN STE 303 RENO NV 102091 Washoe 775-852-9770 Physicians Professional Counselor 569602286HUGHES, BEVERLY J 1800 W CHARLESTON BLVD FL 7 LAS VEGAS NV 102093 Clark 702-385-0890 Physicians Emergency Medicine 815135046HUGHES, CODY C 3196 S MARYLAND PKWY STE 307 LAS VEGAS NV 102143 Clark 702-623-1633 Physicians Pediatric Dentist 811288198HUGHES, DEBORAH A 6990 SMOKE RANCH RD LAS VEGAS NV 102145 Clark 702-255-3547 Physicians Obstetrics/Gynecology 270024561HUGHES, JESSICA M 650 N NELLIS BLVD LAS VEGAS NV 102147 Clark 702-790-8000 Physicians Certified Nurse Practitioner 463315805HUGHES, KEN A 7250 PEAK DR STE 100 LAS VEGAS NV 102148 Clark 702-215-4350 Physicians Anesthesiology 204727467HUGHES, KEVIN R 9127 W RUSSELL RD STE 110 LAS VEGAS NV 102149 Clark 702-878-0070 Physicians Anesthesiology 852385334HUGHES, MICHAEL E 1485 W WARM SPRINGS RD STE 104 HENDERSON NV 102159 Clark 702-938-2010 Physicians General Dentist 462888289HUGHES, SUSAN L 2805 MOUNTAIN ST CARSON CITY NV 102160 Carson City 844-958-2054 Physicians Anesthesiology 592905984HUGHSON, DEBORAH A 1955 S CASINO DR STE 118 LAUGHLIN NV 102169 Clark 702-299-7203 Physicians Certified Nurse Practitioner 550490878HUHN, ROBIN 8440 S EASTERN AVE STE A LAS VEGAS NV 102171 Clark 702-270-7800 Physicians Chiropractor 880434846Huizar, Anuar 1640 ALTA DR STE 4 LAS VEGAS NV 102177 Clark 702-474-6450 Physicians Professional Counselor 880111970HULKA, FRIEDA M 75 PRINGLE WAY RENO NV 102179 Washoe 775-323-7500 Physicians General Surgery 880341656HULL, AMBER A 7455 W WASHINGTON AVE STE 300 LAS VEGAS NV 102182 Clark 702-363-3000 Physicians Pediatrics 880341682HULSEBOS, CHRISTINA L 1850 E SAHARA AVE LAS VEGAS NV 102183 Clark 702-551-7199 Physicians Podiatry 880305911HULTS, IVAGENE 2250 E TROPICANA AVE STE 3 LAS VEGAS NV 102184 Clark 702-245-6090 Physicians Chiropractor 412183865HUMBOLDT GENERAL HOSPITAL 118 E HASKELL ST WINNEMUCCA NV 102187 Humboldt 775-623-5222 Ambulatory Facilities 886000088HUMBOLDT PHYSICAL THERAPY 135 W 2ND ST WINNEMUCCA NV 102189 Humboldt 800-748-6861 Rehabilitation 880464488HUMM, MICHELLE 1701 W CHARLESTON BLVD STE 300 LAS VEGAS NV 102190 Clark 702-251-8000 Physicians Psychology (Clinical) 043290453HUMMEL, PAUL S 9127 W RUSSELL RD STE 110 LAS VEGAS NV 102191 Clark 702-878-0070 Physicians Anesthesiology 852385334HUMMER, BETH L 1535 MEDICAL PKWY STE A CARSON CITY NV 102200 Carson City 775-883-5505 Physicians Radiation Oncology 880507472HUMPHREY, COLIN E 3473 EDENVILLE DR LAS VEGAS NV 102203 Clark 702-815-9012 Physicians Marriage & Family Therapist 474805025HUMPHREYS, KAYLIE M 5575 KIETZKE LN RENO NV 102204 Washoe 775-851-1505 Physicians Certified Nurse Practitioner 263303591HUNSAKER, TIMOTHY J 501 S RANCHO DR LAS VEGAS NV 102205 Clark 702-605-9133 Rehabilitation Audiology 810966997HUNSTIGER, LINDA S 1677 OLD HOT SPRINGS RD STE B CARSON CITY NV 102206 Carson City 775-687-4943 Physicians Social Worker 880502320HUNT, MARK T 1299 BERTHA HOWE AVE MESQUITE NV 102207 Clark 702-346-8040 Physicians Optometry 870637137HUNT, SARA M 1409 E LAKE MEAD BLVD NORTH LAS VEGAS NV 102208 Clark 702-657-5578 Physicians Psychology (Clinical) 201508867HUNT, STEPHEN M 3001 SAINT ROSE PKWY HENDERSON NV 102209 Clark 510-350-2600 Physicians Emergency Medicine 862775542HUNT, THOMAS J 5380 S RAINBOW BLVD STE 120 LAS VEGAS NV 102210 Clark 775-322-2122 Physicians Family Medicine 880330858HUNTER, DONNA M 1200 MOUNTAIN ST STE 230 CARSON CITY NV 102212 Carson City 775-883-3636 Physicians Certified Nurse Practitioner 880502320HUNTER, ERICA 2200 PASEO VERDE PKWY STE 190 HENDERSON NV 102214 Clark 702-589-4871 Physicians Social Worker 823795906HUNTER, GREGORY J 1525 W WARM SPRINGS RD STE 125 HENDERSON NV 102215 Clark 702-433-4355 Physicians Oral Surgery 412110757HUNTERTON, NANCY S 3501 W CHARLESTON BLVD STE 100 LAS VEGAS NV 102217 Clark 702-227-4165 Physicians Marriage & Family Therapist 125366018HUNWICKIII, BERNARD B 5850 POLARIS AVE STE 100 LAS VEGAS NV 102218 Clark 702-739-9957 Physicians Family Medicine 752014828HURD, SCOTT D 4100 W FLAMINGO RD STE 2100 LAS VEGAS NV 102219 Clark 702-822-5000 Rehabilitation Physical Therapy 911912844HURST, GLENN E 7325 S PECOS RD STE 101 LAS VEGAS NV 102221 Clark 702-897-1120 Physicians General Dentist 880252241HURST, JEREMY L 118 E HASKELL ST WINNEMUCCA NV 102222 Humboldt 775-623-5222 Physicians Certified Nurse Practitioner 880201578HURST, KATIE C 2851 N TENAYA WAY STE 101 LAS VEGAS NV 102224 Clark 702-655-9456 Rehabilitation Physical Therapy 200042642HURT, CHRISTOPHER J 322 KAREN AVE UNIT 4405 LAS VEGAS NV 102226 Clark 952-595-1100 Physicians Radiology/Diagnostic 232473543HUSER, ELIZABETH W 213 S WHITACRE ST YERINGTON NV 102228 Lyon 775-463-2348 Physicians Certified Nurse Practitioner 880502320

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 88 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDHUSSAIN, SYED F 1641 E FLAMINGO RD STE 10 LAS VEGAS NV 102229 Clark 702-734-4377 Physicians Geriatric Medicine 451766179HUSSAR, CHRISTOPHER J 9408 DOUBLE R BLVD RENO NV 102232 Washoe 775-826-1200 Physicians Oral Surgery 880502320HUTCHENS, CRAIG A 1155 MILL ST BLDG 55 RENO NV 102233 Washoe 775-982-4100 Physicians Anesthesiology 880101307HUTCHFUL, KWEKU R 4475 S EASTERN AVE LAS VEGAS NV 102243 Clark 702-877-5199 Physicians Pediatrics 880452722HUTCHINSON, AMANDA J 595 W LAKE MEAD PKWY HENDERSON NV 102245 Clark 702-556-5500 Physicians Family Medicine 880213519HUTCHINSON, DEBORAH 2585 BRIDGETOWN LOOP SPARKS NV 102246 Washoe 510-709-6058 Rehabilitation Occupational Therapy 232446104HUTCHINSON, JENNIFER M 480 GALLETTI WAY SPARKS NV 102247 Washoe 775-688-3340 Physicians Psychology (Clinical) 886000022HUTCHISON, WILLIAM G 2900 W HORIZON RIDGE PKWY HENDERSON NV 102248 Clark 702-233-9222 Physicians Critical Care 201716029HUTTON, KIVA S 9418 W LAKE MEAD BLVD LAS VEGAS NV 102249 Clark 702-509-0533 Physicians Social Worker 474421859HUTTON, KRISTINA L 2000 WELLNESS WAY LAS VEGAS NV 102250 Clark 702-383-2347 Physicians Certified Nurse Practitioner 886000436HUTTON, MARTINE G 680 W NYE LN CARSON CITY NV 102251 Carson City 775-882-2211 Rehabilitation Physical Therapy 880253654HUXFORD, ANDREW J 806 BUCHANAN BLVD STE 108 BOULDER CITY NV 102252 Clark 702-293-0205 Physicians General Dentist 202002620HUXLEY, ANGIE K 1707 W CHARLESTON BLVD LAS VEGAS NV 102253 Clark 702-671-5060 Physicians Internal Medicine 813419791HUY NGUYEN MD LTD. 5992 FLY FISHER ST LAS VEGAS NV 102254 Clark 702-412-3326 Physicians Internal Medicine 261837270HUYNH, ANDY H 4355 SPRING MOUNTAIN RD STE 204 LAS VEGAS NV 102256 Clark 702-876-0808 Physicians General Dentist 880506244HUYNH, CHARLIE C 653 N TOWN CENTER DR STE 418 LAS VEGAS NV 102257 Clark 702-869-5270 Physicians Pain Management 891440514HUYNH, CURTIS C 657 N TOWN CENTER DR LAS VEGAS NV 102259 Clark 702-233-7000 Physicians Physical Medicine & Rehabilitation880436841HUYNH, EILEEN 8930 W SUNSET RD STE 190 LAS VEGAS NV 102261 Clark 702-795-2273 Physicians General Dentist 451661335HUYNH, ERIC 10624 S EASTERN AVE STE A955 HENDERSON NV 102263 Clark 702-800-5393 Physicians Internal Medicine 263668328HUYNH, JAMES 3830 E FLAMINGO RD STE E2 LAS VEGAS NV 102265 Clark 702-435-3888 Physicians General Dentist 371797092HUYNH, THOMAS M 7835 S RAINBOW BLVD LAS VEGAS NV 102274 Clark 702-625-0671 Physicians Chiropractor 472744135HUYNH, TRAM M 3730 E FLAMINGO RD LAS VEGAS NV 102276 Clark 702-898-9200 Physicians General Dentist 201580472HUYOA, RUSLEI 730 N EASTERN AVE STE 100 LAS VEGAS NV 102292 Clark 702-724-1700 Physicians Certified Nurse Practitioner 880500453HWANG, ALAN 175 N STEPHANIE ST STE 170 HENDERSON NV 102293 Clark 702-997-5958 Physicians General Dentist 208863082HWANG, ANDREW H 653 N TOWN CENTER DR STE 407 LAS VEGAS NV 102294 Clark 702-728-5686 Physicians Pediatric Urology 205142895HWANG, JANICE J 645 N ARLINGTON AVE STE 250A RENO NV 102296 Washoe 855-896-8446 Physicians Radiology/Diagnostic 880145500HWANG, JOHN 1375 VISTA LN CARSON CITY NV 102297 Carson City 877-912-8436 Physicians General Surgery 880106584HWANG, MICHAEL 2020 PALOMINO LN STE 100 LAS VEGAS NV 102299 Clark 702-759-8600 Physicians Radiology/Diagnostic 834721282HWANG, TE-LONG 3186 S MARYLAND PKWY LAS VEGAS NV 102324 Clark 702-731-8115 Physicians Neurology 331159527HWANG, TYNG 1201 SOUTH CARSON STREET CARSON CITY NV 102325 Carson City 775-445-7330 Physicians Family Medicine 880489509HY, SAM 1000 S RAINBOW BLVD LAS VEGAS NV 102326 Clark 702-464-8866 Physicians Internal Medicine 880213519HYDER, MUHAMMAD 3111 S MARYLAND PKWY LAS VEGAS NV 102327 Clark 702-487-7055 Physicians Psychiatry 824614353HYER, CHANDLER D 3196 S MARYLAND PKWY STE 307 LAS VEGAS NV 102328 Clark 702-623-1633 Physicians Pediatric Dentist 811288198HYER, DODD D 850 S RANCHO DR STE 2334 LAS VEGAS NV 102329 Clark 702-386-4700 Physicians Anesthesiology 880375544HYER, KEVIN 2020 PALOMINO LN LAS VEGAS NV 102339 Clark 702-384-5210 Physicians Radiology/Diagnostic 822135009HYLA, MICHELLE L 9975 S EASTERN AVE LAS VEGAS NV 102366 Clark 702-361-2273 Physicians Pediatrics 205204446HYNDMAN, MARK F 7391 W CHARLESTON BLVD STE 140 LAS VEGAS NV 102368 Clark 702-304-2144 Physicians Internal Medicine 274185968HYSON, MORTON I 701 SHADOW LN LAS VEGAS NV 102384 Clark 702-387-1757 Physicians Neurology 953216090HYUN, ROSEMARY Y 6980 S CIMARRON RD STE 100 LAS VEGAS NV 102387 Clark 702-564-8556 Physicians Pediatrics 860354130I FIT PHYSICAL THERAPY 475 N MOAPA VALLEY BLVD OVERTON NV 102388 Clark 702-397-6700 Rehabilitation 043821114IACOBONI, STEPHEN J 3006 S MARYLAND PKWY STE 205 LAS VEGAS NV 102389 Clark 702-735-7154 Physicians Oncology 880213519IBARRA, JAVIER J 2915 W CHARLESTON BLVD STE 120 LAS VEGAS NV 102391 Clark 702-840-1222 Rehabilitation Physical Therapy 834333641IBARRA, VERONICA M 3025 S MARYLAND PKWY LAS VEGAS NV 102392 Clark 702-254-5437 Physicians Certified Nurse Practitioner 680640053IBAY, ANTHONY H 4456 S EASTERN AVE LAS VEGAS NV 102393 Clark 702-731-3855 Physicians Obstetrics/Gynecology 880446333IBRAHEEM MD INC. 871 CORONADO CENTER DR STE 200 HENDERSON NV 102396 Clark 646-209-6746 Physicians Internal Medicine 010887679IBRAHEEM, MONSURU O 3100 N TENAYA WAY LAS VEGAS NV 102397 Clark 702-256-3637 Physicians Internal Medicine 010887679IBRAHIM, HISHAM I 2850 W HORIZON RIDGE PKWY HENDERSON NV 102402 Clark 702-726-6344 Physicians Nephrology 462812104ICHINO, JAKE H 1500 E 2ND ST STE B RENO NV 102403 Washoe 775-982-2400 Physicians Cardiology 880303924IDEKER, TENAYA M 645 SIERRA ROSE DR STE 106 RENO NV 102404 Washoe 530-559-2982 Physicians Professional Counselor 851085762IDLER, RANDY R 645 SIERRA ROSE DR STE 205 RENO NV 102405 Washoe 775-828-1200 Physicians Anesthesiology 880101307IFOCUS VISION CENTER 9484 W FLAMINGO RD STE 280 LAS VEGAS NV 102421 Clark 714-606-4135 Physicians Optometry 205530953

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 89 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDIGID, HENRY P 653 N TOWN CENTER DR LAS VEGAS NV 102422 Clark 702-243-7200 Physicians Hematology/Oncology 880350180IGLIKOWSKI, WITOLD J 2900 W HORIZON RIDGE PKWY HENDERSON NV 102423 Clark 702-600-4586 Physicians Internal Medicine 880315037IGNATENKO, VALERIE A 1559 WATASHEAMU RD GARDNERVILLE NV 102425 Douglas 775-265-8622 Physicians Professional Counselor 880120754IKEDA, ALAN K 3121 S MARYLAND PKWY LAS VEGAS NV 102426 Clark 702-732-1493 Physicians Pediatric Hematology 260286469ILIZAROV, ANATOLIY M 3186 S MARYLAND PKWY LAS VEGAS NV 102428 Clark 702-731-8000 Physicians Pediatrics 752740654ILLINDALA, HIMA B 2035 VILLAGE CENTER CIR STE 110 LAS VEGAS NV 102429 Clark 702-228-7117 Physicians Internal Medicine 880213519IMAGING CENTER 4880 WYNN RD LAS VEGAS NV 102430 Clark 702-873-2879 Ancillary Providers 880213519IMAS, ALEXANDER 2930 SIENA HEIGHTS DR HENDERSON NV 102431 Clark 725-726-2000 Physicians Physical Medicine & Rehabilitation261935254IMTIAZ, FARRUKH 3650 S EASTERN AVE LAS VEGAS NV 102439 Clark 702-933-6767 Physicians Internal Medicine 880490274INCE, JANE 2570 WIGWAM PKWY STE 110 HENDERSON NV 102440 Clark 702-757-3399 Physicians General Dentist 475334172INCLINE VILLAGE COMMUNITY HOSPITAL 880 ALDER AVE INCLINE VILLAGE NV 102444 Washoe 775-833-4100 Hospitals Critical Access Hospital 946004062INDIANA PHYSICAL THERAPY, INC. 820 N SPRING ST STE C CALIENTE NV 102445 Lincoln 775-726-3117 Rehabilitation 043821114INDRIERI, JOSEPH E 8951 W SAHARA AVE STE 190 LAS VEGAS NV 102446 Clark 702-685-1607 Rehabilitation Physical Therapy 300530738INFECTION DOCTORS 3006 S MARYLAND PKWY STE 780 LAS VEGAS NV 102447 Clark 702-737-0740 Physicians Infectious Diseases 202478686INFECTIOUS DISEASE ASSOCIATES 1450 W HORIZON RIDGE PKWY HENDERSON NV 102448 Clark 702-878-3235 Physicians Infectious Diseases 205252383INFECTIOUS DISEASE CONSULTANTS 3006 S MARYLAND PRKW STE 780 LAS VEGAS NV 102449 Clark 702-737-0740 Physicians Infectious Diseases 880188590INFECTIOUS DISEASE DOCTORS OF NEVADA LLC2501 W CHARLESTON BLVD LAS VEGAS NV 102451 Clark 702-247-9994 Physicians Infectious Diseases 205252383INFECTIOUS DISEASES OF SOUTHERN 10001 S EASTERN AVE STE 307 HENDERSON NV 102452 Clark 702-914-6555 Physicians Infectious Diseases 264330610Infinity Hospice Care - Las Vegas Inpatient Unit6340 S JONES BLVD LAS VEGAS NV 102455 Clark 702-816-5000 Ancillary Providers 270889411INFINITY HOSPICE CARE OF RENO 5538 LONGLEY LN RENO NV 102456 Washoe 775-852-6002 Ancillary Providers 273790699INGALLS, NICHOLE K 1707 W CHARLESTON BLVD STE 160 LAS VEGAS NV 102457 Clark 702-671-5150 Physicians General Surgery 880330858INGALSBE, GRAHAM S 2375 E PRATER WAY SPARKS NV 102458 Washoe 775-331-7000 Physicians Emergency Medicine 833597814INGARAMO, OSCAR A 3186 S MARYLAND PKWY LAS VEGAS NV 102462 Clark 702-731-8211 Physicians Pediatric Critical Care 880367250INGERSOLL, ANDREK J 4530 S CARSON ST STE 5 CARSON CITY NV 102463 Carson City 775-461-3800 Physicians General Dentist 814172785INGHAM, MAXINE B 5380 S RAINBOW BLVD STE 300 LAS VEGAS NV 102464 Clark 702-379-4753 Physicians Internal Medicine 943104729INGHAM, ROBERT H 2725 S JONES BLVD LAS VEGAS NV 102466 Clark 702-227-6947 Physicians Neurology 371639861INGLISH, DANIEL J 8280 W WARM SPRINGS RD LAS VEGAS NV 102470 Clark 510-350-2600 Physicians Emergency Medicine 465145577INGRAHAM, DONNA M 9140 W POST RD STE A LAS VEGAS NV 102522 Clark 702-405-2220 Physicians Social Worker 043290453INJURY CARE CHIROPRACTIC 7758 W SAHARA AVE LAS VEGAS NV 102523 Clark 702-255-7800 Physicians Chiropractor 043821114INMAN, TODD F 2345 E PRATER WAY STE 107 SPARKS NV 102524 Washoe 775-352-5300 Physicians Family Medicine 204410949INNERTHIN LLC 2345 E PRATER WAY STE 200 SPARKS NV 102526 Washoe 775-359-0900 Physicians Family Medicine 262349223INNOVATIVE CARE PHYSICIANS 4830 W LONE MOUNTAIN RD LAS VEGAS NV 102527 Clark 702-645-8555 Physicians Internal Medicine 880319371INNOVATIVE PAIN CARE CENTER 9920 W CHEYENNE AVE STE 110 LAS VEGAS NV 102532 Clark 702-316-2281 Physicians Anesthesiology 273780983INNOVATIVE PROCEDURAL AND SURGICAL CENTER9920 W CHEYENNE AVE LAS VEGAS NV 102533 Clark 702-998-7179 Ambulatory Facilities 273780983INOCENCIO, CARLOS F 2300 CORPORATE CIR STE 190 HENDERSON NV 102534 Clark 702-369-0142 Physicians Family Medicine 880368011INPATIENT PHYSICIANS NETWORK OF NEVADA700 W WARM SPRINGS RD STE 100 LAS VEGAS NV 102536 Clark 702-216-3350 Physicians Internal Medicine 880404402INSERA, JASON L 10624 S EASTERN AVE STE Q HENDERSON NV 102538 Clark 702-617-8676 Physicians Chiropractor 880495441INSIGHT IMAGING - PARKWAY CENTER 100 N GRN VALLEY PKWY STE 103 HENDERSON NV 102540 Clark 702-366-9700 Ancillary Providers 330872858INSIGHT IMAGING-PARKWAY MRI 100 N GREEN VALLEY PKWY HENDERSON NV 102542 Clark 866-581-6843 Ancillary Providers 330872858INSKIP, RICHARD 601 RALSTON ST STE 100 RENO NV 102543 Washoe 775-786-1110 Physicians Family Medicine 880459017INSTITUTE OF ORTHOPAEDIC SURG 2800 E DESERT INN RD STE 150 LAS VEGAS NV 102544 Clark 702-457-7463 Ambulatory Facilities 731657293INSTITUTE OF ORTHOPAEDIC SURGERY 2800 E DESERT INN RD LAS VEGAS NV 102545 Clark 702-735-7355 Ambulatory Facilities 731657293INTEGRAMED MEDICAL -KING, LLC 5320 S RAINBOW BLVD STE 300 LAS VEGAS NV 102546 Clark 702-892-9696 Physicians Obstetrics/Gynecology 464231229INTEGRATED DIAGNOSTIC CENTER 600 S RANCHO DR STE 102 LAS VEGAS NV 102547 Clark 800-656-7226 Physicians Radiology/Diagnostic 953216090INTEGRATED HEALTH AND WELLNESS CENTER4215 S GRAND CANYON DR STE 101 LAS VEGAS NV 102548 Clark 702-448-6042 Rehabilitation Physical Therapy 811717165INTEGRATIVE PULMONARY ASSOCIATES 653 N TOWN CENTER DR STE 202 LAS VEGAS NV 102549 Clark 702-791-1454 Physicians Pulmonology 880481331INTEGRITY HOME HEALTH CARE INC. 501 S RANCHO DR STE F40 LAS VEGAS NV 102550 Clark 702-384-1962 Ancillary Providers 201481544INTERIM HEALTHCARE 1950 COLLEGE PKWY STE 101 CARSON CITY NV 102551 Carson City 775-883-4455 Ancillary Providers 270566010Interim Healthcare INC 5506 S FORT APACHE RD LAS VEGAS NV 102553 Clark 702-369-5533 Ancillary Providers 731674660INTERNAL MEDICINE ASSOCIATES 3006 S MARYLAND PKWY STE 400 LAS VEGAS NV 102554 Clark 702-369-5582 Physicians Internal Medicine 880252300INTERNAL MEDICINE ASSOCIATES LABORATORY6301 MOUNTAIN VISTA ST STE 203 HENDERSON NV 102560 Clark 702-719-6000 Ancillary Providers 880252300

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 90 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDINTERNAL MEDICINE SPECIALISTS OF LAS VEGAS2010 GOLDRING AVE STE 100 LAS VEGAS NV 102561 Clark 702-588-7373 Physicians Internal Medicine 205627654IOANITOAIA, IULIA C 7373 PEAK DR LAS VEGAS NV 102562 Clark 702-869-6190 Physicians Geriatric Medicine 880404402ION ALEXIE, INC. 5735 S FORT APACHE RD STE 110 LAS VEGAS NV 102563 Clark 702-939-1900 Physicians Infectious Diseases 743098083IONGI, HEIDI L 9771 S EASTERN AVE STE 100 LAS VEGAS NV 102564 Clark 702-616-9655 Physicians General Dentist 208899851IQBAL, ARSHAD 3211 S EASTERN AVE LAS VEGAS NV 102565 Clark 702-731-3300 Physicians Cardiology 880190743IQBAL, BILAL Z 7316 W CHEYENNE AVE LAS VEGAS NV 102566 Clark 702-877-1887 Physicians Nephrology 880136673IQBAL, FARRUKH 100 N GREEN VALLEY PKWY STE 110 HENDERSON NV 102567 Clark 702-450-5002 Physicians Endocrinology 880493778IQBAL-HOFMEISTER, SAMUEL L 2012 S JONES BLVD LAS VEGAS NV 102568 Clark 702-360-1137 Rehabilitation Physical Therapy 412129643IRANI ROHANI, MAHZARINE M 5785 SPRING MOUNTAIN RD LAS VEGAS NV 102570 Clark 702-368-3854 Physicians General Dentist 465405967IRANI, SOHRAB R 4455 NEWELL DR LAS VEGAS NV 102572 Clark 702-456-5433 Physicians Obstetrics/Gynecology 460388596IRANINEZHAD, HOMAYON 2136 E DESERT INN RD LAS VEGAS NV 102573 Clark 702-734-0505 Physicians Gastroenterology 880217178IRISH, BARBARA A 5420 KIETZKE LN STE 103 RENO NV 102574 Washoe 775-329-2300 Physicians Ophthalmology 860879921IRIYE, BRIAN K 2011 PINTO LN STE 200 LAS VEGAS NV 102575 Clark 702-382-3200 Physicians Obstetrics/Gynecology 880479581IRIZARRY, KRYSTLE 585 COLLEGE DR STE C HENDERSON NV 102576 Clark 725-777-3200 Physicians Family Medicine 463164188IROHA, CHUKWUEMEKA O 2110 E FLAMINGO RD STE 213 LAS VEGAS NV 102591 Clark 702-971-3400 Physicians Internal Medicine 814193738IRONS, TAMARA J 6161 W CHARLESTON BLVD LAS VEGAS NV 102592 Clark 702-486-6045 Physicians Social Worker 886000022IRWIN JR, GLENN E 821 N NELLIS BLVD LAS VEGAS NV 102593 Clark 702-438-4003 Physicians Family Medicine 880213519IRWIN, F MICHAEL 80 CONTINENTAL DR STE 200 RENO NV 102594 Washoe 775-329-4284 Physicians Psychiatry 201241617IRWIN, JOHN W 9499 W CHARLESTON BLVD STE 200 LAS VEGAS NV 102595 Clark 702-933-9393 Physicians Certified Nurse Practitioner 880252372IRWIN, WES J 1600 MEDICAL PKWY CARSON CITY NV 102596 Carson City 702-878-0070 Physicians Anesthesiology 200420553ISAACS, WILLIAM B 9127 W RUSSELL RD LAS VEGAS NV 102604 Clark 702-878-0070 Physicians Anesthesiology 202428069ISAACSON, CHRISTOPHER 1600 MEDICAL PKWY CARSON CITY NV 102612 Carson City 775-445-8795 Physicians Certified Nurse Practitioner 260755054ISAACSON, CHRISTOPHER 1600 MEDICAL PKWY CARSON CITY NV 102616 Carson City 775-445-8795 Physicians Certified Nurse Practitioner 261932485ISLAM, RAHEEL 1155 MILL ST RENO NV 102619 Washoe 775-327-5174 Physicians Internal Medicine 880201578ISLEEP SOLUTIONS LLC 2095 VILLAGE CENTER CIR STE 110 LAS VEGAS NV 102620 Clark 702-240-0400 Ancillary Providers 811407004ISMAIL, ANJUM 2641 W HORIZON RIDGE PKWY STE 120 HENDERSON NV 102621 Clark 702-616-0091 Physicians Cardiology 753161702ISMAIL, AYAAZ 7150 SMOKE RANCH RD STE 110 LAS VEGAS NV 102625 Clark 702-948-9480 Physicians Gastroenterology 470922673ISMAIL, FIRHAAD 2470 E FLAMINGO RD STE D LAS VEGAS NV 102626 Clark 702-792-4500 Physicians Endocrinology 880308355ISOM, BLAIR A 2570 WIGWAM PKWY STE 110 HENDERSON NV 102628 Clark 702-757-3399 Physicians Oral Surgery 475334172ISRAEL, JOAN 7200 CATHEDRAL ROCK DR STE 120 LAS VEGAS NV 102635 Clark 702-341-5888 Physicians Social Worker 043290453ITANO, DANIEL K 10624 S EASTERN AVE HENDERSON NV 102636 Clark 702-407-7700 Physicians Family Medicine 330957609ITZA, KAYCI 421 W PLUMB LN STE 1 RENO NV 102637 Washoe 775-525-8103 Physicians Social Worker 825259010ITZA, STEPHANIE 1436 AMSTON RD RENO NV 102639 Washoe 775-843-9639 Rehabilitation Speech Pathology 880502320ITZHAKI, AVIV 3016 W CHARLESTON BLVD STE 150 LAS VEGAS NV 102640 Clark 702-790-2701 Physicians Psychiatry 461203260IVEY, PAMELA A 10105 BANBURRY CROSS DR LAS VEGAS NV 102641 Clark 702-360-7600 Physicians Cardiology 880213519IWAKAWA, TONY K 2930 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 102646 Clark 702-597-8999 Rehabilitation Physical Therapy 752984052IWAMOTO, CRAIG L 1111 SHADOW LN LAS VEGAS NV 102648 Clark 702-383-4040 Physicians General Surgery 880219190IWAY, EDSEL N 3900 W CHARLESTON BLVD STE 170 LAS VEGAS NV 102651 Clark 702-362-2273 Physicians Internal Medicine 821947437IZATT, CHARLOTTE J 7324 W CHEYENNE AVE STE 7 LAS VEGAS NV 102652 Clark 702-309-0122 Rehabilitation Physical Therapy 272841073IZUORA, KENNETH E 1707 W CHARLESTON BLVD STE 230 LAS VEGAS NV 102655 Clark 702-671-5060 Physicians Endocrinology 880330858J WOODSON DERMATOLOGY AND ASSOCIATES9020 W CHEYENNE AVE LAS VEGAS NV 102657 Clark 702-240-4233 Physicians Dermatology 461124337J. C. RAROQUE MD PLLC 1000 N GRN VALLEY PKWY STE 440 HENDERSON NV 102659 Clark 702-303-2190 Physicians Internal Medicine 830477898JACK D CLOSE & ASSOCIATES 3777 PECOS MCLEOD LAS VEGAS NV 102660 Clark 702-731-6873 Rehabilitation 043821114JACK, MEG E 1600 MEDICAL PKWY CARSON CITY NV 102664 Carson City 775-445-8000 Physicians Emergency Medicine 880502320JACKS, KAREN S 9280 W SUNSET RD LAS VEGAS NV 102665 Clark 702-952-1251 Physicians Hematology/Oncology 880350180JACKS, WILLIAM P 2031 MCDANIEL ST STE 250 NORTH LAS VEGAS NV 102666 Clark 702-649-9070 Physicians Family Medicine 890306303JACKSON, ALANA L 2980 S RAINBOW BLVD LAS VEGAS NV 102668 Clark 702-738-3395 Physicians Professional Counselor 264237977JACKSON, ANGELA L 2667 ENTERPRISE RD RENO NV 102669 Washoe 775-688-1341 Rehabilitation Speech Pathology 886000022JACKSON, AQUANATTE M 2831 SAINT ROSE PKWY STE 222 HENDERSON NV 102670 Clark 702-589-4871 Physicians Social Worker 823795906JACKSON, BRANDON L 5550 PAINTED MIRAGE RD STE 120 LAS VEGAS NV 102671 Clark 702-898-7633 Rehabilitation Physical Therapy 010676323JACKSON, CINDY S 5135 CAMINO AL NORTE STE 279 NORTH LAS VEGAS NV 102674 Clark 702-460-1721 Physicians Social Worker 472126687

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 91 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDJACKSON, DAVID N 3196 S MARYLAND PKWY STE 303 LAS VEGAS NV 102676 Clark 702-383-2919 Physicians Obstetrics/Gynecology 880330858JACKSON, JASON C 9127 W RUSSELL RD LAS VEGAS NV 102682 Clark 702-878-0070 Physicians Anesthesiology 592905984JACKSON, LEON S 118 E HASKELL ST WINNEMUCCA NV 102691 Humboldt 775-623-5222 Physicians Radiology/Diagnostic 451558006JACKSON, MICHAEL E 11103 KILKERRAN CT LAS VEGAS NV 102694 Clark 702-614-4576 Physicians Emergency Medicine 204311300JACKSON, MICHAEL V 1155 MILL ST RENO NV 102696 Washoe 775-982-5638 Physicians Sleep Medicine 880173816JACKSON, SHAUNA-DEAN 1001 MOUNTAIN ST CARSON CITY NV 102697 Carson City 775-781-0092 Physicians Certified Nurse Practitioner 260755054JACKSON, TIFFANY J 2550 WINDMILL LN STE 145 HENDERSON NV 102704 Clark 702-331-4848 Physicians General Dentist 462726141JACKSON, TODD L 1420 E CALVADA BLVD PAHRUMP NV 102705 Nye 702-472-9902 Physicians Ophthalmology 453128512JACKSON, WILLIAM S 850 MILL ST STE 301 RENO NV 102707 Washoe 775-982-5756 Physicians Psychology (Clinical) 886000022JACKSON-CLARK, DAVITA 3835 S JONES BLVD LAS VEGAS NV 102708 Clark 702-880-4193 Physicians Certified Nurse Practitioner 880404982JACOB, JASMINE 3006 S MARYLAND PKWY STE 320 LAS VEGAS NV 102714 Clark 702-962-0000 Physicians Certified Nurse Practitioner 331159527JACOB, JINSY A 2225 CIVIC CENTER DR STE 224 NORTH LAS VEGAS NV 102715 Clark 702-214-5948 Physicians Pediatrics 231396794JACOBE, RANDALL N UNR SPORTSMEDICINE COMPLEX RENO NV 102716 Washoe 775-784-1999 Rehabilitation Physical Therapy 880297530JACOBELLI, FRANK 1107 US HIGHWAY 395 S GARDNERVILLE NV 102717 Douglas 775-782-1630 Physicians Professional Counselor 880405927JACOBS, LESLIE C 1389 GALLERIA DR HENDERSON NV 102719 Clark 725-333-8400 Physicians Internal Medicine 462964527JACOBS, LORING B 2870 S MARYLAND PKWY STE 300 LAS VEGAS NV 102721 Clark 702-735-0258 Physicians Internal Medicine 880106090JACOBS, PARVIN M 2870 S MARYLAND PKWY STE 160 LAS VEGAS NV 102724 Clark 702-735-0258 Physicians Internal Medicine 880106090JACOBSON, EARL 730 E SAHARA AVE LAS VEGAS NV 102725 Clark 702-737-7917 Physicians Podiatry 880181392JACOBSON, MARC G 1397 S LOOP RD PAHRUMP NV 102726 Nye 702-759-8600 Physicians Radiology/Diagnostic 822135009JACOBSON, MARIA S 1573 MULLER PKWY GARDNERVILLE NV 102754 Douglas 775-222-0044 Physicians Certified Nurse Practitioner 260755054JACOBSON, SCOTT N 10120 S EASTERN AVE STE 130 HENDERSON NV 102760 Clark 702-970-1111 Physicians Family Medicine 200365179JADID, JAMIE L 2011 PINTO LN LAS VEGAS NV 102761 Clark 702-382-3200 Physicians Certified Nurse Practitioner 880479581JAE CHOI MD LLC 11700 W CHARLESTON BLVD LAS VEGAS NV 102762 Clark 702-256-3637 Physicians Internal Medicine 810798521JAEGER, JASON O 6592 N DECATUR BLVD LAS VEGAS NV 102763 Clark 702-396-4993 Physicians Physical Medicine & Rehabilitation530588126JAFARIFAR, SALMEH 8785 W WARM SPRINGS RD STE 108 LAS VEGAS NV 102769 Clark 702-433-0355 Physicians General Dentist 201823580JAFFE, ELIZABETH R 1595 ROBB DR STE 2 RENO NV 102771 Washoe 775-770-7580 Physicians Family Medicine 204410949JAGGERS, CAREN L 411 E TAYLOR ST STE A RENO NV 102774 Washoe 775-786-3330 Physicians Certified Nurse Practitioner 880502320JAHANGIR, NAUMAN 6850 N DURANGO DR LAS VEGAS NV 102775 Clark 725-333-8465 Physicians Thoracic Surgery 462964527JAHANGIR, RASHID 3153 E WARM SPRINGS RD STE 300 LAS VEGAS NV 102776 Clark 702-487-6510 Physicians Anesthesiology 592905984JAHNKE, PIPER D 2570 WIGWAM PKWY STE 110 HENDERSON NV 102786 Clark 702-757-3399 Physicians General Dentist 475334172JAIN, GAURAV 100 N GRN VALLEY PKWY STE 310 HENDERSON NV 102787 Clark 702-877-1887 Physicians Nephrology 880136673JAIN, RANJIT 700 SHADOW LN STE 430 LAS VEGAS NV 102788 Clark 702-384-0500 Physicians Urology 880178156JAIN, RENU 3006 S MARYLAND PKWY STE 400 LAS VEGAS NV 102789 Clark 702-992-6868 Physicians Pediatrics 880330858JAIN, SHAILY 3615 W CHARLESTON BLVD LAS VEGAS NV 102790 Clark 702-508-9461 Physicians Psychiatry 880400682JAITLY, PUJA 1650 COMMUNITY COLLEGE DR LAS VEGAS NV 102793 Clark 702-486-4637 Physicians Psychology (Clinical) 886000022JALLER, DANIEL 3186 S MARYLAND PKWY LAS VEGAS NV 102794 Clark 702-961-5000 Physicians Radiology/Diagnostic 834325292JAMBORCIC, VESNA 8285 W ARBY AVE STE 390 LAS VEGAS NV 102818 Clark 702-614-1250 Physicians Internal Medicine 205747058JAMES PAPPAS MD LTD 5255 LONGLEY LN STE 140 RENO NV 102819 Washoe 775-322-1200 Physicians Orthopedic Surgery 453858209JAMES ROBERT EELLS MD LTD. 3150 N TENAYA WAY STE 565 LAS VEGAS NV 102821 Clark 702-254-8900 Ambulatory Facilities 205713759JAMES TURNER, LAURIE J 2461 W HORIZON RIDGE PKWY STE 130 HENDERSON NV 102823 Clark 702-896-0031 Rehabilitation Audiology 271276987JAMES V MELI DO LTD. 6301 MOUNTAIN VISTA ST STE 108 HENDERSON NV 102824 Clark 702-719-6000 Physicians Family Medicine 205657675JAMES, GIANNA M 3488 GONI RD CARSON CITY NV 102825 Carson City 775-887-5048 Rehabilitation Physical Therapy 474776676JAMES, LAURE A 2475 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 102826 Clark 702-463-3501 Rehabilitation Physical Therapy 204635517JAMES, MARK S 9850 S MARYLAND PKWY STE A5 LAS VEGAS NV 102827 Clark 702-401-4017 Rehabilitation Speech Pathology 200382573JAMES, VERONICA N 8828 MOHAWK ST LAS VEGAS NV 102828 Clark 702-880-4193 Physicians Certified Nurse Practitioner 880404982JAMESON, FLORENCE N 5281 S EASTERN AVE LAS VEGAS NV 102839 Clark 702-262-9676 Physicians Obstetrics/Gynecology 880212042JAMISON, NERIE A 6857 W CHARLESTON BLVD LAS VEGAS NV 102840 Clark 702-304-2144 Physicians Family Medicine 201026537JANAI, HILLEL K 3006 S MARYLAND PKWY LAS VEGAS NV 102841 Clark 702-731-8099 Physicians Pediatrics 951683892JANAPATI, PAVAN K 2350 IONE RD LAS VEGAS NV 102842 Clark 702-790-3000 Physicians Internal Medicine 421741592JANAS, ALEXANDRA M 555 W ARLINGTON AVE RENO NV 102861 Washoe 775-786-3040 Physicians Certified Nurse Practitioner 880103557JANCSO, MICHELLE 242 LOS ALTOS PKWY SPARKS NV 102862 Washoe 775-354-1785 Physicians General Dentist 464871811

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 92 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDJANDA, ALEXANDER S 715 MALL RING CIR HENDERSON NV 102863 Clark 702-992-2225 Physicians Chiropractor 202750930JANDA, PAUL H 2020 WELLNESS WAY STE 300 LAS VEGAS NV 102864 Clark 702-432-2233 Physicians Neurology 454129505JANES, MARK 1 E LIBERTY ST STE 555 RENO NV 102867 Washoe 775-348-1900 Physicians Anesthesiology 880101307JANG S. MUN, M.D., INC. 5980 S RAINBOW BLVD STE 100 LAS VEGAS NV 102879 Clark 702-765-7246 Physicians Internal Medicine 510664476JANG, SHAUN 7391 W CHARLESTON BLVD STE 140 LAS VEGAS NV 102880 Clark 702-304-2144 Physicians Internal Medicine 954806004JANGA, RADHIKA 2420 PROFESSIONAL CT LAS VEGAS NV 102899 Clark 702-853-0090 Physicians Internal Medicine 260326402JANGA, RADHIKA R 2850 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 102901 Clark 702-726-6344 Physicians Nephrology 462812104JANHUNEN, VERONICA 1995 ERRECART BLVD STE 202 ELKO NV 102907 Elko 775-738-3654 Physicians Pediatrics 886000088JANIC, BILJANA 2610 W HORIZON RIDGE PKWY STE 200 HENDERSON NV 102908 Clark 702-407-8241 Physicians Internal Medicine 263668328JANIKOWSKI, MARY D 4700 LAS VEGAS BLVD N STE C NELLIS AFB NV 102909 Clark 702-653-2344 Physicians Internal Medicine 720411414JANTOS, THOMAS J 1107 US HIGHWAY 395 S GARDNERVILLE NV 102910 Douglas 775-782-1600 Physicians Emergency Medicine 261513495JANUSZEWICZ, KATHERINE 3186 S MARYLAND PKWY LAS VEGAS NV 102911 Clark 702-961-5000 Physicians Emergency Medicine 521856279JANZEN, NICOLETTE K 3201 S MARYLAND PKWY STE 406 LAS VEGAS NV 102912 Clark 702-369-4999 Physicians Pediatric Urology 880382275JAOJOCO, MENELEO S 4180 S RAINBOW BLVD LAS VEGAS NV 102913 Clark 702-383-3645 Physicians Family Medicine 886000436JAQUISH, BENJAMIN P 75 PRINGLE WAY RENO NV 102915 Washoe 775-323-7500 Physicians Vascular Surgery 880341656JARADAT, AHMED A 3022 S DURANGO DR STE 100 LAS VEGAS NV 102917 Clark 702-256-3637 Physicians Internal Medicine 954806004JARADAT, MOHAMMAD M 3001 SAINT ROSE PKWY HENDERSON NV 102920 Clark 702-616-5925 Physicians Internal Medicine 472990144JARAMILLO LYOUBI, LUZ 10470 W CHEYENNE AVE STE 110 LAS VEGAS NV 102923 Clark 702-405-7400 Physicians General Dentist 450896566JARDINE, DANIEL J 1490 GRIMES ST FALLON NV 102930 Churchill 775-423-1412 Physicians Social Worker 886000022JARMAN, ELIZABETH 6402 MCLEOD DR LAS VEGAS NV 102931 Clark 702-898-5311 Physicians Social Worker 743067299JARRETT, H G 600 S RANCHO DR STE 113 LAS VEGAS NV 102932 Clark 702-878-1065 Physicians Chiropractor 880245302JARVIS, KENNETH M 6127 TREVINO AVE LAS VEGAS NV 102934 Clark 702-228-5018 Physicians Podiatry 276527922JASWAL, NEHA 3001 SAINT ROSE PKWY HENDERSON NV 102935 Clark 702-616-5000 Physicians Internal Medicine 472990144JAUREGUI, ALAN B 5876 S PECOS RD BLDG B LAS VEGAS NV 102936 Clark 702-733-0744 Physicians Certified Nurse Practitioner 461446286JAUSSI, WALTER R 5871 W CRAIG RD LAS VEGAS NV 102937 Clark 702-724-2020 Physicians Ophthalmology 450930381JAVAID, AWAD 1707 W CHARLESTON BLVD STE 100 LAS VEGAS NV 102938 Clark 702-671-5070 Physicians Internal Medicine 813419791JAVATE, ADAM J 6170 N DURANGO DR STE 160 LAS VEGAS NV 102939 Clark 702-222-1000 Rehabilitation Physical Therapy 860861354JAVATE, MAXIMILANO S 6440 MEDICAL CENTER ST STE 100 LAS VEGAS NV 102940 Clark 702-222-1000 Rehabilitation Physical Therapy 860861354JAVED, LUBNA 6850 N DURANGO DR STE 208 LAS VEGAS NV 102941 Clark 702-952-0999 Physicians Preventive Medicine 880213519JAVIER, SOLOMON N 61 N NELLIS BLVD LAS VEGAS NV 102943 Clark 702-383-6240 Physicians Family Medicine 530313938JAWADI, HAYAT 7220 S CIMARRON RD LAS VEGAS NV 102947 Clark 702-834-7300 Physicians Obstetrics/Gynecology 813019613JAYAKUMAR, PRAVEEN 1961 LAS VEGAS BLVD S STE 101 LAS VEGAS NV 102948 Clark 702-852-0215 Physicians Internal Medicine 880330858JAYARAJ, MAHENDRAN 1707 W CHARLESTON BLVD STE 100 LAS VEGAS NV 102949 Clark 702-676-3650 Physicians Gastroenterology 813419791JAYARAMAN, VIJAY 8530 W SUNSET RD STE 230 LAS VEGAS NV 102953 Clark 702-483-4483 Physicians Gastroenterology 474436324JAYASOORIYA, SHIRANEE M 8224 W CHARLESTON BLVD LAS VEGAS NV 102959 Clark 702-869-6070 Physicians Physical Medicine & Rehabilitation113723913JAYNE, BENJAMIN 2012 S JONES BLVD LAS VEGAS NV 102960 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643JAYNE, RUSSELL P 6839 W CHARLESTON BLVD LAS VEGAS NV 102961 Clark 702-737-7258 Physicians Ophthalmology 260076062JC MEDICAL SUPPLIES INC 4015 W CHARLESTON BLVD LAS VEGAS NV 102965 Clark 702-457-0624 Ancillary Providers 711015312JEAN, CLARK S 7445 PEAK DR LAS VEGAS NV 102966 Clark 702-952-2140 Physicians Hematology/Oncology 880350180JEDICK, ROCKY P 150 E HARMON AVE LAS VEGAS NV 102967 Clark 702-546-0911 Physicians Emergency Medicine 821298934JEDYNAK, JEFFREY S 9127 W RUSSELL RD STE 110 LAS VEGAS NV 102969 Clark 702-878-0070 Physicians CRNA 852385334JEFFERIES, GENE R 6512 S MCCARRAN BLVD STE A RENO NV 102979 Washoe 775-788-7600 Physicians Professional Counselor 880139672JEFFERS, DUANE 4660 S EASTERN AVE STE 200 LAS VEGAS NV 102980 Clark 702-451-7542 Physicians Internal Medicine 880436325JEFFREY K AUSTIN OD LTD. 501 S RANCHO DR STE G46 LAS VEGAS NV 102981 Clark 702-256-3637 Physicians Optometry 263172350JEFFRIES, JUSTIN D 1701 W CHARLESTON BLVD LAS VEGAS NV 102982 Clark 702-671-2358 Physicians Internal Medicine 813419791JEFIC, DANE E 2865 SIENA HEIGHTS DR HENDERSON NV 102983 Clark 702-407-0110 Physicians Cardiology 880213519JEIDER, TIMOTHY 8845 W FLAMINGO RD STE 210 LAS VEGAS NV 102986 Clark 702-440-8430 Physicians Psychiatry 832602698JEITZ, JASON E 3001 SAINT ROSE PKWY HENDERSON NV 102987 Clark 702-878-0070 Physicians CRNA 200420553JENABI, ISAAC D 9327 W SUNSET RD LAS VEGAS NV 102996 Clark 702-476-9999 Physicians Pain Management 270638220JENKINS, MYAU G 1101 N DECATUR BLVD LAS VEGAS NV 102997 Clark 702-813-9827 Rehabilitation 880459564JENKINS, RADE 6161 W CHARLESTON BLVD LAS VEGAS NV 102998 Clark 702-486-6045 Physicians Psychology (Clinical) 886000022

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 93 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDJENNIFER C MOORE, 2921 N TENAYA WAY STE 235 LAS VEGAS NV 102999 Clark 702-691-1920 Physicians Social Worker 800150392JENNINGS, ANTHONY W 1800 W CHARLESTON BLVD LAS VEGAS NV 103000 Clark 702-383-2000 Physicians Emergency Medicine 943293742JENSEN, ARDEN D 255 GLENDALE AVE STE 12 SPARKS NV 103001 Washoe 775-356-8181 Rehabilitation Physical Therapy 752014828JENSEN, BRANDON D 620 SHADOW LN LAS VEGAS NV 103003 Clark 702-388-8436 Physicians Internal Medicine 263668328JENSEN, BRIAN P 65 N TAYLOR ST FALLON NV 103004 Churchill 775-423-8024 Physicians Optometry 880494659JENSEN, CURTIS D 1301 BERTHA HOWE AVE STE 7BOX757 MESQUITE NV 103005 Clark 702-346-1899 Rehabilitation Physical Therapy 201621111JENSEN, DENNIS M 3150 N TENAYA WAY STE 100 LAS VEGAS NV 103006 Clark 702-869-9200 Physicians Family Medicine 453508895JENSEN, JAMES R 1101 W MOANA LN STE 4 RENO NV 103009 Washoe 775-825-5005 Physicians General Dentist 450844491JENSEN, KATHERINE F 916 NEVADA HWY STE 2A BOULDER CITY NV 103010 Clark 702-294-2866 Physicians Social Worker 200248685JENSEN, KEVIN V 1500 AVENUE H ELY NV 103011 White Pine 775-289-3001 Physicians Emergency Medicine 271413336JENSEN, MICHELLE 6040 S FORT APACHE RD STE 100 LAS VEGAS NV 103013 Clark 702-242-6911 Physicians Dietitian 462520735JENSEN, THOMAS R 7310 SMOKE RANCH RD STE R LAS VEGAS NV 103017 Clark 702-646-6284 Physicians Marriage & Family Therapist 800303622JENSON, ROSS M 5578 LONGLEY LN RENO NV 103018 Washoe 775-284-8650 Physicians Anesthesiology 264664305JEONG, MIKE Y 9811 W CHARLESTON BLVD STE 2-304 LAS VEGAS NV 103019 Clark 702-464-7855 Physicians Geriatric Medicine 262785337JEONG, WILLIAM J 2200 S RANCHO DR LAS VEGAS NV 103023 Clark 702-677-3544 Physicians Neurological Surgery 752612924JEPPSON, ROBERT L 5900 W ROCHELLE AVE LAS VEGAS NV 103024 Clark 702-364-1111 Physicians Psychiatry 371652546JEREMIAH, MARIAH L 1107 US HIGHWAY 395 S GARDNERVILLE NV 103028 Douglas 775-782-1630 Physicians Social Worker 880405927JERNIGAN, AMY C 1200 Mountain St Carson City NV 103032 Carson City 775-882-1324 Physicians Certified Nurse Practitioner 880502320JERNIGAN, JAMES A 4700 LAS VEGAS BLVD N NELLIS AFB NV 103034 Clark 702-653-3550 Physicians Anesthesiology 880330858JERNIGAN, ONNA 2375 E PRATER WAY SPARKS NV 103035 Washoe 775-331-7000 Physicians Emergency Medicine 475671561JEROME, ROBERT S 10105 BANBURRY CROSS DR LAS VEGAS NV 103036 Clark 702-765-5437 Physicians Pediatrics 204529593JERRY SCHWARTZ, MD INTERNAL MEDICINE3530 E FLAMINGO RD STE 100 LAS VEGAS NV 103037 Clark 702-737-8657 Physicians Internal Medicine 880288009JETTE, DEBORA A 4140 W CHARLESTON BLVD LAS VEGAS NV 103038 Clark 702-254-4883 Physicians Marriage & Family Therapist 200266221JEWELL, JOSHUA F 1155 MILL ST RENO NV 103040 Washoe 775-982-4100 Physicians Critical Care 651205795JEWELL, YEGANEH 5150 MAE ANNE AVE STE 810A RENO NV 103041 Washoe 775-747-0680 Physicians Orthodontist 464394010JEX, BRADEN W 2705 W HORIZON RIDGE PKWY HENDERSON NV 103045 Clark 702-880-4193 Physicians Anesthesiology 880404982JHA, PRASHANT 1800 W CHARLESTON BLVD LAS VEGAS NV 103051 Clark 702-383-2420 Physicians Pediatric Critical Care 880313664JI, JUNG HUN 5150 MAE ANNE AVE STE 810A RENO NV 103052 Washoe 775-747-0680 Physicians General Dentist 464394010JIA, RAN 100 N GRN VALLEY PKWY STE 240 HENDERSON NV 103053 Clark 702-938-0088 Physicians Internal Medicine 880213519JIANG, KAIWEN 6880 S MCCARRAN BLVD STE A14 RENO NV 103055 Washoe 775-393-9101 Physicians Certified Nurse Practitioner 812219401JIANU, DOINA R 9300 SUN CITY BLVD STE 101 LAS VEGAS NV 103056 Clark 702-341-9400 Physicians Internal Medicine 880404402JIANU, TUDOR C 1621 E FLAMINGO RD STE 16B LAS VEGAS NV 103059 Clark 702-696-0506 Physicians Rheumatology 614283066JIJI, RONNY S 2880 N TENAYA WAY STE 100 LAS VEGAS NV 103062 Clark 702-962-9550 Physicians Cardiology 331159527JILANI, JAWAD A 2031 MCDANIEL ST STE 140 NORTH LAS VEGAS NV 103064 Clark 702-633-0207 Physicians Internal Medicine 262321457JILANI, KHALID 2668 LAS VEGAS BLVD N STE 101 NORTH LAS VEGAS NV 103065 Clark 702-748-8244 Physicians General Dentist 472331039JILKA, TONI R 7565 W WASHINGTON AVE STE 101 LAS VEGAS NV 103066 Clark 702-342-8631 Physicians General Dentist 825284738JIMENEZ MARQUEZ, JORGE 6545 S FORT APACHE RD STE 110 LAS VEGAS NV 103070 Clark 702-331-4444 Physicians General Dentist 262473394JIMENEZ, STEVEN M 3880 S JONES BLVD STE 102 LAS VEGAS NV 103072 Clark 702-367-0323 Physicians Family Medicine 880499324JIN, JONG S 1351 W SUNSET RD STE 100 HENDERSON NV 103075 Clark 702-835-1100 Physicians General Dentist 200405461JIRKA, TYLER 171 N GIBSON RD HENDERSON NV 103077 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643JOBE, JAMES R 2810 W CHARLESTON BLVD STE 70 LAS VEGAS NV 103080 Clark 309-706-3190 Physicians Psychology (Clinical) 352175684JOBES, JOHN P 4980 W SAHARA AVE LAS VEGAS NV 103082 Clark 702-216-7365 Physicians Emergency Medicine 824933457JOCSON, CYNTHIA D 7001 POINT CABRILLO CT LAS VEGAS NV 103084 Clark 702-241-7830 Rehabilitation Occupational Therapy 886000022JOE, BRANDON H 8415 S EASTERN AVE STE 101 LAS VEGAS NV 103085 Clark 702-990-8787 Physicians Periodontist 731638321JOE, NANTIYA 9155 W FLAMINGO RD STE 120 LAS VEGAS NV 103086 Clark 702-838-8112 Physicians General Dentist 880508393JOECKEL, SARA H 6900 PECOS RD NORTH LAS VEGAS NV 103087 Clark 702-791-9000 Physicians Dermatology 911286274JOFFE, MICHEL M 3900 PARADISE RD STE V LAS VEGAS NV 103088 Clark 702-369-0560 Physicians Family Medicine 264088672JOHN G. WAITE MD LLC 4760 S PECOS RD STE 104 LAS VEGAS NV 103090 Clark 702-434-5114 Physicians Psychiatry 498745943JOHN H SUTTON OD LTD 1703 LAKESIDE DR RENO NV 103091 Washoe 999-999-9999 Physicians Optometry 880224263JOHN, ANSY P 2670 LAS VEGAS BLVD N STE 109 NORTH LAS VEGAS NV 103092 Clark 702-255-1114 Physicians Certified Nurse Practitioner 201264285JOHN, EJO M 170 S GREEN VALLEY PKWY STE 300 HENDERSON NV 103096 Clark 702-794-1241 Physicians Internal Medicine 472192630

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 94 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDJOHN, FREDERICK J 4530 S CARSON ST STE 5 CARSON CITY NV 103098 Carson City 775-461-3800 Physicians Pediatric Dentist 814172785JOHNSON, AMANDA K 8751 W CHARLESTON BLVD STE 270 LAS VEGAS NV 103099 Clark 702-982-2232 Rehabilitation Physical Therapy 205882999JOHNSON, BLAKE 2012 S JONES BLVD LAS VEGAS NV 103101 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643JOHNSON, CHEREE S 7250 PEAK DR STE 106 LAS VEGAS NV 103102 Clark 702-215-2090 Physicians Chiropractor 203358443JOHNSON, CHRISTOPHER S 415 HWY 95A S FERNLEY NV 103103 Lyon 775-575-1818 Rehabilitation Physical Therapy 510513345JOHNSON, DAVID 401 W 2ND ST STE 216 RENO NV 103104 Washoe 775-682-8459 Physicians Psychiatry 886000022JOHNSON, DAVID A 925 IRONWOOD DR STE 1109 MINDEN NV 103105 Douglas 775-782-4466 Rehabilitation Physical Therapy 880329446JOHNSON, DAVID E 925 IRONWOOD DR STE 1109 MINDEN NV 103108 Douglas 775-782-4466 Rehabilitation Physical Therapy 880329446JOHNSON, DERRICK 6512 S MCCARRAN BLVD STE A RENO NV 103109 Washoe 775-788-7600 Physicians Marriage & Family Therapist 880139672JOHNSON, DONALD J 501 S RANCHO DR STE F37 LAS VEGAS NV 103110 Clark 702-388-9403 Physicians Marriage & Family Therapist 201744631JOHNSON, DREW C 3001 SAINT ROSE PKWY HENDERSON NV 103111 Clark 702-616-5000 Physicians Emergency Medicine 371711333JOHNSON, ELIJAH M 6671 LAS VEGAS BLVD S UNIT D210 LAS VEGAS NV 103112 Clark 702-800-6451 Physicians General Surgery 852146568JOHNSON, F M 10161 PARK RUN DR LAS VEGAS NV 103113 Clark 702-874-8807 Physicians Family Medicine 870551208JOHNSON, JASON A 975 RYLAND ST RENO NV 103114 Washoe 775-982-5000 Physicians Family Medicine 261513495JOHNSON, JASON D 1707 W CHARLESTON BLVD STE 190 LAS VEGAS NV 103116 Clark 702-671-5110 Physicians Plastic & Reconstructive Surgery 880330858JOHNSON, JOSEPH C 263 SPRING VALLEY PKWY STE A3 SPRING CREEK NV 103117 Elko 775-738-3500 Physicians General Dentist 823192225JOHNSON, JOSEPH E 3160 VISTA BLVD SPARKS NV 103118 Washoe 775-352-7200 Physicians Family Medicine 880502320JOHNSON, JOSEPH W 800 N GIBSON RD HENDERSON NV 103120 Clark 702-616-7650 Physicians Family Medicine 880151061JOHNSON, KELLEY N 4000 E CHARLESTON BLVD STE 230 LAS VEGAS NV 103121 Clark 702-968-4000 Physicians Social Worker 043290453JOHNSON, KIERSTEN 9520 PROTOTYPE CT RENO NV 103122 Washoe 775-852-6323 Rehabilitation Occupational Therapy 562572878JOHNSON, MATTHEW S 3196 S MARYLAND PKWY STE 101A LAS VEGAS NV 103123 Clark 702-492-9439 Physicians General Surgery 271152943JOHNSON, MINDY M 8168 LONE BOULDER ST LAS VEGAS NV 103126 Clark 702-300-5068 Rehabilitation Speech Pathology 886000022JOHNSON, PAULA 1701 W CHARLESTON BLVD LAS VEGAS NV 103127 Clark 702-251-8000 Physicians Professional Counselor 820870653JOHNSON, RACHEL E 1640 ALTA DR STE 4 LAS VEGAS NV 103128 Clark 702-474-6450 Physicians Social Worker 880111970JOHNSON, RICHARD K 501 HAMMILL LN RENO NV 103130 Washoe 775-473-9378 Rehabilitation Audiology 260139402JOHNSON, ROXIE 2915 W CHARLESTON BLVD STE 130 LAS VEGAS NV 103132 Clark 702-605-2766 Physicians Professional Counselor 471751350JOHNSON, STEVEN 2121 E FLAMINGO RD STE 210 LAS VEGAS NV 103136 Clark 702-386-4700 Physicians Pain Management 880375544Johnson, Tabitha 1640 ALTA DR STE 4 LAS VEGAS NV 103137 Clark 702-474-6450 Physicians Marriage & Family Therapist 880111970JOHNSON, TIMOTHY L 3650 S POINTE CIR STE 208 LAUGHLIN NV 103138 Clark 702-298-5313 Physicians Marriage & Family Therapist 886000022JOHNSON, YOULANDA Y 1700 E DESERT INN RD STE 113 LAS VEGAS NV 103139 Clark 702-862-4774 Physicians Professional Counselor 822420344JOHNSTON, CHARLES B 8285 W ARBY AVE STE 190 LAS VEGAS NV 103141 Clark 702-458-5099 Physicians Family Medicine 203284958JOHNSTON, COLLIN D 10652 S EASTERN AVE HENDERSON NV 103143 Clark 702-476-2800 Physicians Family Medicine 463164188JOHNSTON, JAMES M 1155 MILL ST RENO NV 103144 Washoe 775-982-5437 Physicians Pediatric Hematology 582162071JOHNSTON, KELLY 4300 E SUNSET RD STE B2 HENDERSON NV 103145 Clark 702-968-0707 Physicians General Dentist 800342378JOINER, GERALDINE E 2801 S VALLEY VIEW BLVD STE 4 LAS VEGAS NV 103146 Clark 702-385-3149 Physicians General Dentist 880331868JOINT MOTION PHYSICAL THERAPY 1450 E PRATER WAY SPARKS NV 103147 Washoe 505-898-8300 Ambulatory Facilities 043821114JOINT TECHNOLOGY, INC 8421 TOUGH PINE CT LAS VEGAS NV 103148 Clark 888-673-2613 Ancillary Providers 731494942JOLLEY, RYAN 350 FALCON RIDGE PKWY STE 101 MESQUITE NV 103149 Clark 888-963-9601 Physicians Orthodontist 272175866JOLLEY, STEVE I 2250 POSTAL DR STE 4 PAHRUMP NV 103155 Nye 775-727-8900 Rehabilitation Physical Therapy 264613465JONAK, MICHAEL A 1430 E CALVADA BLVD STE 200 PAHRUMP NV 103156 Nye 775-751-1555 Physicians Family Medicine 880213519JONATHAN REBOTON MD LTD. 2031 MCDANIEL ST STE 140 NORTH LAS VEGAS NV 103160 Clark 702-642-9029 Physicians Family Medicine 880480976JONES DERMATOLOGY ASSOCIATES PC 6120 MAE ANNE AVE STE 1 RENO NV 103162 Washoe 775-851-7546 Ambulatory Facilities 270901813JONES III, WILMER T 1707 W CHARLESTON BLVD STE 160 LAS VEGAS NV 103163 Clark 702-671-6448 Physicians Vascular Surgery 880330858JONES, ARIEL R 1025 ROBERTA LN SPARKS NV 103166 Washoe 775-825-4744 Rehabilitation Speech Pathology 562328617JONES, ASHLEY E 2200 PASEO VERDE PKWY STE 190 HENDERSON NV 103167 Clark 702-589-4871 Physicians Social Worker 823795906JONES, CAMTU L 10105 BANBURRY CROSS DR STE 350 LAS VEGAS NV 103168 Clark 702-243-6400 Physicians Radiation Oncology 880384013JONES, CARMEN F 2255 RENAISSANCE DR STE C LAS VEGAS NV 103170 Clark 702-735-4673 Physicians Pediatrics 223888214JONES, CHARLES A 9127 W RUSSELL RD LAS VEGAS NV 103171 Clark 702-878-0070 Physicians Anesthesiology 461237632JONES, CHRISTIAN C 6120 MAE ANNE AVE STE 1 RENO NV 103180 Washoe 775-851-7546 Physicians Dermatology 270901813JONES, DANIEL 2001 ERRECART BLVD ELKO NV 103182 Elko 775-777-0935 Physicians Emergency Medicine 880307849JONES, DAVID A 973 MICA DR STE 201 CARSON CITY NV 103183 Douglas 775-783-6190 Physicians Orthopedic Surgery 941709925

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 95 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDJONES, DAVID R 1701 N GREEN VALLEY PKWY STE 2C HENDERSON NV 103185 Clark 702-914-9501 Physicians General Dentist 824576715JONES, FRANCES-LYNN 1381 W SUNSET RD STE 120 HENDERSON NV 103186 Clark 702-452-2020 Physicians Optometry 271192356JONES, GREGORY S 880 RYLAND ST RENO NV 103191 Washoe 775-329-4600 Physicians CRNA 880213397JONES, HARRY 75 PRINGLE WAY STE 705 RENO NV 103192 Washoe 775-329-0333 Physicians Anesthesiology 514367469JONES, JACKSON B 555 W ARLINGTON AVE RENO NV 103193 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557JONES, JASON P 4855 BLUE DIAMOND RD STE 100 LAS VEGAS NV 103194 Clark 702-216-7305 Physicians Emergency Medicine 274752989JONES, JEDEDIAH W 4530 S EASTERN AVE STE 1 LAS VEGAS NV 103245 Clark 702-645-7800 Physicians Orthopedic Surgery 680590720JONES, JERRY L 400 SHADOW LN STE 207 LAS VEGAS NV 103246 Clark 702-384-5400 Physicians Obstetrics/Gynecology 880351497JONES, JUAN C 1550 W CRAIG RD NORTH LAS VEGAS NV 103248 Clark 702-777-3615 Physicians Emergency Medicine 824933457JONES, LORENE A 1341 S RAINBOW BLVD STE 101 LAS VEGAS NV 103250 Clark 702-255-4200 Physicians Certified Nurse Practitioner 880345631JONES, MICHAEL 6600 W CHARLESTON BLVD LAS VEGAS NV 103252 Clark 702-878-7777 Physicians Optometry 113663892JONES, MICHAEL A 1200 MOUNTAIN ST STE 230 CARSON CITY NV 103253 Carson City 775-883-3636 Physicians Family Medicine 880502320JONES, MILISSA 5631 S PECOS RD LAS VEGAS NV 103254 Clark 702-685-0877 Physicians Professional Counselor 383889285JONES, STACEY C 2200 PASEO VERDE PKWY STE 190 HENDERSON NV 103255 Clark 702-589-4871 Physicians Social Worker 823795906JONES, STEPHANIE A 1495 MILL ST RENO NV 103256 Washoe 775-982-5000 Physicians Physical Medicine & Rehabilitation941179505JONES, TEALE 6345 S JONES BLVD STE 300 LAS VEGAS NV 103257 Clark 702-515-4009 Rehabilitation Occupational Therapy 472546455JONES, THOMAS 916 W OWENS AVE LAS VEGAS NV 103258 Clark 702-791-9000 Physicians Social Worker 043290453JORDAN, AMANDA R 3001 SAINT ROSE PKWY HENDERSON NV 103259 Clark 702-616-6137 Physicians Emergency Medicine 204954320JORDAN, FRANK T 7200 CATHEDRAL ROCK DR STE 130 LAS VEGAS NV 103260 Clark 702-228-8600 Physicians Vascular Surgery 300072350JORDAN, MICHELLE M 2031 N BUFFALO DR LAS VEGAS NV 103262 Clark 702-383-3750 Physicians Family Medicine 886000436JORDAN, RHONDA 3530 E FLAMINGO RD STE 230 LAS VEGAS NV 103263 Clark 702-733-7200 Physicians Professional Counselor 562604276JORDAN, WESS M 6900 PECOS RD NORTH LAS VEGAS NV 103264 Clark 702-791-9000 Physicians Optometry 452664770JORGE Y BURGOS MD PC 1815 E LAKE MEAD BLVD STE 314 NORTH LAS VEGAS NV 103265 Clark 702-227-0022 Physicians Internal Medicine 261185159JORGENSEN, JULIE A 6889 S EASTERN AVE LAS VEGAS NV 103266 Clark 702-434-1200 Physicians Certified Nurse Practitioner 201427365JORGENSON, CRAIG M 9975 S EASTERN AVE LAS VEGAS NV 103267 Clark 702-361-2273 Physicians Internal Medicine 203502995JOSEPH, CHARLA 701 COUNTY RD STE D MINDEN NV 103269 Douglas 800-598-5300 Rehabilitation Audiology 810966997JOSEPH, CHARLA 1701 LAKESIDE DR RENO NV 103270 Washoe 775-322-3269 Rehabilitation Audiology 710947976JOSEPH, DAPHNIE C 2031 MCDANIEL ST STE 210 NORTH LAS VEGAS NV 103272 Clark 702-633-0207 Physicians Certified Nurse Practitioner 262321457JOSEPH, JAY JAY M 1321 S RAINBOW BLVD LAS VEGAS NV 103273 Clark 702-476-2287 Physicians Certified Nurse Practitioner 880329731JOSEPHY, CLAYTON P 1107 US HIGHWAY 395 S GARDNERVILLE NV 103274 Douglas 775-782-1600 Physicians Emergency Medicine 880405927JOSHI, DHIRESH R 5382 S RAINBOW BLVD LAS VEGAS NV 103275 Clark 702-396-4165 Physicians Infectious Diseases 386065867JOSHI, RITU D 6480 W RUSSELL RD LAS VEGAS NV 103280 Clark 702-735-1200 Physicians Internal Medicine 770633115JOSHUA, SOLOMON 2225 E FLAMINGO RDSUITE 105 LAS VEGAS NV 103282 Clark 725-222-9499 Physicians Certified Nurse Practitioner 852538868JOSLYN EASTHAM, NICHOLE A 555 W ARLINGTON AVE RENO NV 103285 Washoe 775-786-3040 Physicians Hand Surgery 880103557JOUNI, NABIL M 4221 MCLEOD DR LAS VEGAS NV 103286 Clark 702-474-6450 Physicians Psychiatry 880111970JOYA, JOSE 1769 E RUSELL RD LAS VEGAS NV 103289 Clark 702-383-3660 Physicians Internal Medicine 886000436JOYA, PABLO U 341 N BUFFALO DR STE D LAS VEGAS NV 103290 Clark 702-386-6167 Physicians Internal Medicine 880151984JU, NAKYOUNG 899 ADAMS BLVD BOULDER CITY NV 103292 Clark 702-293-0373 Physicians General Dentist 814437395JUAREZ, JOE V 8280 W WARM SPRINGS RD LAS VEGAS NV 103293 Clark 702-492-8000 Physicians Internal Medicine 472990144JUAREZ, KATHLEEN 10101 DOUBLE R BLVD RENO NV 103298 Washoe 775-982-7000 Physicians Anesthesiology 880101307JUAREZ, RAFAEL G 98 E LAKE MEAD PKWY STE 105 HENDERSON NV 103308 Clark 702-564-1858 Physicians Obstetrics/Gynecology 203503482JUAREZ, VERONICA J 801 E WILLIAMS AVE FALLON NV 103309 Churchill 775-423-3151 Physicians Emergency Medicine 464004517JUELL, BRIAN E 6554 S MCCARRAN BLVD STE B RENO NV 103310 Washoe 775-324-0288 Physicians General Surgery 880266640JUHL, GREGORY 2375 E PRATER WAY SPARKS NV 103311 Washoe 775-331-7000 Physicians Emergency Medicine 475671561JUHL, MARK E 1624 10TH ST STE 1 MINDEN NV 103312 Douglas 775-782-0700 Physicians Dermatology 844163629JUHREND, PAMELA J 1274 E PLUMB LN STE C RENO NV 103313 Washoe 775-827-3777 Rehabilitation Physical Therapy 880291454JULIAN, DANA J 5070 ION DR STE 200 SPARKS NV 103314 Washoe 775-352-5335 Physicians Certified Nurse Practitioner 263303591JULIO, JACQUELINE ANNE E 3575 PECOS MCLEOD LAS VEGAS NV 103316 Clark 702-731-2088 Physicians Optometry 880107297JUN, SOO J 3073 W CRAIG RD STE 1 NORTH LAS VEGAS NV 103317 Clark 702-636-8760 Physicians General Dentist 900894850JUNEAU, CARL F 1470 MEDICAL PKWY STE 160 CARSON CITY NV 103326 Carson City 775-445-7650 Physicians Cardiology 880303924JUNEJO, NAZIA 6900 PECOS RD NORTH LAS VEGAS NV 103327 Clark 702-791-9165 Physicians Nephrology 870620312

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 96 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDJUNG, YONG H 505 S DECATUR BLVD LAS VEGAS NV 103328 Clark 702-870-7582 Physicians Chiropractor 200336309JUNTA, CAROLYN M 2255 GREEN VISTA DR STE 401 SPARKS NV 103330 Washoe 775-673-9700 Rehabilitation Physical Therapy 810660252JURANI CLINIC 633 N DECATUR BLVD STE A LAS VEGAS NV 103331 Clark 702-258-4900 Physicians Family Medicine 481262120JURANI SUAREZ, OTHELLA A 4730 S FORT APACHE RD LAS VEGAS NV 103332 Clark 702-262-0124 Physicians Family Medicine 262775400JUSAYAN, ROSE LEIH J 9030 W SAHARA AVE STE 249 LAS VEGAS NV 103334 Clark 702-629-6992 Physicians Certified Nurse Practitioner 202367478JUSKIW, SHEILA P 6512 S MCCARRAN BLVD STE D RENO NV 103335 Washoe 775-826-7263 Physicians Certified Nurse Practitioner 880502320JUSSA, MURAD M 2300 CORPORATE CIR STE 190 HENDERSON NV 103338 Clark 702-369-0142 Physicians Pulmonology 880329731JUSSA, ZULFIQAR M 700 E WARM SPRINGS RD LAS VEGAS NV 103346 Clark 702-216-3350 Physicians Internal Medicine 880368011JUSTE, ASHLEY N 2500 PERLITER AVE NORTH LAS VEGAS NV 103347 Clark 702-791-1952 Physicians Certified Nurse Practitioner 880407499JUSTICE, GLENN 5075 E BONANZA RD LAS VEGAS NV 103351 Clark 702-871-8888 Physicians General Dentist 510489979JUSTICE, OWEN W 3226 N DECATUR BLVD LAS VEGAS NV 103364 Clark 702-648-6800 Physicians General Dentist 880176045KABLER, HEIDI A 3100 N TENAYA WAY LAS VEGAS NV 103365 Clark 702-255-5025 Physicians Emergency Medicine 880262438KADING, JAYNE L 547 S ARLINGTON AVE RENO NV 103366 Washoe 775-787-8002 Physicians Psychology (Clinical) 880436245KADIR, NASIBO H 5400 S RAINBOW BLVD LAS VEGAS NV 103367 Clark 702-853-3000 Physicians Internal Medicine 472990144KAFUUMA, ROLAND K 10624 S EASTERN AVE # A263 HENDERSON NV 103368 Clark 760-628-5368 Physicians Internal Medicine 840399209KAGY, KENTON E 722 CATALINA AISLE ST PLEASE DO NOT PUBLISH IN DIRECTORYLAS VEGAS NV 103369 Clark 952-595-1100 Physicians Radiology/Diagnostic 201776834KAHLE III, CLIFFORD L 2020 GOLDRING AVE STE 502 LAS VEGAS NV 103370 Clark 702-399-0447 Physicians Obstetrics/Gynecology 880247950KAHN MEDICAL PLLC 401 N BUFFALO DR STE 100 LAS VEGAS NV 103375 Clark 702-853-5681 Physicians Cardiology 471646802KAHN, MARC J 1701 W CHARLESTON BLVD STE 230 LAS VEGAS NV 103376 Clark 702-671-5070 Physicians Hematology/Oncology 813419791KAHN, PATRICIA 4855 BLUE DIAMOND RD STE 100 LAS VEGAS NV 103377 Clark 702-216-7305 Physicians Emergency Medicine 862775542KAISER, GEORGE B 1707 W CHARLESTON BLVD STE 230 LAS VEGAS NV 103378 Clark 702-671-5060 Physicians Internal Medicine 880330858KAISER, KIRK A 555 W ARLINGTON AVE RENO NV 103379 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557KALAVACHARLA, VAMSI K 5001 E BONANZA RD STE 160 LAS VEGAS NV 103380 Clark 702-307-2273 Physicians General Dentist 821394606KALDY, KEVIN L 311 N BUFFALO DR LAS VEGAS NV 103381 Clark 702-254-6030 Physicians Chiropractor 202222498KALE, DAVID G 215 W BRIDGE ST YERINGTON NV 103385 Lyon 775-463-3191 Physicians Social Worker 886000022KALETA, KATRIN 6130 W SAHARA AVE LAS VEGAS NV 103386 Clark 702-255-7800 Physicians Chiropractor 463270084KALILI, ROSALIE S 8352 W WARM SPRINGS RD STE 210 LAS VEGAS NV 103388 Clark 702-944-4028 Physicians Pediatrics 880330858KALISVAART, MICHAEL M 555 W ARLINGTON AVE RENO NV 103391 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557KALLA, SUNIL 3150 N TENAYA WAY STE 320 LAS VEGAS NV 103392 Clark 702-240-6482 Physicians Cardiology 200562668KALM, SANDRA E 2610 W HORIZON RIDGE PKWY STE 200 HENDERSON NV 103394 Clark 702-492-0004 Physicians Pediatrics 263637886KALODNER, MELISSA F 7351 PRAIRIE FALCON RD STE 1 LAS VEGAS NV 103396 Clark 702-968-0520 Physicians Psychology (Clinical) 136641201KALRA, RAKESH K 595 W LAKE MEAD PKWY HENDERSON NV 103397 Clark 702-566-5500 Physicians Family Medicine 880213519KAMA, WILLIAM H 502 DUCKWATER FALLS RD DUCKWATER NV 103398 White Pine 775-863-0222 Physicians Family Medicine 880124254KAMAL, KHALID A 1701 BEARDEN DR STE 200 LAS VEGAS NV 103399 Clark 702-310-9110 Physicians Physical Medicine & Rehabilitation880400682KAMBOJ, EJAZ U 1770 N BUFFALO DR STE 103 LAS VEGAS NV 103401 Clark 702-650-0009 Physicians Cardiology 134205491KAMINSKY, KRISTI M 8530 W SUNSET RD STE 110 LAS VEGAS NV 103402 Clark 702-489-9000 Physicians Podiatry 451001337KAMISATO, JAVIER 1301 S MARYLAND PKWY LAS VEGAS NV 103405 Clark 702-458-3800 Physicians Internal Medicine 421548531KAMKA, DEBRA L 3500 LAKESIDE CT STE 101 RENO NV 103406 Washoe 775-786-6880 Physicians Professional Counselor 710930980KAMLER, JAN P 880 RYLAND ST RENO NV 103407 Washoe 775-329-4600 Physicians Gastroenterology 880182841KAMPF ROBBINS, HOLLY R 1107 US HIGHWAY 395 S GARDNERVILLE NV 103409 Douglas 775-782-1630 Physicians Social Worker 261513495KAMRAN KHAN MD PC 8008 ROXBURGH CASTLE AVE LAS VEGAS NV 103411 Clark 702-463-8762 Physicians Pulmonology 264735319KANDPAL, SAURABH B 235 W 6TH ST RENO NV 103413 Washoe 775-770-6490 Physicians Internal Medicine 834460864KANE, MICHAEL 10652 S EASTERN AVE HENDERSON NV 103414 Clark 702-476-2800 Physicians Emergency Medicine 463164188KANE, PAUL 1701 W CHARLESTON BLVD STE 300 LAS VEGAS NV 103415 Clark 702-251-8000 Physicians Social Worker 043290453KANELLOS, ANGELO W 10745 DOULBE R BLVD RENO NV 103417 Washoe 775-850-6500 Physicians Urology 208628418KANG, JAMES 59 DAMONTE RANCH PKWY STE F RENO NV 103419 Washoe 775-851-2204 Physicians General Dentist 461410369KANG, PARMINDER S 8205 W WARM SPRINGS RD STE 250 LAS VEGAS NV 103421 Clark 702-731-1616 Physicians Orthopedic Surgery 910858192KANG, SARAYAH 7425 W AZURE DR STE 140 LAS VEGAS NV 103428 Clark 702-515-4009 Rehabilitation Occupational Therapy 472546455KANIAN, HELEN Z 9850 S MARYLAND PKWY STE 3 LAS VEGAS NV 103429 Clark 702-914-9990 Physicians General Dentist 852435886KANNAN, CHAKRAVARTHY B 1905 CIVIC CENTER DR NORTH LAS VEGAS NV 103430 Clark 702-877-9514 Physicians Endocrinology 880168054KANTOR, GARY L 6330 S PECOS RD STE 110 LAS VEGAS NV 103435 Clark 702-732-2438 Physicians Nephrology 880115040

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 97 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDKANTOR, SAMUEL A 2450 FIRE MESA ST STE 110 LAS VEGAS NV 103439 Clark 702-853-0090 Physicians Nephrology 462812104KANWETZ, KRISTINE M 3700 GRANT DR RENO NV 103447 Washoe 775-829-4700 Rehabilitation Speech Pathology 880291454KAPEL, LAWRENCE B 1090 WIGWAM PKWY STE 100 HENDERSON NV 103448 Clark 702-454-0201 Physicians Psychology (Clinical) 043290453KAPHENGST, KARLA J 1212 WYOMING ST BOULDER CITY NV 103450 Clark 702-294-1919 Physicians Family Medicine 251008110KAPLAN, BRUCE D 1155 MILL ST RENO NV 103452 Washoe 775-982-5638 Physicians Radiology/Diagnostic 880113741KAPLAN, DAVID A 4550 E CHARLESTON BLVD LAS VEGAS NV 103454 Clark 702-459-5500 Physicians Orthopedic Surgery 880153894KAPLAN, MICHAEL S 2645 W HORIZON RIDGE PKWY STE 120 HENDERSON NV 103455 Clark 702-614-1800 Physicians Urology 880273773KAPLAN, ROBERT P 2110 E FLAMINGO RD LAS VEGAS NV 103456 Clark 702-462-9350 Physicians Family Medicine 814193738KAPLAN, STUART S 2471 PROFESSIONAL CT LAS VEGAS NV 103463 Clark 702-835-0088 Physicians Neurological Surgery 822636612KAPLAN, WESTBROOK L 2020 WELLNESS WAY STE 202 LAS VEGAS NV 103465 Clark 702-477-7044 Physicians Internal Medicine 651228174KAPSARJR, PAUL J 4560 S EASTERN AVE STE 14 LAS VEGAS NV 103466 Clark 702-586-5060 Physicians Certified Nurse Practitioner 886000436KARABACHEV, IVAN D 3201 S MARYLAND PRKW STE 500 LAS VEGAS NV 103467 Clark 702-369-3066 Physicians Otolaryngology 880175954KARAGIOZIS, MICHAEL F 3017 W CHARLESTON BLVD STE 12 LAS VEGAS NV 103469 Clark 702-567-9980 Physicians Family Medicine 880399432KARAJOHN, NICKOLAS 999 ADAMS BLVD BOULDER CITY NV 103470 Clark 702-430-5000 Physicians Family Medicine 203502995KARAJOHN, NICKOLAS S 2231 W CHARLESTON BLVD LAS VEGAS NV 103492 Clark 702-383-2273 Physicians Family Medicine 562391408KARBOWSKI, WALTER A 9775 S MARYLAND PKWY STE A LAS VEGAS NV 103502 Clark 702-837-0392 Physicians Chiropractor 880434846KARCHEFSKI, HEATHER R 1625 E PRATER WAY STE 107 SPARKS NV 103503 Washoe 775-825-4744 Rehabilitation Speech Pathology 562328617KARDOONI, KAVEH 2020 PALOMINO LN LAS VEGAS NV 103504 Clark 702-759-8600 Physicians Radiology/Diagnostic 341090399KARIMI, MAHYAR A 9771 S EASTERN AVE STE 100 LAS VEGAS NV 103529 Clark 702-616-9655 Physicians Oral Surgery 208899851KARIMZADA, DONNA 45 E SILVERADO RANCH BLVD STE 100 LAS VEGAS NV 103537 Clark 702-425-6810 Physicians General Dentist 833457455KARKAVANDIAN, HABIB H 7391 W CHARLESTON BLVD LAS VEGAS NV 103540 Clark 702-823-4255 Physicians Emergency Medicine 201715471KARL, GARY A 7240 W AZURE DR STE 165 LAS VEGAS NV 103542 Clark 702-396-7689 Physicians Family Medicine 161728717KARL, ROBERT J 100 N GREEN VALLEY PKWY STE 239 HENDERSON NV 103544 Clark 702-933-1485 Physicians Family Medicine 202335171KARLIN, DAVID S 645 N ARLINGTON AVE STE 250A RENO NV 103545 Washoe 855-896-8446 Physicians Radiology/Diagnostic 880145500KARMAN, STEPHEN J 6900 PECOS RD NORTH LAS VEGAS NV 103547 Clark 702-791-9000 Physicians Internal Medicine 841687907KARNO, GRANT M 2809 W CHARLESTON BLVD LAS VEGAS NV 103549 Clark 702-476-9999 Physicians Pain Management 270638220KARRAM, MICKEY M 9260 W SUNSET RD STE 100 LAS VEGAS NV 103551 Clark 702-255-3547 Physicians Urology 460766041KARRASCH, CHARLES C 435 W PLUMB LN RENO NV 103552 Washoe 775-786-5561 Physicians Podiatry 880179126KARSENTI, JEREMIE 2020 PALOMINO LN STE 100 LAS VEGAS NV 103554 Clark 702-759-8600 Physicians Radiology/Diagnostic 834325292KARTCHNER, NATHAN J 2375 E PRATER WAY SPARKS NV 103555 Washoe 775-331-7000 Physicians Emergency Medicine 833597814KARTZINEL, DAVID E 3196 S MARYLAND PKWY STE 410 LAS VEGAS NV 103557 Clark 702-731-6000 Physicians Obstetrics/Gynecology 880126313KARWAN, RAJINDER 6161 W CHARLESTON BLVD LAS VEGAS NV 103558 Clark 702-486-6045 Physicians Psychiatry 886000022KARWOSKI, DOUGLAS D 901 MEDICAL CENTER DR STE 200 DAYTON NV 103559 Lyon 775-246-7122 Physicians General Dentist 880120754KAS-OSOKA, ORIAKU A 3006 S MARYLAND PKWY STE 315 LAS VEGAS NV 103560 Clark 702-992-6868 Physicians Pediatrics 940382330KASAR, PRACHI 1155 MILL ST # W11 RENO NV 103564 Washoe 775-327-5174 Physicians Obstetrics/Gynecology 880502320KASHEF, GHULAM H 10001 S EASTERN AVE STE 108 HENDERSON NV 103565 Clark 702-952-3444 Physicians Oncology 880350180KASHTAN, HARRIS W 1707 W CHARLESTON BLVD STE 160 LAS VEGAS NV 103567 Clark 702-671-5070 Physicians General Surgery 813419791KASHYAP, DEEPALI 1389 GALLERIA DR HENDERSON NV 103568 Clark 702-983-2010 Physicians Obstetrics/Gynecology 473096530KASIMI, IRAJ H 3350 NOVAT ST STE 145 LAS VEGAS NV 103569 Clark 702-395-1088 Physicians General Dentist 823702658KASPER, JARED M 2874 N CARSON ST STE 300 CARSON CITY NV 103570 Carson City 775-445-5500 Physicians Radiology/Diagnostic 880279310KASPRZAK, PETER 1107 US HIGHWAY 395 S GARDNERVILLE NV 103572 Douglas 775-782-1500 Physicians Anesthesiology 880101307KASSOF, RON T 620 SHADOW LN LAS VEGAS NV 103583 Clark 788-342-8000 Physicians Anesthesiology 204727467KASTER, DUFF 10470 W CHEYENNE AVE STE 110 LAS VEGAS NV 103586 Clark 702-405-7400 Physicians General Dentist 450896566KASTNER-GALVIN, CRISTINE B 7180 CASCADE VALLEY CT STE 180 LAS VEGAS NV 103593 Clark 702-892-8007 Physicians Certified Nurse Practitioner 880334024KASTRUP, JOHN J 1505 WIGWAM PKWY STE 330 HENDERSON NV 103594 Clark 702-878-0393 Physicians Orthopedic Surgery 880313907KATENDE, BURTSON 5216 BOULDER HWY STE 105 LAS VEGAS NV 103596 Clark 702-547-6764 Physicians Certified Nurse Practitioner 852357914KATHERINE A. KEELEY, MD, PC 2649 WIGWAM PKWY STE 102 HENDERSON NV 103597 Clark 702-263-9339 Physicians Oral Surgery 880413412KATIGBAK, CESAR K 3650 S POINTE CIR STE 113 LAUGHLIN NV 103598 Clark 702-243-4700 Physicians Family Medicine 010751148KATZ, BRET G 4225 E SAHARA AVE STE A-12 LAS VEGAS NV 103599 Clark 702-641-8122 Physicians Chiropractor 880436926KATZ, JASON R 2375 E PRATER WAY SPARKS NV 103600 Washoe 775-331-7000 Physicians Emergency Medicine 208753074KATZ, LESLIE A 2831 SAINT ROSE PKWY STE 222 HENDERSON NV 103602 Clark 702-589-4871 Physicians Professional Counselor 823795906

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 98 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDKAUFER, CASHA 1665 OLD HOT SPRINGS RD STE 150 CARSON CITY NV 103603 Carson City 775-687-0870 Physicians Psychology (Clinical) 886000022KAUFMAN, NATALIE A 64 N PECOS RD HENDERSON NV 103604 Clark 702-990-6446 Physicians Professional Counselor 452500586KAUNISMAKI, YVETTE R 480 GALLETTI WAY SPARKS NV 103605 Washoe 775-688-2001 Physicians Psychiatry 886000022KAURA, NEIL V 2020 PALOMINO LN STE 100 LAS VEGAS NV 103606 Clark 702-759-8600 Physicians Radiology/Diagnostic 263644621KAUSHAL, DHAN D 2460 W HORIZON RIDGE PKWY HENDERSON NV 103609 Clark 702-822-2000 Physicians Hematology/Oncology 880350180KAVEH, KIAN 731 N NELLIS BLVD STE 2 LAS VEGAS NV 103614 Clark 702-438-4003 Physicians Internal Medicine 880238750KAVEH, SASSAN 3150 N TENAYA WAY LAS VEGAS NV 103615 Clark 702-233-6661 Physicians Internal Medicine 542074583KAVIC, THOMAS A 2020 PALOMINO LN LAS VEGAS NV 103619 Clark 702-759-8600 Physicians Radiology/Diagnostic 842544520KAVINOKY, BENJAMIN R 880 ALDER AVE INCLINE VILLAGE NV 103649 Washoe 775-833-4100 Physicians Emergency Medicine 862775542KAWAGUCHI, MICHAEL M 6925 N DURANGO DR LAS VEGAS NV 103650 Clark 702-732-6000 Physicians Radiology/Diagnostic 880213519KAWAMOTO, IAN 8145 W SAHARA AVE STE 510 LAS VEGAS NV 103653 Clark 702-360-0106 Physicians Optometry 271192356KAWAN, MARY B 653 N TOWN CENTER DR STE 406 LAS VEGAS NV 103664 Clark 702-260-4525 Physicians Pediatrics 880351343KAY, JOHNSON C 1707 W CHARLESTON BLVD STE 290 LAS VEGAS NV 103665 Clark 702-671-6475 Physicians Rheumatology 813419791KAYALI, ZEID K 2031 MCDANIEL ST NORTH LAS VEGAS NV 103668 Clark 702-633-0207 Physicians Internal Medicine 262321457KAYE, LEAH A 8851 W SAHARA AVE LAS VEGAS NV 103671 Clark 702-254-1777 Physicians Obstetrics/Gynecology 814830154KAYEM, MARC J 653 N TOWN CENTER DR STE 602 LAS VEGAS NV 103673 Clark 702-888-1188 Physicians Otolaryngology 452587043KAYNE, MAEGAN A 2012 S JONES BLVD LAS VEGAS NV 103674 Clark 702-360-1137 Rehabilitation Speech Pathology 412129643KAZEM, FATIMA 235 W 6TH ST RENO NV 103675 Washoe 775-770-3207 Physicians Radiology/Diagnostic 880145500KAZEMI, NAVID 3150 N TENAYA WAY STE 460 LAS VEGAS NV 103677 Clark 702-233-1000 Physicians Cardiology 880393130KAZEMI, REZA 2040 W CHARLESTON BLVD LAS VEGAS NV 103681 Clark 702-671-5127 Physicians Psychiatry 886000022KCI USA 1360 GREG ST STE 105 SPARKS NV 103683 Washoe 775-331-5788 Ancillary Providers 742152396KCI USA - LAS VEGAS 6265 S VALLEY VIEW BLVD STE C LAS VEGAS NV 103685 Clark 702-795-2073 Ancillary Providers 742152396KCI USA - SPARKS 1380 GREG ST STE 238 SPARKS NV 103688 Washoe 800-275-4524 Ancillary Providers 742152396KCI USA, INC 1380 GREG ST STE 238 SPARKS NV 103690 Washoe 800-275-4524 Ancillary Providers 742152396KCI USA, INC. 1360 GREG ST STE 106 SPARKS NV 103693 Washoe 888-275-4524 Ancillary Providers 742152396KEAMY II, MITCHELL F 1800 W CHARLESTON BLVD LAS VEGAS NV 103695 Clark 702-878-0070 Physicians Anesthesiology 822526636KEATING, CASEY A 10085 DOUBLE R BLVD RENO NV 103705 Washoe 775-982-5000 Physicians Physical Medicine & Rehabilitation942728480KECK, LESLIE E 2650 N TENAYA WAY STE 302 LAS VEGAS NV 103706 Clark 702-240-0088 Physicians Internal Medicine 880213519KEDIA, ANITA 343 ELM ST STE 400 RENO NV 103707 Washoe 775-323-6700 Physicians Cardiology 880303924KEEFER, AMANDA D 555 W ARLINGTON AVE RENO NV 103709 Washoe 775-786-3040 Physicians Certified Nurse Practitioner 880103557KEEL, DANIELLE N 10521 JEFFREYS ST STE 100 HENDERSON NV 103711 Clark 702-724-2020 Physicians Optometry 201730312KEELER, SEAN M 5761 S FORT APACHE RD LAS VEGAS NV 103713 Clark 702-341-6610 Physicians Obstetrics/Gynecology 200669851KEELEY, KATHERINE A 2649 WIGWAM PKWY STE 102 HENDERSON NV 103718 Clark 702-263-9339 Physicians Oral Surgery 880413412KEGEL, AMY M 141 KEDDIE ST FALLON NV 103720 Churchill 775-423-7141 Physicians Psychology (Clinical) 886000022KEIFER, TERRY J 2020 PALOMINO LN STE 100 LAS VEGAS NV 103722 Clark 702-759-8600 Physicians Radiology/Diagnostic 880119638KEISERMAN, MICHELLE 2401 W HORIZON RIDGE PKWY HENDERSON NV 103747 Clark 702-221-7001 Physicians Social Worker 886000022KELHETTER, KAITLYN 1625 E PRATER WAY STE 107 SPARKS NV 103748 Washoe 775-825-4744 Rehabilitation Speech Pathology 562328617KELLER, ANGELA M 2780 S JONES BLVD STE 100A LAS VEGAS NV 103749 Clark 702-820-3061 Physicians Professional Counselor 820870653KELLER, DEANNA 5850 POLARIS AVE STE 100 LAS VEGAS NV 103750 Clark 702-739-9957 Rehabilitation Physical Therapy 752014828KELLER, JENNIFER 5590 KIETZKE LN RENO NV 103751 Washoe 775-323-2080 Physicians Certified Nurse Practitioner 880502320KELLER, MARIA A 8605 S EASTERN AVE LAS VEGAS NV 103754 Clark 702-671-0006 Physicians Obstetrics/Gynecology 208407559KELLEY, ASHLEY V 2881 BUSINESS PARK CT STE 224 LAS VEGAS NV 103756 Clark 702-967-3510 Physicians Internal Medicine 201026537KELLEY, FRANCIS P 1500 E 2ND ST STE B RENO NV 103757 Washoe 775-982-2400 Physicians Cardiology 880247743KELLEY, JOHN S 6250 N DURANGO DR LAS VEGAS NV 103758 Clark 702-438-4692 Physicians Obstetrics/Gynecology 270024561KELLEY, RALPH Z 1800 W CHARLESTON BLVD LAS VEGAS NV 103761 Clark 702-383-2000 Physicians General Surgery 880330858KELLOGG PHYSICAL THERAPY 2219 N 5TH ST STE B ELKO NV 103763 Elko 775-738-9600 Rehabilitation 043821114KELLY HAWKINS PHYSICAL THERAPY WORKS3831 W CHARLESTON BLVD LAS VEGAS NV 103764 Clark 702-876-1733 Rehabilitation 562456868KELLY HAWKINS PT WORKS 3753 HOWARD HUGHES PKWY STE 141 LAS VEGAS NV 103765 Clark 702-737-8820 Rehabilitation 880160063KELLY, /SANDAL A 5836 S PECOS RD STE 102 LAS VEGAS NV 103769 Clark 702-255-0056 Physicians Marriage & Family Therapist 471479122KELLY, DAVID 1820 S ARLINGTON AVE RENO NV 103772 Washoe 775-329-8622 Physicians General Dentist 834224349KELLY, DONNA L 1501 E CALVADA BLVD PAHRUMP NV 103773 Nye 775-727-5500 Physicians Certified Nurse Practitioner 880213519

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 99 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDKELLY, JOHN P 1535 MEDICAL PKWY STE B CARSON CITY NV 103775 Carson City 775-445-7960 Physicians Hematology/Oncology 880279183KELLY, KATHLEEN L 1070 W HORIZON RIDGE PKWY STE 200 HENDERSON NV 103778 Clark 702-349-7309 Physicians Social Worker 262914558KELLY, MEGHAN 555 W ARLINGTON AVE RENO NV 103780 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557KELLY, MEREDITH J 605 SIERRA ROSE DR STE 4 RENO NV 103782 Washoe 775-689-5410 Physicians Certified Nurse Practitioner 205244843KELLY, RAE F 1405 ARVILLE ST STE 102 LAS VEGAS NV 103783 Clark 702-870-9200 Physicians Chiropractor 860836654KELLY, TAMMY R 6850 N DURANGO DR STE 310 LAS VEGAS NV 103787 Clark 702-255-3547 Physicians Obstetrics/Gynecology 270024561KELLY, THOMAS F 6080 S FORT APACHE RD LAS VEGAS NV 103788 Clark 702-309-2015 Physicians Ophthalmology 880351528KELNER, ANDREW F 1610 E LAKE MEAD BLVD NORTH LAS VEGAS NV 103791 Clark 702-476-9999 Physicians Anesthesiology 270638220KELSEY, MICHAEL S 4019 E SUNSET RD HENDERSON NV 103792 Clark 702-452-5000 Physicians Chiropractor 880230013KENNEDY, HAROLD L 75 PRINGLE WAY RENO NV 103795 Washoe 775-323-7500 Physicians Colorectal Surgery 880341656KENNEDY, KEIRON T 1397 S LOOP RD PAHRUMP NV 103796 Nye 702-759-8600 Physicians Radiology/Diagnostic 481290229KENNEDY, STEVEN 2375 E PRATER WAY SPARKS NV 103816 Washoe 775-331-7000 Physicians Emergency Medicine 475671561KENNER, HAL T 3186 S MARYLAND PKWY LAS VEGAS NV 103817 Clark 702-878-0070 Physicians CRNA 200420553KENNEY, GREGORY J 2444 KINGSVIEW WAY CARSON CITY NV 103825 Carson City 775-883-4299 Physicians Family Medicine 880502320KENNY, THOMAS J 7175 W LAKE MEAD BLVD STE 110 LAS VEGAS NV 103827 Clark 702-228-9911 Physicians General Dentist 205338830KENON, ALVIN 6600 W CHARLESTON BLVD STE 140 LAS VEGAS NV 103828 Clark 702-437-4673 Physicians Social Worker 043290453KENT M. ROBERTSON OD INC. 409 MURRY ST ELY NV 103829 White Pine 775-289-2580 Physicians Optometry 870746623KENTON, ROBERT W 1285 FINANCIAL BLVD RENO NV 103830 Washoe 855-386-0188 Physicians Radiology/Diagnostic 880113741KENYHERZ, GREGORY E 10300 RAINMAKER CT *PLEASE DO NOT PUBLISH IN DIRECTORYRENO NV 103831 Washoe 952-595-1100 Physicians Radiology/Diagnostic 412007905KEOGH, ABIGAIL 2012 S JONES BLVD LAS VEGAS NV 103832 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643KERFOOT, ANNA K 10619 PROFESSIONAL CIR RENO NV 103833 Washoe 775-852-4848 Physicians Certified Nurse Practitioner 880182841KERIO, AMMAR 1580 E DESERT INN RD LAS VEGAS NV 103834 Clark 702-655-6777 Physicians General Dentist 331207123KERMANI, BEHZAD 2551 N GREEN VALLEY PKWY STE 306C HENDERSON NV 103835 Clark 702-435-1995 Physicians Internal Medicine 880305953KERNS, PAULA S 6490 S MCCARRAN BLVD STE B10 RENO NV 103837 Washoe 775-323-5458 Rehabilitation Physical Therapy 820364918KERSHNAR, ANN K 8352 W WARM SPRINGS RD LAS VEGAS NV 103838 Clark 702-944-4028 Physicians Pediatric Endocrinology 880456336KERTIS, JEFFREY 555 W ARLINGTON AVE RENO NV 103839 Washoe 775-786-3040 Rehabilitation Physical Therapy 880103557KESHMIRI, SHIVA 9690 W TROPICANA AVE STE 110 LAS VEGAS NV 103840 Clark 702-433-8400 Physicians General Dentist 200442106KESS EVARTS, BARBARA E 1091 HASKETT ST RENO NV 103841 Washoe 775-322-5502 Physicians Marriage & Family Therapist 880505930KESSLER, DANELLE K 7180 CASCADE VALLEY CT STE 180 LAS VEGAS NV 103845 Clark 702-641-2150 Physicians Certified Nurse Practitioner 880334024KESSLER, ROBERT E 874 AMERICAN PACIFIC DR HENDERSON NV 103846 Clark 702-777-4809 Physicians Neurology 200363127KETCHUM, DAVID C 2647 BOX CANYON DR LAS VEGAS NV 103847 Clark 702-363-5575 Physicians Chiropractor 721553684KETRING, RICHARD A 1175 HARVARD WAY RENO NV 103848 Washoe 775-329-4402 Physicians Chiropractor 860870767KEVIN BERNSTEIN MD LLC 7010 SMOKE RANCH RD STE 120 LAS VEGAS NV 103849 Clark 702-477-7044 Physicians Psychiatry 341623095KEW, JAMES R 1785 E SAHARA AVE STE 320 LAS VEGAS NV 103850 Clark 702-795-8808 Physicians CRNA 880310098KEWANYAMA, JULIE R 1385 VISTA LN CARSON CITY NV 103852 Carson City 775-329-4600 Physicians Certified Nurse Practitioner 880182841KEY MEDICAL INC. 5442 LONGLEY LN STE A RENO NV 103853 Washoe 775-309-4600 Ancillary Providers 273980433KEY, TERRI A 1500 E 2ND ST STE 203 RENO NV 103855 Washoe 775-329-4500 Physicians Ophthalmology 205368967KEYSAR, JEFFREY S 5836 S PECOS RD LAS VEGAS NV 103856 Clark 702-325-1072 Physicians Chiropractor 860959491KHADIV, MEHRNAZ 10870 W CHARLESTON BLVD STE 170 LAS VEGAS NV 103857 Clark 702-254-6412 Physicians General Dentist 260160921KHAIRAH, GURPREET S 9771 S EASTERN AVE STE 100 LAS VEGAS NV 103859 Clark 702-616-9655 Physicians General Dentist 208899851KHALAF, GHASSAN H 8460 S EASTERN AVE STE D LAS VEGAS NV 103862 Clark 702-270-0025 Physicians General Dentist 464066959KHALEK, ABDEL M 9410 DEL WEBB BLVD LAS VEGAS NV 103863 Clark 702-649-4297 Physicians Internal Medicine 880306188KHALILI, LEILA 10624 S EASTERN AVE STE A955 HENDERSON NV 103864 Clark 702-800-5393 Physicians Internal Medicine 263668328KHALILI, MICHAEL 1397 S LOOP RD PAHRUMP NV 103866 Nye 702-759-8600 Physicians Radiology/Diagnostic 341090399KHALILI, MICHAEL 235 W 6TH ST RENO NV 103889 Washoe 775-770-3207 Physicians Radiology/Diagnostic 880145500KHAMAMKAR, RAJEEV S 1930 VILLAGE CENTER CIR LAS VEGAS NV 103898 Clark 702-438-3400 Physicians Anesthesiology 205831615KHAN, ASHFAQ A 3131 LA CANADA ST LAS VEGAS NV 103901 Clark 702-933-9400 Physicians Cardiology 880213519KHAN, IKRAM U 3006 S MARYLAND PKWY STE 400 LAS VEGAS NV 103902 Clark 702-595-1059 Physicians General Surgery 880165838KHAN, KAMRAN A 8008 ROXBURGH CASTLE AVE LAS VEGAS NV 103903 Clark 702-463-8762 Physicians Pulmonology 264735319KHAN, LUBNA 100 N GREEN VALLEY PKWY STE 110 HENDERSON NV 103906 Clark 702-436-7700 Physicians Family Medicine 880505906KHAN, MADIHA A 874 AMERICAN PACIFIC DR HENDERSON NV 103907 Clark 702-777-8687 Physicians Family Medicine 200363127

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 100 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDKHAN, MATTHEW P 236 W 6TH ST STE 100 RENO NV 103908 Washoe 775-329-9010 Physicians Certified Nurse Practitioner 880173816KHAN, MUHAMMAD Q 700 W WARM SPRINGS RD STE 100 LAS VEGAS NV 103909 Clark 702-216-3350 Physicians Internal Medicine 710972968KHAN, NADRA N 4500 MEADOWS LN LAS VEGAS NV 103912 Clark 702-258-8100 Physicians Internal Medicine 880404402KHAN, NAZIA S 1707 W CHARLESTON BLVD STE 160 LAS VEGAS NV 103916 Clark 702-671-5060 Physicians Internal Medicine 880330858KHAN, SHEHMA 1800 W CHARLESTON BLVD LAS VEGAS NV 103919 Clark 702-383-2085 Physicians Emergency Medicine 371539218KHAN, ZIA U 5785 S FORT APACHE RD STE A100 LAS VEGAS NV 103933 Clark 702-822-2273 Physicians Cardiology 201354387KHANI, RAAFAT 118 E HASKELL ST WINNEMUCCA NV 103938 Humboldt 775-623-5222 Physicians Internal Medicine 886000088KHANKHANIAN, FARNAZ 3770 US HIGHWAY 395 S CARSON CITY NV 103941 Douglas 775-267-5611 Physicians Optometry 870810594KHANNA, BINDU 500 S RANCHO DR STE 12 LAS VEGAS NV 103943 Clark 702-877-1887 Physicians Nephrology 880136673KHARAZI, PEJMAN 5570 CAMINO AL NORTE STE 1 NORTH LAS VEGAS NV 103945 Clark 702-657-0756 Physicians Family Medicine 463164188KHARRUBI, RANI M 1800 W CHARLESTON BLVD LAS VEGAS NV 103960 Clark 702-992-6868 Physicians Pediatrics 880330858KHATTAK, HARRIS 9285 S CIMARRON RD STE 125 LAS VEGAS NV 103966 Clark 702-433-5355 Physicians General Dentist 262260433KHAVKIN CLINIC PLLC 653 N TOWN CENTER DR STE 602 LAS VEGAS NV 103967 Clark 702-888-1188 Physicians Neurological Surgery 452587043KHAVKIN, ALBERT 2320 PASEO DEL PRADO LAS VEGAS NV 103968 Clark 702-873-4567 Physicians Anesthesiology 161679125KHAVKIN, JEANNIE 10410 S EASTERN AVE STE 110 HENDERSON NV 103969 Clark 702-617-9599 Physicians Otolaryngology 364105559KHAVKIN, YEVGENIY A 7140 SMOKE RANCH RD # 150 LAS VEGAS NV 103972 Clark 702-839-4810 Physicians Neurological Surgery 203007839KHEMKA, SUDHIR S 3835 S JONES BLVD STE 104 LAS VEGAS NV 103974 Clark 702-880-4193 Physicians Anesthesiology 454159309KHILNANI, GABRIELA 4920 W LONE MOUNTAIN RD LAS VEGAS NV 103985 Clark 702-438-2425 Physicians Certified Nurse Practitioner 880213519KHORSHAD, DANIEL 4492 S PECOS RD LAS VEGAS NV 103988 Clark 702-701-7999 Physicians General Dentist 472246740KHORSHID, KEIVAN 7219 W SAHARA AVE STE 130 LAS VEGAS NV 103989 Clark 702-228-1700 Physicians General Dentist 880451597KHOSOUSI, MOHAMMAD 2285 E FLAMINGO RD STE 101 LAS VEGAS NV 103990 Clark 702-522-9192 Physicians General Dentist 472572779KHOSSOOSI, LEILA 2285 E FLAMINGO RD STE 101 LAS VEGAS NV 103991 Clark 702-522-9192 Physicians General Dentist 472572779KHOURY, JOHNNY M 7521 W LAKE MEAD BLVD LAS VEGAS NV 103992 Clark 702-804-5556 Physicians Ophthalmology 880404140KHOURY, RONALD J 4700 LAS VEGAS BLVD N NELLIS AFB NV 103993 Clark 702-653-2318 Physicians Family Medicine 300107581KHULLAR, AASHISH 2001 ERRECART BLVD ELKO NV 103994 Elko 888-952-6772 Physicians Internal Medicine 474209984KHURANA, SAPANDEEP 526 S TONOPAH DR STE 200 LAS VEGAS NV 103995 Clark 702-440-8430 Physicians Psychiatry 832602698KHUU, ANTHONY N 1155 MILL ST RENO NV 103997 Washoe 775-982-8100 Physicians Radiology/Diagnostic 232859375KIA, ALI 1707 W CHARLESTON BLVD STE 230 LAS VEGAS NV 103998 Clark 702-671-2345 Physicians Internal Medicine 813419791KIAT-ONG, ALYSSA 1050 E SAHARA AVE LAS VEGAS NV 103999 Clark 702-880-4193 Physicians Certified Nurse Practitioner 880404982KIDDJR, RODNEY D 7500 SMOKE RANCH RD STE 100 LAS VEGAS NV 104005 Clark 702-254-5004 Physicians Radiology/Diagnostic 205220791KIDIAVAYI, STANLEY M 7391 W CHARLESTON BLVD STE 140 LAS VEGAS NV 104006 Clark 702-304-2144 Physicians Certified Nurse Practitioner 274185968KIDWELL, WALTER M 7435 W AZURE DR STE 190 LAS VEGAS NV 104022 Clark 702-788-5252 Physicians Pain Management 880245302KIECKBUSCH, TRAVIS D 689 SIERRA ROSE DR RENO NV 104024 Washoe 775-800-1858 Physicians Orthopedic Surgery 880107997KIEFER, DANIEL G 10105 BANBURRY CROSS DR LAS VEGAS NV 104026 Clark 702-341-6610 Physicians Obstetrics/Gynecology 522406330KIEHN, ELIZABETH M 605 SIERRA ROSE DR STE 4 RENO NV 104027 Washoe 775-689-5410 Physicians Certified Nurse Practitioner 205244843KIENE, KEVIN L 640 W MOANA LN STE 2 RENO NV 104029 Washoe 775-324-0699 Physicians Dermatology 880361999KIENER, JOSEPH L 530 HAMMILL LN RENO NV 104032 Washoe 775-825-1234 Physicians Plastic & Reconstructive Surgery 880331618KIEPERT, MARY S 2810 S JONES BLVD STE 1 LAS VEGAS NV 104033 Clark 702-873-1899 Physicians Pediatrics 880371408KIERNAN, CYNTHIA A 2310 E SERENE AVE LAS VEGAS NV 104035 Clark 702-614-5435 Physicians Optometry 880455807KIERNAN, JAMES V 1559 WATASHEAMU RD GARDNERVILLE NV 104036 Douglas 775-265-8622 Physicians Social Worker 880120754KIESSLING, GEORGE R 151 W BROOKS AVE NORTH LAS VEGAS NV 104037 Clark 888-997-2669 Rehabilitation Physical Therapy 752014828KILBURN, JEREMY P 1707 W CHARLESTON BLVD STE 290 LAS VEGAS NV 104043 Clark 702-671-6475 Physicians Pulmonology 813419791KILGORE, PATRICIA 2831 SAINT ROSE PKWY STE 222 HENDERSON NV 104045 Clark 702-589-4871 Physicians Marriage & Family Therapist 823795906KILLGORE, CODY M 555 W ARLINGTON AVE RENO NV 104046 Washoe 775-786-3040 Rehabilitation Occupational Therapy 880103557Kilpatrick, Robert 3001 SAINT ROSE PKWY HENDERSON NV 104047 Clark 702-616-5066 Physicians Emergency Medicine 880367250KIM, AH YOUNG 1080 N HILLS BLVD STE 150 RENO NV 104049 Washoe 775-677-0790 Physicians General Dentist 465271918KIM, ANDREW 8205 W WARM SPRINGS RD STE 250 LAS VEGAS NV 104050 Clark 702-227-2152 Physicians Pain Management 910858192KIM, ANGELO 8280 W WARM SPRINGS RD LAS VEGAS NV 104060 Clark 510-350-2600 Physicians Emergency Medicine 862775542KIM, CHARLES B 6080 S DURANGO DR STE 105 LAS VEGAS NV 104062 Clark 702-586-6688 Physicians General Surgery 202999408KIM, CHRISTINE J 1750 WHEELER PEAK DR LAS VEGAS NV 104067 Clark 702-272-1100 Physicians General Dentist 880510609KIM, DANIEL 1860 E CHARLESTON BLVD LAS VEGAS NV 104068 Clark 702-365-6800 Physicians General Dentist 300889342

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 101 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDKIM, DANIEL H 1905 MCDANIEL ST STE 104 NORTH LAS VEGAS NV 104069 Clark 702-838-9410 Physicians Otolaryngology 880368194KIM, DANIEL K 6950 W DESERT INN RD STE 110 LAS VEGAS NV 104071 Clark 702-259-5550 Physicians Anesthesiology 880319744KIM, DAVID H 5380 S RAINBOW BLVD STE 226 LAS VEGAS NV 104073 Clark 702-939-1600 Physicians Internal Medicine 412099590KIM, EUGENE 7181 N HUALAPAI WAY STE 105 LAS VEGAS NV 104075 Clark 702-852-1818 Physicians General Dentist 810950476KIM, JAMES 175 N STEPHANIE ST STE 170 HENDERSON NV 104076 Clark 702-997-5958 Physicians Oral Surgery 208863082KIM, JAMES Y 169 N NELLIS BLVD LAS VEGAS NV 104103 Clark 702-384-1010 Physicians Oral Surgery 300889342KIM, JASON 3001 SAINT ROSE PKWY HENDERSON NV 104104 Clark 510-350-2600 Physicians Emergency Medicine 862775542KIM, JI I 150 W CENTENNIAL PKWY STE 113 NORTH LAS VEGAS NV 104106 Clark 702-642-1386 Physicians General Dentist 452050276KIM, JOHN A 4980 W SAHARA AVE LAS VEGAS NV 104107 Clark 702-216-7365 Physicians Emergency Medicine 824933457KIM, JONATHAN 7910 W TROPICAL PKWY LAS VEGAS NV 104108 Clark 702-273-3676 Physicians General Dentist 813137438KIM, JONATHAN E 1378 PASEO VERDE PKWY STE 100 HENDERSON NV 104110 Clark 702-897-7267 Physicians General Dentist 201176066KIM, JOON P 9127 W RUSSELL RD LAS VEGAS NV 104111 Clark 702-878-0070 Physicians Anesthesiology 200420553KIM, JOSEPH Y 4855 BLUE DIAMOND RD STE 100 LAS VEGAS NV 104120 Clark 702-216-7305 Physicians Emergency Medicine 862775542KIM, JOYCE 4221 MCLEOD DR LAS VEGAS NV 104121 Clark 702-474-6450 Physicians Marriage & Family Therapist 880111970KIM, KAHWA 640 E DEER SPRINGS WAY STE 180 NORTH LAS VEGAS NV 104123 Clark 702-399-3800 Physicians General Dentist 461193475KIM, KAREN S 525 MARKS ST HENDERSON NV 104124 Clark 702-671-1000 Physicians Internal Medicine 886000436KIM, KITAE 3131 LA CANADA ST STE 217 LAS VEGAS NV 104125 Clark 702-369-7152 Physicians General Surgery 271152943KIM, KYUNG M 366 W LAKE MEAD PKWY STE 100 HENDERSON NV 104126 Clark 702-464-3090 Physicians Pediatric Dentist 454612311KIM, LYDIA 2831 SAINT ROSE PKWY SUTIE 200 HENDERSON NV 104130 Clark 800-249-1266 Physicians Psychology (Clinical) 452748445KIM, MARTHA A 3140 S DURANGO DR STE 100B LAS VEGAS NV 104131 Clark 702-273-3680 Physicians Certified Nurse Practitioner 811476918KIM, MELANIE M 242 LOS ALTOS PKWY SPARKS NV 104132 Washoe 775-354-1785 Physicians General Dentist 464871811KIM, MICHELLE A 880 ALDER AVE INCLINE VILLAGE NV 104133 Washoe 775-831-6200 Physicians Family Medicine 946068843KIM, MIJUNG 840 N DECATUR BLVD STE A LAS VEGAS NV 104134 Clark 702-333-0110 Physicians Certified Nurse Practitioner 814011797KIM, MIN 390 N STEPHANIE ST STE 104 HENDERSON NV 104136 Clark 702-947-7700 Physicians Orthodontist 825225039KIM, MIN S 2425 E TROPICANA AVE # 5B LAS VEGAS NV 104139 Clark 702-240-9200 Physicians General Dentist 474849934KIM, RAYMOND N 7312 W CHEYENNE AVE STE 3 LAS VEGAS NV 104140 Clark 702-396-9924 Physicians General Dentist 880456583KIM, SAMUEL I 8811 W SAHARA AVE STE 100 LAS VEGAS NV 104142 Clark 702-255-6311 Physicians General Dentist 880370100KIM, SHARON M 4955 S DURANGO DR STE 201 LAS VEGAS NV 104143 Clark 702-933-7275 Physicians Orthodontist 271418464KIM, SHIN Y 18653 WEDGE PKWY RENO NV 104144 Washoe 800-656-7226 Physicians Radiology/Diagnostic 455557052KIM, SOON O 1301 BERTHA HOWE AVE STE 1 MESQUITE NV 104146 Clark 775-783-3043 Physicians General Surgery 270531464KIM, SUNG 6485 N DECATUR BLVD STE 150 LAS VEGAS NV 104149 Clark 702-846-5745 Physicians General Dentist 833358691KIM, SUNGWOOK S 1720 W HORIZON RIDGE PKWY HENDERSON NV 104152 Clark 702-566-5445 Physicians Family Medicine 208434658KIM, THOMAS 2375 E PRATER WAY SPARKS NV 104154 Washoe 775-331-7000 Physicians Emergency Medicine 475671561KIM, THOMAS C 7455 W WASHINGTON AVE STE 160 LAS VEGAS NV 104155 Clark 702-258-3787 Physicians Orthopedic Surgery 880313907KIM, THOMAS M 1155 MILL ST RENO NV 104158 Washoe 775-324-4040 Physicians Psychiatry 886000022KIM, VIDA R 3150 N TENAYA WAY STE 125 LAS VEGAS NV 104159 Clark 702-869-0855 Physicians Certified Nurse Practitioner 880350180KIM, YEONSOO J 9070 W POST RD LAS VEGAS NV 104160 Clark 702-732-6000 Physicians Radiology/Diagnostic 880232199KIM, YURA 2980 S JONES BLVD STE A LAS VEGAS NV 104168 Clark 702-362-3937 Physicians Optometry 201361069KIMBER, MATTHEW 9990 DOUBLE R BLVD STE 200 RENO NV 104169 Washoe 775-348-8800 Rehabilitation Physical Therapy 270028866KIMBLE, ERIKA N 2800 N TENAYA WAY STE 203 LAS VEGAS NV 104172 Clark 702-202-2700 Physicians Certified Nurse Practitioner 461065662KIMMEL, ROBERT J 5 PINE CONE RD STE 102 DAYTON NV 104174 Lyon 775-884-2455 Physicians Family Medicine 680517884KIMURA, MICHAEL T 620 SHADOW LN LAS VEGAS NV 104175 Clark 702-388-4000 Physicians Emergency Medicine 474980349KINARD, BRYCE 169 N NELLIS BLVD LAS VEGAS NV 104176 Clark 702-384-1010 Physicians General Dentist 371797092KINCHEN, PAULA R 1640 ALTA DR STE 4 LAS VEGAS NV 104177 Clark 702-474-6450 Physicians Professional Counselor 880111970Kindred Hospice - Gahanna 1625 E PRATER WAY SPARKS NV 104179 Washoe 866-847-8222 Ancillary Providers 860194505Kindred Hospital - Las Vegas Flamingo Campus Subacute Unit2250 E FLAMINGO RD LAS VEGAS NV 104180 Clark 702-784-4300 Rehabilitation 880304473KINEL FAMILY MEDICINE 9280 W SUNSET RD STE 242 LAS VEGAS NV 104181 Clark 702-724-1400 Physicians Family Medicine 593779254KINEL, CHRISTOPHER J 8880 W SUNSET RD STE 120 LAS VEGAS NV 104182 Clark 702-798-8570 Physicians Family Medicine 593779254KINEX MEDICAL COMPANY 6398 MONTESSOURI ST LAS VEGAS NV 104183 Clark 800-845-6364 Ancillary Providers 392012203KING FAMILY CHIROPRACTIC 2900 CLEAR ACRE LN STE B RENO NV 104185 Washoe 775-673-6858 Physicians Chiropractor 043821114KING HOME HEALTH CARE 2325 RENAISSANCE DR LAS VEGAS NV 104186 Clark 702-568-1176 Ancillary Providers 880368360

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 102 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDKING, ABBEY C 1640 ALTA DR STE 4 LAS VEGAS NV 104187 Clark 702-474-6450 Physicians Professional Counselor 880111970KING, BREANNA M 9285 S CIMARRON RD STE 125 LAS VEGAS NV 104189 Clark 702-433-5355 Physicians General Dentist 262260433KING, CATHERINE 1301 BERTHA HOWE AVE STE 1 MESQUITE NV 104192 Clark 702-346-0800 Physicians Certified Nurse Practitioner 270531464KING, JACQUELINE O 7391 W CHARLESTON BLVD LAS VEGAS NV 104194 Clark 702-304-2144 Physicians Internal Medicine 331159527KING, MEGAN M 880 RYLAND ST RENO NV 104195 Washoe 775-329-4600 Physicians Certified Nurse Practitioner 880182841KING, PAULINE J 1206 S CARSON ST CARSON CITY NV 104196 Carson City 775-445-7330 Physicians Certified Nurse Practitioner 880502320KING, RICHARD N 129 W LAKE MEAD PKWY STE 10 HENDERSON NV 104197 Clark 702-565-1007 Physicians Family Medicine 880213519KING, RODERICK A 6161 W CHARLESTON BLVD LAS VEGAS NV 104198 Clark 702-486-6045 Physicians Psychiatry 886000022KING, TIMOTHY J 1375 VISTA LN CARSON CITY NV 104199 Carson City 775-882-2067 Physicians General Surgery 880106584KING, WENDY H 3006 S MARYLAND PKWY STE 470 LAS VEGAS NV 104200 Clark 702-796-9111 Physicians Pediatrics 880330858KING, WILLIAM 2425 N LAMB BLVD STE 120 LAS VEGAS NV 104202 Clark 702-851-7766 Physicians Nephrology 462812104KINGO, ABBAS R 3131 LA CANADA ST STE 231 LAS VEGAS NV 104210 Clark 702-796-1820 Physicians Pediatrics 880249971KINGSBERG, JESSICA G 2020 PALOMINO LN STE 110 LAS VEGAS NV 104212 Clark 702-474-7200 Physicians Orthopedic Surgery 880293830KINGSLEY, EDWIN C 3730 S EASTERN AVE LAS VEGAS NV 104213 Clark 702-952-3400 Physicians Hematology/Oncology 880350180KINGSTON HEALTH CENTER 535 S HUMBOLDT ST BATTLE MOUNTAIN NV 104215 Lander 775-635-2550 Ambulatory Facilities 880186024KINI, AISHANI S 6930 S CIMARRON RD STE 160 LAS VEGAS NV 104216 Clark 702-368-6788 Rehabilitation Physical Therapy 830375934KINMAN, LYNN M 2667 ENTERPRISE RD RENO NV 104217 Washoe 775-688-1341 Physicians Pediatrics 886000022KINNER, JEFFREY B 10400 S EASTERN AVE HENDERSON NV 104219 Clark 702-531-5437 Physicians General Dentist 432056953KIOKA, MUTSUMI J 1707 W CHARLESTON BLVD STE 230 LAS VEGAS NV 104221 Clark 702-671-5060 Physicians Pulmonology 813419791KIP, KATRINKA T 3006 S MARYLAND PKWY STE 690 LAS VEGAS NV 104223 Clark 702-732-1290 Physicians Pediatric Cardiology 880059665KIP, PHELPS C 6630 S MCCARRAN BLVD # A RENO NV 104226 Washoe 702-828-2873 Physicians Orthopedic Surgery 880345183KIRBY, AMANDA L 1343 NEWLANDS DR W FERNLEY NV 104227 Lyon 775-982-5000 Physicians Certified Nurse Practitioner 880502320KIRBY, DIANA L 2401 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 104230 Clark 702-385-7001 Physicians Certified Nurse Practitioner 020530969KIRGAN, DANIEL M 1707 W CHARLESTON BLVD STE 160 LAS VEGAS NV 104232 Clark 702-671-5150 Physicians Oncology 880330858KIRKEGARD, LESLIE R 3277 E WARM SPRINGS RD STE 300 LAS VEGAS NV 104236 Clark 702-475-4007 Physicians Dietitian 462520735KIRKLAND, MELANIE S 2620 REGATTA DR LAS VEGAS NV 104238 Clark 702-917-8929 Physicians Marriage & Family Therapist 821831864KIRKWOLD, KELSEY M 1025 ROBERTA LN SPARKS NV 104239 Washoe 415-533-1502 Rehabilitation Physical Therapy 562328617KIRMANI, MUZAFFAR H 601 S RANCHO DR STE 31B LAS VEGAS NV 104240 Clark 702-382-3937 Physicians Ophthalmology 954441998KIRMANI, SHARIA A 653 N TOWN CENTER DR STE 504 LAS VEGAS NV 104242 Clark 702-701-8400 Physicians Pediatrics 880365265KISER, MICHELE J 975 RYLAND ST STE 100 RENO NV 104246 Washoe 775-982-5000 Physicians Family Medicine 880502320KISPERT, DAVID B 1409 E LAKE MEAD BLVD NORTH LAS VEGAS NV 104247 Clark 702-649-7711 Physicians Radiology/Diagnostic 410916626KISS, JASON 6460 MEDICAL CENTER ST STE 140 LAS VEGAS NV 104248 Clark 702-888-1340 Physicians Psychology (Clinical) 200654472KISSLING, RYAN N 6441 N DURANGO DR LAS VEGAS NV 104249 Clark 702-538-9100 Physicians Chiropractor 263095633KITCHEN, SARAH 4380 BLUE DIAMOND RD STE 102 LAS VEGAS NV 104250 Clark 702-425-4424 Physicians General Dentist 261748512KITTAH, NANA ESI N 9280 W SUNSET RD STE 426 LAS VEGAS NV 104254 Clark 702-688-8110 Physicians Endocrinology 880213519KITTUSAMY, BHUVANESWARI P 7500 SMOKE RANCH RD STE 200 LAS VEGAS NV 104255 Clark 702-254-5004 Physicians Radiology/Diagnostic 260199135KITTUSAMY, PREM K 401 N BUFFALO DR LAS VEGAS NV 104257 Clark 702-489-9000 Physicians Cardiology 260199135KLAIN, ELLIOT H 9127 W RUSSELL RD LAS VEGAS NV 104259 Clark 702-878-0070 Physicians Anesthesiology 592905984KLATT, CHRISTIANA G 2012 S JONES BLVD LAS VEGAS NV 104268 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643KLATT, RICHARD W 3150 N TENAYA WAY STE 255 LAS VEGAS NV 104271 Clark 702-870-2099 Physicians Pediatrics 880111932KLAUSNER, VICTOR B 801 S RANCHO DR LAS VEGAS NV 104272 Clark 702-474-4454 Physicians Sports Medicine 870735078KLEIN, IRA A 9260 W SUNSET RD LAS VEGAS NV 104273 Clark 702-255-3547 Physicians Anesthesiology 460766041KLEIN, JASON D 4855 BLUE DIAMOND RD LAS VEGAS NV 104274 Clark 702-216-7305 Physicians Emergency Medicine 341906264KLEIN, TYLER 7510 W SAHARA AVE LAS VEGAS NV 104299 Clark 702-220-6666 Physicians General Dentist 880418564KLEIN-AMPTMAN, JANET G 345 CHENEY ST RENO NV 104300 Washoe 775-762-4203 Physicians Professional Counselor 556983560KLEINSASSER, JAN M 2450 W CHARLESTON BLVD LAS VEGAS NV 104301 Clark 702-877-8661 Physicians CRNA 860857176KLEMP JR, RONALD 2012 S JONES BLVD LAS VEGAS NV 104302 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643KLINE, STEVEN L 5385 RENO CORPORATE DR STE 100 RENO NV 104303 Washoe 775-204-3264 Physicians Optometry 710893348KLINGBERG, THEA M 149 N GIBSON RD STE H HENDERSON NV 104304 Clark 702-558-6275 Physicians Occupational Medicine 752014828KLINGENSMITH, DAVID P 9127 W RUSSELL RD STE 110 LAS VEGAS NV 104306 Clark 702-878-0070 Physicians Anesthesiology 852385334KLINGLER, JASON R 6375 W CHARLESTON BLVD STE A500 LAS VEGAS NV 104317 Clark 702-651-5510 Physicians General Dentist 886000024

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 103 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDKLIPP, SONNET J 3120 S RAINBOW BLVD STE 202 LAS VEGAS NV 104318 Clark 702-364-9988 Rehabilitation Audiology 262948435KLIPPER, DAVID M 2020 PALOMINO LN STE 100 LAS VEGAS NV 104321 Clark 702-759-8600 Physicians Radiology/Diagnostic 880119638KLOCK, DHARMA 335 RECORD ST # 155 RENO NV 104346 Washoe 775-324-2622 Physicians Social Worker 886000022KLOEPFER, JENNY M 1665 OLD HOT SPRINGS RD CARSON CITY NV 104347 Carson City 775-687-0887 Physicians Professional Counselor 886000022KLUGH, SERENA A 9280 W SUNSET RD STE 306 LAS VEGAS NV 104349 Clark 702-696-7256 Physicians Endocrinology 203216643KNAPP, CONNIE L 100 N GREEN VALLEY PKWY STE 345 HENDERSON NV 104350 Clark 702-260-0600 Physicians Certified Nurse Practitioner 880384150KNEALE, THERESA 600 S RANCHO DR STE 103 LAS VEGAS NV 104352 Clark 702-258-9381 Rehabilitation Physical Therapy 880386672KNEDGEN, CHARLENE A 540 W PLUMB LN RENO NV 104353 Washoe 775-870-1521 Physicians Certified Nurse Practitioner 454749237KNEDGEN, JOSEPH F 6580 S MCCARRAN BLVD STE D1 RENO NV 104354 Washoe 775-826-9559 Physicians Podiatry 203707845KNEIP, BROOKLYN R 2920 N GREEN VALLEY PKWY HENDERSON NV 104356 Clark 702-253-1173 Physicians Social Worker 043290453KNEWTSON, TRENTON E 6125 W TROPICANA AVE STE A LAS VEGAS NV 104357 Clark 702-701-8900 Physicians Family Medicine 463164188KNISLEY, HELEN 4300 MEADOWS LN STE 104 LAS VEGAS NV 104358 Clark 702-822-6848 Physicians Optometry 331026936KNOBLOCK, LYN A 10001 S EASTERN AVE STE 307 HENDERSON NV 104359 Clark 702-258-7785 Physicians General Surgery 880232840KNOLL, KRAIG A 1375 VISTA LN CARSON CITY NV 104363 Carson City 775-882-2067 Physicians General Surgery 880106584KNOWLES, SUSAN L 2874 N CARSON ST STE 200 CARSON CITY NV 104364 Carson City 775-445-7170 Physicians Rheumatology 911822851KNOWLTON, PATRICIA A 2450 W CHARLESTON BLVD LAS VEGAS NV 104365 Clark 702-877-8661 Physicians CRNA 860857176KNOX WOODWARD, JULIE 4880 WYNN RD LAS VEGAS NV 104366 Clark 702-759-8600 Physicians Certified Nurse Practitioner 880213519KNT PHYSICAL THERAPY INC 70 E HORIZN RIDGE PKWY STE 180 HENDERSON NV 104367 Clark 702-856-0422 Rehabilitation 043821114KO, MARCUS J 650 SIERRA ROSE DR RENO NV 104368 Washoe 775-322-3311 Physicians Ophthalmology 941179505KOCH, SANDRA 1475 MEDICAL PKWY CARSON CITY NV 104370 Carson City 775-883-3636 Physicians Obstetrics/Gynecology 880502320KOCHAV, MARGALIT 3006 S MARYLAND PKWY STE 315 LAS VEGAS NV 104371 Clark 702-992-6868 Physicians Pediatrics 880330858KOCHY M Y TANG DO PC DBA M FAMILY CARE12300 LAS VEGAS BLVD S HENDERSON NV 104373 Clark 702-837-1265 Physicians Family Medicine 880497635KOCI, TIMOTHY M 1285 FINANCIAL BLVD RENO NV 104374 Washoe 855-386-0188 Physicians Radiology/Diagnostic 880113741KODANDAPANI, KESHAVAN 3150 N TENAYA WAY STE 125 LAS VEGAS NV 104376 Clark 702-869-0855 Physicians Certified Nurse Practitioner 880350180KODJOE, GLADYS 1301 BERTHA HOWE AVE STE 2 MESQUITE NV 104377 Clark 702-345-3312 Physicians Internal Medicine 472774158KOE, RONALD C 1710 W HORIZON RIDGE PKWY STE 120 HENDERSON NV 104378 Clark 702-990-4555 Physicians Orthopedic Surgery 880437736KOELLIKER, BRUCE C 9775 S MARYLAND PKWY LAS VEGAS NV 104379 Clark 702-837-0392 Physicians Chiropractor 880456113KOENIG, GREGORY S 415 US HIGHWAY 95A S FERNLEY NV 104381 Lyon 775-575-1966 Physicians Optometry 880494659KOERNER, KIMBERLY D 355 N ARLINGTON AVE RENO NV 104382 Washoe 775-786-3040 Physicians Certified Nurse Practitioner 880103557KOHANTEB, BENNY 556 N EASTERN AVE STE I LAS VEGAS NV 104390 Clark 702-365-6800 Physicians General Dentist 113768722KOHL, CASEY W 3140 TRADERS WAY WINNEMUCCA NV 104391 Humboldt 775-623-6580 Physicians Social Worker 886000022KOHLMEYER, RICHARD E 5680 W FLAMINGO RD STE B LAS VEGAS NV 104392 Clark 702-367-1499 Physicians General Dentist 880224632KOHN, NOAH B 350 JUDSON AVE NORTH LAS VEGAS NV 104393 Clark 702-855-9219 Physicians Pediatrics 203234930KOHN, RONALD J 5081 N RAINBOW BLVD LAS VEGAS NV 104395 Clark 702-487-6500 Physicians Family Medicine 331104789KOHN-MANNIS, CAROL S 10809 GARDEN MIST DR LAS VEGAS NV 104397 Clark 702-326-1702 Physicians Professional Counselor 112343523KOIDE, NIUTON S 9260 W SUNSET RD STE 207 LAS VEGAS NV 104398 Clark 702-962-2200 Physicians Cardiology 364645551KOIRO, BRENDA J 9127 W RUSSELL RD LAS VEGAS NV 104408 Clark 702-878-0070 Physicians CRNA 731451967KOKKONEN, JEREMY J 620 SHADOW LN LAS VEGAS NV 104417 Clark 702-388-4000 Physicians Physical Medicine & Rehabilitation270573539KOKMEYER, DANIEL T 9321 W SUNSET RD LAS VEGAS NV 104418 Clark 702-645-7800 Physicians Orthopedic Surgery 260816957KOLAR, KIMBERLY A 3950 GS RICHARDS BLVD CARSON CITY NV 104419 Carson City 775-882-8777 Physicians Dermatology 813253496KOLAR, SCOTT J 2952 MEADE AVE LAS VEGAS NV 104421 Clark 702-871-1721 Rehabilitation Physical Therapy 911912844KOLEBUCK, GREGG 8685 W SAHARA AVE STE 100 LAS VEGAS NV 104422 Clark 702-838-5400 Physicians General Dentist 880418295KOLUPAEVA, SHANNON 9127 W RUSSELL RD STE 110 LAS VEGAS NV 104423 Clark 702-878-0070 Physicians CRNA 202428069KOMADINA, THOMAS G 1895 PLUMAS ST STE 1 RENO NV 104432 Washoe 775-323-6000 Physicians Ophthalmology 203707845KOMAREK, KRISTOPHER L 783 BASQUE WAY STE 110 CARSON CITY NV 104433 Carson City 775-400-2996 Physicians Social Worker 274829367KONAKIS, JANE E 6570 S MCCARRAN BLVD RENO NV 104434 Washoe 775-982-8256 Physicians Family Medicine 880236758KONCHADA, RAVISHANKAR 3001 SAINT ROSE PKWY HENDERSON NV 104436 Clark 702-616-5585 Physicians Radiology/Diagnostic 262605909KONG, RONALD G 1210 S VALLEY VIEW BLVD LAS VEGAS NV 104437 Clark 702-382-3331 Physicians Family Medicine 202367478KONING, STEVEN B 9700 S MCCARRAN BLVD RENO NV 104442 Washoe 775-827-3937 Physicians Optometry 203190243KOP, SHELDON M 2874 N CARSON ST STE 215 CARSON CITY NV 104443 Carson City 775-445-5500 Physicians Radiology/Diagnostic 880279310KOPECKY, EDWARD L 2450 W CHARLESTON BLVD LAS VEGAS NV 104454 Clark 702-877-8660 Physicians CRNA 860857176

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 104 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDKOPOLOW & GIRISGEN, CORP. 1300 W SUNSET RD STE 1617 HENDERSON NV 104455 Clark 702-436-0266 Physicians Optometry 880484278KOPOLOW & GIRISGEN, OD, PC 3200 LAS VEGAS BLVD S STE 1620 LAS VEGAS NV 104456 Clark 702-733-7370 Physicians Optometry 880484278KOPOLOW AND GIRISGEN OD, BOULEVARD 3614 S MARYLAND PKWY LAS VEGAS NV 104458 Clark 702-737-5243 Physicians Optometry 880484278KOPOLOW AND GIRISGEN OD, FASHION SHOW3200 LAS VEGAS BLVD S STE 1620 LAS VEGAS NV 104459 Clark 702-733-7370 Physicians Optometry 880484278KOPOLOW AND GIRISGEN OD, PC 1300 W SUNSET RD STE 1617 HENDERSON NV 104460 Clark 702-436-0266 Physicians Optometry 880484278KOPOLOW, HARLAN K 7361 W LAKE MEAD BLVD STE 104 LAS VEGAS NV 104465 Clark 702-804-6133 Physicians Optometry 880299615KORCAL, ROBERT P 2851 N TENAYA WAY STE 103 LAS VEGAS NV 104471 Clark 702-240-0088 Physicians Family Medicine 880345631KORI, PRIYANKA 5892 LOSEE RD STE 135 NORTH LAS VEGAS NV 104474 Clark 702-399-8700 Physicians General Dentist 371797092KORVER, GRETCHEN K 3640 WARREN WAY STE 100 RENO NV 104475 Washoe 775-324-0699 Physicians Dermatology 813253496KOS, MICHAEL F 10745 DOUBLE R BLVD RENO NV 104477 Washoe 775-850-6505 Physicians Radiation Oncology 880502810KOSCINSKI, MATTHEW L 7500 W LAKE MEAD BLVD STE 11 LAS VEGAS NV 104478 Clark 702-735-5066 Physicians General Dentist 270865739KOSEOGLU, SELIM T 5840 W CRAIG RD STE 120 LAS VEGAS NV 104480 Clark 888-222-2125 Physicians Ophthalmology 450930381KOSSOL, LORRAINE 9280 W SUNSET RD STE 312 LAS VEGAS NV 104481 Clark 702-737-5864 Physicians Certified Nurse Practitioner 880350180KOSTANIAN, VAROUJAN 3100 N TENAYA WAY LAS VEGAS NV 104483 Clark 702-962-5000 Physicians Radiology/Diagnostic 341090399KOSTANYAN, TIGRAN 2110 E FLAMINGO RD STE 210 LAS VEGAS NV 104509 Clark 702-932-4257 Physicians Ophthalmology 880331757KOSTER, MARKUS K 4001 S DECATUR BLVD STE 42A LAS VEGAS NV 104510 Clark 702-221-0783 Physicians General Dentist 812154260KOT, JOHN D 2450 W CHARLESTON BLVD LAS VEGAS NV 104521 Clark 702-877-8661 Physicians Critical Care 860857176KOTHARI, PRIYA N 9320 W SAHARA AVE LAS VEGAS NV 104522 Clark 702-383-3850 Physicians Internal Medicine 886000436KOTLER, LESLIE M 10470 W CHEYENNE AVE STE 110 LAS VEGAS NV 104523 Clark 702-405-7400 Physicians General Dentist 450896566KOURY, SHADIA 2300 N RAINBOW BLVD STE 121-122 LAS VEGAS NV 104532 Clark 702-259-0233 Physicians Chiropractor 880410976KOVAL, AMANDA J 2800 E DESERT INN RD STE 100 LAS VEGAS NV 104533 Clark 702-892-9077 Rehabilitation Physical Therapy 752984052KOZAR, MARK D 645 N ARLINGTON AVE STE 525 RENO NV 104535 Washoe 775-323-7500 Physicians General Surgery 880341656KOZLOWSKI, CHRISTOPHER M 1500 E 2ND ST STE B RENO NV 104536 Washoe 775-982-2400 Physicians Cardiology 910908129KOZMARY CENTER FOR PAIN MGMT. 2851 EL CAMINO AVE STE 101 LAS VEGAS NV 104537 Clark 702-380-3210 Ancillary Providers 880250024KOZMARY, STEVEN V 2851 EL CAMINO AVE STE 101 LAS VEGAS NV 104538 Clark 702-380-3210 Physicians Anesthesiology 880250024KRAEMER, ERIC J 2001 ERRECART BLVD ELKO NV 104539 Elko 775-738-5151 Physicians Radiology/Diagnostic 810561939KRAINBRINK, CHRISTINA A 655 SIERRA ROSE DR RENO NV 104546 Washoe 775-829-7600 Physicians Certified Nurse Practitioner 880213397KRAKORA, GEORGE A 1155 MILL ST MLS L-11 RENO NV 104547 Washoe 775-982-8100 Physicians Radiology/Diagnostic 880113741KRALL, CHRISTOPHER L 1800 W CHARLESTON BLVD LAS VEGAS NV 104549 Clark 702-385-0890 Physicians Emergency Medicine 274436135KRAMER, STEVEN F 1934 E SAHARA AVE LAS VEGAS NV 104585 Clark 702-369-5758 Physicians Obstetrics/Gynecology 880299277KRASNIEWSKI, DOUGLAS J 1505 WIGWAM PKWY STE 240 HENDERSON NV 104590 Clark 702-568-0195 Rehabilitation Physical Therapy 200042642KRATLIAN, RAZMIG G 7391 W CHARLESTON BLVD STE 140 LAS VEGAS NV 104592 Clark 702-304-2144 Physicians Internal Medicine 201419272Krause, Maria 4221 MCLEOD DR LAS VEGAS NV 104610 Clark 702-474-6450 Physicians Professional Counselor 880111970KRAUSHAAR, DIANA Z 280 S DECATUR BLVD LAS VEGAS NV 104612 Clark 702-759-1000 Physicians Family Medicine 880151573KRAUSHAAR, VIT D 280 S DECATUR BLVD LAS VEGAS NV 104613 Clark 702-759-1000 Physicians Emergency Medicine 880151573KREBS, MELISSA 3186 S MARYLAND PKWY LAS VEGAS NV 104614 Clark 702-731-8211 Physicians Pediatrics 880367250KREBS, STEVEN E 1800 W CHARLESTON BLVD LAS VEGAS NV 104615 Clark 702-385-0890 Physicians Pediatrics 472339130KREMP, RICHARD 3175 SAINT ROSE PKWY STE 130 HENDERSON NV 104664 Clark 702-489-9000 Physicians Radiology/Diagnostic 260199135KRESSLER, MICHAEL R 343 ELM ST STE 302 RENO NV 104672 Washoe 775-826-5121 Physicians Podiatry 811532112KRIEGER, MATTHEW J 175 N STEPHANIE ST STE 170 HENDERSON NV 104675 Clark 702-997-5958 Physicians Oral Surgery 208863082KRISHEN, SWEETIE S 2350 W HORIZON RIDGE PKWY HENDERSON NV 104683 Clark 702-564-8556 Physicians Pediatrics 203416144KRISHNAN, GEETHA 8062 MINOTS LEDGE AVE LAS VEGAS NV 104684 Clark 702-485-3645 Physicians Dietitian 460766041KRISHNAN, JAY A 10619 PROFESSIONAL CIR RENO NV 104685 Washoe 775-852-4848 Physicians Gastroenterology 880182841KRISHNAN, RAVI 6850 N DURANGO DR STE 120 LAS VEGAS NV 104686 Clark 702-944-4028 Physicians Pediatrics 880456336KRISS, COLLEEN M 1649 LUCERNE ST MINDEN NV 104687 Douglas 775-782-1603 Physicians Family Medicine 880405927KRISTAL, LIBBY K 5871 W CRAIG RD LAS VEGAS NV 104689 Clark 702-724-2020 Physicians Ophthalmology 450930381KRISTENSEN, ANNE E 8571 W LAKE MEAD BLVD STE 120 LAS VEGAS NV 104691 Clark 702-360-5194 Physicians Internal Medicine 200725320KRISTENSEN-FESTENESE MEDICAL GROUP 8571 W LAKE MEAD BLVD STE 120 LAS VEGAS NV 104692 Clark 702-360-5194 Ambulatory Facilities 200725320KRIVAN, GAIL P 604 W WASHINGTON ST CARSON CITY NV 104693 Carson City 775-461-3132 Physicians Pain Management 830423162KROCHALIS, THOMAS W 255 W MOANA LN RENO NV 104694 Washoe 775-440-1520 Physicians Certified Nurse Practitioner 275565244KROEGEL, NATHAN 1408 S JONES BLVD LAS VEGAS NV 104695 Clark 702-888-3800 Physicians Certified Nurse Practitioner 261837240

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 105 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDKROL, KATHERINE 5420 KIETZKE LN STE 103 RENO NV 104696 Washoe 775-329-2300 Physicians Optometry 860879921KROLL, JESSICA L 748 S MEADOWS PKWY STE A9-336 RENO NV 104697 Washoe 775-324-4040 Physicians Emergency Medicine 880303529KROLL, KARA R 5420 KIETZKE LN STE 103 RENO NV 104698 Washoe 775-329-2300 Physicians Optometry 860879921KROLL, THOMAS R 2675 E FLAMINGO RD STE 10 LAS VEGAS NV 104699 Clark 702-737-0003 Physicians Optometry 891215211KRONENBERG, GINA M 855 GOLFCOURSE RD ELKO NV 104703 Elko 775-777-7559 Physicians CRNA 200169832KRONENBERG, GREGORY G 855 GOLFCOURSE RD ELKO NV 104704 Elko 775-753-4700 Physicians CRNA 880356566KROON, HOLLY M 975 KIRMAN AVE RENO NV 104705 Washoe 775-786-7200 Physicians Certified Nurse Practitioner 880502320KROPF, AMANDA 2411 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 104706 Clark 702-458-1300 Rehabilitation Physical Therapy 264613465KRSTIC, MARIJA 4275 BURNHAM AVE LAS VEGAS NV 104707 Clark 702-946-5399 Physicians Internal Medicine 651280664KRUEGER, ANDREA E 2649 W HRZN RG PKWY STE 130 HENDERSON NV 104709 Clark 702-733-8364 Physicians Marriage & Family Therapist 205780962KRUITBOSCH, SHANE H 520 HAMMILL LN RENO NV 104711 Washoe 775-348-1313 Physicians Anesthesiology 455557052KRULEWITZ, DAVID L 9455 W RUSSELL RD LAS VEGAS NV 104713 Clark 702-871-9292 Physicians Podiatry 870617430KRULL, LEAH K 897 IRONWOOD DR MINDEN NV 104714 Douglas 775-782-1610 Physicians Rheumatology 880405927KRUPKIN, ERIKA J 2625 E SAINT LOUIS AVE LAS VEGAS NV 104715 Clark 702-799-7437 Rehabilitation Speech Pathology 886000022KRUYER, ANNALEE S 8925 W RUSSELL RD STE 160 LAS VEGAS NV 104717 Clark 702-432-2223 Physicians General Dentist 200939117KU, KO HSIU 4045 S EASTERN AVE LAS VEGAS NV 104718 Clark 702-892-9878 Physicians General Dentist 364612429KUBAL FAMILY MEDICINE 3950 S EASTERN AVE STE 120 LAS VEGAS NV 104719 Clark 702-734-9664 Ambulatory Facilities 464153150KUBAL, VANEETA V 5850 POLARIS AVE STE 100 LAS VEGAS NV 104720 Clark 702-739-9957 Physicians Pediatrics 752014828KUBAL, VIPUL V 861 CORONADO CENTER DR STE 100 HENDERSON NV 104721 Clark 702-454-1322 Physicians Family Medicine 200365179KUBBARA, AAHD 1155 MILL ST RENO NV 104722 Washoe 775-982-7878 Physicians Pulmonology 453782550KUBEL, STEVEN R 212 S NEVADA ST CARSON CITY NV 104723 Carson City 775-887-0400 Physicians Podiatry 721544088KUBERA-SHELTON, EMILIA 604 W WASHINGTON ST STE B CARSON CITY NV 104724 Carson City 775-882-5001 Rehabilitation Physical Therapy 271868235KUCERA, TOMAS J 2779 W HORIZON RIDGE PKWY HENDERSON NV 104725 Clark 702-990-2290 Physicians Anesthesiology 880454760KUCHINSKI JR, JOSEPH J 1550 W CRAIG RD NORTH LAS VEGAS NV 104726 Clark 702-777-3615 Physicians Emergency Medicine 824933457KUFUOR, NANA K 221 N BUFFALO DR STE B LAS VEGAS NV 104727 Clark 702-869-6544 Physicians Pediatrics 204242929KUHLS, DEBORAH A 1707 W CHARLESTON BLVD STE 160 LAS VEGAS NV 104731 Clark 702-671-5150 Physicians Critical Care 886000436KUHN, MELINDA M 4101 CAUGHLIN SQ STE 3 RENO NV 104733 Washoe 775-829-9331 Physicians General Dentist 275464522KUHN, RACHAEL 171 N GIBSON RD HENDERSON NV 104734 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643KUHN, TIMOTHY T 615 SIERRA ROSE DR STE 2A RENO NV 104737 Washoe 702-586-5778 Rehabilitation Physical Therapy 200932822KUKOR, BRANDON A 2831 SAINT ROSE PKWY STE 222 HENDERSON NV 104739 Clark 702-589-4871 Physicians Psychiatry 823795906KULENKAMP, NIPA S 6525 N DECATUR BLVD STE 150 LAS VEGAS NV 104740 Clark 702-577-1941 Physicians General Dentist 208862814KULESA, JON A 315 W PECKHAM LN RENO NV 104741 Washoe 775-826-7600 Physicians General Dentist 911732124KULESHA, DENISE S 20202 PALOMINO LN STE 100 LAS VEGAS NV 104742 Clark 702-759-8600 Physicians Radiology/Diagnostic 834721282KULIC, MARCY A 1490 W SUNSET RD HENDERSON NV 104767 Clark 702-566-0333 Physicians Pediatrics 412033558KUMAR, JENNIFER V 9280 W SUNSET RD STE 438 LAS VEGAS NV 104773 Clark 702-877-1887 Physicians Nephrology 880136673KUMAR, NANDAN P 6161 W CHARLESTON BLVD LAS VEGAS NV 104774 Clark 702-486-6045 Physicians Psychiatry 886000022KUMAR, SANTHOSH B 102 E LAKE MEAD PKWY HENDERSON NV 104775 Clark 713-867-2000 Physicians Family Medicine 472990144KUMAR, SHIVESH S 1800 W CHARLESTON BLVD LAS VEGAS NV 104777 Clark 702-853-3000 Physicians Family Medicine 208753074KUMRA, SHIVANI 1155 MILL ST # W11 RENO NV 104780 Washoe 775-982-5000 Physicians Internal Medicine 880291454KUMTHAVAI, THANINEE 3001 SAINT ROSE PKWY HENDERSON NV 104781 Clark 702-616-5000 Physicians CRNA 860916679KUNG, MYRON L 6900 PECOS RD NORTH LAS VEGAS NV 104790 Clark 213-784-7437 Physicians Pulmonology 570986980KUNSMAN, GLENN R 4855 BLUE DIAMOND RD LAS VEGAS NV 104791 Clark 702-216-7305 Physicians Emergency Medicine 824933457KUO, DAVID T 6925 N DURANGO DR LAS VEGAS NV 104792 Clark 702-451-8888 Physicians Radiology/Diagnostic 880232199KUO, JA-LYNN 801 E WILLIAMS AVE FALLON NV 104804 Churchill 775-423-3151 Physicians Emergency Medicine 010837065KUO, TIM S 7391 W CHARLESTON BLVD LAS VEGAS NV 104855 Clark 702-823-4255 Physicians Emergency Medicine 880262438KURAISHI, NILOFAR 3201 S MARYLAND PKWY STE 414 LAS VEGAS NV 104857 Clark 702-733-0899 Physicians Family Medicine 880289513KURANKO, CHRISTOPHER 2575 S CIMARRON RD STE 100 LAS VEGAS NV 104858 Clark 702-369-7441 Physicians General Dentist 455055670KUREEKATTIL, SHEEBA 657 N TOWN CENTER DR LAS VEGAS NV 104859 Clark 702-233-7000 Physicians Certified Nurse Practitioner 263668328KURTZ, STEVEN B 7500 SMOKE RANCH RD STE 200 LAS VEGAS NV 104860 Clark 702-233-0727 Physicians Urology 880366609KURUVILLA, KEVIN 1707 W CHARLESTON BLVD STE 490 LAS VEGAS NV 104863 Clark 702-671-5150 Physicians General Surgery 813419791KURUVILLA, THOMMAN M 9280 W SUNSET RD STE 422 LAS VEGAS NV 104864 Clark 702-740-5327 Physicians Podiatry 202523414

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 106 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDKURZ, ANDREA R 620 SHADOW LN LAS VEGAS NV 104868 Clark 702-388-4512 Physicians Family Medicine 880213519KUSHEL, STEVEN 118 E HASKELL ST WINNEMUCCA NV 104869 Humboldt 305-223-3000 Physicians Emergency Medicine 202319275KUSHNIR, CHRISTINA L 3131 LA CANADA ST STE 241 LAS VEGAS NV 104870 Clark 702-693-6870 Physicians Obstetrics/Gynecology 880401900KUTANSKY, TOMAS D 56 COMMERCIAL WAY FALLON NV 104871 Churchill 775-423-9990 Physicians General Dentist 880201578KUTNER, ROBERT A 3890 W ANN RD NORTH LAS VEGAS NV 104872 Clark 213-222-8197 Physicians Psychology (Clinical) 650329439KUYKENDALL, DAVID G 2410 FIRE MESA ST STE 180 LAS VEGAS NV 104873 Clark 702-992-6888 Physicians Family Medicine 813419791KWAK, JUDY 3965 W CHEYENNE AVE STE 101 NORTH LAS VEGAS NV 104875 Clark 702-515-4009 Rehabilitation Speech Pathology 472546455KWAN, PINGCHING N 3001 SAINT ROSE PKWY HENDERSON NV 104876 Clark 702-616-5000 Physicians Emergency Medicine 341921472KWAN, TINA W 3006 S MARYLAND PKWY STE 690 LAS VEGAS NV 104877 Clark 702-732-1290 Physicians Pediatric Cardiology 880176637KWAN, TRACY Y 5631 S PECOS RD LAS VEGAS NV 104879 Clark 702-685-0877 Physicians Social Worker 263198139KWEK, MANUEL L 3061 S MARYLAND PKWY STE 101 LAS VEGAS NV 104881 Clark 702-254-5437 Physicians Certified Nurse Practitioner 680640053KWIATKOWSKI, TERRANCE J 3692 E SUNSET RD LAS VEGAS NV 104882 Clark 928-704-4327 Physicians Otolaryngology 200286369KWOK, GREGORY M 3820 S HUALAPAI WAY STE 200 LAS VEGAS NV 104884 Clark 702-796-0231 Physicians Gastroenterology 880212653KWON, EDWARD 2040 W CHARLESTON BLVD STE 302 LAS VEGAS NV 104885 Clark 702-671-2273 Physicians Critical Care 880330858KWONG, ANDREW P 2020 WELLNESS WAY STE 402 LAS VEGAS NV 104888 Clark 702-485-5000 Physicians Optometry 262563581KY, HENRY 6850 N DURANGO DR STE 406 LAS VEGAS NV 104889 Clark 702-260-4525 Physicians Pediatrics 880351343KYLE, WILLIAM S 150 E HARMON AVE LAS VEGAS NV 104890 Clark 702-796-1116 Physicians Family Medicine 271413336KYM, SARAH 2767 N TENAYA WAY LAS VEGAS NV 104891 Clark 702-732-6000 Physicians Radiology/Diagnostic 880232199L&S HEARING HEALTHCARE CORP. 330 N SANDHILL BLVD MESQUITE NV 104899 Clark 702-346-4622 Rehabilitation Audiology 222748248LA LASER CENTER, PC, A PROFESSIONAL MEDICAL CORPORATION1470 E CALVADA BLVD STE 600 PAHRUMP NV 104900 Nye 775-727-9800 Physicians Dermatology 203325000LA ROSS, PATRICIA A 1785 E SANARA AVE LAS VEGAS NV 104902 Clark 702-795-8808 Physicians CRNA 880310098LAACK, JESSIE J 1200 MOUNTAIN ST STE 230 CARSON CITY NV 104905 Carson City 775-882-1324 Physicians Certified Nurse Practitioner 880502320LAB EXPRESS, LLC 4550 E CHARLESTON BLVD LAS VEGAS NV 104907 Clark 702-643-5227 Ancillary Providers 260753052LABARRE, JEFFREY 2510 WIGWAM PKWY STE 204 HENDERSON NV 104908 Clark 702-263-8400 Physicians General Dentist 880498280LABCORP 890 MILL ST STE 105 RENO NV 104909 Washoe 775-334-3400 Ancillary Providers 840611484LABONTE, EMILY D 5230 BOULDER HWY LAS VEGAS NV 104912 Clark 702-940-1560 Physicians Certified Nurse Practitioner 880213519LABORATORY MEDICINE CONSULTANTS 6900 N DURANGO DR LAS VEGAS NV 104913 Clark 702-835-9700 Ancillary Providers 880289511LABOWE, STUART N 627 ROCK BLVD SPARKS NV 104919 Washoe 775-356-7722 Physicians General Dentist 900334917LABUE CHIROPRACTIC 133 W LAKE MEAD PKWY STE 200 HENDERSON NV 104920 Clark 702-531-3338 Physicians Chiropractor 043821114LAC, AARON V 40 N VALLE VERDE DR STE 140 HENDERSON NV 104921 Clark 702-648-0011 Physicians General Dentist 201111720LAC, ERIC V 10170 W TROPICANA AVE STE 155 LAS VEGAS NV 104923 Clark 702-248-0081 Physicians General Dentist 201760784LACANADA PEDIATRICS 3131 LA CANADA ST STE 231 LAS VEGAS NV 104925 Clark 702-796-1820 Physicians Pediatrics 204242929LACAYO, ENRIQUE J 2010 GOLDRING AVE STE 302 LAS VEGAS NV 104926 Clark 702-382-6970 Physicians Gastroenterology 891064002LACLOCHE, JOHN 7375 PRAIRIE FALCON RD STE 160 LAS VEGAS NV 104929 Clark 702-438-8407 Physicians Marriage & Family Therapist 318485705LACY, JOHN COLLIS V 7391 W CHARLESTON BLVD STE 140 LAS VEGAS NV 104930 Clark 702-304-2144 Physicians Certified Nurse Practitioner 364270411LADMIRAULT, MEGAN A 4660 S EASTERN AVE LAS VEGAS NV 104945 Clark 702-451-7542 Physicians Social Worker 454429023LADNER, TIMOTHY J 2481 PROFESSIONAL CT LAS VEGAS NV 104947 Clark 702-382-1599 Physicians Family Medicine 208838487LAFFERTY, LINDA 6580 S MCCARRAN BLVD STE A RENO NV 104955 Washoe 775-828-5100 Physicians Family Medicine 860847030LAGIOS, JOHN P 915 MOUNTAIN ST CARSON CITY NV 104958 Carson City 775-885-9400 Physicians Neurology 880484448LAGSTEIN, ZEV 3017 W CHARLESTON BLVD STE 8 LAS VEGAS NV 104960 Clark 702-870-1026 Physicians Cardiology 880175164LAHAR, VIKAS 2550 NATURE PARK DR STE 235 LAS VEGAS NV 104962 Clark 702-948-1150 Physicians Internal Medicine 880213519LAHONTAN VALLEY DIAGNOSTIC 993 W WILLIAMS AVE FALLON NV 104963 Churchill 775-423-6715 Ancillary Providers 880466104LAIRD, DANIAL O 8991 W FLAMINGO RD LAS VEGAS NV 104964 Clark 702-386-4700 Physicians Anesthesiology 204727467LAIRD, THADDEUS A 2020 PALOMINO LN STE 100 LAS VEGAS NV 104973 Clark 702-759-8600 Physicians Radiology/Diagnostic 201651590LAJEUNESSE, CHRISTINE N 1500 E 2ND ST STE B RENO NV 104998 Washoe 775-322-7811 Physicians Urology 208628418LAJVARDI, ALLADIN 100 N GRN VLY PKWY STE 130 HENDERSON NV 104999 Clark 702-990-7417 Physicians Radiology/Diagnostic 521278857LAKATOS, KRISTIN M 9127 W RUSSELL RD STE 110 LAS VEGAS NV 105001 Clark 702-878-0070 Physicians CRNA 200420553LAKE MEAD DIALYSIS 713 E LAKE MEAD BLVD NORTH LAS VEGAS NV 105010 Clark 702-642-0216 Ambulatory Facilities 471349339Lake Mead Health and Rehabilitation Center1180 E LAKE MEAD PKWY HENDERSON NV 105011 Clark 702-565-8555 Rehabilitation 463605676LAKE MEAD PEDIATRICS LLC 129 W LAKE MEAD PKWY STE 10 HENDERSON NV 105012 Clark 702-489-5748 Physicians Pediatrics 611593402LAKE MOUNTAIN CHIROPRACTIC INC 1297 NEVADA HWY STE B BOULDER CITY NV 105013 Clark 702-294-1230 Physicians Chiropractor 043821114

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 107 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDLAKE TAHOE ORTHOPAEDIC INSTITUTE 704 W NYE LN CARSON CITY NV 105015 Carson City 775-884-3131 Ancillary Providers 880382265Lakeside Health and Wellness Suites 3101 PLUMAS ST RENO NV 105019 Washoe 775-829-7220 Rehabilitation 260613035LAL, NILZA W 7391 W CHARLESTON BLVD STE 140 LAS VEGAS NV 105020 Clark 702-304-2144 Physicians Certified Nurse Practitioner 201026537LALANDE, CARLA J 3600 N BUFFALO DR LAS VEGAS NV 105021 Clark 702-254-8858 Physicians Pediatric Dentist 264484707LALLY, JAMES A 700 SHADOW LN STE 240 LAS VEGAS NV 105024 Clark 702-384-0022 Physicians Cardiology 880161856LALLY, KATHERINE 2012 S JONES BLVD LAS VEGAS NV 105025 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643LAM, GIANG C 6545 S FORT APACHE RD STE 110 LAS VEGAS NV 105026 Clark 702-331-4444 Physicians General Dentist 262473394LAM, JULIA 860 S RANCHO DR STE 3 LAS VEGAS NV 105027 Clark 702-878-0808 Physicians General Dentist 371797092LAM, KHUONG T 2075 E FLAMINGO RD LAS VEGAS NV 105028 Clark 702-733-8800 Physicians Internal Medicine 263668328LAM, LAP J 3417 S JONES BLVD STE D LAS VEGAS NV 105029 Clark 702-257-6767 Physicians General Dentist 880466200LAM, PHILIPPE Y 9499 W CHARLESTON BLVD STE 150 LAS VEGAS NV 105030 Clark 702-228-5477 Physicians Internal Medicine 880213519LAMB, CHRISTOPHER 3896 N MARTIN L KING BLVD NORTH LAS VEGAS NV 105031 Clark 702-614-1792 Physicians Pediatric Dentist 204714412LAMB, CHRISTOPHER G 1301 BERTHA HOWE AVE STE 11 MESQUITE NV 105033 Clark 435-688-7770 Physicians Certified Nurse Practitioner 208487468LAMB, MELINDA N 1707 W CHARLESTON BLVD STE 160 LAS VEGAS NV 105034 Clark 702-671-6448 Physicians General Surgery 880330858LAMBERT, THOMAS L 3150 N TENAYA WAY LAS VEGAS NV 105036 Clark 702-598-3999 Physicians Cardiology 880298731LAMBERTS, ERIC W 1240 E 9TH ST RENO NV 105038 Washoe 775-323-0478 Physicians Family Medicine 367483494LAMBIRIS, IRENE 1302 W CRAIG RD NORTH LAS VEGAS NV 105040 Clark 702-657-9555 Physicians Internal Medicine 880213519LAMBOS, ANGELO 151 W BROOKS AVE NORTH LAS VEGAS NV 105041 Clark 702-399-6545 Physicians Occupational Medicine 752014828LAMBRECHT, THERESA M 240 HUMAHUACA ST PAHRUMP NV 105042 Nye 775-751-7406 Physicians Social Worker 886000022LAMERDIN, MAUREEN R 304 W 5TH ST CARSON CITY NV 105043 Carson City 775-841-3336 Physicians Acupuncturist 880502320LAMERSON, CINDY L 650 SIERRA ROSE DR STE A RENO NV 105044 Washoe 775-827-8100 Physicians Dermatology 880423605LAMMERT, DANNETTE L 7361 W LAKE MEAD BLVD STE 104 LAS VEGAS NV 105045 Clark 702-341-7254 Physicians Optometry 990351073LAMOTHE, JACQUES J 3131 LA CANADA ST LAS VEGAS NV 105047 Clark 702-933-9400 Physicians Cardiology 880378823LAMOTTE PEDIATRICS OBA ANTHEM HILLS PEDIATRICS10001 S EASTERN AVE STE 210 HENDERSON NV 105050 Clark 702-792-6700 Physicians Pediatrics 205204446LAMOTTE-MALONE, KIM M 10001 S EASTERN AVE HENDERSON NV 105051 Clark 702-566-2400 Physicians Pediatrics 205204446LAMOUREUX, CHRISTINE A 1397 S LOOP RD PAHRUMP NV 105054 Nye 702-759-8600 Physicians Radiology/Diagnostic 201651590LAMPE CHIROPRACTIC 133 W LAKE MEAD PKWY STE 200 HENDERSON NV 105074 Clark 702-531-3338 Physicians Chiropractor 205660002LAMPE, STEVEN R 133 W LAKE MEAD PKWY HENDERSON NV 105075 Clark 702-531-3338 Physicians Chiropractor 205660002LAMPERT, RANDI E 7751 W FLAMINGO RD STE A100 LAS VEGAS NV 105076 Clark 702-804-6555 Physicians Pediatrics 680491110LAMPERT, ROBERT M 4750 W OAKEY BLVD STE 4C LAS VEGAS NV 105078 Clark 702-724-8844 Physicians Pulmonology 880329731LAMPRECHT, SCOTT W 2920 N GREEN VALLEY PKWY STE 281 HENDERSON NV 105079 Clark 702-566-6429 Physicians Certified Nurse Practitioner 113750815LAND, THOMAS R 3022 S DURANGO DR STE 100 LAS VEGAS NV 105081 Clark 702-363-0232 Physicians Family Medicine 263889813LANDER COUNTY COMMUNITY HEALTH 825 N 2ND ST BATTLE MOUNTAIN NV 105085 Lander 775-635-2386 Ambulatory Facilities 886000093LANDERS, SHARON B 1555 E FLAMINGO RD LAS VEGAS NV 105086 Clark 702-734-5050 Physicians Critical Care 208389108LANDIS, DAVID N 2874 N CARSON ST CARSON CITY NV 105087 Carson City 775-445-5500 Physicians Radiology/Diagnostic 880279310LANDIS, PHILIP H 75 PRINGLE WAY RENO NV 105091 Washoe 775-982-5000 Physicians Internal Medicine 880238057LANDOW, R K 10080 ALTA DR LAS VEGAS NV 105092 Clark 702-451-3376 Physicians Dermatology 880151344LANDRETH, BRIAN E 2375 E PRATER WAY SPARKS NV 105095 Washoe 775-331-7000 Physicians Anesthesiology 880101307LANDRITO, EARL JAY O 976 MOUNTAIN CITY HWY ELKO NV 105107 Elko 775-621-5800 Physicians Radiology/Diagnostic 811470804LANDRON, JOAN 8370 W CHEYENNE AVE STE 103 LAS VEGAS NV 105109 Clark 702-388-8989 Physicians General Dentist 371797092LANE, BRANDON S 3017 W CHARLESTON BLVD STE 70 LAS VEGAS NV 105110 Clark 702-706-8096 Physicians Professional Counselor 591821762LANE, JANA A 3700 GRANT DR RENO NV 105111 Washoe 775-829-7400 Rehabilitation Speech Pathology 880291454LANE, MEREDITH L 3001 SAINT ROSE PKWY HENDERSON NV 105112 Clark 800-967-2289 Physicians Obstetrics/Gynecology 851279864LANG, ROBERT J 2269 N GREEN VALLEY PKWY HENDERSON NV 105113 Clark 702-877-8777 Physicians Family Medicine 463164188LANG, ROWAN M 3120 S RAINBOW BLVD STE 202 LAS VEGAS NV 105129 Clark 702-997-2964 Rehabilitation Audiology 464865267LANGDON, ELENA 1701 N GREEN VALLEY PKWY BLDG STE HENDERSON NV 105130 Clark 702-737-3200 Physicians Obstetrics/Gynecology 890745885LANGFORD, ELIZABETH A 6460 MEDICAL CENTER ST LAS VEGAS NV 105132 Clark 702-255-6647 Physicians Dermatology 880193208LANGI, MARLIS L 34 RESERVATION RD RENO NV 105134 Washoe 775-329-5162 Physicians Certified Nurse Practitioner 886004349LANGLANDS, MELISSA J 2831 SAINT ROSE PKWY STE 221 HENDERSON NV 105135 Clark 702-589-4871 Physicians Social Worker 823795906LANGSAM, LAWRENCE 5850 POLARIS AVE LAS VEGAS NV 105136 Clark 702-871-1721 Physicians Occupational Medicine 952641993LANNERS, TRACY D 6550 S PECOS RD BLDG C LAS VEGAS NV 105137 Clark 702-686-8865 Physicians Social Worker 271219938

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 108 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDLANZKOWSKY, DAVID R 4454 N DECATUR BLVD LAS VEGAS NV 105138 Clark 702-839-1203 Physicians Anesthesiology 066461475LAO, MARIA A 2843 SAINT ROSE PKWY STE 110 HENDERSON NV 105139 Clark 702-616-7049 Physicians Internal Medicine 880213519LAO, NANCY T 595 W LAKE MEAD PKWY HENDERSON NV 105141 Clark 702-565-1007 Physicians Family Medicine 880213519LAPASARAN, ALEX S 5250 KIETZKE LN RENO NV 105142 Washoe 775-829-8855 Physicians Certified Nurse Practitioner 880502320LAPRES, AMY M 1181 S BUFFALO DR STE 105 LAS VEGAS NV 105146 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643LARIVEE, MARLYNN J 2801 S VALLEY VIEW BLVD STE 6 LAS VEGAS NV 105147 Clark 702-922-7015 Physicians Certified Nurse Practitioner 263198139LARIVEE, RAYMOND 8685 S EASTERN AVE LAS VEGAS NV 105148 Clark 702-754-0807 Physicians Social Worker 886000022LARKIN FOOT AND ANKLE INSTITUTE 3221 E WARM SPRINGS RD LAS VEGAS NV 105149 Clark 702-733-7617 Physicians Podiatry 812594495LARSEN, KAMI A 1524 PINTO LN LAS VEGAS NV 105150 Clark 702-383-3642 Physicians Pediatrics 886000436LARSEN, KARL M 7324 W CHEYENNE AVE STE 1 LAS VEGAS NV 105153 Clark 702-259-3937 Physicians Optometry 880144746LARSEN, LAURIE D 3131 LA CANADA ST LAS VEGAS NV 105157 Clark 702-796-8669 Physicians Urology 880324542LARSEN, PHILIP J 10561 JEFFREYS ST HENDERSON NV 105158 Clark 702-456-3668 Physicians Podiatry 200284598LARSEN, RALPH D 9053 S PECOS RD STE 2900 HENDERSON NV 105159 Clark 702-735-8000 Physicians Urology 880395744LARSON, CHERYL A 1664 N VIRGINIA ST RENO NV 105162 Washoe 775-784-4887 Rehabilitation Speech Pathology 860881749LARSON, SUZANNE E 2375 E PRATER WAY SPARKS NV 105163 Washoe 775-331-7000 Physicians Emergency Medicine 475671561LARUSCH, KAHMIEN A 1701 W CHARLESTON BLVD LAS VEGAS NV 105164 Clark 702-251-8000 Physicians Psychiatry 886000022LAS FYZICAL LLC (DBA FYZICAL THERAPY AND BALANCE CENTER)401 N BUFFALO DR STE 120 LAS VEGAS NV 105165 Clark 702-363-3210 Rehabilitation 043821114LAS VEGAS - AMG SPECIALTY HOSPITAL, LLC4015 MCLEOD DR LAS VEGAS NV 105168 Clark 337-456-8196 Hospitals 473240168LAS VEGAS FAMILY EYE CARE 1300 S EASTERN AVE LAS VEGAS NV 105169 Clark 702-385-2242 Physicians Optometry 880163014LAS VEGAS FOOT AND ANKLE CENTER 2649 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 105170 Clark 702-565-6641 Physicians Podiatry 710871704Las Vegas Gastroenterology - Henderson 7315 S PECOS RD LAS VEGAS NV 105173 Clark 702-982-7240 Ambulatory Facilities 473021380LAS VEGAS GENERAL SURGERY 3201 S MARYLAND PKWY STE 601 LAS VEGAS NV 105174 Clark 702-894-4440 Physicians General Surgery 680501863Las Vegas Healthcare & Rehab Center 2832 S MARYLAND PKWY LAS VEGAS NV 105175 Clark 702-735-5848 Rehabilitation 522085559LAS VEGAS IMMEDIATE CARE 2901 N TENAYA WAY STE 200 LAS VEGAS NV 105176 Clark 702-944-2225 Ambulatory Facilities 273737279LAS VEGAS INTERNAL MEDICINE 2901 N TENAYA WAY LAS VEGAS NV 105177 Clark 702-852-2000 Physicians Internal Medicine 274722066LAS VEGAS KIDNEY CLINIC 1905 CIVIC CENTER DR STE 201 NORTH LAS VEGAS NV 105178 Clark 702-214-9516 Ambulatory Facilities 880484954LAS VEGAS MEDICAL GROUP LLC 1389 GALLERIA DR HENDERSON NV 105179 Clark 725-333-8400 Physicians Internal Medicine 462964527LAS VEGAS NECK & BACK SOLUTIONS 200 E HORIZON DR STE A HENDERSON NV 105180 Clark 702-568-8450 Physicians Chiropractor 452652426LAS VEGAS NEUROLOGY 7345 S DURANGO DR MAILBOX 52 LAS VEGAS NV 105181 Clark 702-625-4400 Physicians Neurology 471182996LAS VEGAS NEUROLOGY CENTER 7345 S DURANGO DR STE B107-307 LAS VEGAS NV 105182 Clark 702-625-4400 Physicians Neurology 471182996LAS VEGAS NEUROSURGERY & SPINE CARE, LLC8285 W ARBY AVE STE 220 HENDERSON NV 105183 Clark 702-737-7753 Physicians Neurological Surgery 880460674LAS VEGAS NEUROSURGERY, ORTHPAEDICS & REHABILITATION, LLP501 S RANCHO DR LAS VEGAS NV 105186 Clark 702-243-4700 Physicians Orthopedic Surgery 432041736LAS VEGAS OPHTHALMOLOGY 2980 S JONES BLVD LAS VEGAS NV 105187 Clark 702-362-3937 Physicians Ophthalmology 204453113LAS VEGAS PAIN INSTITUTE AND MEDICAL CENTER, LLC1050 E SAHARA AVE LAS VEGAS NV 105189 Clark 702-880-4193 Physicians Chiropractor 880404982LAS VEGAS PAIN RELIEF CENTER 58 N PECOS RD HENDERSON NV 105196 Clark 702-822-2000 Physicians Chiropractor 043821114LAS VEGAS PAIUTE TRIBE 1257 PAIUTE CIR LAS VEGAS NV 105197 Clark 702-382-0784 Ambulatory Facilities 880135111LAS VEGAS PEDIATRIC 1800 W CHARLESTON BLVD LAS VEGAS NV 105198 Clark 702-383-2420 Physicians Pediatric Critical Care 880313664LAS VEGAS PEDIATRICS DIALYSIS 7271 W SAHARA AVE STE 120 LAS VEGAS NV 105199 Clark 702-227-3049 Ambulatory Facilities 261269919LAS VEGAS PHYSICAL THERAPY AND SPORTS9562 BELLA CITTA ST LAS VEGAS NV 105200 Clark 702-586-2177 Rehabilitation 811059967LAS VEGAS RADIOLOGY 7500 SMOKE RANCH RD STE 100 LAS VEGAS NV 105201 Clark 702-254-5004 Physicians Radiology/Diagnostic 953216090LAS VEGAS RADIOLOGY - MARYLAND PKWY 3280 N RAINBOW BLVD STE 150 LAS VEGAS NV 105217 Clark 702-683-7876 Physicians Radiology/Diagnostic 260199135LAS VEGAS RECOVERY CENTER 3371 N BUFFALO DR LAS VEGAS NV 105219 Clark 702-515-1373 Rehabilitation 043751284LAS VEGAS REGIONAL SURGERY CENTER 3560 E FLAMINGO RD LAS VEGAS NV 105221 Clark 702-454-8712 Ambulatory Facilities 711031708LAS VEGAS RENAL CENTER 2333 RENAISSANCE DR LAS VEGAS NV 105222 Clark 702-740-8580 Ambulatory Facilities 208684590LAS VEGAS SKIN AND CANCER CLINIC 4488 S PECOS RD LAS VEGAS NV 105223 Clark 702-436-1001 Physicians Dermatology 880193208LAS VEGAS SURGERY CENTER 7010 SMOKE RANCH RD STE 120 LAS VEGAS NV 105224 Clark 702-477-7044 Physicians Internal Medicine 201898649LAS VEGAS UROLOGY LLP 7150 W SUNSET RD STE 201A LAS VEGAS NV 105227 Clark 702-233-0727 Physicians Urology 880366609LASKO, KEVIN F 235 W 6TH ST RENO NV 105235 Washoe 775-770-3000 Physicians Anesthesiology 880101307LASKY III, JOSEPH L 3121 S MARYLAND PKWY STE 300 LAS VEGAS NV 105252 Clark 702-732-1493 Physicians Pediatric Hematology 260286469LASRY, JASON H 102 E LAKE MEAD PKWY HENDERSON NV 105253 Clark 702-856-0633 Physicians Emergency Medicine 880262438LASSEIGNE, CHAZ M 9260 W SUNSET RD LAS VEGAS NV 105257 Clark 702-255-3547 Physicians CRNA 460766041

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 109 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDLASSEIGNE, MELANIE C 4270 S DECATUR BLVD STE B6 LAS VEGAS NV 105258 Clark 702-485-2100 Physicians Certified Nurse Practitioner 812219401LATIFI, KATHY 10880 S EASTERN AVE STE 101 HENDERSON NV 105259 Clark 702-616-1600 Physicians General Dentist 880496891LATT, HTUN 1155 MILL ST # W11 RENO NV 105260 Washoe 775-982-5000 Physicians Internal Medicine 880502320LAU, JOSEPH 2645 W HORIZON RIDGE PKWY STE 120 HENDERSON NV 105261 Clark 702-790-2211 Physicians Certified Nurse Practitioner 812140000LAU, STELLA 4116 W CRAIG RD STE 104 NORTH LAS VEGAS NV 105262 Clark 702-631-2015 Physicians Optometry 201871436LAUGHLIN CHIROPRACTIC 3080 NEEDLES HWY STE 2100 LAUGHLIN NV 105263 Clark 702-298-9033 Physicians Chiropractor 880356698LAUGHLIN MENTAL HEALTH CENTER 3650 S POINTE CIR STE 208 LAUGHLIN NV 105264 Clark 702-298-5313 Ambulatory Facilities 886000022LAUGHLIN, COLBY L 645 N ARLINGTON AVE STE 250A RENO NV 105265 Washoe 775-329-7707 Physicians Radiology/Diagnostic 455557052LAURENCE, DENNIS M 3001 SAINT ROSE PKWY HENDERSON NV 105267 Clark 702-616-5000 Physicians Critical Care 201508867LAURITA, WENDY J 528 RUBY VISTA CT LAS VEGAS NV 105269 Clark 702-858-9962 Rehabilitation Speech Pathology 886000022LAUSSADE, MARK R 7130 SMOKE RANCH RD # 101 LAS VEGAS NV 105270 Clark 702-942-4117 Physicians Radiology/Diagnostic 880119638LAVI, MORDECHAI S 975 KIRMAN AVE STE 111 RENO NV 105271 Washoe 775-982-5000 Physicians Geriatric Medicine 860881749LAWHORN-WILLIAMS, CANDACE 9029 S PECOS RD STE 2800 HENDERSON NV 105272 Clark 702-739-8323 Physicians Certified Nurse Practitioner 203516398LAWRENCE, ANGELENE M 15 MCCABE DR STE 200 RENO NV 105273 Washoe 775-982-2862 Physicians Psychiatry 886000022LAWRENCE, MARK T 8955 S PECOS RD STE 1A HENDERSON NV 105274 Clark 702-474-7212 Rehabilitation Physical Therapy 880386672LAWRENCE, RONALD W 1120 ALMOND TREE LN STE 207 LAS VEGAS NV 105275 Clark 702-369-8700 Physicians Professional Counselor 176341302LAWSON, DARYL J 1664 N VIRGINIA ST STE P274 RENO NV 105278 Washoe 775-682-7105 Rehabilitation Physical Therapy 886000024LAWSON, EVIE T 2725 S JONES BLVD LAS VEGAS NV 105279 Clark 702-384-2238 Physicians Certified Nurse Practitioner 463981688LAWTER, CHELSIE R 5536 S FORT APACHE RD STE 102 LAS VEGAS NV 105280 Clark 702-915-7001 Physicians Certified Nurse Practitioner 300498968LAXALT, JANET 1325 AIRMOTIVE WAY STE 100 RENO NV 105281 Washoe 775-453-4143 Physicians Social Worker 471013467LAXALT, KRISTIN A 8040 S VIRGINIA ST STE 4 RENO NV 105282 Washoe 775-852-3636 Physicians Family Medicine 455557052LAYTON, STEVE K 272 W PIONEER BLVD MESQUITE NV 105283 Clark 702-346-7666 Rehabilitation Physical Therapy 201621111LAZA, DONATO B 2860 E CHEYENNE AVE NORTH LAS VEGAS NV 105284 Clark 702-570-6222 Rehabilitation Occupational Therapy 453199019LAZAR, STEVE H 5731 S FORT APACHE RD STE 10 LAS VEGAS NV 105287 Clark 702-476-2700 Physicians General Dentist 421745206LAZARSKI, DEBORAH A 2920 N GREEN VALLEY PKWY HENDERSON NV 105288 Clark 702-990-0936 Rehabilitation Physical Therapy 830375932LAZERSON, JACK 2200 S RANCHO DR STE 150B LAS VEGAS NV 105289 Clark 702-383-2688 Physicians Pediatric Hematology 880330858LE BALCH, DEBORAH 2874 N CARSON ST STE 200 CARSON CITY NV 105299 Carson City 775-445-7170 Physicians Certified Nurse Practitioner 880502320LE, DONG Q 7361 W LAKE MEAD BLVD STE 104 LAS VEGAS NV 105301 Clark 702-804-6133 Physicians Optometry 880484278LE, KHOA D 6900 N DURANGO DR LAS VEGAS NV 105303 Clark 702-256-3637 Physicians Internal Medicine 204307180LE, PHOUNG 4001 S DECATUR BLVD STE 42A LAS VEGAS NV 105304 Clark 702-221-0783 Physicians General Dentist 812154260LE, TAMI T 2505 ANTHEM VILLAGE DR HENDERSON NV 105312 Clark 702-476-2225 Physicians Optometry 201361069LE, TUAN 4301 S NELLIS BLVD LAS VEGAS NV 105313 Clark 702-456-8118 Physicians General Dentist 320165683LEACH, AMANDA R 4700 LAS VEGAS BLVD N NELLIS AFB NV 105315 Clark 702-653-3256 Physicians Dermatology 941179505LEACH, VICTOR 2520 SAINT ROSE PKWY HENDERSON NV 105316 Clark 702-579-9876 Physicians Chiropractor 205673133LEAKE, MARIA 6525 N DECATUR BLVD STE 150 LAS VEGAS NV 105317 Clark 702-577-1941 Physicians General Dentist 208862814LEAKS, JOAN S 151 W BROOKS AVE NORTH LAS VEGAS NV 105319 Clark 702-399-6545 Physicians Family Medicine 752014828LEANY, KRISTY 840 PINNACLE CT BLDG 10 MESQUITE NV 105320 Clark 725-225-1414 Physicians Certified Nurse Practitioner 852793106LEAPHART-ST CLOUD, CANDANCE M 1505 WIGWAM PKWY STE 241 HENDERSON NV 105321 Clark 702-852-3112 Physicians Obstetrics/Gynecology 821510988LEAS, MOLLYE R 171 N GIBSON RD HENDERSON NV 105324 Clark 702-360-1137 Rehabilitation Physical Therapy 412129643LEAVER, NICHOLAS 8280 W WARM SPRINGS RD LAS VEGAS NV 105325 Clark 702-492-8600 Physicians Emergency Medicine 880262438LEAVER, S R 4306 S EASTERN AVE LAS VEGAS NV 105327 Clark 702-735-4169 Physicians Orthodontist 260735944LEAVITT PHYSICAL THERAPY 3037 W HORIZON RIDGE PKWY STE 120 HENDERSON NV 105328 Clark 702-263-4993 Rehabilitation 471834547LEAVITT, CURRY H 7125 N DURANGO DR LAS VEGAS NV 105329 Clark 702-658-2311 Physicians Periodontist 205339044LEAVITT, DANIEL C 4901 W DESERT INN RD LAS VEGAS NV 105330 Clark 702-362-2225 Physicians Chiropractor 880182361LEAVITT, KRISTINE R 7469 W LAKE MEAD BLVD STE 200 LAS VEGAS NV 105331 Clark 702-380-8300 Physicians Certified Nurse Practitioner 200505466LEAVITT, TERRY H 4660 S EASTERN AVE STE 200 LAS VEGAS NV 105332 Clark 702-451-7542 Physicians Podiatry 880120120LEAVITT, TRACY K 68 N PECOS RD STE A HENDERSON NV 105335 Clark 702-456-1441 Physicians Podiatry 264726081LEAVITT, WILLIAM G 6819 W TROPICANA AVE E LAS VEGAS NV 105336 Clark 702-364-5130 Physicians Chiropractor 465010353LEBLANC, LINDA F 2385 E PRATER WAY STE 307 SPARKS NV 105339 Washoe 775-785-3441 Rehabilitation Physical Therapy 880448848LECKIE, ROBERT G 118 E HASKELL ST WINNEMUCCA NV 105354 Humboldt 775-623-5222 Physicians Radiology/Diagnostic 364779215LEDEE, DANIEL 3692 E SUNSET RD LAS VEGAS NV 105356 Clark 702-799-9760 Rehabilitation Audiology 262948435

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 110 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDLEDESMA, JENNY LYN 5135 CAMINO AL NORTE STE 259 NORTH LAS VEGAS NV 105357 Clark 702-300-5128 Physicians Marriage & Family Therapist 843560015LEDUC, ALEXANDRA 2801 S VALLEY VIEW BLVD LAS VEGAS NV 105358 Clark 702-922-7015 Physicians Social Worker 263198139LEDUC, MARC R 3802 MEADOWS LN LAS VEGAS NV 105359 Clark 702-313-8446 Physicians General Surgery 454721804LEDUC, SALLY J 1575 ROBB DR STE 4 RENO NV 105361 Washoe 775-827-3777 Rehabilitation Physical Therapy 205789150LEE KIM, CAROL 10473 DOUBLE R BLVD RENO NV 105363 Washoe 775-853-8899 Physicians General Dentist 201531117LEE, ADRIAN D 175 N STEPHANIE ST STE 170 HENDERSON NV 105364 Clark 702-997-5958 Physicians General Dentist 208863082LEE, AMBER D 3900 CAMBRIDGE ST LAS VEGAS NV 105367 Clark 702-307-5415 Physicians Certified Nurse Practitioner 010954094LEE, ANASTASIA J 9089 S PECOS RD STE 3500 HENDERSON NV 105368 Clark 702-550-7025 Physicians Certified Nurse Practitioner 270028866LEE, ANDREW 445 W CRAIG RD STE 121 NORTH LAS VEGAS NV 105369 Clark 702-399-9118 Physicians General Dentist 261591087LEE, ANTHONY D 1800 W CHARLESTON BLVD LAS VEGAS NV 105370 Clark 702-383-2000 Physicians Anesthesiology 204727467LEE, BRIAN E 1397 S LOOP RD PAHRUMP NV 105374 Nye 702-759-8600 Physicians Radiology/Diagnostic 814824771LEE, CHARLES K 5075 E BONANZA RD LAS VEGAS NV 105400 Clark 702-871-8888 Physicians General Dentist 510489979LEE, CHARLOTTE M 2847 SAINT ROSE PKWY STE 150 HENDERSON NV 105415 Clark 702-248-7337 Physicians Pediatrics 204800214LEE, CHERRY M 3100 W CHARLESTON BLVD STE 210 LAS VEGAS NV 105416 Clark 702-388-4428 Physicians Certified Nurse Practitioner 880500453LEE, CHING KUO TONY 1550 W HORIZON RIDGE PKWY STE S HENDERSON NV 105417 Clark 702-270-8880 Physicians General Dentist 461388170LEE, CHING KUO TONY 60 S STEPHANIE ST STE 100 HENDERSON NV 105418 Clark 702-558-5788 Physicians General Dentist 201495127LEE, DANIEL D 8205 W WARM SPRINGS RD LAS VEGAS NV 105421 Clark 702-731-4088 Physicians Orthopedic Surgery 910858192LEE, DAVID S 4855 S PECOS RD STE 1B LAS VEGAS NV 105428 Clark 702-434-0725 Physicians General Dentist 043642334LEE, DEANNA M 2950 S RAINBOW BLVD STE 240 LAS VEGAS NV 105429 Clark 702-876-5400 Physicians Family Medicine 202448845LEE, DIANA D 10624 S EASTERN AVE HENDERSON NV 105431 Clark 702-407-7700 Physicians Internal Medicine 942761692LEE, DONG S 7101 W CRAIG RD STE 102 LAS VEGAS NV 105432 Clark 702-515-0955 Physicians General Dentist 200405461LEE, DOUGLAS D 1627 BOULDER CITY PKWY BOULDER CITY NV 105433 Clark 702-294-2227 Physicians Optometry 261087784LEE, DUK JOON 2027 PARADISE RD LAS VEGAS NV 105434 Clark 702-735-7242 Physicians Acupuncturist 880125722LEE, EDEN S 1707 W CHARLESTON BLVD STE 290 LAS VEGAS NV 105436 Clark 702-671-6475 Physicians Psychiatry 813419791LEE, FRANCO M 6240 N DURANGO DR STE 110 LAS VEGAS NV 105437 Clark 702-798-0111 Physicians Pain Management 203479090LEE, FRANK C 9455 W RUSSELL RD LAS VEGAS NV 105438 Clark 702-896-6043 Physicians Emergency Medicine 880262438LEE, FRANK F 2598 WINDMILL PKWY HENDERSON NV 105440 Clark 702-896-6043 Physicians Ophthalmology 364620877LEE, FRED D 400 SHADOW LN STE 106 LAS VEGAS NV 105443 Clark 702-253-7802 Physicians Obstetrics/Gynecology 431958380LEE, FRED THOMAS J 9130 W POST RD STE 100 LAS VEGAS NV 105444 Clark 702-686-0707 Physicians Plastic & Reconstructive Surgery 831306893LEE, GARRY R 2610 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 105448 Clark 702-938-0190 Physicians Family Medicine 880468762LEE, GRANT S 480 GALLETTI WAY SPARKS NV 105449 Washoe 775-688-2001 Physicians Psychiatry 886000022LEE, HYUNGBIN 7140 N DURANGO DR STE 110 LAS VEGAS NV 105450 Clark 702-740-5437 Physicians General Dentist 822856088LEE, IRVIN A 600 WHITNEY RANCH DR STE C13 HENDERSON NV 105451 Clark 702-435-7987 Physicians Podiatry 880268123LEE, JANET 9100 W POST RD LAS VEGAS NV 105452 Clark 702-731-2088 Physicians Ophthalmology 880107297LEE, JEFFREY D 4160 S PECOS RD STE 10 LAS VEGAS NV 105455 Clark 705-454-7311 Physicians Thoracic Surgery 475070273LEE, JOHN J 3150 N TENAYA WAY STE 320 LAS VEGAS NV 105456 Clark 702-240-6482 Physicians Cardiology 200562668LEE, JOSHUA 555 W ARLINGTON AVE RENO NV 105457 Washoe 775-786-1358 Rehabilitation Physical Therapy 880103557LEE, KWANG J 6980 SMOKE RANCH RD STE 110 LAS VEGAS NV 105458 Clark 702-732-4500 Physicians Ophthalmology 880456955LEE, MARIA F 7281 W CHARLESTON BLVD LAS VEGAS NV 105461 Clark 702-870-7050 Rehabilitation Speech Pathology 942815686LEE, MARK R 8937 W SAHARA AVE STE A LAS VEGAS NV 105462 Clark 702-254-3558 Physicians Optometry 263897560LEE, MAXIMILIAN S 811 GRIER DR LAS VEGAS NV 105463 Clark 800-779-0526 Physicians Preventive Medicine 271977691LEE, MICHAEL L 2930 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 105464 Clark 702-697-7217 Physicians Orthopedic Surgery 910858192LEE, MICHAEL M 3540 W SAHARA AVE LAS VEGAS NV 105470 Clark 702-921-6823 Physicians Internal Medicine 721597863LEE, PHILIP 5900 W CHEYENNE AVE LAS VEGAS NV 105471 Clark 702-674-7000 Physicians General Dentist 800972632LEE, RICHARD S 3960 HOWARD HUGHES PKWY LAS VEGAS NV 105480 Clark 702-990-3664 Physicians Neurology 205379288LEE, ROBERT 7780 S JONES BLVD STE 101 LAS VEGAS NV 105482 Clark 702-450-6060 Physicians General Dentist 710878385LEE, ROBIN D 1471 N JONES BLVD LAS VEGAS NV 105483 Clark 702-851-6722 Physicians General Dentist 204297363LEE, SAE E 1223 S MARYLAND PKWY LAS VEGAS NV 105485 Clark 702-386-2828 Physicians Acupuncturist 344647515LEE, SANDRA 2020 PALOMINO LN LAS VEGAS NV 105486 Clark 702-759-8600 Physicians Radiology/Diagnostic 842057727LEE, SCOTT S 5105 S DURANGO DR STE 102 LAS VEGAS NV 105512 Clark 702-262-7900 Physicians General Dentist 880498287LEE, SE WON 2880 N TENAYA WAY STE 100 LAS VEGAS NV 105513 Clark 702-962-9550 Physicians Physical Medicine & Rehabilitation331159527

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 111 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDLEE, SHANNON K 1820 E CRAIG RD STE 102 NORTH LAS VEGAS NV 105516 Clark 702-680-1009 Physicians General Dentist 822081293LEE, SHIN 2635 BOX CANYON DR LAS VEGAS NV 105519 Clark 702-386-4700 Physicians Anesthesiology 880375544LEE, SIMHEAN K 870 SEVEN HILLS DR STE 102 HENDERSON NV 105520 Clark 702-384-5101 Physicians Allergy/Immunology 880329731LEE, TERESA 6885 ALIANTE PKWY STE 111 NORTH LAS VEGAS NV 105522 Clark 702-515-1888 Physicians General Dentist 204508246LEE, THANYA C 220 E HORIZON DR STE A HENDERSON NV 105535 Clark 702-566-0333 Physicians Pediatrics 450475943LEE, THOMAS C 2450 W CHARLESTON BLVD LAS VEGAS NV 105537 Clark 702-877-8661 Physicians Anesthesiology 860857176LEE, THOMAS T 7326 W CHEYENNE AVE LAS VEGAS NV 105538 Clark 702-386-4700 Physicians Anesthesiology 880375544LEE, TONY H 1800 W CHARLESTON BLVD LAS VEGAS NV 105544 Clark 702-383-2000 Physicians Family Medicine 886000436LEE, YICHEN 6395 S MCCARRAN BLVD STE B RENO NV 105545 Washoe 775-823-9419 Physicians General Dentist 462690803LEEKA, JUSTIN A 5380 S RAINBOW BLVD STE 330 LAS VEGAS NV 105547 Clark 702-382-8222 Physicians Family Medicine 462964527LEEPARD, JENNIFER A 5380 S RAINBOW BLVD STE 120 LAS VEGAS NV 105548 Clark 702-233-3444 Physicians Family Medicine 200365179LEES RESPIRATORY SE 200 BATH ST STE 2 CARSON CITY NV 105549 Carson City 775-883-8600 Ancillary Providers 880391825LEES, JOHN K 975 KIRMAN AVE RENO NV 105550 Washoe 775-786-7299 Physicians Family Medicine 383701638LEESON, VIRGINIA 6841 S EASTERN AVE STE 100 LAS VEGAS NV 105551 Clark 702-367-6015 Rehabilitation Occupational Therapy 462488051LEGARZA, KATHLEEN R 645 N ARLINGTON AVE RENO NV 105552 Washoe 775-770-7410 Physicians Radiation Oncology 880507472LEGASPI, CATHERINE A 4121 W SAHARA AVE LAS VEGAS NV 105555 Clark 702-257-9090 Physicians General Dentist 200442106LEGER, MARIE C 640 W MOANA LN RENO NV 105556 Washoe 775-324-0699 Physicians Dermatology 813253496LEGUEN, FERMIN 280 S DECATUR BLVD LAS VEGAS NV 105557 Clark 702-759-1000 Physicians Preventive Medicine 880151573LEHMANN, SEAN L 777 E WILLIAM ST STE 204 CARSON CITY NV 105558 Carson City 775-884-1800 Physicians Podiatry 271216859LEHOUX, JUAN M 3006 S MARYLAND PKWY STE 690 LAS VEGAS NV 105560 Clark 702-732-1290 Physicians Thoracic Surgery 880176637LEHRNER, LAWRENCE M 500 S RANCHO DR STE 12 LAS VEGAS NV 105562 Clark 702-877-1887 Physicians Nephrology 886000436LEHRNER, STEPHANIE J 2481 PROFESSIONAL CT LAS VEGAS NV 105564 Clark 702-382-1599 Physicians Family Medicine 262775400LEIBMAN, MICHAEL P 2350 W HORIZON RIDGE PKWY HENDERSON NV 105566 Clark 702-564-8556 Physicians Pediatrics 203416144LEICHTFUSS, RENEE C 121 CARNEGIE ST HENDERSON NV 105567 Clark 702-802-7326 Physicians Chiropractor 461267951LEIFRIED, STACY 2716 N TENAYA WAY LAS VEGAS NV 105568 Clark 702-877-8600 Physicians Certified Nurse Practitioner 880213519LEININGER, SHANNON D 2481 PROFESSIONAL CT LAS VEGAS NV 105569 Clark 702-382-1599 Physicians Dietitian 202595077LEISEROWITZ, MARC 9280 W SUNSET RD STE 438 LAS VEGAS NV 105571 Clark 702-877-1887 Physicians Nephrology 880136673LEMAK, DAVID L 897 IRONWOOD DR MINDEN NV 105573 Douglas 775-782-1610 Physicians Emergency Medicine 880405927LEMAY, ANNA M 330 E LIBERTY ST STE 200 RENO NV 105575 Washoe 775-398-3635 Physicians Dietitian 880363493LEMIEUX, JOHN R 1240 E 9TH ST RENO NV 105577 Washoe 775-323-0478 Physicians Family Medicine 880300031LEMON, ANTHON J 1800 W CHARLESTON BLVD LAS VEGAS NV 105580 Clark 702-383-2085 Physicians Emergency Medicine 851070665LEMONE, BRYSON D 500 N RAINBOW BLVD STE 315 LAS VEGAS NV 105616 Clark 702-877-1055 Physicians General Dentist 462542724LEMPER, BRIAN A 5950 S DURANGO DR LAS VEGAS NV 105619 Clark 702-562-3039 Physicians Pain Management 891440514LENGLE, STEVEN J 2020 PALOMINO LN LAS VEGAS NV 105630 Clark 702-759-8600 Physicians Radiology/Diagnostic 760373635LENHART, JAMES G 1391 S JONES BLVD LAS VEGAS NV 105650 Clark 702-486-6200 Physicians Family Medicine 880330858LENTZ, MELANIE L 1320 E CALVADA BLVD PAHRUMP NV 105651 Nye 775-751-6111 Physicians Certified Nurse Practitioner 462964527LEONARD, MARGARET M 825 N GIBSON RD HENDERSON NV 105652 Clark 702-776-8300 Physicians Certified Nurse Practitioner 201026537LEONARDO, BILLY E 2975 S RAINBOW BLVD LAS VEGAS NV 105653 Clark 407-908-1122 Physicians Certified Nurse Practitioner 880111970LEONE, EDWARD W 6130 ELTON AVE STE 113 LAS VEGAS NV 105657 Clark 702-476-0297 Physicians Anesthesiology 371766847LEONG, JOEANN K 8670 W CHEYENNE AVE STE 120 LAS VEGAS NV 105662 Clark 702-576-9608 Physicians Emergency Medicine 880262438LEONORAS, ABIGAIL M 2629 W HORIZON RIDGE PKWY STE 140 HENDERSON NV 105664 Clark 702-818-3207 Physicians Certified Nurse Practitioner 202335171LEOVY, JOANNE G 895 ADAMS BLVD BOULDER CITY NV 105665 Clark 702-293-0406 Physicians Family Medicine 900009798LEPORI, ANTHONY 555 W ARLINGTON AVE RENO NV 105667 Washoe 775-786-1358 Rehabilitation Physical Therapy 880103557LEPOSAVIC, ROBERT 9167 W FLAMINGO RD LAS VEGAS NV 105668 Clark 702-233-4569 Physicians Dermatology 202501922LEPPLA, DAVID C 5590 KIETZKE LN RENO NV 105669 Washoe 775-323-2080 Physicians Neurological Surgery 880167036LERNER, JEAN K 4958 S RAINBOW BLVD LAS VEGAS NV 105671 Clark 702-294-0433 Physicians Professional Counselor 454429023LESANI, OMID A 7500 SMOKE RANCH RD STE 200 LAS VEGAS NV 105673 Clark 702-233-0727 Physicians Urology 880366609LESAR, BRIDGETTE S 20 N WEST ST FERNLEY NV 105674 Lyon 775-575-5508 Rehabilitation Physical Therapy 880145347LETELIER, CARLOS H 2585 S JONES BLVD STE A LAS VEGAS NV 105675 Clark 702-367-6666 Physicians Oral Surgery 880499080LEUNG, JOHN W 10100 W CHARLESTON BLVD LAS VEGAS NV 105678 Clark 702-545-6116 Physicians Anesthesiology 460766041LEUNG, WAI K 3157 N RAINBOW BLVD # 518 LAS VEGAS NV 105679 Clark 702-386-4700 Physicians Anesthesiology 204727467

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 112 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDLEVAN, PATRICIA A 9710 S MCCARRAN BLVD RENO NV 105680 Washoe 775-624-6000 Physicians Family Medicine 880502320LEVENBERG, ERIN S 1325 AIRMOTIVE WAY STE 200 RENO NV 105681 Washoe 775-453-4143 Physicians Marriage & Family Therapist 471013467LEVENSON, CHERYL 4600 KIETZKE LN STE C122 RENO NV 105682 Washoe 775-823-9133 Physicians Professional Counselor 579589225LEVENTHAL, JACQUELINE J 1397 GALLERIA DR HENDERSON NV 105683 Clark 702-436-5800 Physicians Internal Medicine 880345631LEVIN, DIANE M 5757 WAYNE NEWTON BLVD LAS VEGAS NV 105684 Clark 702-837-1265 Physicians Family Medicine 880497635LEVIN, MARK M 689 SIERRA ROSE DR STE B RENO NV 105687 Washoe 775-323-3000 Physicians General Surgery 815234783LEVIN, MICHAEL L 600 WHITNEY RANCH DR STE A1 HENDERSON NV 105688 Clark 702-566-0333 Physicians Pediatrics 412033558LEVINE, LAURENCE 2575 S CIMARRON RD STE 100 LAS VEGAS NV 105692 Clark 702-369-7441 Physicians Pediatric Dentist 455055670LEVINE, NOAH L 2887 S MARYLAND PKWY LAS VEGAS NV 105693 Clark 702-839-2010 Physicians Podiatry 113483180LEVISMAN, JEFFREY M 9260 W SUNSET RD STE 207 LAS VEGAS NV 105694 Clark 702-962-2200 Physicians Cardiology 331159527LEVY, ADAM V 1800 W CHARLESTON BLVD LAS VEGAS NV 105697 Clark 702-671-2300 Physicians Obstetrics/Gynecology 880330858LEVY, GLENN R 1895 PLUMAS ST STE 3 RENO NV 105698 Washoe 775-322-5389 Physicians Chiropractor 155689598LEVY, MICHAEL S 4445 S JONES BLVD STE 3 LAS VEGAS NV 105704 Clark 702-873-7800 Physicians Family Medicine 880396776LEWANDOWSKI, MICHAEL J 5421 KIETZKE LN STE 101 RENO NV 105705 Washoe 775-852-3335 Physicians Psychology (Clinical) 451134927LEWIS, DENISE P 6736 RAINSTORM RIDGE AVE LAS VEGAS NV 105706 Clark 702-375-8805 Rehabilitation Speech Pathology 472546455LEWIS, HENRY 4890 E BONANZA RD LAS VEGAS NV 105707 Clark 702-649-6859 Physicians General Dentist 834228302LEWIS, JEFFREY D 1707 W CHARLESTON BLVD STE 160 LAS VEGAS NV 105708 Clark 702-671-5150 Physicians General Surgery 813419791LEWIS, KEITH M 2559 WIGWAM PKWY HENDERSON NV 105709 Clark 702-982-3659 Physicians Radiology/Diagnostic 900217292LEWIS, LINDSAY M 2000 WELLNESS WAY LAS VEGAS NV 105712 Clark 702-384-5101 Physicians Certified Nurse Practitioner 880329731LEWIS, MARK 1700 E DESERT INN RD STE 113 LAS VEGAS NV 105713 Clark 702-862-4774 Physicians Professional Counselor 842153045LEWIS, MICHELLE M 1701 N GREEN VALLEY PKWY STE 5C HENDERSON NV 105716 Clark 702-614-6550 Physicians Obstetrics/Gynecology 880359111LEWIS, NATHAN L 800 S MEADOWS PKWY STE 100 RENO NV 105718 Washoe 775-851-4646 Physicians General Dentist 454797322LEWIS, SUSAN K 203 S WATER ST STE 200 HENDERSON NV 105719 Clark 702-823-4300 Physicians Certified Nurse Practitioner 812141112LEWIS, TERRY R 1111 SHADOW LN LAS VEGAS NV 105720 Clark 702-383-4040 Physicians General Surgery 880219190LEY, RYAN M PO BOX 19051 RENO NV 105723 Washoe 775-247-7150 Physicians Psychiatry 880300031LI, CHARLES C 3001 SAINT ROSE PKWY HENDERSON NV 105724 Clark 702-878-0070 Physicians Anesthesiology 822526636LI, JIAN 7250 PEAK DR STE 100 LAS VEGAS NV 105733 Clark 702-386-4700 Physicians Anesthesiology 880375544LI, SHOUPING 118 E HASKELL ST WINNEMUCCA NV 105736 Humboldt 775-625-8585 Physicians Family Medicine 886000088LIANG, EVA I 5871 W CRAIG RD LAS VEGAS NV 105737 Clark 702-724-2020 Physicians Ophthalmology 201898649LIANG, HENRY H 2450 W CHARLESTON BLVD LAS VEGAS NV 105741 Clark 702-877-8661 Physicians Anesthesiology 860857176LIANG, KEVIN 1860 E CHARLESTON BLVD LAS VEGAS NV 105743 Clark 702-365-6800 Physicians General Dentist 371797092LIANG, TINA J 4235 E CHARLESTON BLVD LAS VEGAS NV 105744 Clark 702-505-9180 Physicians General Dentist 833098490LIANG, WEN 2621 W HORIZON RIDGE PKWY STE 150 HENDERSON NV 105746 Clark 702-837-6368 Physicians Internal Medicine 880386657LIBBY, EUGENE P 7195 ADVANCE WAY LAS VEGAS NV 105747 Clark 702-740-5327 Physicians Orthopedic Surgery 880356786LIBONATI, JERROD 280 S DECATUR BLVD LAS VEGAS NV 105748 Clark 702-759-1700 Physicians Dietitian 880151573LICATA JR, SALVATORE J 6415 S FORT APACHE RD STE 190 LAS VEGAS NV 105749 Clark 702-255-8000 Physicians General Dentist 954291471LICATA, PETER J 5410 W SAHARA AVE LAS VEGAS NV 105750 Clark 702-362-2500 Physicians Family Medicine 880254661LICINA, TINA 10521 JEFFREYS ST HENDERSON NV 105752 Clark 702-724-2020 Physicians Optometry 201730312LICINI, DENISE H 2650 N TENAYA WAY STE 201 LAS VEGAS NV 105755 Clark 702-735-7154 Physicians Certified Nurse Practitioner 880213519LIE, WANNI 1150 S NELLIS BLVD STE 200 LAS VEGAS NV 105756 Clark 702-505-9159 Physicians General Dentist 832815724LIEBER, RICHARD D 5785 CENTENNIAL CENTER BLVD STE 190 LAS VEGAS NV 105760 Clark 702-383-6270 Physicians Family Medicine 886000436LIEBERMAN, RACHEL A 1707 W CHARLESTON BLVD STE 400 LAS VEGAS NV 105761 Clark 702-671-2201 Physicians Ophthalmology 813419791LIEBERSTEIN, LOTH 10619 PROFESSIONAL CIR RENO NV 105762 Washoe 775-852-4848 Physicians Gastroenterology 880182841LIEBIG, JONATHAN T 1707 W CHARLESTON BLVD STE 160 LAS VEGAS NV 105763 Clark 702-671-5150 Physicians General Surgery 813419791LIFE ALIGN CHIROPRACTIC 8515 EDNA AVE STE 240 LAS VEGAS NV 105764 Clark 702-456-6772 Physicians Chiropractor 203000196Life Care Center of South Las Vegas 2325 E HARMON AVE LAS VEGAS NV 105765 Clark 702-798-7990 Rehabilitation 621601044LIFE GUARD INTL. INC. 145 E RENO AVE STE E7 LAS VEGAS NV 105766 Clark 702-740-5952 Ancillary Providers 431967372LIFECARE CENTER OF LAS VEGAS 6151 VEGAS DR LAS VEGAS NV 105768 Clark 702-648-4900 Rehabilitation 621487365LIFECARE MANAGEMENT SERVICES 2375 E PRATER WAY SPARKS NV 105769 Washoe 775-331-1044 Hospitals 880360990LIFECARE MEDICAL SUPPLIES INC 6415 S FORT APACHE RD STE 170 LAS VEGAS NV 105771 Clark 702-696-1527 Ancillary Providers 010586925LIGHT BEHAVIORAL HEALTH CENTER 2110 E FLAMINGO RD STE 205 LAS VEGAS NV 105772 Clark 702-620-5105 Ambulatory Facilities 832362194

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 113 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDLIGHTFOOT, LINDSAY 480 GALLETTI WAY SPARKS NV 105773 Washoe 775-688-2001 Physicians Social Worker 886000022LIGHTHOUSE, CHRISTY 118 CALIFORNIA AVE RENO NV 105774 Washoe 775-329-1331 Physicians Optometry 880135967LIGON, CHRISTOPHER 175 N STEPHANIE ST STE 170 HENDERSON NV 105775 Clark 702-997-5958 Physicians General Dentist 208863082LILYQUIST, MICHAEL 9480 DOUBLE DIAMOND PKWY STE 100 RENO NV 105777 Washoe 775-786-1600 Physicians Orthopedic Surgery 880107997LIM GO, GEMMA 98 E LAKE MEAD PKWY STE 305 HENDERSON NV 105780 Clark 702-765-5780 Physicians Certified Nurse Practitioner 300770519LIM, CHRISTOPHER A 6090 S FORT APACHE RD STE 120 LAS VEGAS NV 105781 Clark 702-895-7799 Physicians General Dentist 201765617LIM, JAY K 2350 W HORIZON RIDGE PKWY HENDERSON NV 105782 Clark 702-564-8556 Physicians Pediatrics 203416144LIM, JEROME M 9320 W SAHARA AVE LAS VEGAS NV 105783 Clark 702-383-3633 Physicians Family Medicine 886000436LIM, JOHANNA C 1000 S RAINBOW BLVD LAS VEGAS NV 105784 Clark 702-464-8866 Physicians Certified Nurse Practitioner 880213519LIM, THOMAS 500 S RANCHO DR STE 12 LAS VEGAS NV 105786 Clark 702-877-1887 Physicians Nephrology 880136673LIM, TREVOR 2250 E FLAMINGO RD LAS VEGAS NV 105787 Clark 702-784-4300 Physicians Radiation Oncology 201026537LIMOGES, JENNI L 1575 ROBB DR RENO NV 105790 Washoe 775-827-3777 Rehabilitation Physical Therapy 510513345LIMTAO, FERDINAND C 525 MARKS ST HENDERSON NV 105791 Clark 702-671-1000 Physicians Certified Nurse Practitioner 886000436LIN, ALVIN B 5564 S FORT APACHE RD STE 120 LAS VEGAS NV 105792 Clark 702-807-4181 Physicians Geriatric Medicine 880330858LIN, CHARLES S 3186 S MARYLAND PKWY LAS VEGAS NV 105793 Clark 702-731-8000 Physicians Emergency Medicine 880262438LIN, CHERIE C 8280 W WARM SPRINGS RD LAS VEGAS NV 105794 Clark 702-492-8000 Physicians Internal Medicine 880252300LIN, JODY C 3375 E TROPICANA AVE STE F8 LAS VEGAS NV 105797 Clark 702-964-3626 Physicians General Dentist 811004194LIN, JOEL G 8551 W LAKE MEAD BLVD STE 150 LAS VEGAS NV 105800 Clark 800-730-9263 Physicians Radiology/Diagnostic 880288071LIN, KEVIN 6360 MAE ANNE AVE STE 3 RENO NV 105803 Washoe 775-399-7036 Physicians General Dentist 454797322LIN, MICHAEL M 3850 S JONES BLVD STE 15 LAS VEGAS NV 105806 Clark 702-248-1881 Physicians Chiropractor 880419556LIN, SHAO-POW 4101 WAGON TRAIL AVE LAS VEGAS NV 105813 Clark 702-942-4123 Physicians Radiology/Diagnostic 880119638LIN, STEVE 620 SHADOW LN LAS VEGAS NV 105814 Clark 702-388-4000 Physicians Internal Medicine 942994776LIN, TSUNG-HSIEN JUSTIN 3641 GS RICHARDS BLVD CARSON CITY NV 105815 Carson City 775-982-5000 Physicians Internal Medicine 880291454LIN, WEIYE 5150 MAE ANNE AVE STE 810A RENO NV 105816 Washoe 775-747-0680 Physicians General Dentist 464394010LIN, WONCHON 5380 S RAINBOW BLVD STE 200 LAS VEGAS NV 105818 Clark 702-263-2020 Physicians Ophthalmology 831473800LINARES, VIRIDIANA 4221 MCLEOD DR LAS VEGAS NV 105819 Clark 702-474-6450 Physicians Professional Counselor 880111970LINCARE INC 1139 E AULTMAN ST STE A ELY NV 105821 White Pine 775-289-8546 Ancillary Providers 590852900LINCK II, DONALD W 4 SUNSET WAY STE C HENDERSON NV 105843 Clark 702-968-5222 Physicians Orthodontist 880435559LINCK, GRAHAM M 6592 N DECATUR BLVD STE 115 LAS VEGAS NV 105844 Clark 702-396-4993 Rehabilitation Physical Therapy 821213332LINCOLN PHYSICAL THERAPY 2 BROADWAY CALIENTE NV 105846 Lincoln 775-725-3710 Rehabilitation 460464353LINDBERG, CHRISTIN K 2667 ENTERPRISE RD RENO NV 105848 Washoe 775-720-2957 Rehabilitation Speech Pathology 886000022LINDEN, DAVID E 5120 S PECOS RD LAS VEGAS NV 105849 Clark 702-560-5973 Physicians Psychiatry 900837799LINDERER, GREGORY A 9127 W RUSSELL RD LAS VEGAS NV 105850 Clark 702-878-0070 Physicians Anesthesiology 592905984LINDO, VERONICA J 4880 WYNN RD LAS VEGAS NV 105859 Clark 702-871-5005 Physicians Family Medicine 562352627LINDSAY, PATRICK T 7326 W CHEYENNE AVE LAS VEGAS NV 105861 Clark 702-386-4700 Physicians Anesthesiology 204727467LINDSAY, TIFFANI 1650 LUCERNE ST STE 104 MINDEN NV 105869 Douglas 866-331-4206 Physicians Marriage & Family Therapist 270472332LINDSEY, CHRISTINE M 5631 S PECOS RD LAS VEGAS NV 105870 Clark 702-685-0877 Physicians Social Worker 383889285LINDSTEDT, REBECCA S 783 BASQUE WAY STE 103 CARSON CITY NV 105871 Carson City 775-720-3490 Physicians Dietitian 832886211LINDSTROM, QUINN D 118 E HASKELL ST WINNEMUCCA NV 105872 Humboldt 775-623-5222 Physicians Podiatry 886000088LINE, MICHELLE K 2625 E SAINT LOUIS AVE LAS VEGAS NV 105874 Clark 702-799-7437 Rehabilitation Speech Pathology 886000022LINGARD, CHRISTOPHER 2874 N CARSON ST STE 230 CARSON CITY NV 105875 Carson City 775-884-2111 Physicians General Dentist 472934907LINK, DANIEL J 7250 PEAK DR STE 100 LAS VEGAS NV 105876 Clark 702-386-4700 Physicians Anesthesiology 880346185LIPA, KEVIN 5216 BOULDER HWY STE 105 LAS VEGAS NV 105879 Clark 702-547-6764 Physicians Certified Nurse Practitioner 852357914LIPINSKI, ANGELA M 1955 S CASINO DR STE 118 LAUGHLIN NV 105880 Clark 702-299-7203 Physicians Certified Nurse Practitioner 860993363LIPMAN, EVAN 9771 S EASTERN AVE STE 100 LAS VEGAS NV 105881 Clark 702-616-9655 Physicians General Dentist 208899851LIPPMANN, FREDERICK J 3150 N TENAYA WAY STE 680 LAS VEGAS NV 105883 Clark 702-838-5888 Physicians Family Medicine 886000436LIPSHUTZ, JEREMY M 330 S LOLA LN PAHRUMP NV 105889 Nye 702-475-4390 Physicians Anesthesiology 262775400LISA G. ABBOTT MD PC 540 W PLUMB LN RENO NV 105896 Washoe 775-746-3338 Ambulatory Facilities 880514820LISCIO, TANYA D 412 W JOHN ST STE B CARSON CITY NV 105897 Carson City 775-445-5080 Physicians Certified Nurse Practitioner 880120754LISENBY, MATTHEW 7171 W CRAIG RD STE 102 LAS VEGAS NV 105901 Clark 702-655-0331 Physicians General Dentist 452993092LISING, MICHELLE 5465 MEADOWOOD MALL CIR RENO NV 105903 Washoe 702-341-7254 Physicians Optometry 880482478

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 114 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDLISSAU, STEVEN J 5240 S EASTERN AVE LAS VEGAS NV 105904 Clark 702-480-4006 Physicians Family Medicine 097362965LITMAN, ELIAHU A 4980 W SAHARA AVE LAS VEGAS NV 105905 Clark 702-216-7365 Physicians Family Medicine 320582746LITT, RICHARD L 653 N TOWN CENTER DR STE 514 LAS VEGAS NV 105914 Clark 702-870-2246 Physicians Obstetrics/Gynecology 611244323LITT, ROBERT M 3061 S MARYLAND PKWY STE 102 LAS VEGAS NV 105916 Clark 702-731-2888 Physicians Radiology/Diagnostic 481290229LITTLE, LOREN E 2090 E FLAMINGO RD STE 200 LAS VEGAS NV 105941 Clark 702-733-9271 Physicians Ophthalmology 880163960LITTLEFIELD, ANGEL M 418 CHENEY ST RENO NV 105944 Washoe 775-354-1017 Physicians Professional Counselor 473622602LITTLEHALE, PETER B 530 E PLUMB LN STE L RENO NV 105945 Washoe 775-825-1515 Physicians Chiropractor 880433574LITTMAN, EVA D 6420 MEDICAL CENTER ST STE 100 LAS VEGAS NV 105946 Clark 702-262-0079 Physicians Obstetrics/Gynecology 261911414LIU, JEFFREY T 3040 W CHARLESTON BLVD LAS VEGAS NV 105949 Clark 702-477-0707 Physicians Obstetrics/Gynecology 800551016LIU, JUDY C 653 N TOWN CENTER DR LAS VEGAS NV 105950 Clark 702-369-0200 Physicians Ophthalmology 251492985LIU, REX C 2850 E DESERT INN RD LAS VEGAS NV 105951 Clark 702-454-0858 Physicians General Dentist 880490082LIU, SARA 3896 N MARTIN L KING BLVD NORTH LAS VEGAS NV 105952 Clark 702-614-1792 Physicians General Dentist 204714412LIU, TSUNG HAN S 5495 S RAINBOW BLVD LAS VEGAS NV 105953 Clark 702-477-0772 Physicians Radiology/Diagnostic 880307447LIU, WENSHAN 5269 S EASTERN AVE LAS VEGAS NV 105954 Clark 702-212-7755 Physicians Optometry 942568317LIU, WILLIAM T 3730 E FLAMINGO RD LAS VEGAS NV 105955 Clark 702-804-4266 Physicians General Dentist 205179662LIU, XIN N 2904 W HORIZON RIDGE PKWY STE 101 HENDERSON NV 105956 Clark 702-740-5327 Physicians Orthopedic Surgery 204010444LIU, ZHENG K 61 N NELLIS BLVD LAS VEGAS NV 105958 Clark 702-383-6240 Physicians Internal Medicine 886000436LIVEWELL PHYSICAL THERAPY 129 W LAKE MEAD PKWY HENDERSON NV 105960 Clark 702-564-6712 Rehabilitation 043821114LIVINGSTON, MARK R 9127 W RUSSELL RD LAS VEGAS NV 105962 Clark 702-878-0070 Physicians Anesthesiology 592905984LIZADA, ADELWISA V 6161 W CHARLESTON BLVD LAS VEGAS NV 105971 Clark 702-486-6045 Physicians Psychiatry 886000022LLOYD DAVIES, AUDREY 3175 SAINT ROSE PKWY HENDERSON NV 105972 Clark 702-474-7212 Rehabilitation Occupational Therapy 880386672LLOYD, CHRISTOPHER B 129 W LAKE MEAD PKWY STE B18 HENDERSON NV 105973 Clark 702-564-4440 Physicians CRNA 731714968LLOYD, MONIQUE I 2375 E PRATER WAY SPARKS NV 105974 Washoe 775-331-7000 Physicians Emergency Medicine 833597814LLOYDJR, WILLIAM J 1865 PLUMAS ST STE 1 RENO NV 105976 Washoe 775-786-1110 Physicians Obstetrics/Gynecology 880466763LO, JAMES K 701 S DECATUR BLVD LAS VEGAS NV 105977 Clark 702-878-9237 Physicians Chiropractor 954597348LO, JOSEPH T 8280 W WARM SPRINGS RD LAS VEGAS NV 105978 Clark 510-350-2600 Physicians Emergency Medicine 862775542LOAIZA IBARRA, ALLYSON L 4221 MCLEOD DR LAS VEGAS NV 105979 Clark 702-474-6450 Physicians Professional Counselor 880111970LOBARBIO-SMITH, RIA C 1180 E LAKE MEAD PKWY HENDERSON NV 105981 Clark 702-565-8555 Physicians Certified Nurse Practitioner 201026537LOBATO, CARL E 1707 W CHARLESTON BLVD STE 160 LAS VEGAS NV 105983 Clark 702-671-5150 Physicians Anesthesiology 880330858LOBATO, ROBIN D 9061 W SAHARA AVE STE 101 LAS VEGAS NV 105984 Clark 702-877-0500 Physicians General Dentist 880315397LOBERG, CHAD L 2213 N 5TH ST ELKO NV 105985 Elko 775-777-0901 Rehabilitation Physical Therapy 200702179LOBIONDO, ANN MARIE 7250 PEAK DR STE 100 LAS VEGAS NV 105987 Clark 702-386-4700 Physicians CRNA 204727467LOCHNERIII, CONRAD 5691 RICKENBACKER RD LAS VEGAS NV 105991 Clark 702-644-6671 Physicians Optometry 880337354LOCKEN, JULIE A 1285 FINANCIAL BLVD RENO NV 105992 Washoe 855-386-0188 Physicians Radiology/Diagnostic 880113741LOCKHART, WESLEY C 874 AMERICAN PACIFIC DR HENDERSON NV 105994 Clark 702-777-4809 Physicians Neurology 200363127LOEB, ROBERT S 3920 S EASTERN AVE LAS VEGAS NV 105995 Clark 702-759-8600 Physicians Radiology/Diagnostic 470894654LOH, JI 10965 LAVENDER HILL DR STE 120 LAS VEGAS NV 106020 Clark 702-852-2755 Physicians General Dentist 810950476LOHFF, CORTLAND J 280 S DECATUR BLVD LAS VEGAS NV 106021 Clark 702-759-1695 Physicians Preventive Medicine 880151573LOIDA M. HERNANDEZ MD PROF CORP. 3006 S MARYLAND PKWY STE 765 LAS VEGAS NV 106022 Clark 702-369-6161 Physicians Internal Medicine 470874258LOK, HENRY J 1818 E DESERT INN RD LAS VEGAS NV 106023 Clark 702-732-1063 Physicians Family Medicine 834231245LOK, PETER 1818 E DESERT INN RD LAS VEGAS NV 106024 Clark 702-732-0178 Physicians Acupuncturist 880217643LOKSHIN, BORIS M 2135 GREEN VISTA DR STE 109 SPARKS NV 106025 Washoe 775-359-5010 Physicians Allergy/Immunology 880502320LOMAX, RANDALL S 6850 N DURANGO DR STE 314 LAS VEGAS NV 106027 Clark 702-834-5886 Physicians Otolaryngology 270387135LONG, NANCY L 8906 SPANISH RIDGE AVE LAS VEGAS NV 106032 Clark 702-577-1622 Physicians Obstetrics/Gynecology 880507664LONG, RICHARD D 1000 N DIVISION ST STE 100 CARSON CITY NV 106033 Carson City 775-359-7340 Physicians Orthopedic Surgery 880502320LONGSTREET, BECK O 3186 S MARYLAND PKWY LAS VEGAS NV 106035 Clark 702-731-8000 Physicians Emergency Medicine 880262438LOO, ROY H 653 N TOWN CENTER DR LAS VEGAS NV 106036 Clark 702-369-0200 Physicians Ophthalmology 260076062LOOS, STEPHEN J 2874 N CARSON ST CARSON CITY NV 106037 Carson City 775-445-5500 Physicians Radiology/Diagnostic 201064232LOPEZ, ANGIE D 7656 W SAHARA AVE STE 110 LAS VEGAS NV 106043 Clark 702-525-1105 Physicians Dietitian 223918097LOPEZ, CARLOS A 624 S TONOPAH DR LAS VEGAS NV 106044 Clark 702-463-9100 Physicians Radiation Oncology 451538337LORD, BRYCE C 1001 MOUNTAIN ST STE 2E CARSON CITY NV 106045 Carson City 775-883-5505 Physicians Radiation Oncology 351348013

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 115 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDLORENTZ, CATHERINE B 500 S RANCHO DR # D LAS VEGAS NV 106046 Clark 702-877-1887 Physicians Certified Nurse Practitioner 880136773LORENZ OPHTHALMOLOGY CENTER LIMITED9100 W POST RD LAS VEGAS NV 106048 Clark 702-255-6665 Physicians Ophthalmology 364620877LORENZ, BROOKE 2121 E FLAMINGO RD STE 110 LAS VEGAS NV 106053 Clark 702-382-8841 Physicians Dietitian 880436341LORENZ, DOUGLAS C 2598 WINDMILL PKWY HENDERSON NV 106054 Clark 702-896-6043 Physicians Ophthalmology 880351528LORENZANA, GERARDO G 61 N NELLIS BLVD LAS VEGAS NV 106057 Clark 702-383-6250 Physicians Internal Medicine 886000436LORING, SUSAN 542 LANDER ST STE B RENO NV 106058 Washoe 775-843-2846 Physicians Psychology (Clinical) 354406997LOTAN, ROI M 645 N ARLINGTON AVE STE 250A RENO NV 106063 Washoe 855-896-8446 Physicians Radiology/Diagnostic 880145500LOTT, HELGA 1700 E DESERT INN RD STE 114 LAS VEGAS NV 106064 Clark 702-734-8642 Rehabilitation Physical Therapy 880136640LOTT, JESSE L 418 CHENEY ST RENO NV 106065 Washoe 775-354-1017 Physicians Professional Counselor 473622602LOUIE, ART 8525 S EASTERN AVE STE 120 LAS VEGAS NV 106066 Clark 702-795-0222 Physicians Chiropractor 810767423LOUIE, TIMOTHY J 901 E 2ND ST STE 201 RENO NV 106067 Washoe 775-324-2234 Physicians Neurology 880401399LOUIS, TIANA M 6375 W CHARS BLVD STE A172 LAS VEGAS NV 106068 Clark 702-880-6262 Physicians Professional Counselor 880330858LOUSIG NONT, ADAM 8460 S EASTERN AVE STE D LAS VEGAS NV 106071 Clark 702-270-0025 Physicians General Dentist 842814081LOUVIER, RACHEL 2012 S JONES BLVD LAS VEGAS NV 106072 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643LOUWENAAR, KEITH 801 E WILLIAMS AVE FALLON NV 106073 Churchill 775-689-9114 Physicians Orthopedic Surgery 880276686LOVAAS, JASON 7251 W LAKE MEAD BLVD STE 300 LAS VEGAS NV 106074 Clark 702-457-5600 Physicians Chiropractor 731715373LOVE, IAN L 975 KIRMAN AVE RENO NV 106075 Washoe 775-786-7200 Physicians Radiology/Diagnostic 880502320LOVE, STEPHANIE N 1552 W WARM SPRINGS RD STE 100 HENDERSON NV 106076 Clark 702-933-5544 Physicians Certified Nurse Practitioner 203448747LOVELAND, DARREN T 7345 S DURANGO DR STE 112 LAS VEGAS NV 106077 Clark 702-270-3095 Physicians General Dentist 510481066LOVELAND, KELCEY 5900 W CHEYENNE AVE LAS VEGAS NV 106078 Clark 702-674-7000 Physicians Orthodontist 823870414LOVETT, JAMES V 7200 CATHEDRAL ROCK DR STE 250 LAS VEGAS NV 106081 Clark 702-383-4040 Physicians General Surgery 880219190LOVETT, JEFFREY W 2385 E PRATER WAY SPARKS NV 106084 Washoe 775-358-4007 Physicians Family Medicine 383701638LOVINGER, AARON V 3100 N TENAYA WAY LAS VEGAS NV 106085 Clark 702-255-5000 Physicians Emergency Medicine 880262438LOWDEN, GEOFFREY D 8170 W SAHARA AVE STE 102 LAS VEGAS NV 106086 Clark 702-256-2225 Physicians Chiropractor 880431711LOWDEN, JANICE L 3680 GRANT DR STE F RENO NV 106088 Washoe 775-825-2252 Physicians Marriage & Family Therapist 530150622LOWE RICHENS, CAROLE S 1552 W WARM SPRINGS RD STE 120 HENDERSON NV 106089 Clark 702-451-1889 Physicians General Dentist 880387378LOWE, JED 8280 W WARM SPRINGS RD LAS VEGAS NV 106090 Clark 702-492-8000 Physicians Internal Medicine 472990144LOWE, RICHARD E 2020 PALOMINO LN STE 100 LAS VEGAS NV 106091 Clark 702-759-8600 Physicians Radiology/Diagnostic 842057727LOWERY, KATHRYN A 2040 W CHARLESTON BLVD LAS VEGAS NV 106116 Clark 702-671-6437 Physicians Psychiatry 886000022LOWERY, SANDRA M 327 THOMA ST RENO NV 106118 Washoe 775-825-3428 Physicians Professional Counselor 530360435LOY, BETHANY J 1565 VIRGINIA RANCH RD GARDNERVILLE NV 106119 Douglas 775-309-4860 Rehabilitation Occupational Therapy 232446104LU, JEFFREY Y 6545 S FORT APACHE RD STE 110 LAS VEGAS NV 106120 Clark 702-331-4444 Physicians General Dentist 262473394LUBACK-NEVES, MARIE 6880 S MCCARRAN BLVD STE 14 RENO NV 106121 Washoe 775-393-9101 Physicians Certified Nurse Practitioner 812219401LUBRITZ & NASRI, PLLC 3101 S MARYLAND PKWY STE 102 LAS VEGAS NV 106122 Clark 702-732-4491 Physicians Otolaryngology 880383349LUBRITZ, JOEL N 3101 S MARYLAND PKWY STE 102 LAS VEGAS NV 106123 Clark 702-732-4491 Physicians Otolaryngology 880133601LUCAS, ASHLEY 3285 CASEY DR APT 102 LAS VEGAS NV 106125 Clark 620-481-6768 Physicians Marriage & Family Therapist 911020106LUCAS, EDELAINE Q 5423 RENO CORPORATE DR RENO NV 106127 Washoe 775-329-0873 Physicians Certified Nurse Practitioner 880152239LUCERO, RICHARD A 127 S WATER ST HENDERSON NV 106129 Clark 702-564-2331 Physicians Chiropractor 264837707LUCIA, MICHAEL A 236 W 6TH ST STE 100 RENO NV 106131 Washoe 775-329-9010 Physicians Pulmonology 880173816LUCIER, RICHARD J 595 MOUNT ROSE ST RENO NV 106133 Washoe 775-786-9006 Physicians Professional Counselor 880159583LUCKOOR, SALONI 2570 WIGWAM PKWY STE 110 HENDERSON NV 106134 Clark 702-757-3399 Physicians General Dentist 475334172LUDLOW, DAVID V 3150 N TENAYA WAY STE 165 LAS VEGAS NV 106135 Clark 702-877-0814 Physicians Urology 880310956LUDLOW, PAUL C 645 N ARLINGTON AVE STE 670 RENO NV 106137 Washoe 775-324-3800 Physicians Otolaryngology 880149748LUDWICK, JOSEPH M 3006 S MARYLAND PKWY STE 400 LAS VEGAS NV 106141 Clark 702-990-4812 Physicians Pediatric Cardiology 880176637LUEDEMAN, MICHAEL S 5400 S RAINBOW BLVD LAS VEGAS NV 106143 Clark 702-853-3000 Physicians Family Medicine 472990144LUEM, CARL R 9260 W SUNSET RD STE 200 LAS VEGAS NV 106144 Clark 702-255-3547 Physicians Obstetrics/Gynecology 460166041LUFT, ELIZABETH A 575 E PLUMB LN STE 100 RENO NV 106146 Washoe 775-329-0623 Physicians Marriage & Family Therapist 880090713LUH, EDDY H 8930 W SUNSET RD STE 300 LAS VEGAS NV 106147 Clark 702-258-7788 Physicians Vascular Surgery 450528902LUH, HENRY H 7160 SMOKE RANCH RD LAS VEGAS NV 106151 Clark 702-254-8900 Physicians Obstetrics/Gynecology 263147146LUJAN, WILLIAM B 1691 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 106154 Clark 702-804-1212 Physicians Neurology 010726093LUKA, SAMUEL R 6080 S DURANGO DR STE 105 LAS VEGAS NV 106157 Clark 702-586-6688 Physicians Colorectal Surgery 270754976

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 116 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDLUMBRES, MADEL 8280 W WARM SPRINGS RD LAS VEGAS NV 106159 Clark 702-921-6829 Physicians Internal Medicine 472990144LUNA, CARLOS F 653 N TOWN CENTER DR STE 310 LAS VEGAS NV 106160 Clark 702-732-1290 Physicians Pediatric Cardiology 891092218LUNA, DIANE M 1700 WHEELER PEAK DR LAS VEGAS NV 106161 Clark 702-383-2565 Physicians Certified Nurse Practitioner 886000436LUNA, MADISON 2490 PASEO VERDE PKWY STE 115 HENDERSON NV 106162 Clark 702-515-4009 Rehabilitation Physical Therapy 472546455LUND, MICHAEL P 6395 S MCCARRAN BLVD STE B RENO NV 106163 Washoe 775-823-9419 Physicians General Dentist 462690803LUNDBERG, MICHAEL C 7391 W CHARLESTON BLVD LAS VEGAS NV 106165 Clark 702-823-4255 Physicians Emergency Medicine 880262438LUNDEEN, GREGORY A 350 W 6TH ST RENO NV 106166 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557LUNDGREN, JILL E 1510 W HORIZON RIDGE PKWY STE 160 HENDERSON NV 106168 Clark 702-566-8266 Rehabilitation Speech Pathology 886000022LUNDIN, BRUCE L 2944 MOUNTAIN CITY HWY ELKO NV 106169 Elko 435-232-2690 Physicians Optometry 870179340LUNG CENTER OF NEVADA 9280 W SUNSET RD LAS VEGAS NV 106170 Clark 480-921-8944 Physicians Pulmonology 710987466LUNGO, JAMES B 1800 W CHARLESTON BLVD LAS VEGAS NV 106172 Clark 702-383-3736 Physicians Pediatrics 943293742LUONG, MINH N 8000 W SAHARA AVE STE 180 LAS VEGAS NV 106174 Clark 702-822-2300 Physicians General Dentist 880496270LUONG, PHU C 4850 S FORT APACHE RD STE 102 LAS VEGAS NV 106175 Clark 702-255-9154 Physicians General Dentist 831411869LUONGO, RALPH P 2261 N RAMPART BLVD LAS VEGAS NV 106176 Clark 702-363-8655 Physicians General Dentist 850437737LUPERTE, ESTHERLOIDA P 1905 MCDANIEL ST STE 106 NORTH LAS VEGAS NV 106178 Clark 702-878-2455 Physicians Internal Medicine 880368011LUPO, CIMEON 775 FLEISCHMANN WAY CARSON CITY NV 106182 Carson City 775-445-7356 Physicians Social Worker 880502320LURI, JENNIFER L 747 INDIAN TRAIL RD GARDNERVILLE NV 106183 Douglas 775-722-3323 Rehabilitation Occupational Therapy 886000022LURIE, BENJAMIN S 3430 N BUFFALO DR STE 110 LAS VEGAS NV 106184 Clark 702-547-5400 Physicians Chiropractor 870680292LUSHINA, MARY M 690 SIERRA ROSE DR RENO NV 106187 Washoe 775-770-3081 Physicians Certified Nurse Practitioner 880502320LUSS, ROSNER P 1621 E FLAMINGO RD LAS VEGAS NV 106188 Clark 702-696-0506 Physicians Internal Medicine 880390911LUSTIG, TABITHA C 9499 W CHARLESTON BLVD LAS VEGAS NV 106189 Clark 866-530-3940 Physicians Certified Nurse Practitioner 880213519LUTES, DAWN M 1505 WIGWAM PKWY STE 241 HENDERSON NV 106190 Clark 702-852-3112 Physicians Certified Nurse Practitioner 821510988LUTH, SPENCER L 6950 SMOKE RANCH RD STE 150 LAS VEGAS NV 106191 Clark 702-304-1902 Physicians General Dentist 721617958LUU, JAROM N 8430 FARM RD STE 120 LAS VEGAS NV 106192 Clark 702-732-1010 Physicians Oral Surgery 383984569LUU, PETER 3225 S RAINBOW BLVD STE 100 LAS VEGAS NV 106195 Clark 702-220-8726 Physicians General Dentist 204715481LUU, VU H 9127 W RUSSELL RD LAS VEGAS NV 106196 Clark 702-878-0070 Physicians Anesthesiology 731451967LV LACTATION LLC 10577 ACACIA PARK PL LAS VEGAS NV 106205 Clark 702-919-6519 Rehabilitation Speech Pathology 833161215LY, HUY T 5400 S RAINBOW BLVD LAS VEGAS NV 106206 Clark 702-853-3000 Physicians Internal Medicine 880404402LY, JUSTIN Q 235 W 6TH ST RENO NV 106207 Washoe 775-770-7100 Physicians Radiology/Diagnostic 880145500LY, SALLY 6180 N DECATUR BLVD STE 100 LAS VEGAS NV 106209 Clark 702-359-3107 Physicians General Dentist 821271826LYDON, KATHLEEN E 900 RYLAND ST RENO NV 106214 Washoe 775-786-3555 Physicians Certified Nurse Practitioner 455557052LYMAN, SIERRA 4285 N RANCHO DR LAS VEGAS NV 106216 Clark 702-385-5331 Physicians Social Worker 043290453LYMPHATIC THERAPY SERVICES, INC 3560 S JONES BLVD LAS VEGAS NV 106217 Clark 702-367-6015 Rehabilitation 800010244LYNAM, EDWARD P 1101 W MOANA LN STE 2 RENO NV 106218 Washoe 775-337-2394 Physicians Psychiatry 810550989LYNCH, CHRISTOPHER R 1520 VIRGINIA RANCH RD STE 2B GARDNERVILLE NV 106219 Douglas 775-783-4818 Physicians Gastroenterology 953154530LYNCH, JAMES J 1470 MEDICAL PKWY CARSON CITY NV 106221 Carson City 775-348-8800 Physicians Neurological Surgery 270028866LYNN, ROBERT J 9975 S EASTERN AVE LAS VEGAS NV 106223 Clark 702-361-2273 Physicians Certified Nurse Practitioner 203502995LYNNCORE MEDGROUP, INC. 2024 E WIGWAM AVE LAS VEGAS NV 106225 Clark 887-892-6226 Ancillary Providers 752877069LYON, WESLEY W 3150 N TENAYA WAY STE 215 LAS VEGAS NV 106226 Clark 702-586-4600 Physicians Podiatry 860852466LYONS JR, CALVIN D 2121 E FLAMINGO RD STE 200 LAS VEGAS NV 106231 Clark 702-586-9988 Physicians Colorectal Surgery 270754976LYONS, DAVID M 1200 Mountain St Carson City NV 106232 Carson City 775-882-1324 Physicians Certified Nurse Practitioner 880502320LYONS, JOHN P 600 S RANCHO DR LAS VEGAS NV 106233 Clark 702-794-0300 Rehabilitation Physical Therapy 264488352LYONS, LISA M 4141 UNIVERSITY CENTER DR LAS VEGAS NV 106236 Clark 702-733-0320 Physicians Internal Medicine 460766041LYONS, MICHELLE 5631 S PECOS RD LAS VEGAS NV 106238 Clark 702-685-0877 Physicians Marriage & Family Therapist 383889285LYONS, ROBERT D 5420 KIETZKE LN STE 103 RENO NV 106239 Washoe 775-329-2300 Physicians Optometry 860879921LYTLE, BETTY J 240 HUMAHUACA ST PAHRUMP NV 106240 Nye 775-751-7406 Physicians Professional Counselor 886000022M PAUL SINGH MD PROF CORP 100 N GREEN VALLEY PKWY STE 110 HENDERSON NV 106241 Clark 702-436-7700 Physicians Internal Medicine 880505906MA, AILENE M 1341 S RAINBOW BLVD STE 101 LAS VEGAS NV 106242 Clark 702-255-4200 Physicians Family Medicine 880345631MA, CALVIN T 3001 SAINT ROSE PKWY HENDERSON NV 106243 Clark 702-616-5000 Physicians Radiology/Diagnostic 880119638MA, WAI LI 9260 W SUNSET RD STE 203 LAS VEGAS NV 106252 Clark 702-476-2822 Physicians Gastroenterology 320307754MABEY JR, REX G 2881 N TENAYA WAY LAS VEGAS NV 106253 Clark 702-242-8800 Physicians Obstetrics/Gynecology 880311371

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 117 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDMABUNDA, GUILHERME A 1001 RIO VISTA DR FALLON NV 106254 Churchill 775-423-3634 Physicians Family Medicine 880120723MACADAMS, CAMERON T 3001 SAINT ROSE PKWY HENDERSON NV 106256 Clark 702-616-5000 Physicians Emergency Medicine 862775542MACALALAD, NIKKI V 5820 S EASTERN AVE LAS VEGAS NV 106257 Clark 702-737-1880 Physicians Certified Nurse Practitioner 223780067MACCABE, ANGELA G 10509 PROFESSIONAL CIR SUTIE 101 RENO NV 106258 Washoe 775-313-9120 Rehabilitation Physical Therapy 880103557MACCAUSLAND, CHRISTOPHER M 5400 S RAINBOW BLVD LAS VEGAS NV 106259 Clark 702-853-3000 Physicians Internal Medicine 300463194MACDAVID, MICHELLE G 1524 PINTO LN FL 3 LAS VEGAS NV 106260 Clark 702-944-2828 Physicians Pediatrics 813419791MACDONALD, SCOTT 653 N TOWN CTR DR STE 208 LAS VEGAS NV 106261 Clark 702-731-8224 Physicians Cardiology 880156903MACEDO, MARK A 3186 S MARYLAND PKWY LAS VEGAS NV 106270 Clark 517-788-4800 Physicians Emergency Medicine 880262438MACINTYRE, ALLAN D 3277 E WARM SPRINGS RD LAS VEGAS NV 106271 Clark 702-724-1400 Physicians General Surgery 274704910MACINTYREIII, MACKENZIE 2285 GREEN VISTA DR SPARKS NV 106275 Washoe 775-674-1100 Physicians Optometry 880275507MACK, JOHN F 5001 E BONANZA RD STE 160 LAS VEGAS NV 106276 Clark 702-307-2273 Physicians General Dentist 821394606MACKEY, MAUREEN 1120 ALMOND TREE LN STE 201 LAS VEGAS NV 106278 Clark 702-650-3390 Physicians Pain Management 880312989MACKEY, MAUREEN E 1120 ALMOND TREE LN STE 201 LAS VEGAS NV 106279 Clark 702-650-3390 Physicians Pain Management 880312984MACLEAN, DEREK C 860 SEVEN HILLS DR STE 104 HENDERSON NV 106280 Clark 702-567-5449 Physicians General Dentist 260035206MACLEAN, SHERRIE K 860 SEVEN HILLS DR STE 104 HENDERSON NV 106281 Clark 702-567-5449 Physicians General Dentist 260035206MACON, JOSHUA 6900 PECOS RD NORTH LAS VEGAS NV 106282 Clark 702-791-9000 Physicians Anesthesiology 760482007MACY, ALEXANDRA L 2708 S JONES BLVD STE 100A LAS VEGAS NV 106283 Clark 702-820-3061 Physicians Social Worker 820870653MADAN, NITIN 653 N TOWN CENTER DR LAS VEGAS NV 106284 Clark 702-967-3510 Physicians Pediatric Cardiology 880176637MADDEN, KATHLEEN L 1409 E LAKE MEAD BLVD NORTH LAS VEGAS NV 106286 Clark 702-649-7711 Physicians Certified Nurse Practitioner 410916626MADGWICK, JULIE T 7473 W LAKE MEAD BLVD LAS VEGAS NV 106287 Clark 702-947-4841 Physicians Social Worker 223967442MADI, SHAHIN 7175 W LAKE MEAD BLVD STE 110 LAS VEGAS NV 106288 Clark 702-228-9911 Physicians Periodontist 205338830MADI, WASSIM A 7250 PEAK DR LAS VEGAS NV 106314 Clark 702-386-4700 Physicians Anesthesiology 204727467MADIREDDI, SUNTHOSH 2020 PALOMINO LN STE 100 LAS VEGAS NV 106315 Clark 702-759-8600 Physicians Radiology/Diagnostic 880119638MADISON, JADE 2510 WIGWAM PKWY STE 208 HENDERSON NV 106319 Clark 702-534-0094 Rehabilitation Occupational Therapy 452796379MADOFF, LAWRENCE 1219 E CHARLESTON BLVD LAS VEGAS NV 106320 Clark 702-384-1110 Physicians General Practice 880371504MADSEN, MEGAN 4773 CAUGHLIN PKWY RENO NV 106322 Washoe 775-432-2870 Rehabilitation Physical Therapy 200932822MADU, IFEANYI C 2831 SAINT ROSE PKWY STE 222 HENDERSON NV 106323 Clark 702-791-1294 Physicians Certified Nurse Practitioner 823795906MADUKA, GODWIN O 3835 S JONES BLVD LAS VEGAS NV 106324 Clark 702-880-4193 Physicians Pain Management 880404982MAFFEO, NICHOLAS A 2701 W CHARLESTON BLVD LAS VEGAS NV 106331 Clark 702-870-5165 Physicians General Dentist 461244513MAGADAN, SUSAN L 8285 W ARBY AVE LAS VEGAS NV 106333 Clark 702-735-7154 Physicians Certified Nurse Practitioner 880213519MAGDALEN SPRINKLE, ANN 3700 GRANT DR RENO NV 106334 Washoe 775-829-4700 Rehabilitation Speech Pathology 880291454MAGDATO, JEIMELIE 1300 S EASTERN AVE LAS VEGAS NV 106335 Clark 702-385-2242 Physicians Optometry 880163014MAGDOS, KATINA A 545 MARKS ST STE 100 HENDERSON NV 106336 Clark 702-425-3697 Physicians General Dentist 261771124MAGINOT, REBECCA 7140 N DURANGO DR STE 110 LAS VEGAS NV 106339 Clark 702-740-5437 Physicians General Dentist 822856088MAGNESEN, DAVID T 1500 AVENUE H ELY NV 106340 White Pine 435-628-5690 Physicians Podiatry 870642839MAGNUS, WARREN W 3201 S MARYLAND PKWY LAS VEGAS NV 106341 Clark 702-862-8075 Physicians Family Medicine 462690306MAGOYAG, SIKISAM A 657 N TOWN CENTER DR LAS VEGAS NV 106346 Clark 702-240-5051 Physicians Internal Medicine 472990144MAGRINI, AMANDA R 5975 S LOS ALTOS PKWY SPARKS NV 106348 Washoe 775-352-5300 Physicians Family Medicine 263303591MAGRUDER, MARY J 901 ADAMS BLVD BOULDER CITY NV 106349 Clark 702-293-4111 Physicians Radiology/Diagnostic 451649781MAGSANOC, ELIZABETH J 2450 W CHARLESTON BLVD LAS VEGAS NV 106374 Clark 702-877-8661 Physicians CRNA 860857176MAGSTADT, MARC W 615 SIERRA ROSE DR STE 2A RENO NV 106376 Washoe 775-828-9724 Rehabilitation Physical Therapy 200932822MAGTOTO, NATHANIEL 7040 S DURANGO DR LAS VEGAS NV 106379 Clark 702-260-1261 Physicians Certified Nurse Practitioner 463164188MAH, JAMES K 1700 W CHARLESTON BLVD LAS VEGAS NV 106396 Clark 702-774-2816 Physicians Orthodontist 886000024MAHAJAN, AMBER 2020 WELLNESS WAY STE 300 LAS VEGAS NV 106398 Clark 702-432-2233 Physicians Certified Nurse Practitioner 471182996MAHAJAN, JAY P 2020 WELLNESS WAY STE 300 LAS VEGAS NV 106399 Clark 702-625-4400 Physicians Neurology 471182996MAHAJAN, NIPUN 9285 S CIMARRON RD STE 125 LAS VEGAS NV 106400 Clark 702-433-5355 Physicians General Dentist 262260433MAHAKIAN, CHARLES G 6881 W CHARLESTON BLVD STE B LAS VEGAS NV 106402 Clark 702-258-6437 Physicians Psychiatry 562508826MAHDEREKAL, MUSSIE Y 291 N PECOS RD HENDERSON NV 106406 Clark 702-616-9471 Physicians Internal Medicine 263992356MAHENDERNATH, AJEET M 2505 ANTHEM VILLAGE DR HENDERSON NV 106407 Clark 702-597-1597 Physicians Family Medicine 202662761MAHON, KATHLEEN 9100 W POST RD LAS VEGAS NV 106408 Clark 702-255-6665 Physicians Ophthalmology 880171987MAHONEY, DIANE K 2740 S JONES BLVD LAS VEGAS NV 106412 Clark 702-248-8866 Physicians Psychology (Clinical) 268380755

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 118 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDMAHONEY, KENDRA R 1815 E LAKE MEAD BLVD STE 215 NORTH LAS VEGAS NV 106413 Clark 702-818-1919 Physicians Obstetrics/Gynecology 880496422MAI, JESSE T 3343 S EASTERN AVE LAS VEGAS NV 106414 Clark 702-254-5004 Physicians Certified Nurse Practitioner 201026537MAI, KIM T 7910 S RAINBOW BLVD STE 100 LAS VEGAS NV 106415 Clark 702-656-7846 Physicians Orthodontist 262798634MAI, THUYTIEN T 9770 S MARYLAND PKWY STE 10 LAS VEGAS NV 106416 Clark 702-492-0719 Physicians Optometry 731504652MAIERJR, RICHARD M 1155 MILL ST RENO NV 106417 Washoe 775-982-7878 Physicians Critical Care 464004517MAILANDER, PAUL M 10120 S EASTERN AVE HENDERSON NV 106418 Clark 702-487-6880 Physicians Anesthesiology 262460167MAILLAND, KEVIN M 2410 FIRE MESA ST STE 180 LAS VEGAS NV 106419 Clark 702-992-6888 Physicians Family Medicine 813419791MAISTO, ARTHUR L 11408 NEWTON COMMONS DR LAS VEGAS NV 106422 Clark 917-675-2259 Physicians Family Medicine 260399457MAITY, RITA 6900 PECOS RD NORTH LAS VEGAS NV 106423 Clark 702-791-9000 Physicians Hematology/Oncology 880133767MAITY, SMITA 2200 W HORIZON RIDGE PKWY STE F HENDERSON NV 106424 Clark 702-914-7150 Physicians Internal Medicine 261313239MAJEED, MIR A 8280 W WARM SPRINGS RD LAS VEGAS NV 106430 Clark 702-921-6829 Physicians Internal Medicine 201943635MAJKA, EREK S 10030 W SAHARA AVE LAS VEGAS NV 106431 Clark 702-570-8105 Physicians Family Medicine 463164188MAJOR, ASHLEY R 1389 GALLERIA DR HENDERSON NV 106433 Clark 725-333-8400 Physicians Family Medicine 462964527MAKAI, BALAZS 6900 N DURANGO DR LAS VEGAS NV 106435 Clark 702-255-3547 Physicians Anesthesiology 460766041MAKAM, KASAIAH 10170 W TROPICANA AVE LAS VEGAS NV 106436 Clark 702-321-1513 Physicians Internal Medicine 880330858MAKAR, RANJIT S 2231 W CHARLESTON BLVD FL 1 LAS VEGAS NV 106438 Clark 702-676-3650 Physicians Gastroenterology 880330858MAKAREWICZ JR, EDWARD J 1800 W CHARLESTON BLVD LAS VEGAS NV 106442 Clark 702-921-6823 Physicians Internal Medicine 721597863MAKAS, CHRISTI M 800 HOPE PL LAS VEGAS NV 106443 Clark 702-383-2085 Physicians Emergency Medicine 465554048MAKHIJA, SURESH K 2820 W CHARLESTON BLVD STE 33 LAS VEGAS NV 106457 Clark 702-880-1558 Physicians Nephrology 200324571MAKHNI, MALVINDER S 6900 PECOS RD NORTH LAS VEGAS NV 106462 Clark 702-791-9000 Physicians Cardiology 320142836MAKI, ERIK J 2874 N CARSON ST CARSON CITY NV 106463 Carson City 775-283-3059 Physicians Interventional Radiology 811470804MAKIL, DAVID A 6970 W PATRICK LN STE 140 LAS VEGAS NV 106465 Clark 702-588-7077 Physicians Nephrology 462812104MAKLAD, MUTHENA A 825 N GIBSON RD STE 201 HENDERSON NV 106472 Clark 702-492-1162 Physicians Gastroenterology 462964527MAKON, ROSETTE S 1000 S RAINBOW BLVD LAS VEGAS NV 106475 Clark 702-479-4881 Physicians Certified Nurse Practitioner 880213519MALAKI, BOB 8650 W TROPICANA AVE STE A207 LAS VEGAS NV 106477 Clark 702-258-5433 Physicians General Dentist 201609520MALAYLA INC. 895 ROBERTA LN STE 101 SPARKS NV 106478 Washoe 775-331-6252 Ambulatory Facilities 273412547MALCARNEY, HILARY L 10635 PROFESSIONAL CIR STE A RENO NV 106479 Washoe 775-852-0505 Physicians Orthopedic Surgery 264818362MALEK, JOHN J 3770 US HIGHWAY 395 S CARSON CITY NV 106481 Douglas 775-445-7220 Physicians Certified Nurse Practitioner 020566741MALEVANOV, MIRELA C 10120 S EASTERN AVE HENDERSON NV 106482 Clark 702-483-6200 Physicians Critical Care 205529400MALHOTRA, DEEPAK 3150 N TENAYA WAY STE 440 LAS VEGAS NV 106483 Clark 702-962-5920 Physicians Thoracic Surgery 331159527MALHOTRA, SANJAY 4275 BURNHAM AVE LAS VEGAS NV 106485 Clark 702-240-6482 Physicians Cardiology 880166329MALIK, EDWARD J 2261 S RAINBOW BLVD LAS VEGAS NV 106487 Clark 702-254-0332 Physicians Optometry 880329534MALIK, SHAHID P 3006 S MARYLAND PKWY STE 205 LAS VEGAS NV 106488 Clark 702-735-7154 Physicians Hematology/Oncology 880213519MALINAS, PHILIP D 3650 WARREN WAY RENO NV 106490 Washoe 775-823-4080 Physicians Psychiatry 275565244MALL, MICHAEL S 3201 S MARYLAND PKWY STE 220 LAS VEGAS NV 106492 Clark 702-733-9009 Physicians Family Medicine 880336097MALLANT, LENA M 1565 VIRGINIA RANCH RD GARDNERVILLE NV 106496 Douglas 775-309-4860 Rehabilitation Occupational Therapy 232446104MALLELA, SUDHAKAR V 2501 W CHARLESTON BLVD LAS VEGAS NV 106497 Clark 702-878-3235 Physicians Infectious Diseases 205252383MALLINGER, LISA A 3652 N RANCHO DR LAS VEGAS NV 106499 Clark 702-850-2833 Physicians Marriage & Family Therapist 475476339MALLORY, CAROL J 1231 COUNTRY CLUB DR CARSON CITY NV 106500 Carson City 775-884-3990 Physicians Certified Nurse Practitioner 880502320MALONE, JESSICA M 4700 LAS VEGAS BLVD N NELLIS AFB NV 106502 Clark 702-653-3800 Physicians Internal Medicine 752985314MALONZO, MA. ALELI D 3061 S MARYLAND PKWY STE 101 LAS VEGAS NV 106503 Clark 702-794-0020 Physicians Certified Nurse Practitioner 201026537MALOON, KATHERINE A 1025 ROBERTA LN SPARKS NV 106505 Washoe 775-825-4744 Rehabilitation Occupational Therapy 562328617MALSOM, SCOTT A 3186 S MARYLAND PKWY LAS VEGAS NV 106506 Clark 702-878-0070 Physicians CRNA 852385334MALTINSKI, GENADI 4920 W LONE MOUNTAIN RD LAS VEGAS NV 106515 Clark 702-655-0550 Physicians Family Medicine 880213519MALUNDA-NONATO, DARLYN A 2705 HORIZON RIDGE PKWY SUITE HENDERSON NV 106516 Clark 702-880-4193 Physicians Certified Nurse Practitioner 411310335MAMIDI, DHEERESH K 1430 E CALVADA BLVD PAHRUMP NV 106518 Nye 775-751-4600 Physicians Pediatrics 880464017MAMOLEN, ELLEN M 171 CAMPBELL LN YERINGTON NV 106520 Lyon 775-463-3335 Physicians Certified Nurse Practitioner 880502320MANAHAN, CATHERINE 7180 CASCADE VALLEY CT STE 240 LAS VEGAS NV 106521 Clark 702-735-0833 Physicians General Dentist 880513323MANAJ, ILIR 6330 S JONES BLVD LAS VEGAS NV 106522 Clark 702-461-2628 Physicians Certified Nurse Practitioner 201975918MANALO, MARIA C 745 S GREEN VALLEY PKWY STE 160 HENDERSON NV 106523 Clark 702-940-1530 Physicians Internal Medicine 880213519MANCUSO, ANTHONY D 3186 S MARYLAND PKWY LAS VEGAS NV 106525 Clark 702-878-0070 Physicians Anesthesiology 822526636

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 119 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDMANDAVA, ANISHA 1520 VIRGINIA RANCH RD FL 2 GARDNERVILLE NV 106534 Douglas 775-782-1550 Physicians Cardiology 880303924MANDEL, GLORIA S 3340 TOPAZ ST STE 100 LAS VEGAS NV 106535 Clark 702-960-4312 Physicians Certified Nurse Practitioner 462873630MANDIP S ARORA MD 7620 VICTORY GALLUP ST LAS VEGAS NV 106536 Clark 702-256-3637 Physicians Internal Medicine 202685988MANDLIK, NANDINI A 6070 S RAINBOW BLVD LAS VEGAS NV 106537 Clark 702-420-7222 Physicians Pediatrics 742089103MANFRA, DOUGLAS P 4500 E BONANZA RD UNIT D LAS VEGAS NV 106541 Clark 702-388-0599 Physicians Chiropractor 891103365MANGAPIT, RONRICO A 210 S MARYLAND PKWY STE A LAS VEGAS NV 106543 Clark 702-384-3461 Physicians General Dentist 204478364MANGOHIG WENZEL, EMILY 7200 SMOKE RANCH RD STE 110 LAS VEGAS NV 106544 Clark 702-646-7707 Physicians General Dentist 880473114MANGUS, DUSTIN B 9127 W RUSSELL RD LAS VEGAS NV 106545 Clark 702-878-0070 Physicians Anesthesiology 860916679MANJOORAN, JACOB 3016 W CHARLESTON BLVD STE 150 LAS VEGAS NV 106554 Clark 702-790-2701 Physicians Psychiatry 461203260MANN, JAMES L 3362 S MCCARRAN BLVD RENO NV 106555 Washoe 775-329-5437 Physicians General Dentist 203140812MANN, JONATHAN D 9127 W RUSSELL RD LAS VEGAS NV 106556 Clark 702-878-0070 Physicians CRNA 202428069MANN, STEVEN 169 N NELLIS BLVD LAS VEGAS NV 106564 Clark 702-384-1010 Physicians General Dentist 371797092MANNERING, IRENE H 3640 WARREN WAY STE 100 RENO NV 106565 Washoe 775-324-0699 Physicians Dermatology 813253496MANNING, CURTIS A 2285 GREEN VISTA DR SPARKS NV 106566 Washoe 775-674-1100 Physicians Ophthalmology 880404140MANNING, JAMES B 2200 S RANCHO DR LAS VEGAS NV 106571 Clark 702-677-3544 Physicians Orthopedic Surgery 752612924MANNING, KATIE L 720 ROBB DR RENO NV 106572 Washoe 775-787-3733 Rehabilitation Physical Therapy 208488469MANNO, KATHERINE S 6536 S MCCARRAN BLVD RENO NV 106573 Washoe 775-982-8255 Physicians Dermatology 813253496MANOS, CHRYS A 8145 W SAHARA AVE STE 510 LAS VEGAS NV 106574 Clark 702-360-0106 Physicians Optometry 880201142MANOUKIAN, PAUL D 1493 MEDICAL PKWY CARSON CITY NV 106575 Carson City 775-883-7666 Physicians Otolaryngology 680405220MANOV, ANDREY 3150 N TENAYA WAY STE 300 LAS VEGAS NV 106578 Clark 702-962-9550 Physicians Endocrinology 331159527MANTEL, WAYNE D 3771 E DESERT INN RD LAS VEGAS NV 106579 Clark 702-454-3775 Physicians Chiropractor 752985115MANTEUFEL, LONDA 1825 PINION RD STE A ELKO NV 106581 Elko 775-738-8021 Physicians Social Worker 886000022MANTHEI, DARLINA K 874 AMERICAN PACIFIC DR HENDERSON NV 106582 Clark 702-777-4809 Physicians Family Medicine 200363127MANTHEI, RUDY R 2231 W CHARLESTON BLVD LAS VEGAS NV 106583 Clark 702-383-2631 Physicians Ophthalmology 886000436MANTHEI, SCOTT E 3692 E SUNSET RD LAS VEGAS NV 106585 Clark 702-735-7668 Physicians Otolaryngology 880321377MANTIN, RICK C 2075 E FLAMINGO RD LAS VEGAS NV 106590 Clark 702-878-0070 Physicians Anesthesiology 852385334MANTRO MOBILE IMAGING LLC 8778 S MARYLAND PKWY LAS VEGAS NV 106599 Clark 702-896-0473 Ancillary Providers 161781119MANTRO MOBILE IMAGING OF CALIFORNIA8778 S MARYLAND PKWY STE 105 LAS VEGAS NV 106600 Clark 702-279-5641 Ancillary Providers 161781119MANTZ, RANDY J 1895 PLUMAS ST STE 3 RENO NV 106601 Washoe 775-322-5389 Physicians Chiropractor 880229223MANUEL, RENALIE 6910 S RAINBOW BLVD STE 104 LAS VEGAS NV 106604 Clark 702-362-5437 Physicians Pediatric Dentist 208396078MAPLES, SARAH B 1200 MOUNTAIN ST CARSON CITY NV 106610 Carson City 775-882-1324 Physicians Family Medicine 880502320MAPLETON, SHAWN C 1140 ALMOND TREE LN LAS VEGAS NV 106612 Clark 702-657-3873 Physicians Family Medicine 880509785MAR, DAVID A 1721 SNYDER AVE CARSON CITY NV 106613 Carson City 775-887-3285 Physicians Family Medicine 880502320MARANO, CASEY 1525 E WINDMILL LN STE 202 LAS VEGAS NV 106615 Clark 702-202-1280 Rehabilitation Occupational Therapy 880386672MARAVICH, PORTIA L 2012 S JONES BLVD LAS VEGAS NV 106630 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643MARBELLA, MARKO E 2020 PALOMINO LN LAS VEGAS NV 106631 Clark 888-727-1074 Physicians Radiology/Diagnostic 470894654MARCACCI, LESLEY K 1025 ROBERTA LN SPARKS NV 106656 Washoe 775-825-4744 Rehabilitation Physical Therapy 562328617MARCHAL, JULIA M 1535 MEDICAL PKWY STE B CARSON CITY NV 106657 Carson City 775-445-7960 Physicians Certified Nurse Practitioner 880502320MARCHAND JR, ARTURO E 4275 BURNHAM AVE STE 370 LAS VEGAS NV 106658 Clark 702-450-1122 Physicians Cardiology 200562668MARCHANT, DAVID 61 N WILLOW ST STE 1 MESQUITE NV 106659 Clark 702-346-2882 Physicians General Dentist 461441744MARCHANT, WILLIAM C 3663 E SUNSET RD STE 104 LAS VEGAS NV 106660 Clark 702-794-0979 Physicians Marriage & Family Therapist 880277706MARCHIO, WILLIAM A 2450 W CHARLESTON BLVD LAS VEGAS NV 106661 Clark 702-877-8661 Physicians Anesthesiology 860857176MARCOVITCH, JEFFREY P 3450 N BUFFALO DR LAS VEGAS NV 106663 Clark 702-952-2273 Physicians Family Medicine 815145222MARCUS, TAMARA E 2641 BOX CANYON DR STE A LAS VEGAS NV 106664 Clark 702-243-3668 Physicians Podiatry 880274500MAREK, NEAL A 4631 E CHARLESTON BLVD LAS VEGAS NV 106666 Clark 702-438-2425 Physicians Podiatry 880248885MARGALLO, ROY MARIE A 10624 S EASTERN AVE STE A-955 HENDERSON NV 106668 Clark 702-380-1888 Physicians Internal Medicine 263668328MARGITZA, LOUIS R 7175 SPRING MOUNTAIN RD # 1 LAS VEGAS NV 106670 Clark 702-212-7757 Physicians Optometry 880468070MARGOLIS, JILL B 2040 W CHARLESTON BLVD STE 202A LAS VEGAS NV 106671 Clark 702-258-3415 Physicians Psychology (Clinical) 880330858MARIA C. ADOLFO MD LTD. 8285 W ARBY AVE STE 325 LAS VEGAS NV 106673 Clark 702-228-3111 Physicians Internal Medicine 261116846MARIANO, RUEL 3312 W CHARLESTON BLVD LAS VEGAS NV 106674 Clark 702-971-2300 Physicians Certified Nurse Practitioner 270333996MARILYN G. MASCHGAN, AU.D. CCC-A 4510 S EASTERN AVE STE 9 LAS VEGAS NV 106676 Clark 877-616-4500 Rehabilitation Audiology 222748248

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 120 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDMARINO, ALLEN T 1800 W CHARLESTON BLVD LAS VEGAS NV 106677 Clark 330-493-4443 Physicians Emergency Medicine 886000436MARIO PINEIRO MD. PC 2510 WIGWAM PKWY STE 104 HENDERSON NV 106678 Clark 702-947-1000 Physicians Internal Medicine 203342696MARK A PEREZ MD LLC 4275 BURNHAM AVE STE 235 LAS VEGAS NV 106679 Clark 702-384-7669 Physicians Family Medicine 455586390MARK C. HANDELMAN MD LTD. 3150 N TENAYA WAY STE 565 LAS VEGAS NV 106680 Clark 702-254-8900 Ambulatory Facilities 205719786MARK L GLYMAN MD DDS & ERIC D SWANSON MD DMD LTD2030 E FLAMINGO RD STE 288 LAS VEGAS NV 106681 Clark 702-892-0833 Physicians Oral Surgery 880315086MARK OHRINER OD LTD. 4675 W FLAMINGO RD LAS VEGAS NV 106682 Clark 702-364-1252 Physicians Optometry 342058737MARK W CHENG MD LLC 12 COMMERCE CENTER DR STE D-44 HENDERSON NV 106683 Clark 702-566-5343 Physicians Physical Medicine & Rehabilitation464147389MARK, JEFFREY J 3375 E TROPICANA AVE STE F8 LAS VEGAS NV 106684 Clark 702-964-3626 Physicians General Dentist 811004194MARKEWICH, GARY S 3196 S MARYLAND PKWY STE 309 LAS VEGAS NV 106687 Clark 702-791-0477 Physicians Dermatology 741578015MARKHAM, JEFFREY 7500 SMOKE RANCH RD STE 100 LAS VEGAS NV 106688 Clark 702-254-5004 Physicians Radiology/Diagnostic 832651883MARKHAM, JEFFREY 7500 SMOKE RANCH RD STE 100 LAS VEGAS NV 106698 Clark 702-254-5004 Physicians Radiology/Diagnostic 811379728MARKIN, JAY O 1155 MILL ST BLDG 55 RENO NV 106714 Washoe 775-982-4100 Physicians Anesthesiology 880101307MARKOFF, DEBRA L 1055 S WELLS AVE STE 120 RENO NV 106724 Washoe 775-329-6300 Physicians General Dentist 880293149MARKOSIAN, MICHAEL 2375 E PRATER WAY SPARKS NV 106725 Washoe 775-331-7000 Physicians Anesthesiology 880101307MARKUS, KIRA 8475 S EASTERN AVE STE 105A LAS VEGAS NV 106741 Clark 725-209-2049 Rehabilitation Physical Therapy 465010353MARLON, DIANNE S 2975 S RAINBOW BLVD LAS VEGAS NV 106742 Clark 702-533-7324 Physicians Social Worker 454755093MARQUEZ, BEATRICE 9599 W CHARLESTON BLVD LAS VEGAS NV 106743 Clark 831-419-1117 Physicians Marriage & Family Therapist 842798098Marquis Centennial Hills 6351 N FORT APACHE RD LAS VEGAS NV 106744 Clark 702-515-3000 Rehabilitation 931054024Marquis Plaza Regency 6021 W CHEYENNE AVE LAS VEGAS NV 106745 Clark 702-658-9494 Rehabilitation 931054024MARQUIS, CARROL A 9414 W LAKE MEAD BLVD LAS VEGAS NV 106746 Clark 702-233-8771 Physicians Marriage & Family Therapist 527988596MARRIAGE, JAY 1700 COUNTY RD STE E MINDEN NV 106748 Douglas 775-782-4525 Physicians General Dentist 942899343MARS, GEORGE 645 SIERRA ROSE DR STE 202 RENO NV 106749 Washoe 775-825-9990 Physicians Physical Medicine & Rehabilitation880421418MARSDEN, LESLIE D 2667 ENTERPRISE RD RENO NV 106751 Washoe 775-688-1341 Rehabilitation Occupational Therapy 886000022MARSH, MONIKA A 1107 US HIGHWAY 395 S GARDNERVILLE NV 106752 Douglas 775-782-1599 Physicians Marriage & Family Therapist 261513495MARSH, RHONDA 1301 BERTHA HOWE AVE MESQUITE NV 106754 Clark 702-430-5000 Rehabilitation Occupational Therapy 201621111MARSHALL, FRANCESCA C 2030 E FLAMINGO RD STE 130 LAS VEGAS NV 106755 Clark 702-451-2141 Physicians Marriage & Family Therapist 920193400MARSHALL, JOHN J 5420 KIETZKE LN STE 106 RENO NV 106756 Washoe 775-851-2444 Physicians Anesthesiology 880101307MARSHALL, KENT L 319 S WATER ST STE A HENDERSON NV 106771 Clark 702-565-0377 Physicians Chiropractor 860836654MARSHALL, NATALIE N 7495 W AZURE DR LAS VEGAS NV 106773 Clark 702-515-4009 Rehabilitation Speech Pathology 472546455MARSHALL, VAUGHN G 1397 S LOOP RD PAHRUMP NV 106777 Nye 702-759-8600 Physicians Radiology/Diagnostic 275233957MARSHALL, WESTON 911 N BUFFALO DR LAS VEGAS NV 106801 Clark 702-896-0383 Rehabilitation Physical Therapy 202279187MARTIN, ANDREW S 5546 S FORT APACHE RD LAS VEGAS NV 106802 Clark 702-898-2663 Physicians Orthopedic Surgery 208820750MARTIN, BOB M 1700 W CHARLESTON BLVD LAS VEGAS NV 106804 Clark 702-774-2816 Physicians Orthodontist 886000024MARTIN, CHRIS P 911 E PARR BLVD RENO NV 106806 Washoe 775-325-6432 Physicians Certified Nurse Practitioner 880502320MARTIN, DANIEL C 475 SARKS BLVD SPARKS NV 106807 Washoe 775-359-1565 Physicians Oral Surgery 473817118MARTIN, DAVID W 1321 S RAINBOW BLVD STE 230 LAS VEGAS NV 106808 Clark 702-732-4491 Physicians Otolaryngology 880133601MARTIN, GLENN T 3692 E SUNSET RD LAS VEGAS NV 106809 Clark 702-735-7668 Rehabilitation Audiology 222748248MARTIN, GLORIA L 700 SHADOW LN STE 165 LAS VEGAS NV 106810 Clark 702-522-9640 Physicians Obstetrics/Gynecology 880496423MARTIN, JARED T 3186 S MARYLAND PKWY LAS VEGAS NV 106812 Clark 702-731-8000 Physicians Emergency Medicine 262400561MARTIN, KATE E 1524 PINTO LN FL 2 LAS VEGAS NV 106893 Clark 702-992-6888 Physicians Family Medicine 813419791MARTIN, KEVIN M 9450 W RUSSELL RD STE 102 LAS VEGAS NV 106896 Clark 702-570-3320 Physicians Oral Surgery 880379647MARTIN, MARY ANN N 8352 W WARM SPRINGS RD FL 3 LAS VEGAS NV 106899 Clark 702-851-7287 Physicians Endocrinology 465010353MARTIN, MATTHEW L 874 AMERICAN PACIFIC DR HENDERSON NV 106900 Clark 702-777-4809 Physicians Family Medicine 200363127MARTIN, RICK H 3131 LA CANADA ST STE 217 LAS VEGAS NV 106901 Clark 702-737-3808 Physicians Emergency Medicine 371539218MARTIN, SARAH A 500 N RAINBOW BLVD STE 300-307 LAS VEGAS NV 106951 Clark 888-495-4489 Physicians Optometry 208966105MARTIN, SCOTT M 9505 HILLWOOD DR STE 100 LAS VEGAS NV 106952 Clark 702-303-4220 Physicians Pain Management 851479761MARTIN, SHANNON C 645 SIERRA ROSE DR STE 205 RENO NV 106953 Washoe 775-828-1200 Physicians Anesthesiology 880101307MARTIN, SHARMISA C 1500 E 2ND ST STE B RENO NV 106968 Washoe 775-982-2400 Physicians Certified Nurse Practitioner 880303924MARTIN, TILDA K 1649 LUCERNE ST STE A-B MINDEN NV 106969 Douglas 775-782-1603 Physicians Certified Nurse Practitioner 880502320MARTIN-GLENN, CHERYL 861 CORONADO CENTER DR HENDERSON NV 106971 Clark 800-765-8091 Physicians Obstetrics/Gynecology 900364952MARTINA, RACHEL A 3700 GRANT DR STE A RENO NV 106972 Washoe 619-278-0884 Rehabilitation Speech Pathology 880291454

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 121 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDMARTINDALE, KIM K 8345 MESA PARK RD RENO NV 106973 Washoe 775-787-0357 Rehabilitation Speech Pathology 886000022MARTINEZ MORENO, JUAN C 840 N DECATUR BLVD STE A LAS VEGAS NV 106974 Clark 702-333-0110 Physicians Physical Medicine & Rehabilitation814011797MARTINEZ, CHRISTOPHER J 725 S GREEN VALLEY PKWY STE 100 HENDERSON NV 106975 Clark 702-560-5231 Physicians General Dentist 463544011MARTINEZ, DENNIS A 9880 W FLAMINGO RD LAS VEGAS NV 106976 Clark 702-216-7335 Physicians Emergency Medicine 824933457MARTINEZ, DOMINIC F 2450 W CHARLESTON BLVD LAS VEGAS NV 106977 Clark 702-877-8661 Physicians Anesthesiology 860857176MARTINEZ, FREDDIE 4416 E BONANZA RD LAS VEGAS NV 106980 Clark 702-979-9799 Physicians General Dentist 473698132MARTINEZ, JOHN 1707 W CHARLESTON BLVD STE 230 LAS VEGAS NV 106981 Clark 702-671-5150 Physicians Professional Counselor 880330858MARTINEZ, JORDAN L 2350 W HORIZON RIDGE PKWY HENDERSON NV 106983 Clark 702-564-8556 Physicians Pediatrics 203416144MARTINEZ, LUIS A 4424 S EASTERN AVE LAS VEGAS NV 106984 Clark 702-732-7440 Physicians Internal Medicine 880455225MARTINEZ, MARIA A 4331 N RANCHO DR LAS VEGAS NV 106985 Clark 702-383-3800 Physicians Family Medicine 886000436MARTINEZ, MILDRED M 5110 W SAHARA AVE LAS VEGAS NV 106987 Clark 702-352-9260 Physicians Certified Nurse Practitioner 208753074MARTINEZ, ROBERTO M 7500 SMOKE RANCH RD STE 100 LAS VEGAS NV 106994 Clark 702-489-9000 Physicians Radiology/Diagnostic 880235537MARTINEZ, ROGER A 3001 SAINT ROSE PKWY HENDERSON NV 106997 Clark 510-350-2600 Physicians Emergency Medicine 862775542MARTINEZ, XAVIER 4792 CAUGHLIN PKWY RENO NV 107001 Washoe 775-828-9665 Physicians Chiropractor 204812150MARTINI, ASHTON R 7331 W CHARLESTON BLVD LAS VEGAS NV 107003 Clark 702-217-6604 Physicians Professional Counselor 814029499MARTINJR, JUAN E 3131 LA CANADA ST STE 217 LAS VEGAS NV 107004 Clark 702-737-3808 Physicians Thoracic Surgery 880268805MARTINMAAS, LAURA 1625 E PRATER WAY STE 107 SPARKS NV 107007 Washoe 775-825-4744 Rehabilitation Speech Pathology 562328617MARTZ, RYAN D 7101 W CRAIG RD STE 102 LAS VEGAS NV 107008 Clark 702-515-0553 Physicians General Dentist 472117453MARX, MATTHEW J 1091 S CIMARRON RD STE A6 LAS VEGAS NV 107019 Clark 702-410-8400 Physicians Social Worker 886000022MARZAN, KATHERINE A 3121 S MARYLAND PKWY STE 300 LAS VEGAS NV 107020 Clark 702-732-1493 Physicians Pediatric Rheumatology 205354255MASAKI, DAMON I 2011 PINTO LN STE 200 LAS VEGAS NV 107021 Clark 702-382-3200 Physicians Obstetrics/Gynecology 880479581MASCHGAN, MARILYN G 301 N PECOS RD STE G HENDERSON NV 107022 Clark 702-732-3800 Rehabilitation Audiology 880282169MASGHATI, SALOME 9260 W SUNSET RD STE 100 LAS VEGAS NV 107023 Clark 702-255-3547 Physicians Obstetrics/Gynecology 880213519MASHHOOD, FIROOZ 5440 W SAHARA AVE STE 104 LAS VEGAS NV 107024 Clark 702-477-7764 Physicians Pain Management 880251253MASHOUR, STEVE K 236 W 6TH ST STE 100 RENO NV 107026 Washoe 775-329-9010 Physicians Critical Care 880173816MASON VALLEY PHYSICAL THERAPY 210 N SANDHILL BLVD MESQUITE NV 107028 Clark 090-499-8009 Rehabilitation 043821114MASON, ALBERT T 700 SHADOW LN STE 165A LAS VEGAS NV 107029 Clark 702-382-8101 Physicians Gastroenterology 880219049MASON, GLENN A 2020 PALOMINO LN LAS VEGAS NV 107031 Clark 702-759-8600 Physicians Radiology/Diagnostic 451649781MASON, HOWARD J 1701 N GREEN VALLEY PKWY STE 5C HENDERSON NV 107057 Clark 702-614-6550 Physicians Internal Medicine 880477732MASON, JEFFREY L 6885 ALIANTE PKWY STE 111 NORTH LAS VEGAS NV 107059 Clark 702-515-1888 Physicians General Dentist 204508246MASON, LYNN T 520 FREMONT ST LAS VEGAS NV 107073 Clark 702-382-5200 Physicians Emergency Medicine 203445738MASON, RACHEL I 5864 S DURANGO DR STE 105 LAS VEGAS NV 107075 Clark 702-359-5462 Physicians Plastic & Reconstructive Surgery 852328590MASON, ROBERT P 2321 PYRAMID WAY STE B SPARKS NV 107076 Washoe 775-331-1919 Physicians Anesthesiology 880101307MASONJR, DONALD M 1107 US HIGHWAY 395 S GARDNERVILLE NV 107097 Douglas 775-782-1500 Physicians Anesthesiology 880101307MASOOD, HASAN 880 SEVEN HILLS DR STE 150 HENDERSON NV 107109 Clark 845-536-8826 Physicians Podiatry 824788424MASSEY, LESLIE H 1385 VISTA LN CARSON CITY NV 107110 Carson City 775-329-4600 Physicians Gastroenterology 880182841MAST, NICHOLAS H 689 SIERRA ROSE DR STE B RENO NV 107112 Washoe 775-786-2100 Physicians Orthopedic Surgery 860860891MASTERSON, CLINTON J 1107 US HIGHWAY 395 S GARDNERVILLE NV 107113 Douglas 775-782-1600 Physicians Emergency Medicine 880405927MASTERSON, MEGAN E 2642 W HORIZON RIDGE PKWY STE A11 HENDERSON NV 107114 Clark 702-933-9102 Rehabilitation Audiology 464865267MATA, TANYA M 2865 SIENA HEIGHTS DR HENDERSON NV 107117 Clark 702-407-0110 Physicians Certified Nurse Practitioner 880213519MATEJA, MARK R 3155 W CRAIG RD 7301 PEAK DR., #150, LAS VEGAS, NV 89128N LAS VEGAS NV 107118 Clark 702-639-2333 Rehabilitation Physical Therapy 880386672MATHESON, JERID J 1301 BERTHA HOWE AVE STE 7 MESQUITE NV 107123 Clark 702-346-1899 Rehabilitation Occupational Therapy 201621111MATHEW, ANNIE 4218 W CHARLESTON BLVD LAS VEGAS NV 107124 Clark 702-885-7185 Physicians Certified Nurse Practitioner 463315805MATHEW, SHAJI O 3639 WARREN WAY STE 100 RENO NV 107125 Washoe 775-827-3639 Physicians Pediatrics 880456336MATHEWS, ECHO C 118 E HASKELL ST WINNEMUCCA NV 107126 Humboldt 775-623-5222 Physicians Certified Nurse Practitioner 886000088MATHIS, DAVID L 9770 S MCCARRAN BLVD RENO NV 107127 Washoe 775-322-4589 Physicians Otolaryngology 880401857MATHIS, TIGGER R 4880 WYNN RD LAS VEGAS NV 107131 Clark 702-759-8600 Physicians Certified Nurse Practitioner 880213519MATHISEN, DEANNA L 3600 N BUFFALO DR LAS VEGAS NV 107137 Clark 702-254-8858 Physicians General Dentist 264484707MATHISEN, MICHAEL T 4270 S DECATUR BLVD STE B6 LAS VEGAS NV 107141 Clark 702-485-2100 Physicians Certified Nurse Practitioner 812219401MATRIA HEALTHCARE - ATLANTA 5600 SPRING MOUNTAIN RD STE 101 LAS VEGAS NV 107142 Clark 800-289-7744 Ancillary Providers 582205984MATSUMOTO, MAVIS N 2780 W HORIZON RIDGE PKWY STE 30 HENDERSON NV 107143 Clark 702-433-9533 Physicians Internal Medicine 800010353

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 122 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDMATSUMURA, JERRY S 880 RYLAND ST RENO NV 107144 Washoe 775-329-4600 Physicians Anesthesiology 880101307MATSUNAGA-KIRGAN, MARSHA L 1800 W CHARLESTON BLVD LAS VEGAS NV 107156 Clark 702-671-2300 Physicians Obstetrics/Gynecology 886000436MATSUURA, ALEISHA 7770 DEAN MARTIN DR LAS VEGAS NV 107162 Clark 702-655-8535 Rehabilitation Physical Therapy 134222973MATTA, SIMRAN KAUR B 2040 W CHARLESTON BLVD LAS VEGAS NV 107163 Clark 702-671-2345 Physicians Internal Medicine 462187372MATTEONI, CHRISTI A 880 RYLAND ST RENO NV 107164 Washoe 775-329-4600 Physicians Gastroenterology 880182841MATTEONI, KENNETH J 689 SIERRA ROSE DR STE B RENO NV 107166 Washoe 775-786-2100 Physicians Orthopedic Surgery 880502320MATTEUCCI, MATTHEW T 2764 LAKE SAHARA DR STE 107 LAS VEGAS NV 107169 Clark 702-365-6499 Physicians General Dentist 880227510MATTHEIS, JAY K 2110 E FLAMINGO RD LAS VEGAS NV 107171 Clark 702-733-2020 Physicians Ophthalmology 880331757MATTHEWS, LORIE J 1389 GALLERIA DR STE 100 HENDERSON NV 107172 Clark 725-333-8400 Physicians Certified Nurse Practitioner 462964527MATTINGLY, CHELSEY R 3700 GRANT DR RENO NV 107173 Washoe 775-829-4700 Rehabilitation Occupational Therapy 880291454MATTINGLY, JESSICA K 7501 W LAKE MEAD BLVD LAS VEGAS NV 107174 Clark 702-360-1137 Rehabilitation Speech Pathology 412129643MATTIOLI, AMANDA M 2667 ENTERPRISE RD RENO NV 107178 Washoe 775-688-1341 Rehabilitation Speech Pathology 886000022MATTIOLI, SHARON R 330 E LIBERTY ST RENO NV 107179 Washoe 775-398-3630 Physicians Certified Nurse Practitioner 880363493MATTIONE, GEORGE J 8440 W LAKE MEAD BLVD LAS VEGAS NV 107180 Clark 702-395-1070 Physicians Anesthesiology 880400218MATTOON SR, MARK J 251 JEANELL DR STE 5 CARSON CITY NV 107182 Carson City 775-882-1068 Physicians Chiropractor 880502320MATTSMITH PHYSICAL THERAPY-RANCHO OT600 S RANCHO DR STE 113 LAS VEGAS NV 107184 Clark 702-878-1065 Rehabilitation 880386672MATUSZAK, JEREMY M 401 W 2ND ST STE 216 RENO NV 107186 Washoe 775-784-6388 Physicians Psychiatry 880300031MATUSZEWSKI, TADEUSZ K 4095 N CARSON ST CARSON CITY NV 107188 Carson City 775-885-9911 Physicians General Practice 880315548MATUTIS, JASMIN Q 4360 BLUE DIAMOND RD STE 103 LAS VEGAS NV 107189 Clark 513-846-6778 Physicians Certified Nurse Practitioner 852357914MATZ, JOANNE M 3560 S JONES BLVD LAS VEGAS NV 107190 Clark 702-367-6015 Rehabilitation Occupational Therapy 800010244MATZINGER, CAROLYN A 3031 W HORIZON RIDGE PKWY STE 120 HENDERSON NV 107191 Clark 702-380-1974 Physicians Internal Medicine 460703284MAUBAN, RENE A 2031 N BUFFALO DR LAS VEGAS NV 107193 Clark 702-383-2650 Physicians Family Medicine 880364383MAULDIN, RANDY A 263 SPRING VALLEY PKWY STE E SPRING CREEK NV 107194 Elko 775-753-9395 Physicians Chiropractor 200256901MAUSLING, PAUL W 1299 MOUNTAIN ST CARSON CITY NV 107195 Carson City 702-878-0070 Physicians Anesthesiology 860916679MAVIS N. MATSUMOTO, M.D., LLC 870 SEVEN HILLS DR STE 102 HENDERSON NV 107205 Clark 702-818-3207 Ambulatory Facilities 800010353MAVROIDIS, DEBRA F 6375 W CHARLESTON BLVD STE A500 LAS VEGAS NV 107206 Clark 702-651-5510 Physicians General Dentist 886000024Mavroidis, Demetrios 5320 S RAINBOW BLVD STE 282 LAS VEGAS NV 107207 Clark 702-737-3808 Physicians Thoracic Surgery 880268805MAWAE, JONAH K 7425 W AZURE DR STE 140 LAS VEGAS NV 107208 Clark 702-515-4009 Rehabilitation Physical Therapy 472546455MAXHAM, JONATHAN A 8280 W WARM SPRINGS RD LAS VEGAS NV 107209 Clark 702-492-8000 Physicians Internal Medicine 472990144MAXHAM, LAUREN E 2845 SIENA H8S DR HENDERSON NV 107210 Clark 702-617-1227 Physicians Internal Medicine 880330858MAXIM HEALTHCARE SERVICES 2235 RENAISSANCE DR STE A LAS VEGAS NV 107211 Clark 888-777-8533 Ancillary Providers 800074315MAXIMUM PERFORMANCE MEDICAL CENTER, INC6380 W FLAMINGO RD STE A LAS VEGAS NV 107215 Clark 707-952-1000 Rehabilitation 880496979MAXWELL, JUSTIN E 9499 W CHARLESTON BLVD LAS VEGAS NV 107216 Clark 702-228-5477 Physicians Family Medicine 880213519MAY, DUANE 1140 W PIONEER BLVD MESQUITE NV 107217 Clark 702-346-1899 Rehabilitation Physical Therapy 201621111MAY, WILLIAM N 2110 E FLAMINGO RD STE 210 LAS VEGAS NV 107218 Clark 702-733-2020 Physicians Ophthalmology 880331757MAYCLIN, KASEY J 3150 N TENAYA WAY LAS VEGAS NV 107219 Clark 702-255-3547 Physicians Obstetrics/Gynecology 880213519MAYER, MARCUS C 3150 N TENAYA WAY STE 575 LAS VEGAS NV 107220 Clark 702-804-4729 Physicians Otolaryngology 880383349MAYER, MAURICE A 1600 MEDICAL PKWY CARSON CITY NV 107222 Carson City 775-445-8000 Physicians Emergency Medicine 880135776MAYES, ANNETTE F 1815 E LAKE MEAD BLVD STE 314 NORTH LAS VEGAS NV 107224 Clark 702-649-0002 Physicians Obstetrics/Gynecology 880496422MAYES, DONALD H 7351 W CHARLESTON BLVD STE 140 LAS VEGAS NV 107226 Clark 702-360-4836 Physicians Psychiatry 886000022MAYHEW, KATHERINE M 7371 W CHARLESTON BLVD LAS VEGAS NV 107227 Clark 702-217-9989 Physicians Marriage & Family Therapist 821024876MAYO, SEAN P 500 N RAINBOW BLVD STE 203 LAS VEGAS NV 107228 Clark 702-878-0554 Physicians Emergency Medicine 680552143MAYOR, CHRISTIAN 3488 GONI RD STE 141 CARSON CITY NV 107232 Carson City 775-887-5048 Rehabilitation Physical Therapy 474776676MAYOR, LANCE D 2121 E FLAMINGO RD STE 202 LAS VEGAS NV 107233 Clark 702-369-0004 Physicians Internal Medicine 880168456MAYVILLE, WILLIAM J 75 PRINGLE WAY STE 804 RENO NV 107235 Washoe 775-784-7700 Physicians Psychology (Clinical) 565509563MAZUMDAR, SHUBHANG N 4700 LAS VEGAS BLVD N NELLIS AFB NV 107236 Clark 702-653-3800 Physicians Internal Medicine 270569280MAZZARELLA, LAURIE G 2360 W HORIZON RIDGE PKWY STE 120 HENDERSON NV 107237 Clark 702-294-0433 Physicians Social Worker 454429023MAZZINI, LISA M 10561 JEFFREYS ST STE 200 HENDERSON NV 107238 Clark 702-407-9431 Rehabilitation Physical Therapy 562298123MAZZORANA, VICKI 1800 W CHARLESTON BLVD LAS VEGAS NV 107240 Clark 702-383-2000 Physicians Emergency Medicine 203136368MAZZU, DIANNE 2020 PALOMINO LN LAS VEGAS NV 107241 Clark 702-759-8600 Physicians Radiology/Diagnostic 814824771MC MAHON, MICHAEL G 9416 DEL WEBB BLVD LAS VEGAS NV 107266 Clark 702-765-5793 Physicians General Dentist 880125958

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 123 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDMCAFEE, JOHN H 707 N MINNESOTA ST CARSON CITY NV 107268 Carson City 775-884-4567 Physicians Gastroenterology 860872916MCALLISTER, FRANK J 7240 W AZURE DR LAS VEGAS NV 107270 Clark 702-478-7785 Physicians Allergy/Immunology 886000436MCALLISTER, MARK D 18653 WEDGE PKWY RENO NV 107274 Washoe 800-656-7226 Physicians Radiology/Diagnostic 455557052MCANALLEN, TERRY J 861 CORONADO CTR DR STE 100 HENDERSON NV 107276 Clark 702-454-1322 Physicians Family Medicine 200365179MCATEE, JILL M 1800 W CHARLESTON BLVD LAS VEGAS NV 107279 Clark 702-383-2000 Physicians Certified Nurse Practitioner 274096788MCAULIFFE, MATTHEW B 9990 DOUBLE R BLVD STE 200 RENO NV 107328 Washoe 775-348-8800 Physicians Physical Medicine & Rehabilitation270028866MCBEATH, JO K 3121 S MARYLAND PKWY LAS VEGAS NV 107335 Clark 702-320-3852 Physicians Family Medicine 860852466MCBRIDE, DANIEL F 8280 W WARM SPRINGS RD LAS VEGAS NV 107336 Clark 702-492-8000 Physicians Emergency Medicine 273869424MCBRIDE, ELLEN B 491 COURT ST RENO NV 107338 Washoe 775-525-8103 Physicians Psychiatry 825259010MCCABE, PATRICK K 880 RYLAND ST RENO NV 107344 Washoe 775-329-4600 Physicians Gastroenterology 880182841MCCAFFREY, DREW P 4301 E SUNSET RD STE 100 HENDERSON NV 107345 Clark 702-465-8187 Physicians General Dentist 475009169MCCALLUM-CRAWFORD, MIA 366 W LAKE MEAD PKWY STE 100 HENDERSON NV 107347 Clark 702-359-5210 Physicians Certified Nurse Practitioner 832218377MCCANDLESS, KENNETH C 2110 E FLAMINGO RD STE 205 LAS VEGAS NV 107349 Clark 702-733-2020 Physicians Optometry 880331757MCCARROLL, MORGAN G 6630 S MCCARRAN BLVD STE 25 RENO NV 107351 Washoe 775-827-7555 Physicians Anesthesiology 880101307MCCARTHY, MEAGAN M 1365 MEDICAL PKWY CARSON CITY NV 107362 Carson City 775-786-3040 Physicians Orthopedic Surgery 880103557MCCAULEY, TIMOTHY E 2208 S NELLIS BLVD # 1-A LAS VEGAS NV 107363 Clark 702-431-7096 Physicians Chiropractor 472665839MCCLELLAN, DAWN 1750 WHEELER PEAK DR LAS VEGAS NV 107366 Clark 702-272-1100 Physicians Pediatric Dentist 880510609MCCLISH, LAURENCE R 6 STEPTOE CIR ELY NV 107367 White Pine 208-733-0601 Physicians Orthopedic Surgery 860877841MCCLOUD, KARLEE F 3700 GRANT DR RENO NV 107369 Washoe 775-829-4700 Rehabilitation Physical Therapy 880291454MCCOMBS, ERNESTO A 501 S RANCHO DR LAS VEGAS NV 107370 Clark 702-822-4441 Physicians Internal Medicine 201475812MCCOMBS, JENNIFER 1665 OLD HOT SPRINGS RD CARSON CITY NV 107372 Carson City 775-687-5162 Physicians Professional Counselor 886000022MCCONNELL, RACHEL A 653 N TOWN CENTER DR LAS VEGAS NV 107374 Clark 702-341-6616 Physicians Obstetrics/Gynecology 061639425MCCOOL, MELISSA A 517 HAMMILL LN RENO NV 107375 Washoe 775-824-2323 Physicians Pediatric Dentist 203707845MCCOOL, SORREN D 1955 E PRATER WAY SPARKS NV 107376 Washoe 775-359-6780 Physicians General Dentist 010842628MCCORKLE, JAYISON 10410 S EASTERN AVE STE 210 HENDERSON NV 107377 Clark 702-733-2982 Physicians Certified Nurse Practitioner 880407499MCCORMACK, BRIAN J 21 LOCUST ST RENO NV 107382 Washoe 775-982-5270 Physicians Family Medicine 880236758MCCORMACK, MARIE M 5575 KIETZKE LN RENO NV 107383 Washoe 775-851-1505 Physicians Family Medicine 263303591MCCORMACK, MATTHEW C 1500 E 2ND ST STE 300 RENO NV 107384 Washoe 775-689-3737 Physicians Urology 208628418MCCORMACK, MAUREEN K 2020 PALOMINO LN LAS VEGAS NV 107385 Clark 702-759-8600 Physicians Radiology/Diagnostic 822135009MCCORMICK, THOMAS V 2385 E PRATER WAY SPARKS NV 107410 Washoe 775-352-5300 Physicians General Surgery 263303591MCCOSH, JAMES A 223 N PECOS RD STE 110 HENDERSON NV 107413 Clark 702-256-8900 Physicians Psychology (Clinical) 886000022MCCOURT JR, JOHN D 1800 W CHARLESTON BLVD LAS VEGAS NV 107416 Clark 702-385-0890 Physicians Emergency Medicine 202977358MCCOY, DANIEL K 1200 MOUNTAIN ST CARSON CITY NV 107454 Carson City 775-885-2229 Physicians Certified Nurse Practitioner 880502320MCCOY, KELLY M 1505 WIGWAM PKWY STE 240 HENDERSON NV 107455 Clark 702-568-0195 Rehabilitation Occupational Therapy 880386672MCCRACKEN, GARNETTE D 6375 W CHARLESTON BLVD LAS VEGAS NV 107474 Clark 702-253-0818 Physicians Social Worker 886000024MCCRAW, JOAN 5530 S JONES BLVD LAS VEGAS NV 107475 Clark 702-341-0311 Physicians Certified Nurse Practitioner 203454921MCCULLOUGH, ELAINE K 2780 S JONES BLVD STE 100A LAS VEGAS NV 107476 Clark 702-820-3061 Physicians Professional Counselor 820870653MCDANIE, JAYDENE 4492 S PECOS RD LAS VEGAS NV 107477 Clark 702-701-7999 Physicians General Dentist 472246740MCDANIEL, ALEXANDRA N 1934 E SAHARA AVE LAS VEGAS NV 107480 Clark 702-369-5758 Physicians Obstetrics/Gynecology 880213519MCDANIEL, HUEY B 1500 E 2ND ST STE 206 RENO NV 107481 Washoe 775-789-7000 Physicians Vascular Surgery 880179203MCDANIEL, STEVEN 169 N NELLIS BLVD LAS VEGAS NV 107482 Clark 702-384-1010 Physicians General Dentist 371797092MCDANIEL-SWALLOW, MICHELLE M 2740 S JONES BLVD LAS VEGAS NV 107483 Clark 702-515-3670 Physicians Social Worker 886000022MCDERMOTT, CARY M 9127 W RUSSELL RD LAS VEGAS NV 107484 Clark 702-878-0070 Physicians Anesthesiology 910885149MCDERMOTT, HUGH T 780 VISTA BLVD STE 100 SPARKS NV 107493 Washoe 775-348-8800 Physicians Physical Medicine & Rehabilitation270028866MCDERMOTT, KAREN S 2345 E PRATER WAY STE 107 SPARKS NV 107494 Washoe 775-352-5300 Physicians Internal Medicine 263303591MCDONALD, MARILYN M 14480 CHAMY DR RENO NV 107495 Washoe 866-389-0211 Rehabilitation Physical Therapy 880423763MCDONALD, PATRICIA A 540 W PLUMB LN STE 200 RENO NV 107497 Washoe 775-657-8981 Physicians Certified Nurse Practitioner 880502320MCDONALD, ROBERT L 200 BATH ST STE 1 CARSON CITY NV 107499 Carson City 775-882-2106 Physicians Pulmonology 880502320MCDONALD, SCOTT 1151 S HIGHWAY 160 PAHRUMP NV 107501 Nye 775-751-7859 Physicians Cardiology 880213519MCDONALD, SPENCER A 1800 W CHARLESTON BLVD LAS VEGAS NV 107508 Clark 702-207-8253 Physicians Family Medicine 208753074MCDOWELL-WILLIS, DEKETRA M 2000 WELLNESS WAY LAS VEGAS NV 107509 Clark 702-384-5101 Physicians Certified Nurse Practitioner 880329731

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 124 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDMCELROY, CODY F 475 KIRMAN AVE RENO NV 107510 Washoe 775-786-3400 Physicians General Dentist 880122578MCEVOY, ERIN M 242 LOS ALTOS PKWY SPARKS NV 107511 Washoe 775-354-1785 Physicians General Dentist 464871811MCFARREN, TIMOTHY C 1475 MEDICAL PKWY CARSON CITY NV 107512 Carson City 775-883-3636 Physicians Obstetrics/Gynecology 880502320MCFERRIN, EMMETT A 1001 ROCK BLVD SPARKS NV 107513 Washoe 775-359-9977 Physicians Chiropractor 731704848MCGARRY, JONATHON H 102 E LAKE MEAD PKWY HENDERSON NV 107514 Clark 510-350-2600 Physicians Emergency Medicine 202977358MCGEE, MATTHEW D 211 N BUFFALO DR STE B LAS VEGAS NV 107564 Clark 702-360-4200 Physicians General Dentist 261080695MCGEE, WILLIAM R 10105 BANBRY CROSS DR STE 445 LAS VEGAS NV 107565 Clark 702-475-4390 Physicians Orthopedic Surgery 273148970MCGEHEE, ELIZABETH 2629 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 107568 Clark 702-545-0555 Rehabilitation Physical Therapy 454635610MCGHEE, BEATE H 425 W B ST FALLON NV 107569 Churchill 775-828-2873 Physicians Certified Nurse Practitioner 880345183MCGINLEY, KELLIE J 517 HAMMILL LN RENO NV 107573 Washoe 775-824-2323 Physicians Pediatric Dentist 831553405MCGINN, DANIEL T 1800 W CHARLESTON BLVD LAS VEGAS NV 107574 Clark 702-383-2000 Physicians Emergency Medicine 943293742MCGINNIS, DIANE M 5757 WAYNE NEWTON BLVD LAS VEGAS NV 107575 Clark 702-261-4463 Physicians Certified Nurse Practitioner 270833940MCGINNIS, SEONG H 6880 S MCCARRAN BLVD STE 5 RENO NV 107576 Washoe 775-828-2333 Physicians Internal Medicine 274481221MCGOOHAN, MAUREEN A 7281 W CHARLESTON BLVD LAS VEGAS NV 107578 Clark 702-870-7050 Rehabilitation Occupational Therapy 412129643MCGOWAN, CHARLES E 6900 PECOS RD NORTH LAS VEGAS NV 107579 Clark 702-791-9000 Physicians Physical Medicine & Rehabilitation102488778MCGRAW, LESLIE M 1516 VIRGINIA RANCH RD GARDNERVILLE NV 107580 Douglas 775-783-4823 Physicians Certified Nurse Practitioner 261513495MCGREW, MICHEAL S 653 N TOWN CENTER DR STE 418 LAS VEGAS NV 107583 Clark 702-233-7950 Physicians Family Medicine 462964527MCGREW, PATRICK R 1701 W CHARLESTON BLVD STE 250 LAS VEGAS NV 107585 Clark 702-671-2395 Physicians Critical Care 850416296MCGROREY, DONALD P 6440 N DURANGO DR STE 155 LAS VEGAS NV 107587 Clark 702-227-3669 Physicians Family Medicine 274955274MCGRUDER, KEITH 525 E MOANA LN STE A RENO NV 107589 Washoe 775-823-5100 Physicians General Dentist 454797322MCHALE, STACI L 6140 S FORT APACHE RD STE 110 LAS VEGAS NV 107592 Clark 702-740-0500 Physicians Obstetrics/Gynecology 461211666MCHALEY, MADISON A 2012 S JONES BLVD LAS VEGAS NV 107593 Clark 702-360-1137 Rehabilitation Speech Pathology 412129643MCHUGH, PAUL M 1706 W BONANZA RD LAS VEGAS NV 107594 Clark 702-631-6860 Physicians Family Medicine 880504460MCINTOSHI, VIVI V 6110 W LAKE MEAD BLVD STE 150 LAS VEGAS NV 107597 Clark 702-565-4040 Physicians General Dentist 371797092MCINTYRE, RICHARD M 10120 S EASTERN AVE STE 100 HENDERSON NV 107598 Clark 702-385-3090 Physicians Chiropractor 363096792MCKAY, JENNIFER D 745 W MOANA LN RENO NV 107599 Washoe 775-324-3300 Physicians Psychiatry 886000022MCKAY, KENNETH R 5516 S FORT APACHE RD STE 100 LAS VEGAS NV 107600 Clark 702-646-0188 Physicians Psychology (Clinical) 043290453MCKEEGAN, GERALD F 2110 E FLAMINGO RD STE 317 LAS VEGAS NV 107601 Clark 702-410-8400 Physicians Psychology (Clinical) 886000022MCKELVIE, CAROLYN J 3012 S DURANGO DR STE 1 LAS VEGAS NV 107602 Clark 702-366-0640 Physicians Family Medicine 200365179MCKENNA, SHARON A 874 AMERICAN PACIFIC DR HENDERSON NV 107603 Clark 702-777-4809 Physicians Family Medicine 200363127MCKENZIE, JASON S 2415 PYRAMID WAY STE A SPARKS NV 107605 Washoe 775-351-1300 Physicians Family Medicine 880502320MCKENZIE, MARK E 2010 GOLDRING AVE STE 100 LAS VEGAS NV 107607 Clark 702-588-7373 Physicians Internal Medicine 880329986MCKINLEY, ELLEN K 600 S RANCHO DR LAS VEGAS NV 107608 Clark 702-878-1065 Rehabilitation Occupational Therapy 880386672MCKINNEY, BRIAN J 401 W 2ND ST STE 216 RENO NV 107610 Washoe 775-682-8469 Physicians Psychiatry 886000022MCKINNEY, ROBIN 1701 W CHARLESTON BLVD STE 300 LAS VEGAS NV 107611 Clark 702-251-8000 Physicians Social Worker 043290453MCKNIGHT, ANDREW S 2485 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 107613 Clark 702-212-5889 Physicians Allergy/Immunology 561249571MCKNIGHT, LARA A 907 MOUNTAIN ST CARSON CITY NV 107615 Carson City 775-841-2000 Physicians Optometry 741109661MCLAUGHLIN, CRYSTAL M 5365 MAE ANNE AVE STE B2 RENO NV 107618 Washoe 775-747-4333 Physicians Chiropractor 432044949MCLAUGHLIN, GARY S 500 N RAINBOW BLVD STE 203 LAS VEGAS NV 107619 Clark 702-259-1228 Physicians Emergency Medicine 474980349MCLAUGHLIN, HEIDI P 2012 S JONES BLVD LAS VEGAS NV 107620 Clark 702-360-1137 Rehabilitation Physical Therapy 412129643MCLAUGHLIN, KELLI A 7361 W LAKE MEAD BLVD STE 104 LAS VEGAS NV 107621 Clark 702-804-6133 Physicians Optometry 880299615MCLELLAN, GAREY L 10615 PADRINGTON CT LAS VEGAS NV 107624 Clark 702-577-7362 Physicians Radiology/Diagnostic 621847125MCLEOD, COREY A 3919 CARTER WAY WELLINGTON NV 107625 Lyon 775-783-3096 Physicians Emergency Medicine 880405927MCLEOD, MISAKO 8084 W SAHARA AVE STE B LAS VEGAS NV 107628 Clark 702-878-2455 Physicians Podiatry 201898649MCMEEKIN, THOMAS W 10463 DOUBLE R BLVD STE 100 RENO NV 107629 Washoe 775-355-8812 Physicians Podiatry 201302264MCMENAMIN, CONSTANCE A 1995 ERRECART BLVD STE 102 ELKO NV 107630 Elko 775-738-3111 Physicians Certified Nurse Practitioner 880387970MCMICKEN, ASHLEE E 2874 N CARSON ST STE 100 CARSON CITY NV 107631 Carson City 775-883-4161 Rehabilitation Physical Therapy 880329446MCMICKLE, GEORGE R 653 N TOWN CENTER DR LAS VEGAS NV 107632 Clark 702-215-6950 Physicians Ophthalmology 880505822MCMILLAN, KAY E 620 SHADOW LN LAS VEGAS NV 107634 Clark 702-259-1228 Physicians Emergency Medicine 204311300MCMINN, SHAY B 7065 W ANN RD # 130-407 LAS VEGAS NV 107636 Clark 702-448-4200 Rehabilitation Speech Pathology 200382573MCMULLEN, JOSEPH M 630 SIERRA ROSE DR STE B RENO NV 107637 Washoe 775-825-2954 Physicians General Dentist 463801591

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 125 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDMCMULLEN, JOSEPH R 290 BRINKBY AVE STE 2 RENO NV 107638 Washoe 775-825-0285 Physicians Oral Surgery 203707845MCNAMARA, CATHERINE J 75 PRINGLE WAY STE 601 RENO NV 107639 Washoe 775-326-8380 Physicians Certified Nurse Practitioner 880238057MCNAMARA, ELIZABETH M 1107 US HIGHWAY 395 S GARDNERVILLE NV 107640 Douglas 775-782-1600 Physicians Emergency Medicine 880405927MCNAMARA, STEVEN 1107 US HIGHWAY 395 S GARDNERVILLE NV 107642 Douglas 775-782-1600 Physicians Emergency Medicine 880405927MCNAMARA, THOMAS 2874 N CARSON ST STE 300 CARSON CITY NV 107643 Carson City 775-445-5500 Physicians Radiology/Diagnostic 880337502MCNAUL, NANCY A 118 E HASKELL ST WINNEMUCCA NV 107645 Humboldt 775-623-5222 Physicians Psychology (Clinical) 886000088MCNEIL, DANIEL 742 D ST ELKO NV 107646 Elko 775-738-9323 Physicians Podiatry 880122262MCNICKLE, ALLISON G 1707 W CHARLESTON BLVD STE 160 LAS VEGAS NV 107647 Clark 702-671-5150 Physicians General Surgery 813419791MCNULTY, PATRICK S 3012 S DURANGO DR LAS VEGAS NV 107648 Clark 702-463-1424 Physicians Orthopedic Surgery 822636612MCNUTT, AMANDA L 3700 GRANT DR STE A RENO NV 107649 Washoe 775-829-4700 Rehabilitation Speech Pathology 880291454MCPHERSON, CHARLES D 8550 S EASTER AVE LAS VEGAS NV 107650 Clark 702-492-8000 Physicians Pulmonology 320502611MCPHILAMY, AUSTIN M 350 W 6TH ST RENO NV 107652 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557MCQUARRIE, MARY L 824 GEAR ST RENO NV 107654 Washoe 775-688-1341 Rehabilitation Speech Pathology 886000022MCQUILLAN, BRIAN F 2020 PALOMINO LN LAS VEGAS NV 107655 Clark 702-759-8600 Physicians Radiology/Diagnostic 760373635MCRAE, DAVID A 9127 W RUSSELL RD LAS VEGAS NV 107680 Clark 702-878-0070 Physicians Anesthesiology 592905984MCRAE, GINA A 2020 PALOMINO LN LAS VEGAS NV 107689 Clark 702-759-8600 Physicians Radiology/Diagnostic 741740101MCRAE, MICAH J 9127 W RUSSELL RD STE 110 LAS VEGAS NV 107709 Clark 702-878-0070 Physicians CRNA 822526636MCSWAIN FAMILY MEDICAL 801 S RANCHO DR STE F1 LAS VEGAS NV 107716 Clark 702-419-7529 Physicians Family Medicine 263183196MCSWAIN, CHARLES H 2225 E FLAMINGO RD LAS VEGAS NV 107717 Clark 702-419-7529 Physicians Family Medicine 263183196MCWHORTER, YI 6130 ELTON AVE STE 113 LAS VEGAS NV 107718 Clark 702-686-9347 Physicians Anesthesiology 760841215MCWHORTER, YI 6130 ELTON AVE STE 113 LAS VEGAS NV 107720 Clark 702-476-0297 Physicians Anesthesiology 860916679MD LABS 10635 DOUBLE R BLVD STE 100 RENO NV 107729 Washoe 775-391-5221 Ancillary Providers 800686939MEADE, DEVIN 2625 W HORIZON RIDGE PKWY HENDERSON NV 107731 Clark 702-896-0383 Rehabilitation Physical Therapy 202279187MEADOWS COUNSELING 9402 W LAKE MEAD BLVD LAS VEGAS NV 107732 Clark 702-878-0554 Physicians Marriage & Family Therapist 880317828MEADOWS HOME HEALTH SERVICES, 3750 S JONES BLVD LAS VEGAS NV 107733 Clark 702-405-4415 Ancillary Providers 800264376MEADOWS MEDICAL GROUP 4500 MEADOWS LN LAS VEGAS NV 107734 Clark 702-870-8100 Physicians Internal Medicine 860876814MEADS JR, TERRY C 4380 W CACTUS AVE STE 100 LAS VEGAS NV 107735 Clark 702-570-0241 Physicians Pediatric Dentist 844715776MECCA, MICHAEL A 2020 PALOMINO LN LAS VEGAS NV 107737 Clark 702-759-8600 Physicians Radiology/Diagnostic 341090399MECHAM, KELLY J 2649 WIGWAM PKWY STE 101 HENDERSON NV 107763 Clark 702-407-9994 Physicians Certified Nurse Practitioner 880494034MECKFESSEL, JEFFREY A 5295 SUN VALLEY BLVD STE 6 SUN VALLEY NV 107764 Washoe 775-673-1055 Physicians General Dentist 261318928MED - MART - LAS VEGAS 3069 S VALLEY VIEW BLVD LAS VEGAS NV 107769 Clark 702-309-9582 Ancillary Providers 943122268MEDDIRECT URGENT CARE 1201 SOUTH CARSON STREET CARSON CITY NV 107770 Carson City 775-885-4685 Ambulatory Facilities 880489509MEDDIRECT URGENT CARE OR DAYTON FAMILY MEDICINE1201 SOUTH CARSON STREET CARSON CITY NV 107775 Carson City 775-445-7330 Ambulatory Facilities 880489509MEDEXPRESS URGENT CARE-LAKE MEAD PKWY.101 E LAKE MEAD PKWY STE 110 HENDERSON NV 107776 Clark 702-565-3484 Ambulatory Facilities 452380022MEDI HOME CARE 5967 HARRISON DR STE 6 LAS VEGAS NV 107777 Clark 803-358-6756 Ancillary Providers 540950139MEDICAL AND DENTAL CENTER OF NEVADA4275 BURNHAM AVE LAS VEGAS NV 107778 Clark 702-489-3555 Ambulatory Facilities 825250965MEDICAL DIAGNOSTIC ASSOCIATES 9499 W CHARLESTON BLVD LAS VEGAS NV 107779 Clark 702-733-7866 Physicians Radiology/Diagnostic 954400689MEDICAL DISTRICT SURGERY CENTER 1330 S VALLEY VIEW BLVD LAS VEGAS NV 107780 Clark 702-675-4600 Ambulatory Facilities 201898649MEDICAL GROUP AT SUN CITY LLP 9410 DEL WEBB BLVD LAS VEGAS NV 107781 Clark 702-240-8155 Physicians Internal Medicine 880386657MEDICAL INDUSTRY SERVICES INC. 5030 PARADISE RD STE A115 LAS VEGAS NV 107783 Clark 702-891-5003 Ancillary Providers 203277642MEDICAL SYSTEMS MGMT. 9280 W SUNSET RD STE 412 LAS VEGAS NV 107784 Clark 775-513-4611 Physicians Family Medicine 880467523MEDINA-GARCIA, LUIS H 1800 W CHARLESTON BLVD LAS VEGAS NV 107785 Clark 702-383-2000 Physicians Infectious Diseases 886000436MEDIWALA, RAHUL N 1500 E 2ND ST STE 201 RENO NV 107786 Washoe 775-982-5000 Physicians Nephrology 311523745MEDLAB 2860 S JONES BLVD STE 2 LAS VEGAS NV 107788 Clark 702-834-7600 Ancillary Providers 270350769Medlogic Anniston, Inc 187 N GIBSON RD STE 110 HENDERSON NV 107789 Clark 256-403-1151 Ancillary Providers 731636259MEDSCHOOL ASSOCIATES SOUTH 1707 W CHARLESTON BLVD LAS VEGAS NV 107790 Clark 702-366-7097 Physicians Obstetrics/Gynecology 880330858MEDX AIRONE 2705 CYRANO ST HENDERSON NV 107805 Clark 702-815-5059 Ancillary Providers 474665655MEEDER, CORY W 2375 E PRATER WAY SPARKS NV 107806 Washoe 775-331-7000 Physicians Emergency Medicine 833597814MEEKS, DEREK S 901 ADAMS BLVD BOULDER CITY NV 107807 Clark 702-293-4111 Physicians Emergency Medicine 943293742MEEKS, TINA M 9260 W SUNSET RD STE 100 LAS VEGAS NV 107808 Clark 702-255-3547 Physicians Certified Nurse Practitioner 270024561MEGAN, SHEILA A 205 S MINNESOTA ST CARSON CITY NV 107809 Carson City 775-882-0687 Physicians Psychology (Clinical) 552700018

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 126 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDMEHDI, RAJA S 3599 S EASTERN AVE LAS VEGAS NV 107810 Clark 702-508-9128 Physicians Oncology 421585798MEHRDAD A TAFRESHI, MD, LTD. 4500 MEADOWS LN LAS VEGAS NV 107814 Clark 702-870-8100 Physicians Internal Medicine 880303085MEHTA, DEVYANI J 9127 W RUSSELL RD LAS VEGAS NV 107815 Clark 702-878-0070 Physicians Anesthesiology 461237632MEHTA, KARISHMA B 9280 W SUNSET RD STE 312 LAS VEGAS NV 107824 Clark 702-737-5864 Physicians Pulmonology 880350180MEHTA, KAUSHAL J 8300 W CHEYENNE AVE STE 106 LAS VEGAS NV 107825 Clark 702-701-9501 Physicians Certified Nurse Practitioner 463164188MEHTA, ROGER R 270 W LAKE MEAD PKWY HENDERSON NV 107842 Clark 702-677-3720 Physicians Family Medicine 730717979MEHTA, VISHISHT 3150 N TENAYA WAY STE 125 LAS VEGAS NV 107844 Clark 702-869-0855 Physicians Pulmonology 880350180MEIER, JOSHUA C 9770 S MCCARRAN BLVD RENO NV 107845 Washoe 775-322-4589 Physicians Otolaryngology 203707845MELHUISH, VICTORIA L 1516 VIRGINIA RANCH RD STE 1B GARDNERVILLE NV 107846 Douglas 775-783-8037 Physicians Podiatry 880120754MELI JR, JAMES V 600 WHITNEY RANCH DR STE B6 HENDERSON NV 107848 Clark 702-547-0088 Physicians Family Medicine 880368011MELI, JAMES V 6301 MOUNTAIN VISTA ST STE 100 HENDERSON NV 107850 Clark 702-451-1844 Physicians Family Medicine 205657675MELIKOV, ALEKSANDR G 4700 LAS VEGAS BLVD N NELLIS AFB NV 107852 Clark 702-653-3116 Physicians Pediatrics 860817397MELLODY CHIROPRACTIC 133 W LAKE MEAD PKWY STE 200 HENDERSON NV 107853 Clark 702-531-3338 Physicians Chiropractor 043821114MELLOR, CHRISTY N 3362 S MCCARRAN BLVD RENO NV 107854 Washoe 775-329-5437 Physicians General Dentist 203140812MELLOR, ERIKA M 1005 FOREST ST RENO NV 107855 Washoe 775-329-4582 Physicians Marriage & Family Therapist 208794293MELLUM, SPENCER T 2805 MOUNTAIN ST CARSON CITY NV 107856 Carson City 844-958-2054 Physicians Anesthesiology 731451967MELONE, ANDREW-PETER D 2375 E PRATER WAY SPARKS NV 107865 Washoe 775-331-7000 Physicians Emergency Medicine 475671561MELTON, AGNES T 10101 DOUBLE R BLVD RENO NV 107868 Washoe 775-982-7000 Physicians Anesthesiology 880101307MELTON, JASON L 129 W LAKE MEAD PKWY HENDERSON NV 107880 Clark 702-564-6712 Rehabilitation Physical Therapy 880308865MELTON, TIMOTHY F 143 S WATER ST HENDERSON NV 107882 Clark 702-944-9446 Physicians Optometry 201361069MEMMOLI, DAVID J 2851 N TENAYA WAY LAS VEGAS NV 107883 Clark 702-656-6608 Physicians Certified Nurse Practitioner 473144410MENDENHALL, DAVID R 501 S RANCHO DR LAS VEGAS NV 107885 Clark 702-384-3200 Physicians Family Medicine 880157844MENDEZ, FERNANDO 4270 S DECATUR BLVD STE B6 LAS VEGAS NV 107886 Clark 702-485-2100 Physicians Psychiatry 812219401MENDEZ, KIRK T 2680 CRIMSON CANYON DR LAS VEGAS NV 107887 Clark 702-228-7355 Physicians Orthopedic Surgery 880293830MENDEZ, MADISEN E 888 W BONNEVILLE AVE LAS VEGAS NV 107888 Clark 702-483-6000 Rehabilitation Occupational Therapy 931054024MENDEZ, RAUL D 4980 DEL PUEBLO AVE LAS VEGAS NV 107889 Clark 702-408-8957 Physicians Internal Medicine 205077968MENDEZ, SUJHEIL M 171 N GIBSON RD HENDERSON NV 107890 Clark 702-360-1137 Rehabilitation Speech Pathology 412129643MENDOZA, CHARLES R 9127 W RUSSELL RD STE 110 LAS VEGAS NV 107891 Clark 702-878-0070 Physicians Anesthesiology 852385334MENDOZA, MARILOU A 2831 SAINT ROSE PKWY STE 221 HENDERSON NV 107900 Clark 702-589-4871 Physicians Certified Nurse Practitioner 823795906MENDOZA, MARLON A 5781 W SAHARA AVE LAS VEGAS NV 107901 Clark 702-331-1700 Physicians Pediatrics 880456336MENEZES, JOHN M 1707 W CHARLESTON BLVD STE 160 LAS VEGAS NV 107904 Clark 702-671-5150 Physicians Plastic & Reconstructive Surgery 880330858MENGISTU, BRITTNEY M 10001 S EASTERN AVE HENDERSON NV 107906 Clark 702-566-2400 Physicians Pediatrics 205204446MENGISTU, FIKRE A 10001 S EASTERN AVE STE 200 HENDERSON NV 107908 Clark 702-914-2420 Physicians General Surgery 880461624MENGWASSER, KELSEY P 2012 S JONES BLVD LAS VEGAS NV 107910 Clark 702-360-1137 Rehabilitation Physical Therapy 412129643MENMUIR, BRETT G 555 W ARLINGTON AVE RENO NV 107911 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557MENSAH, ANDREW K 8430 W LAKE MEAD BLVD STE 100 LAS VEGAS NV 107912 Clark 702-576-9840 Physicians Internal Medicine 262785029MEOZ, RAUL T 655 N TOWN CENTER DR LAS VEGAS NV 107913 Clark 702-233-2200 Physicians Radiation Oncology 860868639MERCADO, PATRICK D 3001 SAINT ROSE PKWY HENDERSON NV 107920 Clark 510-350-2600 Physicians Certified Nurse Practitioner 862775542MERCED, TINA 1701 W CHARLESTON BLVD STE 300 LAS VEGAS NV 107921 Clark 702-251-8000 Physicians Social Worker 043290453MERCER, YOLANDA J 1000 S RAINBOW BLVD # A LAS VEGAS NV 107922 Clark 702-259-0088 Physicians Internal Medicine 880213519MERCIER, DIANE G 177 CADILLAC PL RENO NV 107924 Washoe 775-827-7501 Physicians Psychology (Clinical) 397567492MERHI, REMA 2441 W HORIZON RIDGE PKWY HENDERSON NV 107925 Clark 702-248-7337 Physicians Pediatrics 831025026MERK, RACHELE A 6460 MEDICAL CENTER ST STE 140 LAS VEGAS NV 107926 Clark 702-888-1340 Physicians Psychology (Clinical) 200654472MERKIN, ELLEN P 2920 S RAINBOW BLVD LAS VEGAS NV 107927 Clark 702-363-7372 Physicians Optometry 880222395MERRELL, ROBERT W 100 N GRN VALLEY PKWY STE 310 HENDERSON NV 107928 Clark 702-877-1887 Physicians Nephrology 880136673MERZ, TERRI 2840 E FLAMINGO RD STE A LAS VEGAS NV 107929 Clark 702-732-0153 Physicians Professional Counselor 297429381MESA VIEW HOME CARE 330 FALCON RIDGE PKWY MESQUITE NV 107930 Clark 702-346-2460 Ancillary Providers 261278220MESA VIEW PHYSICAL REHABILITATION 1140 W PIONEER BLVD MESQUITE NV 107931 Clark 702-346-1899 Rehabilitation 201621111MESA VIEW PHYSICAL REHABILITATION LLC 1301 BERTHA HOWE AVE MESQUITE NV 107933 Clark 702-430-5000 Rehabilitation 201621111MESA VIEW PHYSICAL THERAPY 1301 BERTHA HOWE AVE STE 7BOX757 MESQUITE NV 107936 Clark 702-346-1899 Rehabilitation 201621111MESA VIEW REGIONAL HOSPITAL 1299 BERTHA HOWE AVE MESQUITE NV 107937 Clark 702-346-8040 Hospitals Critical Access Hospital 421543617

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 127 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDMESQUITE ANESTHESIA SERVICES LLC 1299 BERTHA HOWE AVE MESQUITE NV 107938 Clark 660-826-5960 Physicians CRNA 352486918MESQUITE BEH HEALTH CTR-SBSTNC ABUSE61 N WILLOW ST STE 4 MESQUITE NV 107939 Clark 702-346-4696 Ambulatory Facilities 886000022MESQUITE MEDICAL EQUIPMENT 330 FALCON RIDGE PKWY STE 400B MESQUITE NV 107940 Clark 702-345-4625 Ancillary Providers 880468983MESQUITE UROLOGY 1301 BERTHA HOWE AVE STE 9 MESQUITE NV 107945 Clark 702-346-0562 Physicians Urology 203343374MESQUITE WOMENS CLINIC 1301 BERTHA HOWE AVE STE 2 MESQUITE NV 107946 Clark 702-345-2122 Physicians Obstetrics/Gynecology 201015697MESSINA, MICHAEL 9127 W RUSSELL RD LAS VEGAS NV 107947 Clark 702-878-0070 Physicians Anesthesiology 910885149METABOLIC MEDICINE LLC 5495 S RAINBOW BLVD STE 202 LAS VEGAS NV 107956 Clark 480-264-5176 Ambulatory Facilities 475515056METCALF, JAMES J 283 N PECOS RD HENDERSON NV 107957 Clark 702-430-3570 Physicians Family Medicine 880506175METRIYAKOOL, KANOP 9127 W RUSSELL RD LAS VEGAS NV 107960 Clark 702-878-0070 Physicians Anesthesiology 202428069METROS, ELENI C 8551 W LAKE MEAD BLVD STE 281 LAS VEGAS NV 107969 Clark 702-363-9000 Rehabilitation Physical Therapy 880386671METZGER, LORETTA J 861 CORONADO CENTER DR HENDERSON NV 107970 Clark 702-454-1322 Physicians Internal Medicine 200365179MEYER, MIKEL R 255 GLENDALE AVE STE 12 SPARKS NV 107971 Washoe 775-356-8181 Physicians Occupational Medicine 752014828MEYER, ROGER P 1475 MEDICAL PKWY CARSON CITY NV 107972 Carson City 775-883-3636 Physicians Obstetrics/Gynecology 880502320MEYERS, GLEN C 2020 GOLDRING AVE STE 401 LAS VEGAS NV 107974 Clark 702-369-5582 Physicians Internal Medicine 880252300MEYERS, JOHN K 2219 N 5TH ST STE A ELKO NV 107975 Elko 775-777-1224 Physicians Orthopedic Surgery 880356566MEYERSON, ANDREW 6161 W CHARLESTON BLVD LAS VEGAS NV 107978 Clark 702-486-6045 Physicians Psychology (Clinical) 886000022MEYERSON, D 2680 S JONES BLVD STE 1 LAS VEGAS NV 107979 Clark 702-363-3633 Physicians Marriage & Family Therapist 880300008MIAO, MICHAEL 8402 CENTENNIAL PKWY LAS VEGAS NV 107980 Clark 702-869-3486 Physicians Orthopedic Surgery 910858192MICELI, RACHEL E 2375 E PRATER WAY SPARKS NV 107986 Washoe 775-331-7000 Physicians Emergency Medicine 833597814MICEV, ALAN J 8585 S EASTERN AVE STE 100 LAS VEGAS NV 107987 Clark 702-798-8585 Physicians Orthopedic Surgery 811579106MICHAEL S KAPLAN MD LTD. 4 SUNSET WAY STE B6 HENDERSON NV 107988 Clark 702-454-6226 Physicians Urology 880273773MICHAEL, MARY ANN 850 I ST SPARKS NV 107989 Washoe 775-358-5330 Physicians General Dentist 814260663MICHAEL, PAUL 655 N TOWN CENTER DR LAS VEGAS NV 107990 Clark 702-233-2200 Physicians Hematology/Oncology 232856644MICHAELIAN, ANDRE 8430 W LAKE MEAD BLVD STE 150 LAS VEGAS NV 107992 Clark 702-220-9100 Physicians General Dentist 860866169MICHAELS, DANKA K 3320 N BUFFALO DR STE 107 LAS VEGAS NV 107993 Clark 702-869-6190 Physicians Internal Medicine 562371654MICHAELS, JASON D 640 W MOANA LN RENO NV 107994 Washoe 775-324-0699 Physicians Dermatology 880361999MICHAELS, SAOVAROS V 7160 SMOKE RANCH RD LAS VEGAS NV 107995 Clark 702-254-8900 Physicians Obstetrics/Gynecology 880400613MICHAELSON, ANNE 1420 E CALVADA BLVD STE 300 PAHRUMP NV 107996 Nye 775-727-4700 Physicians Marriage & Family Therapist 562298123MICHELSON, SHANNON R 1155 MILL ST RENO NV 108001 Washoe 775-982-5463 Physicians Pediatrics 880367250MICHITSCH, MARK D 9700 S MCCARRAN BLVD RENO NV 108002 Washoe 775-827-3937 Physicians Optometry 200977003MICHNAL, DEBRA 3030 S JONES BLVD STE 105 LAS VEGAS NV 108003 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643MICIC, DANIELA 3001 SAINT ROSE PKWY HENDERSON NV 108006 Clark 702-616-5000 Physicians Anesthesiology 202428069MICK, ADAM T 11331 S VIRGINIA ST RENO NV 108015 Washoe 775-853-9966 Rehabilitation Physical Therapy 680273974MICKEL, SUSAN 2831 SAINT ROSE PKWY STE 200 HENDERSON NV 108017 Clark 800-249-1266 Physicians Marriage & Family Therapist 452748445MICKEY WEISZ MD PC 7150 SMOKE RANCH RD STE 110 LAS VEGAS NV 108018 Clark 702-804-1818 Physicians Gastroenterology 262359171MICSUNESCU, DANIEL S 4700 LAS VEGAS BLVD N NELLIS AFB NV 108019 Clark 702-653-2300 Physicians Obstetrics/Gynecology 311075381MID SOUTH PHYSICAL THERAPY 8551 W LAKE MEAD BLVD STE 170 LAS VEGAS NV 108020 Clark 702-363-9000 Rehabilitation 043821114MID-COUNTY PHYSICAL THERAPY LLC 875 ROBERTA LN STE 102 SPARKS NV 108031 Washoe 775-331-3030 Rehabilitation 043821114MIEL, RUFINA P 1815 E LAKE MEAD BLVD NORTH LAS VEGAS NV 108034 Clark 702-657-6365 Physicians Hematology/Oncology 880368011MIERCORT, ROGER 1535 MEDICAL PKWY CARSON CITY NV 108038 Carson City 775-445-7960 Physicians Radiation Oncology 880507472MIGUEL GONZALES M D PROF CORP. 9030 W SAHARA AVE STE 260 LAS VEGAS NV 108039 Clark 702-321-5293 Physicians Internal Medicine 043669399MIHELIC, JANELL M 660 FINCH ISLAND AVE HENDERSON NV 108040 Clark 702-738-4472 Physicians Psychology (Clinical) 043290453MIHIC, NATASA 10001 S EASTERN AVE HENDERSON NV 108041 Clark 702-566-2400 Physicians Pediatrics 205204446MIJARES, ALYZA GRACE 2012 S JONES BLVD LAS VEGAS NV 108043 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643MIKE, SHELDON E 100 N GRN VLY PKWY STE 220 HENDERSON NV 108044 Clark 702-944-3627 Physicians Internal Medicine 453508895MIKLAS, JACALYN L 3111 S MARYLAND PKWY LAS VEGAS NV 108047 Clark 702-968-6259 Rehabilitation Physical Therapy 886000022MILAM, LINDA M 56 N PECOS RD STE A HENDERSON NV 108048 Clark 702-724-8880 Physicians Certified Nurse Practitioner 860427850MILANOVA, MILA 2012 S JONES BLVD LAS VEGAS NV 108049 Clark 702-360-1137 Rehabilitation Physical Therapy 412129643MILES, KEVIN A 18603 WEDGE PKWY RENO NV 108050 Washoe 775-324-6300 Physicians Physical Medicine & Rehabilitation203707845MILES, MELISSA M 3131 LA CANADA ST LAS VEGAS NV 108051 Clark 702-693-6870 Physicians General Surgery 880401900MILES, SHELLEY S 7445 PEAK DR LAS VEGAS NV 108052 Clark 702-952-2140 Physicians Certified Nurse Practitioner 880350180

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 128 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDMILETI, ELIZABETH 3196 S MARYLAND PKWY STE 309 LAS VEGAS NV 108053 Clark 702-791-0477 Physicians Pediatric Gastroenterology 943163588MILFORD, CHRISTOPHER M 2585 MONTESSOURI ST STE 100 LAS VEGAS NV 108056 Clark 702-272-0694 Physicians Neurology 823515865MILKE, JILLIAN L 15 MCCABE DR STE 101 RENO NV 108058 Washoe 775-788-5599 Rehabilitation Physical Therapy 880415575MILLER MEDICAL GROUP 955 GRIER DR STE A LAS VEGAS NV 108061 Clark 702-792-4336 Physicians Internal Medicine 880252300MILLER, BRIAN L 7901 W TROPICAL PKWY LAS VEGAS NV 108067 Clark 702-737-3937 Physicians Optometry 200468842MILLER, CLARENCE 600 S RANCHO DR LAS VEGAS NV 108068 Clark 702-258-9381 Rehabilitation Physical Therapy 880386672MILLER, DAVID C 3121 S MARYLAND PKWY STE 412 LAS VEGAS NV 108069 Clark 702-309-2311 Physicians Infectious Diseases 263770125MILLER, DENVER J 5070 ION DR STE 200 SPARKS NV 108071 Washoe 775-352-5300 Physicians Geriatric Medicine 263303591MILLER, DIANE C 2667 ENTERPRISE RD RENO NV 108072 Washoe 775-688-1341 Rehabilitation Audiology 886000022MILLER, DONALD B 7670 W SAHARA AVE STE 1 LAS VEGAS NV 108073 Clark 702-870-6881 Physicians General Dentist 880244179MILLER, DONNA M 861 CORONADO CENTER DR STE 131 HENDERSON NV 108074 Clark 725-777-0414 Physicians Obstetrics/Gynecology 593410987MILLER, ELAINE A 8280 W WARM SPRINGS RD LAS VEGAS NV 108080 Clark 702-878-0070 Physicians Anesthesiology 200420553MILLER, ERIC D 4730 S FORT APACHE RD STE 150 LAS VEGAS NV 108089 Clark 702-940-1570 Physicians Internal Medicine 880213519MILLER, GLENN G 75 PRINGLE WAY STE 906 RENO NV 108090 Washoe 775-852-7773 Physicians Orthopedic Surgery 880276436MILLER, JADE A 517 HAMMILL LN RENO NV 108093 Washoe 775-824-2323 Physicians Pediatric Dentist 831553405MILLER, JAMEYAN L 7425 W AZURE DR STE 140 LAS VEGAS NV 108094 Clark 702-515-4009 Rehabilitation Speech Pathology 472546455MILLER, JAMIE G 155 HIGHWAY 50 STE 100 STATELINE NV 108100 Douglas 775-589-8900 Physicians Certified Nurse Practitioner 942693002MILLER, JANE A 1701 W CHARLESTON BLVD STE 300 LAS VEGAS NV 108101 Clark 702-251-8000 Physicians Social Worker 043290453MILLER, JESSICA A 291 N PECOS RD HENDERSON NV 108102 Clark 702-616-9471 Physicians Certified Nurse Practitioner 263992356MILLER, JOYCE A 880 RYLAND ST RENO NV 108103 Washoe 775-329-4600 Physicians CRNA 880182841MILLER, KEVIN J 3016 W CHARLESTON BLVD STE 100 LAS VEGAS NV 108104 Clark 702-870-2020 Physicians Family Medicine 880248937MILLER, KEVIN N 2100 N RAMPART BLVD LAS VEGAS NV 108105 Clark 702-731-2088 Physicians Ophthalmology 880107297MILLER, LAUREN B 7326 W CHEYENNE AVE LAS VEGAS NV 108113 Clark 702-386-4700 Physicians Anesthesiology 880375544MILLER, LISA R 10001 S EASTERN AVE HENDERSON NV 108121 Clark 702-566-2400 Physicians Pediatrics 203234930MILLER, MARGARET 2440 PROFESSIONAL CT STE 110 LAS VEGAS NV 108122 Clark 702-240-8155 Physicians Geriatric Medicine 880386657MILLER, MARK A 4741 CAUGHLIN PKWY STE 2 RENO NV 108125 Washoe 775-359-4044 Physicians Marriage & Family Therapist 208381437MILLER, MARK D 7901 W TROPICAL PKWY STE 130 LAS VEGAS NV 108128 Clark 702-737-3937 Physicians Optometry 200468842MILLER, MARK S 3150 N TENAYA WAY STE 250 LAS VEGAS NV 108129 Clark 702-255-3547 Physicians Podiatry 880305911MILLER, MELISSA L 2415 PYRAMID WAY SPARKS NV 108130 Washoe 775-356-6040 Physicians Family Medicine 550525724MILLER, MELISSA R 2415 PYRAMID WAY STE A SPARKS NV 108133 Washoe 775-356-6040 Physicians Anesthesiology 550525724MILLER, MICHAEL R 3186 S MARYLAND PKWY LAS VEGAS NV 108135 Clark 702-731-8066 Physicians Emergency Medicine 880262438MILLER, PAULINE 4500 MEADOWS LN LAS VEGAS NV 108136 Clark 702-258-8100 Physicians Family Medicine 860876814MILLER, ROBERT L 1397 S LOOP RD PAHRUMP NV 108137 Nye 702-759-8600 Physicians Radiology/Diagnostic 201651590MILLER, STEPHEN H 5701 W CHARLESTON BLVD STE 210 LAS VEGAS NV 108162 Clark 702-877-9514 Physicians Internal Medicine 880168054MILLIE, ELISE A 2931 N TENAYA WAY LAS VEGAS NV 108165 Clark 702-822-1212 Physicians Optometry 203103699MILLIGAN, MATTHEW 10455 DOUBLE R BLVD STE 101 RENO NV 108166 Washoe 775-852-8336 Physicians General Dentist 260611182MILLIGAN, MICHAEL D 10624 S EASTERN AVE STE Q HENDERSON NV 108167 Clark 702-617-8676 Physicians Sports Medicine 273148970MILLIOS, JEANNE 925 IRONWOOD DR MINDEN NV 108182 Douglas 775-328-1453 Physicians Certified Nurse Practitioner 880502320MILLMAN, JEFFREY D 1321 N MCCARRAN BLVD STE 103 SPARKS NV 108183 Washoe 775-331-1555 Physicians Family Medicine 880186233MILLS, GREGORY C 6837 W CHARLESTON BLVD LAS VEGAS NV 108184 Clark 702-646-8700 Physicians Chiropractor 880251648MILLS, LADONNA M 500 S RANCHO DR # D LAS VEGAS NV 108185 Clark 702-877-1887 Physicians Certified Nurse Practitioner 880136773MILLS, MATTHEW B 10685 PROFESSIONAL CIR STE A RENO NV 108188 Washoe 775-322-1000 Physicians Ophthalmology 203707845MILLSON, CHRISTOPHER G 2450 W CHARLESTON BLVD LAS VEGAS NV 108191 Clark 702-724-8780 Physicians Anesthesiology 860857176MILMAN, ADAM N 3525 E HARMON AVE LAS VEGAS NV 108193 Clark 702-898-9191 Physicians Internal Medicine 203709178MILNE, ALISON 9484 W LAKE MEAD BLVD STE 8 LAS VEGAS NV 108195 Clark 702-243-7744 Physicians Podiatry 232725850MILNE, CLARE D 2010 WELLNESS WAY STE 100 LAS VEGAS NV 108200 Clark 702-588-7373 Physicians Internal Medicine 205627654MILNE, TODD S 2085 VILLAGE CENTER CIR STE 120 LAS VEGAS NV 108203 Clark 702-240-5437 Physicians Pediatric Dentist 880402674MIN, ALEX 975 KIRMAN AVE RENO NV 108204 Washoe 775-786-7200 Physicians Internal Medicine 880502320MINARD, JENNIFER M 135 W 2ND ST WINNEMUCCA NV 108205 Humboldt 941-313-3300 Physicians Certified Nurse Practitioner 880167036MINDEN MEDICAL EMERGENCY-URGENT CARE925 IRONWOOD DR STE 1104 MINDEN NV 108213 Douglas 775-782-8181 Physicians Geriatric Medicine 880502320MINER, MICHAEL A 1775 BROWNING WAY ELKO NV 108214 Elko 775-738-4494 Rehabilitation Occupational Therapy 264238069

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 129 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDMING-WEI WU, INC. 5380 S RAINBOW BLVD STE 320 LAS VEGAS NV 108215 Clark 702-434-8880 Physicians General Surgery 204199225MINH, CHARLES 2450 W CHARLESTON BLVD LAS VEGAS NV 108216 Clark 702-724-8780 Physicians Anesthesiology 472989595MINOLI, JOHN J 870 SEVEN HILLS DR HENDERSON NV 108217 Clark 702-459-3223 Physicians Plastic & Reconstructive Surgery 133923075MINOZA, ROSCELLE J 3245 S RAINBOW BLVD STE 100 LAS VEGAS NV 108218 Clark 702-228-4900 Physicians Certified Nurse Practitioner 464885917MINUSKIN, TAL A 6850 N DURANGO DR STE 120 LAS VEGAS NV 108219 Clark 702-944-4028 Physicians Pediatrics 880456336MIR, JOSEPH 8370 W CHEYENNE AVE STE 103 LAS VEGAS NV 108222 Clark 702-388-8989 Physicians General Dentist 371797092MIR. A MAJEED, MD, INC. 9360 W FLAMINGO RD STE 110-257 LAS VEGAS NV 108225 Clark 702-577-7361 Physicians Internal Medicine 900434208MIRACLE EAR-S GRAND CANYON DR 1245 W WARM SPG RD HENDERSON NV 108226 Clark 702-650-3074 Ancillary Providers 880346040MIRANDA JR, CRES P 3150 N TENAYA WAY STE 320 LAS VEGAS NV 108232 Clark 702-240-6482 Physicians Cardiology 880156903MIRANDA, NORMA A 8961 W SAHARA AVE STE 108 LAS VEGAS NV 108235 Clark 702-360-4800 Physicians General Dentist 202712485MIRANDA, SHEILA L 5380 S RAINBOW BLVD LAS VEGAS NV 108237 Clark 702-877-1887 Physicians Internal Medicine 472990144MIRANDA, YANDY Y 3001 SAINT ROSE PKWY HENDERSON NV 108240 Clark 702-616-5925 Physicians Internal Medicine 472990144MIRASOL, ARTHUR D 10561 JEFFREYS ST STE 200 HENDERSON NV 108241 Clark 702-407-9431 Rehabilitation Physical Therapy 562298123MIRCHOU, RAFAEL 865 N EASTERN AVE LAS VEGAS NV 108242 Clark 702-399-2345 Physicians Internal Medicine 880388783MIRFENDERESKI, SEYEDQUMARS 8775 DEER SPRINGS WAY LAS VEGAS NV 108243 Clark 702-877-1887 Physicians Nephrology 880136673MIRICH JR, DAVID R 800 N GIBSON RD # 110 HENDERSON NV 108245 Clark 702-732-6000 Physicians Radiology/Diagnostic 880232199MIRKIL, VINCENT J 4275 BURNHAM AVE STE 220 LAS VEGAS NV 108253 Clark 702-369-0088 Physicians Family Medicine 880213519MIRON YEE, ILEANA A 2649 WIGWAM PKWY STE 100 HENDERSON NV 108254 Clark 702-489-4500 Physicians Certified Nurse Practitioner 270537447MISHRA, VIKASH D 1550 W CRAIG RD NORTH LAS VEGAS NV 108255 Clark 702-777-3615 Physicians Emergency Medicine 824933457MISKIEWICZ-NELSON, NICOLE 6301 MOUNTAIN VISTA ST HENDERSON NV 108256 Clark 702-454-1322 Physicians Certified Nurse Practitioner 200365179MISMAS, RACHEL 7035 W ANN RD STE 110 LAS VEGAS NV 108258 Clark 702-396-2929 Physicians General Dentist 474061137MISRA, RUNJHUN 5400 S RAINBOW BLVD LAS VEGAS NV 108259 Clark 702-853-3000 Physicians Internal Medicine 472990144MISTRY, NEVILLE F 3131 LA CANADA ST STE 140 LAS VEGAS NV 108261 Clark 702-933-9400 Physicians Cardiology 880213519MITCHELL, DARREN L 120 E JOHN ST CARSON CITY NV 108262 Carson City 775-885-7555 Physicians Chiropractor 530785271MITCHELL, MARIE A 3196 S MARYLAND PKWY STE 209 LAS VEGAS NV 108266 Clark 702-968-4347 Physicians Certified Nurse Practitioner 880330858MITCHELL, MICHAEL S 8930 W SUNSET RD STE 190 LAS VEGAS NV 108268 Clark 702-795-2273 Physicians General Dentist 451661335MITCHELL, MORGAN J 3700 GRANT DR RENO NV 108271 Washoe 775-829-4700 Rehabilitation Occupational Therapy 880291454MITCHELL, RYAN E 54 N PECOS RD STE C HENDERSON NV 108272 Clark 702-376-3095 Physicians Otolaryngology 471616144MITCHEM, JESSE A 2811 N GREEN VALLEY PKWY HENDERSON NV 108276 Clark 702-434-2219 Physicians Orthodontist 680614740MITRA, SUBHASH C 1707 W CHARLESTON BLVD STE 220 LAS VEGAS NV 108277 Clark 702-731-9110 Physicians Obstetrics/Gynecology 880330858MITROO, VARUN 2020 PALOMINO LN LAS VEGAS NV 108278 Clark 888-727-1074 Physicians Radiology/Diagnostic 741740101MITZEL, JENNIFER A 2340 PASEO DEL PRADO LAS VEGAS NV 108304 Clark 702-331-4277 Physicians Social Worker 475299036MIYADA, ROLAND W 9127 W RUSSELL RD LAS VEGAS NV 108307 Clark 702-878-0070 Physicians Anesthesiology 200420553MIYAGAWA, DEAN K 10085 DOUBLE R BLVD STE 120 RENO NV 108316 Washoe 775-982-5000 Physicians Internal Medicine 880502320MIYAKE, BOB K 2485 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 108318 Clark 702-212-5889 Physicians Allergy/Immunology 561249571MIYASHIRO, ERIN L 291 N PECOS RD HENDERSON NV 108319 Clark 702-616-9471 Physicians Family Medicine 263992356MIZRACHI, AADEE 916 NEVADA HWY BOULDER CITY NV 108320 Clark 725-605-4310 Physicians Psychology (Clinical) 530336883MML PHYSICAL THERAPY GROUP INC 1815 E LAKE MEAD BLVD STE 200 NORTH LAS VEGAS NV 108321 Clark 702-685-0440 Rehabilitation 880284110MO, ASHLEY O 1524 PINTO LN FL 3 LAS VEGAS NV 108323 Clark 702-383-3642 Physicians Pediatrics 880330858MO, CHARLENE 3519 SAINT ROSE PKWY STE 110 HENDERSON NV 108325 Clark 702-529-0321 Physicians General Dentist 842583004MOAZEZ, FOAD 3150 N TENAYA WAY STE 460 LAS VEGAS NV 108329 Clark 702-233-1000 Physicians Cardiology 880186480MOBILE HEALTCARE SERVICES 2921 N TENAYA WAY LAS VEGAS NV 108336 Clark 702-947-4728 Ancillary Providers 880453297MOBILE MEDICAL SERVICE INCORPORATED 3441 W SAHARA AVE LAS VEGAS NV 108337 Clark 702-733-1900 Ancillary Providers 880327400MOCHERLA, BHARAT R 401 N BUFFALO DR STE 100 LAS VEGAS NV 108338 Clark 702-489-9000 Physicians Nuclear Medicine 260199135MOCK, DAVID L 5411 KIETZKE LN RENO NV 108339 Washoe 775-954-0600 Physicians Anesthesiology 880101307MOCK, KYLE 1707 W CHARLESTON BLVD STE 160 LAS VEGAS NV 108354 Clark 702-383-2092 Physicians Critical Care 813419791MOCK, KYLE E 1707 W CHARLESTON BLVD STE 160 LAS VEGAS NV 108355 Clark 702-671-5150 Physicians Critical Care 954540991MODI, KUSH M 1707 W CHARLESTON BLVD STE 220 LAS VEGAS NV 108356 Clark 702-671-5070 Physicians Pulmonology 880330858MODJINOU, DODJI V 1707 W CHARLESTON BLVD STE 220 LAS VEGAS NV 108358 Clark 702-671-5070 Physicians Rheumatology 880330858MODOCK, JACQUELINE M 1470 MEDICAL PKWY STE 160 CARSON CITY NV 108359 Carson City 775-445-7650 Physicians Certified Nurse Practitioner 880502320MODUGNO, ROBERT 9260 W SUNSET RD LAS VEGAS NV 108360 Clark 702-832-2544 Physicians Obstetrics/Gynecology 453192789

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 130 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDMOFFATT-BAZILE, KIM G 8352 W WARM SPRINGS RD STE 210 LAS VEGAS NV 108361 Clark 702-944-4028 Physicians Certified Nurse Practitioner 880456336MOFFITT, BARBARA 9140 W POST RD LAS VEGAS NV 108363 Clark 702-251-8000 Physicians Professional Counselor 043290453MOGAVERO, JENNIFER A 321 N BUFFALO DR STE 110 LAS VEGAS NV 108364 Clark 702-341-0606 Rehabilitation Physical Therapy 260349482MOGHADAM, MAHMOUD R 6850 N DURANGO DR STE 208 LAS VEGAS NV 108366 Clark 702-835-9870 Physicians Certified Nurse Practitioner 462964527MOHAJER, POUYA 1397 S LOOP RD PAHRUMP NV 108368 Nye 702-798-0111 Physicians Anesthesiology 880407938MOHAMED MEDICAL PC 2225 E CENTENNIAL PKWY STE 101 NORTH LAS VEGAS NV 108370 Clark 702-395-0006 Physicians Internal Medicine 300633328MOHAMED, AHMED H 2251 N RAMPART BLVD STE 2527 LAS VEGAS NV 108371 Clark 702-921-6823 Physicians Internal Medicine 300633328MOHAMMAD, MIR A 10001 S EASTERN AVE STE 307 HENDERSON NV 108372 Clark 702-715-6456 Physicians Infectious Diseases 264339610MOHAMMED, ASHRAF M 2543 S BRUCE ST STE 200 LAS VEGAS NV 108373 Clark 702-732-2438 Physicians Nephrology 462812104MOHER, CHRISTIAN J 3939 S PARK AVE CARSON CITY NV 108378 Carson City 520-333-4320 Physicians Family Medicine 860836126MOHLMAN, SCOTT R 3896 N MARTIN L KING BLVD NORTH LAS VEGAS NV 108379 Clark 702-614-1792 Physicians General Dentist 204714412MOHR, RUFUS E 118 E HASKELL ST WINNEMUCCA NV 108381 Humboldt 775-623-5222 Physicians CRNA 886000088MOHSEN, AMR 2385 E PRATER WAY SPARKS NV 108382 Washoe 775-356-4514 Physicians Cardiology 263303591MOHTASHAMI, SAEID S 7510 W SAHARA AVE LAS VEGAS NV 108384 Clark 702-220-6666 Physicians General Dentist 880418564MOHTASHEMI, KEVIN 2020 PALOMINO LN LAS VEGAS NV 108385 Clark 702-759-8600 Physicians Radiology/Diagnostic 822135009MOJAVE ADULT CHILD AND FAMILY SERVICES745 W MOANA LN STE 100 RENO NV 108413 Washoe 775-334-3033 Ambulatory Facilities 886000024MOJAVE MENTAL HEALTH 4000 E CHARLESTON BLVD STE 230 LAS VEGAS NV 108414 Clark 702-968-5059 Ambulatory Facilities 886000024MOJAVE TCM NORTH 745 W MOANA LN STE 100 RENO NV 108415 Washoe 775-334-3033 Ambulatory Facilities 886000024MOJAVE TCM SOUTH 4000 E CHARLESTON BLVD STE 230 LAS VEGAS NV 108416 Clark 702-968-5059 Ambulatory Facilities 886000024MOJTABAVI, REZA 3150 N TENAYA WAY STE 240 LAS VEGAS NV 108417 Clark 702-445-7770 Physicians Internal Medicine 270480752MOKESKI, JUSTINE M 1500 W SUNSET RD STE 140 HENDERSON NV 108418 Clark 702-515-4009 Rehabilitation Speech Pathology 472546455MOKUOLU, ADEDAYO O 2510 WIGWAM PKWY STE 102 HENDERSON NV 108419 Clark 702-255-5900 Physicians Gastroenterology 880217178MOLDESTAD, ERIC A 2020 PALOMINO LN STE 100 LAS VEGAS NV 108421 Clark 888-727-1074 Physicians Radiology/Diagnostic 834721282MOLERO BRAVO, RICARDO A 5320 S RAINBOW BLVD STE 182 LAS VEGAS NV 108427 Clark 702-255-3547 Physicians Obstetrics/Gynecology 880213519MOLIN, CLIFFORD J 2481 PROFESSIONAL CT LAS VEGAS NV 108428 Clark 702-382-1599 Physicians Internal Medicine 202595077MOLINA, LUZ D 10455 DOUBLE R BLVD RENO NV 108429 Washoe 775-823-9797 Physicians Pediatric Dentist 880390900MOLINA-MATRO, MARITES A 500 S RANCHO DR STE 12 LAS VEGAS NV 108430 Clark 702-877-1887 Physicians Certified Nurse Practitioner 880136773MOLLET, THAIS C 9990 DOUBLE R BLVD STE 200 RENO NV 108431 Washoe 775-348-8800 Rehabilitation Physical Therapy 270028866MOMII, GEORGE D 800 SHADOW LN LAS VEGAS NV 108432 Clark 702-732-6000 Physicians Radiology/Diagnostic 880232199MOMTAZ, POUYA 7181 N HUALAPAI WAY STE 105 LAS VEGAS NV 108444 Clark 702-852-2244 Physicians General Dentist 815355120MON, RICHARD L 525 MARKS ST HENDERSON NV 108448 Clark 702-671-1000 Physicians Internal Medicine 886000436MONAGHAN, LEIGHA 200 S VIRGINIA ST FL 8 RENO NV 108449 Washoe 775-240-8129 Rehabilitation Speech Pathology 886000022MONALOY, JESSICA C 1667 LUCERNE ST MINDEN NV 108450 Douglas 775-783-7606 Rehabilitation Physical Therapy 270892994MONDELL, DEAN L 653 N TOWN CENTER DR STE 418 LAS VEGAS NV 108452 Clark 702-869-5270 Physicians Pain Management 880436841MONDORA, RAYMOND A 8440 W LAKE MEAD BLVD LAS VEGAS NV 108454 Clark 702-870-8852 Physicians Family Medicine 880449452MONIB, YASMINE S 653 N TOWN CENTER DR STE 112 LAS VEGAS NV 108455 Clark 702-614-5437 Physicians Pediatrics 860876472MONIBI, ALI A 1155 MILL ST RENO NV 108460 Washoe 775-982-5463 Physicians Pediatrics 880376961MONIN, ARIANA 2031 MCDANIEL ST NORTH LAS VEGAS NV 108462 Clark 702-633-0207 Physicians Certified Nurse Practitioner 262321457MONINGHOFF, CHRISTINE S 3890 W ANN RD NORTH LAS VEGAS NV 108465 Clark 702-283-9103 Physicians Psychology (Clinical) 886000022MONO, GARY S 2121 E FLAMINGO RD STE 208 LAS VEGAS NV 108466 Clark 702-696-9002 Physicians General Surgery 880432683MONROE, MARIBEL E 3150 N TENAYA WAY STE 680 LAS VEGAS NV 108470 Clark 702-838-5888 Physicians Obstetrics/Gynecology 880484559MONROE, MICHAEL T 2200 S RANCHO DR LAS VEGAS NV 108473 Clark 702-677-3544 Physicians Orthopedic Surgery 752612924MONROE, PAOLA 2831 SAINT ROSE PKWY SUTIE 200 HENDERSON NV 108475 Clark 800-249-1266 Rehabilitation Occupational Therapy 452748445MONROY, EDUARDO P 1228 SONATINA DR HENDERSON NV 108476 Clark 702-860-4458 Physicians Certified Nurse Practitioner 263418812MONSON, BENJAMIN 1707 W CHARLESTON BLVD STE 160 LAS VEGAS NV 108479 Clark 702-671-6448 Physicians General Surgery 880330858MONTELLA, MARC 2001 ERRECART BLVD ELKO NV 108483 Elko 775-884-2455 Physicians Radiology/Diagnostic 204933877MONTEROIII, PEDRO M 2635 BOX CANYON DR LAS VEGAS NV 108487 Clark 702-386-4700 Physicians Anesthesiology 204727467MONTEVISTA HOSPITAL 5900 W ROCHELLE AVE LAS VEGAS NV 108493 Clark 702-364-1111 Hospitals 371652546MONTEZ, XIAOKUN 10105 BANBRY CROSS DR STE 250 LAS VEGAS NV 108494 Clark 702-260-4525 Physicians Pediatrics 202576265MONTGOMERY, SCOTT D 7324 W CHEYENNE AVE STE 7 LAS VEGAS NV 108495 Clark 702-309-0122 Rehabilitation Physical Therapy 272841073MONTGOMERY, STEVEN N 2100 N RAMPART BLVD LAS VEGAS NV 108498 Clark 702-731-2088 Physicians Ophthalmology 880107297

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 131 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDMONTOYA, NATALIA 2244 ODDIE BLVD SPARKS NV 108499 Washoe 775-997-7300 Physicians General Dentist 880293149MOODY III, JOHN P 2389A RENAISSANCE DR STE A LAS VEGAS NV 108501 Clark 702-458-1495 Physicians Chiropractor 465535784MOODY, ERIC J 1 E LIBERTY ST STE 555 RENO NV 108502 Washoe 775-348-1900 Physicians Anesthesiology 880101307MOODY, MICHAEL S 3635 S TOWN CENTER DR LAS VEGAS NV 108518 Clark 702-660-5576 Physicians Oral Surgery 473346924MOON, DAVID D 241 N BUFFALO DR STE 100 LAS VEGAS NV 108519 Clark 702-876-2225 Physicians Sports Medicine 208649405MOON, DAVID M 800 SHADOW LN LAS VEGAS NV 108523 Clark 702-366-9700 Physicians Radiology/Diagnostic 521278857MOONEY, TIMOTHY M 2385 E PRATER WAY STE 205 SPARKS NV 108526 Washoe 775-356-4888 Physicians Podiatry 880141324MOORE III, LOUIS T 2020 PALOMINO LN STE 100 LAS VEGAS NV 108528 Clark 702-759-8600 Physicians Interventional Radiology 880119638MOORE, CLARKE 7720 W SAHARA AVE STE 110 LAS VEGAS NV 108529 Clark 702-242-4680 Physicians General Dentist 205673651MOORE, DENNIS 650 N NELLIS BLVD LAS VEGAS NV 108530 Clark 702-641-3212 Physicians Pediatrics 860876472MOORE, DON 520 W 6TH ST RENO NV 108531 Washoe 775-770-6598 Physicians Certified Nurse Practitioner 880502320MOORE, KEVIN 10624 S EASTERN AVE STE N HENDERSON NV 108533 Clark 702-407-6700 Physicians General Dentist 205999645MOORE, LEEJON N 9127 W RUSSELL RD LAS VEGAS NV 108534 Clark 702-878-0070 Physicians Anesthesiology 461237632MOORE, MARTIN L 4834 SPARKS BLVD STE 100 SPARKS NV 108543 Washoe 775-356-8100 Physicians Certified Nurse Practitioner 880502320MOORE, MICHAEL 8409 W LAKE MEAD BLVD LAS VEGAS NV 108544 Clark 702-254-6700 Physicians General Dentist 880431563MOORE, PAMELA D 3300 E FLAMINGO RD LAS VEGAS NV 108545 Clark 702-434-9919 Physicians Optometry 880201142MOORE, ROBERT R 3061 S MARYLAND PKWY # 201 LAS VEGAS NV 108546 Clark 702-396-4993 Physicians Chiropractor 463084124MOORE, SAMUEL L 2219 N 5TH ST ELKO NV 108549 Elko 941-313-3300 Rehabilitation Physical Therapy 462226311MOORE, STEPHEN D 8409 W LAKE MEAD BLVD LAS VEGAS NV 108550 Clark 702-254-6700 Physicians General Dentist 880431563MOORE, TIMOTHY B 3201 LAKESIDE DR RENO NV 108551 Washoe 775-825-0559 Physicians Optometry 814408012MOORE, WENDY L 2831 SAINT ROSE PKWY STE 221 HENDERSON NV 108552 Clark 702-589-4871 Physicians Social Worker 823795906MOORE-BUNCH, SHEILA 480 GALLETTI WAY SPARKS NV 108553 Washoe 775-688-2001 Physicians Social Worker 886000022MOOREIII, LOUIS T 2020 PALOMINO LN STE 100 LAS VEGAS NV 108554 Clark 702-759-8600 Physicians Interventional Radiology 451649781MOOREJR, DANIEL D 4700 LAS VEGAS BLVD N NELLIS AFB NV 108578 Clark 702-653-3550 Physicians CRNA 460766041MOORJANI, ROMENA I 6850 N DURANGO DR STE 120 LAS VEGAS NV 108579 Clark 702-944-4028 Physicians Pediatrics 880456336MOORJANI, SHIRLEY B 7200 CATHEDRAL ROCK DR STE 250 LAS VEGAS NV 108580 Clark 702-384-5101 Physicians Certified Nurse Practitioner 880329731MORALES, BRANDON J 6395 S MCCARRAN BLVD STE B RENO NV 108581 Washoe 775-823-9419 Physicians General Dentist 462690803MORALES, PATRICIA L 475 8TH ST ELKO NV 108582 Elko 775-777-1510 Physicians Orthopedic Surgery 880356566MORALES, YOSLADY 1321 S RAINBOW BLVD STE 101 LAS VEGAS NV 108584 Clark 702-476-2287 Physicians Certified Nurse Practitioner 271611732MORASCO, JARED T 615 SIERRA ROSE DR STE 2A RENO NV 108585 Washoe 775-828-9724 Rehabilitation Physical Therapy 200932822MORDI, CHINOMSO D 102 E LAKE MEAD PKWY HENDERSON NV 108586 Clark 702-492-8000 Physicians Internal Medicine 472990144MOREHOUSE, LUCIUS Q 3030 S JONES BLVD STE 105 LAS VEGAS NV 108587 Clark 702-360-1137 Rehabilitation Physical Therapy 412129643MORELLI, RENEE 1161 S VALLEY VIEW BLVD LAS VEGAS NV 108588 Clark 702-486-7670 Rehabilitation Occupational Therapy 886000022MORENO, CLARISSA 4221 MCLEOD DR LAS VEGAS NV 108589 Clark 702-474-6450 Physicians Professional Counselor 880111970Moreno, Debbie 500 S RANCHO DR STE 12 LAS VEGAS NV 108591 Clark 702-877-1887 Physicians Certified Nurse Practitioner 880136773MORENO, LISA A 4357 CORPORATE CENTER DR STE 450 NORTH LAS VEGAS NV 108592 Clark 702-644-4673 Physicians Certified Nurse Practitioner 134205491MORGAN ALLEN, CYNTHIA N 2261 N RAMPART BLVD LAS VEGAS NV 108593 Clark 702-363-8655 Physicians General Dentist 880311385MORGAN, JAY K 5590 KIETZKE LN RENO NV 108594 Washoe 775-323-2080 Physicians Neurological Surgery 880167036MORGAN, JAYSON A 1500 E 2ND ST RENO NV 108595 Washoe 775-982-2400 Physicians Cardiology 202901522MORGAN, KELLY B 1800 W CHARLESTON BLVD LAS VEGAS NV 108596 Clark 702-671-2345 Physicians Emergency Medicine 462623421MORGAN, KELLY W 630 S RANCHO DR STE A LAS VEGAS NV 108645 Clark 702-998-9505 Rehabilitation Speech Pathology 813419791MORGAN, LATEISHA 900 S VALLEY VIEW BLVD STE 195 LAS VEGAS NV 108646 Clark 702-843-9701 Physicians Social Worker 880213519MORGAN, MICHAEL A 9492 DOUBLE R BLVD STE A RENO NV 108647 Washoe 775-853-5858 Physicians General Dentist 880491798MORGAN, MICHELE A 171 N GIBSON RD HENDERSON NV 108648 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643MORGAN, MILES S 6039 ELDORA AVE STE E LAS VEGAS NV 108649 Clark 702-228-4900 Physicians Psychology (Clinical) 743067299MORGENSTERN, JAY H 1001 SHADOW LN LAS VEGAS NV 108650 Clark 702-774-2515 Physicians General Dentist 886000024Mori, Shahram 3150 N TENAYA WAY STE 520 LAS VEGAS NV 108651 Clark 702-962-2100 Physicians Oncology 331159527MORIAN, JOSEPH E 1681 W HORIZON RIDGE PKWY HENDERSON NV 108652 Clark 702-835-0165 Rehabilitation Physical Therapy 860856285MORKIN, MICHAEL J 2375 E PRATER WAY SPARKS NV 108655 Washoe 775-331-7000 Physicians Emergency Medicine 475671561MORRIS PHYSICAL THERAPY 680 W NYE LN STE 205 CARSON CITY NV 108656 Carson City 775-882-2211 Rehabilitation 043821114MORRIS, CALEB K 5420 KIETZKE LN STE 103 RENO NV 108657 Washoe 775-329-2300 Physicians Ophthalmology 860879921

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 132 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDMORRIS, GARY D 7455 W WASHINGTON AVE STE 160 LAS VEGAS NV 108658 Clark 702-878-0393 Physicians Orthopedic Surgery 880313907MORRIS, JAMES J 2779 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 108659 Clark 702-222-1000 Rehabilitation Physical Therapy 860861354MORRIS, LISA A 3195 MILL ST RENO NV 108660 Washoe 775-410-7832 Rehabilitation Speech Pathology 886000022MORRIS, STEVEN 4333 LAS VEGAS BLVD N LAS VEGAS NV 108661 Clark 702-660-3196 Physicians General Dentist 475433671MORRIS, TOBEY D 645 N ARLINGTON AVE STE 660 RENO NV 108678 Washoe 775-770-7348 Physicians Certified Nurse Practitioner 455557052MORRIS, VICTORIA 3700 GRANT DR STE A RENO NV 108679 Washoe 775-829-4700 Rehabilitation Occupational Therapy 880291454MORRISON, MELLISSA 1 BREAKTHROUGH WAY LAS VEGAS NV 108680 Clark 702-822-5433 Physicians Certified Nurse Practitioner 201661557MORRISON, MICHELLE T 236 W 6TH ST STE 200 RENO NV 108681 Washoe 775-982-5000 Physicians Certified Nurse Practitioner 880173816MORRISSEY, AMANDA L 1664 N VIRGINIA ST RENO NV 108682 Washoe 775-784-4887 Rehabilitation Speech Pathology 860881749MORROW, ANDREA 1625 E PRATER WAY STE 107 SPARKS NV 108683 Washoe 775-825-4744 Rehabilitation Occupational Therapy 562328617MORSE, DAVID S 9127 W RUSSELL RD LAS VEGAS NV 108684 Clark 702-878-0070 Physicians Anesthesiology 731451967MORTARA, BRENDA 491 COURT ST RENO NV 108692 Washoe 775-525-8103 Physicians Dietitian 825259010MORTELLARO, JANA R 3773 BAKER LN STE 2 RENO NV 108694 Washoe 775-826-0557 Rehabilitation Occupational Therapy 453449190MORTENSEN, JAMES L 7770 DEAN MARTIN DR LAS VEGAS NV 108695 Clark 702-445-7554 Rehabilitation Physical Therapy 134222973MORTENSEN, JOHN R 1155 MILL ST RENO NV 108696 Washoe 775-982-4100 Physicians Anesthesiology 880101307MORTENSON, JULIE A 3120 S RAINBOW BLVD LAS VEGAS NV 108712 Clark 702-233-8837 Rehabilitation Audiology 262948435MORTERO, ROSENDO F 10120 S EASTERN AVE HENDERSON NV 108715 Clark 702-487-6880 Physicians Anesthesiology 262460167MORTILLARO, LOUIS F 501 S RANCHO DR STE F37 LAS VEGAS NV 108716 Clark 702-388-9403 Physicians Psychology (Clinical) 880513518MORTON, LILLIAN M 75 PRINGLE WAY RENO NV 108718 Washoe 775-982-2820 Physicians Certified Nurse Practitioner 953154530MORTON, LINDA A 3030 S JONES BLVD STE 105 LAS VEGAS NV 108721 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643MORURI, SUSAN N 1930 VILLAGE CENTER CIR # 3-889 LAS VEGAS NV 108722 Clark 702-386-4700 Physicians Anesthesiology 474457492MOSBY, NATASHA 2535 W CHEYENNE AVE STE 102 NORTH LAS VEGAS NV 108723 Clark 702-631-9275 Physicians Social Worker 800150392MOSCHOURIS, DIANE T 9260 W SUNSET RD STE 200 LAS VEGAS NV 108724 Clark 702-216-3346 Physicians CRNA 880213519MOSKOW, ERIC 3201 S MARYLAND PKWY STE 400 LAS VEGAS NV 108725 Clark 702-262-1130 Physicians Internal Medicine 262775400MOSKOWITZ, YONATAN M 366 W LAKE MEAD PKWY STE 100 HENDERSON NV 108726 Clark 702-464-3090 Physicians General Dentist 454612311MOSS, DAVID C 1274 E PLUMB LN STE C RENO NV 108728 Washoe 775-786-8711 Rehabilitation Physical Therapy 880443371MOSS, LARRY P 801 E WILLIAMS AVE STE 2209 FALLON NV 108731 Churchill 775-423-3151 Physicians CRNA 842010869MOSS, NICOLE J 2931 N TENAYA WAY LAS VEGAS NV 108732 Clark 702-233-2123 Physicians Obstetrics/Gynecology 510661716MOSS, STEVEN L 1500 E 2ND ST STE 300 RENO NV 108734 Washoe 775-689-3737 Physicians Urology 203707845MOSS, TERRI K 1029 GRAND CERRITOS AVE LAS VEGAS NV 108736 Clark 702-444-1629 Physicians Professional Counselor 800078130MOSTAFAEIPOUR, MEHRDAD 4001 S DECATUR BLVD STE 42A LAS VEGAS NV 108738 Clark 702-221-0783 Physicians General Dentist 812154260MOTA, CYNTHIA 1640 ALTA DR STE 4 LAS VEGAS NV 108744 Clark 702-474-6450 Physicians Marriage & Family Therapist 880111970MOTARJEM, PEJMAN M 2020 PALOMINO LN STE 100 LAS VEGAS NV 108746 Clark 702-759-8600 Physicians Radiology/Diagnostic 263303591MOTSCHALL, KRISTIN 1820 S ARLINGTON AVE RENO NV 108747 Washoe 775-329-8622 Physicians General Dentist 834224349MOUNTAIN PODIATRY 653 N TOWN CENTER DR STE 118 LAS VEGAS NV 108749 Clark 702-240-8038 Physicians Podiatry 880475400MOUNTAIN VALLEY PHYSICIAN GROUP 3370 S HIGHWAY 160 STE 8-11 PAHRUMP NV 108750 Nye 775-413-6025 Physicians Family Medicine 261136614MOUNTAIN VIEW CARE CENTER 601 ADAMS BLVD BOULDER CITY NV 108751 Clark 702-293-5151 Rehabilitation 261401345MOUNTAIN VIEW CARE CENTER AT BOULDER CITY601 ADAMS BLVD BOULDER CITY NV 108752 Clark 702-293-5151 Rehabilitation 200112682Mountain View Health and Rehabilitation Center201 KOONTZ LN CARSON CITY NV 108753 Carson City 775-883-3622 Rehabilitation 731659060MOUNTAIN VIEW PEDIATRICS 2901 N TENAYA WAY STE 210 LAS VEGAS NV 108754 Clark 702-255-4400 Physicians Pediatrics 860885795MOUNTAIN WEST CHIROPRACTIC 9034 W SAHARA AVE LAS VEGAS NV 108755 Clark 702-256-8686 Physicians Chiropractor 204111118MOUNTAIN WEST CHIROPRACTIC LLC 9034 W SAHARA AVE LAS VEGAS NV 108756 Clark 702-256-8686 Physicians Chiropractor 200058152MOUNTAIN WEST DERM-BLACKHART, PLLC DBA SKIN CANCER & DERMATO640 W MOANA LN RENO NV 108757 Washoe 775-324-0699 Physicians Dermatology 813253496MOUNTAIN WEST SURGICAL 9280 W SUNSET RD STE 300 LAS VEGAS NV 108758 Clark 702-796-0022 Physicians General Surgery 880418505MOUNTAINVIEW HOSPITAL 3100 N TENAYA WAY LAS VEGAS NV 108761 Clark 702-962-5000 Hospitals Short Term Acute Care Hospital 953216090MOURITSEN, THOMAS L 118 E HASKELL ST WINNEMUCCA NV 108763 Humboldt 775-623-5222 Physicians CRNA 886000088MOUYIOS, JEFF 2520 SAINT ROSE PKWY STE 202B HENDERSON NV 108764 Clark 406-218-9977 Physicians Social Worker 454429023MOXLEY, JEFF E 8035 S RAINBOW BLVD LAS VEGAS NV 108765 Clark 702-896-7211 Physicians Oral Surgery 205337268MOYER, JOSHUA A 2585 MONTESSOURI ST STE 110 LAS VEGAS NV 108767 Clark 702-272-0694 Physicians Certified Nurse Practitioner 823515865MOZEN, PAUL H 18653 WEDGE PKWY RENO NV 108769 Washoe 775-352-7201 Physicians Internal Medicine 611496658MRKAIC, ANA 1707 W CHARLESTON BLVD STE 230 LAS VEGAS NV 108770 Clark 702-671-2345 Physicians Endocrinology 813419791

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 133 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDMROZ, CAITLIN E 4000 E CHARLESTON BLVD STE 230 LAS VEGAS NV 108771 Clark 702-968-5089 Physicians Professional Counselor 351059827MSA HOME HEALTH AND HOSPICE 4357 2325 RENAISSANCE DR LAS VEGAS NV 108772 Clark 702-568-1176 Ancillary Providers 200318593MU, ANDY Y 2390 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 108773 Clark 702-825-2085 Physicians Optometry 462143691MUBDER, MOHAMAD I 1701 W CHARLESTON BLVD STE 230 LAS VEGAS NV 108774 Clark 702-671-2341 Physicians Internal Medicine 721597863MUDASIR, ZESHAN 10624 S EASTERN AVE STE A-955 HENDERSON NV 108775 Clark 702-800-5393 Physicians Neurology 263668328MUGLESTON, CODY P 3519 SAINT ROSE PKWY STE 110 HENDERSON NV 108776 Clark 702-529-0321 Physicians General Dentist 842583004MUHAMMAD ALI SYED MD PC 2610 W HORIZON RIDGE PKWY STE 103 HENDERSON NV 108783 Clark 702-449-7710 Physicians Geriatric Medicine 204696739MUHAMMAD SHAFIQUE MD PC 10620 SOUTHERN HIGHLANDS PKWY STE 110-410LAS VEGAS NV 108784 Clark 702-210-5275 Physicians Internal Medicine 262820707MUIR, BENJAMIN 2020 PALOMINO LN STE 100 LAS VEGAS NV 108786 Clark 888-727-1074 Physicians Radiology/Diagnostic 834721282MUIR, BENJAMIN M 2020 PALOMINO LN STE 100 LAS VEGAS NV 108810 Clark 702-759-8700 Physicians Radiology/Diagnostic 880119638MUIR, JEFFERY J 653 N TOWN CENTER DR STE 210 LAS VEGAS NV 108811 Clark 702-254-3020 Physicians Pain Management 462430010MUIR, KRISTY 504 ROYALTON DR LAS VEGAS NV 108813 Clark 702-325-1577 Physicians Certified Nurse Practitioner 528232786MUIR, WILLIAM S 653 N TOWN CENTER DR LAS VEGAS NV 108815 Clark 702-254-3020 Physicians Orthopedic Surgery 203966607MUJICA TRENCHE, SAMUEL A 3265 ROSANNA ST LAS VEGAS NV 108816 Clark 702-205-1948 Physicians Pediatrics 205617292MUKHERJEE, RANADEV 2031 MCDANIEL ST NORTH LAS VEGAS NV 108817 Clark 702-633-0207 Physicians Gastroenterology 262321457MUKHOPADHYAY, DEB K 653 N TOWN CENTER DR LAS VEGAS NV 108818 Clark 702-233-0666 Physicians Gastroenterology 300262602MULCHANDANI, HARSHA M 2543 S BRUCE ST STE 200 LAS VEGAS NV 108819 Clark 702-732-1902 Physicians Nephrology 462812104MULDER, DANIEL H 2333 RENO HWY FALLON NV 108825 Churchill 775-525-3922 Physicians Optometry 880139307MULDOON, OLGA 9260 W SUNSET RD STE 100 LAS VEGAS NV 108826 Clark 702-216-3346 Physicians Obstetrics/Gynecology 880213519MULIYIL, NAVIN J 10624 S EASTERN AVE HENDERSON NV 108827 Clark 702-800-5393 Physicians Internal Medicine 263668328MULL, ROBERT S 3200 ALTA DR LAS VEGAS NV 108829 Clark 702-870-1828 Physicians Internal Medicine 886000436MULLEN, BRUCE E 755 N ROOP ST STE 112 CARSON CITY NV 108830 Carson City 775-883-7938 Physicians Physical Medicine & Rehabilitation880396454MULLER, SIGFRID 2851 BUSINESS PARK CT LAS VEGAS NV 108831 Clark 702-360-2100 Physicians Dermatology 201880466MULLINS, RICHARD C 9480 DOUBLE DIAMOND PKWY STE 100 RENO NV 108834 Washoe 775-786-1600 Physicians Orthopedic Surgery 880107997MULLOY - GROH, CHRISTINA M 2629 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 108838 Clark 702-545-0555 Rehabilitation Physical Therapy 454635610MULOPULOS, GEORGE P 2020 PALOMINO LN STE 100 LAS VEGAS NV 108839 Clark 702-384-5210 Physicians Radiology/Diagnostic 880227375MUN, JANG S 6850 N DURANGO DR LAS VEGAS NV 108840 Clark 702-202-2233 Physicians Internal Medicine 510664476MUNDIN, JOANN 6161 W CHARLESTON BLVD LAS VEGAS NV 108841 Clark 702-486-6045 Physicians Psychiatry 886000022MUNGCAL, JAMES E 6395 S MCCARRAN BLVD STE B RENO NV 108842 Washoe 775-823-9419 Physicians General Dentist 462690803MUNK, CHRISTIAN B 9127 W RUSSELL RD LAS VEGAS NV 108847 Clark 702-878-0070 Physicians Anesthesiology 200420553MUNNINGER, BRAD M 90 FALCON DR STE 110 FERNLEY NV 108856 Lyon 775-575-0777 Physicians General Dentist 821648832MUNNS, MAURIE T 1025 ROBERTA LN SPARKS NV 108857 Washoe 775-825-4744 Rehabilitation Speech Pathology 880502320MUNOZ-BRUECKMANN, ELIZABETH N 2360 W HORIZON RIDGE PKWY STE 120 HENDERSON NV 108858 Clark 702-294-0433 Physicians Marriage & Family Therapist 454429023MUNSON CHIROPRACTIC 525 E MOANA LN RENO NV 108859 Washoe 775-827-1200 Physicians Chiropractor 043821114MUNSON, MICHELE E 15 MCCABE DR STE 101 RENO NV 108860 Washoe 775-788-5599 Rehabilitation Physical Therapy 880415575MURAKAMI, DANA M 5495 S RAINBOW BLVD LAS VEGAS NV 108864 Clark 702-477-0772 Physicians Radiology/Diagnostic 880307447MURO, VICTOR 2870 S MARYLAND PRKW STE 300 LAS VEGAS NV 108865 Clark 702-735-0258 Physicians Internal Medicine 880106090MURPHY DENMARK, BELINDA A 855 6TH ST LOVELOCK NV 108867 Pershing 775-273-2621 Physicians Sports Medicine 880201578MURPHY, AMANDA M 2375 E PRATER WAY SPARKS NV 108868 Washoe 775-331-7000 Physicians Emergency Medicine 475671561MURPHY, JAMES P 10401 DOUBLE R BLVD RENO NV 108871 Washoe 775-322-3446 Physicians Pain Management 880136537MURPHY, KAREN Z 7150 SMOKE RANCH RD STE 110 LAS VEGAS NV 108874 Clark 702-485-5100 Physicians CRNA 263316308MURPHY, LETICIA A 1605 BUFFALO TRAIL DR HENDERSON NV 108875 Clark 702-275-0473 Physicians Marriage & Family Therapist 261854099MURPHY, MICHAEL N 410 FLEISCHMANN WAY STE B CARSON CITY NV 108876 Carson City 775-322-4550 Physicians Nephrology 201117041MURPHY, NICOLE L 1664 N VIRGINIA ST RENO NV 108878 Washoe 775-784-4887 Rehabilitation Speech Pathology 860881749MURPHY, RYAN D 16580 WEDGE PKWY STE 100 RENO NV 108879 Washoe 775-853-1300 Physicians Pediatric Dentist 901120127MURRAY, CHRISTOPHER P 1800 E CHARLESTON BLVD LAS VEGAS NV 108880 Clark 702-383-2000 Physicians Pediatrics 886000436MURRAY, GORDON J 410 S RAMPART BLVD STE 360 LAS VEGAS NV 108881 Clark 702-228-2218 Physicians General Dentist 830987180MURRAY, MARGREAT T 8530 W SUNSET RD STE 230 LAS VEGAS NV 108882 Clark 702-483-4483 Physicians Certified Nurse Practitioner 474436324MURRAY, MARY A 4221 MCLEOD DR LAS VEGAS NV 108883 Clark 702-474-6450 Physicians Marriage & Family Therapist 880111970MURRAY, MICHAEL J 1020 NEW RIVER PKWY STE 200 FALLON NV 108885 Churchill 775-426-2633 Physicians General Surgery 880399626MURRAY, ROD A 4300 MEADOWS LN STE 104 LAS VEGAS NV 108890 Clark 702-822-6848 Physicians Optometry 331026936

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 134 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDMUSCARI, CAROLINE T 2874 N CARSON ST STE 230 CARSON CITY NV 108891 Carson City 775-885-8133 Physicians Physical Medicine & Rehabilitation880502320MUSNI, ROBERT S 9499 W CHARLESTON BLVD STE 150 LAS VEGAS NV 108892 Clark 702-228-5477 Physicians Family Medicine 880213519MUSSEHL, STEPHAN F 2375 E PRATER WAY SPARKS NV 108894 Washoe 775-331-7000 Physicians Emergency Medicine 475671561MUTHAIAH, RAMANATHAN 5061 N RAINBOW BLVD STE 180 LAS VEGAS NV 108895 Clark 702-220-8001 Physicians Internal Medicine 203215319MUYOT, AURELIO J 874 AMERICAN PACIFIC DR HENDERSON NV 108896 Clark 702-777-4809 Physicians Geriatric Medicine 200363127MUYOT, MARIA R 7180 CASCADE VALLEY CT STE 180 LAS VEGAS NV 108897 Clark 702-641-2150 Physicians Pediatrics 880334024MY LEFT FOOT CHILDRENS THERAPY 3030 S JONES BLVD STE 105 LAS VEGAS NV 108898 Clark 702-360-1137 Rehabilitation 412129643MY NUTRITION MY LIFE 170 S GREEN VALLEY PKWY STE 325 HENDERSON NV 108902 Clark 702-606-3106 Physicians Dietitian 273894591MYATT, TAYLOR B 1107 US HIGHWAY 395 S GARDNERVILLE NV 108903 Douglas 775-782-1600 Physicians Emergency Medicine 880405927MYATT, THOMAS P 757 W 7TH ST STE 102 RENO NV 108904 Washoe 775-329-2299 Physicians Oral Surgery 203707845MYERS, MELANIE R 2790 W HORIZON RIDGE PKWY STE 110 HENDERSON NV 108905 Clark 702-312-4878 Rehabilitation Physical Therapy 800334324MYERS, VICTOR K 340 FALCON RIDGE PKWY STE 301 MESQUITE NV 108906 Clark 702-346-7678 Physicians Podiatry 850416296MYINT, SHOIB 2598 WINDMILL PKWY HENDERSON NV 108907 Clark 702-207-6468 Physicians Ophthalmology 364620877MYINT, SHOIB 1505 WIGWAM PKWY STE 100 HENDERSON NV 108908 Clark 702-896-6043 Physicians Ophthalmology 260318732MYRES, APRIL 3150 N TENAYA WAY STE 240 LAS VEGAS NV 108916 Clark 702-445-7770 Physicians Certified Nurse Practitioner 270480752MYRIN, CHRISTINA V 2811 N GREEN VALLEY PKWY HENDERSON NV 108917 Clark 702-434-2219 Physicians General Dentist 680614740NACHIONDO, JAMES M 10619 PROFESSIONAL CIR RENO NV 108918 Washoe 775-852-4848 Physicians Gastroenterology 880182841NACHTSHEIM, ROBERT J 1500 E 2ND ST STE 206 RENO NV 108919 Washoe 775-789-7000 Physicians General Surgery 880179203NADLER, SHOLOM D 9077 S PECOS RD STE 3800 HENDERSON NV 108920 Clark 702-947-1940 Physicians Certified Nurse Practitioner 880213519NAEGELE, THOMAS A 1500 AVENUE H ELY NV 108922 White Pine 775-289-3467 Physicians Emergency Medicine 880201578NAEGER, JOSHUA 1201 SOUTH CARSON STREET CARSON CITY NV 108924 Carson City 775-445-7330 Physicians Certified Nurse Practitioner 880502320NAGAMINE, IRIS S 10001 S EASTERN AVE HENDERSON NV 108925 Clark 702-616-5925 Physicians Internal Medicine 472990144NAGAN, JOSEPH D 1707 W CHARLESTON BLVD STE 220 LAS VEGAS NV 108926 Clark 702-671-5070 Physicians Pulmonology 813419791NAGATA, MARYSSA 6161 W CHARLESTON BLVD LAS VEGAS NV 108927 Clark 702-486-4349 Physicians Social Worker 886000022NAGEL-ESPOSITO, ALISSA D 8937 W SAHARA AVE LAS VEGAS NV 108928 Clark 702-254-3558 Physicians Optometry 263897560NAGY, ABRAHAM J 8285 W ARBY AVE STE 320 LAS VEGAS NV 108930 Clark 702-432-3224 Physicians Neurology 271080164NAGY, AURANGZEB N 8285 W ARBY AVE LAS VEGAS NV 108931 Clark 702-901-4233 Physicians Neurological Surgery 200505466NAGY, MOHAMMAD N 3006 S MARYLAND PKWY LAS VEGAS NV 108933 Clark 702-735-7154 Physicians Oncology 880133767NAGY, SHAMIM N 8285 W ARBY AVE LAS VEGAS NV 108935 Clark 702-735-7154 Physicians Psychiatry 880188269NAHIN, BARRY R 8205 W WARM SPRINGS RD LAS VEGAS NV 108936 Clark 855-399-1060 Physicians Family Medicine 274003150NAHM, CHARLIE 9333 W SUNSET RD STE A LAS VEGAS NV 108938 Clark 702-968-6259 Physicians Anesthesiology 204532370NAIMAN, HAROLD L 3150 N TENAYA WAY LAS VEGAS NV 108941 Clark 702-870-2099 Physicians Pediatrics 880213519NAIR, BAISHALI 2850 W HORIZON RIDGE PKWY HENDERSON NV 108944 Clark 702-726-6344 Physicians Nephrology 644804704NAIR, KCR 6161 W CHARLESTON BLVD LAS VEGAS NV 108945 Clark 702-486-6045 Physicians Psychiatry 886000022NAIRIZI, ALI 6512 S MCCARRAN BLVD STE E RENO NV 108946 Washoe 775-384-1127 Physicians Pain Management 842435357NAJAFI, SHERVIN 2832 E LAKE MEAD BLVD STE B NORTH LAS VEGAS NV 108947 Clark 929-437-4370 Physicians Pain Management 852369338NAJEEB, FIRAS F 169 N NELLIS BLVD LAS VEGAS NV 108948 Clark 702-384-1010 Physicians General Dentist 300889342NAJIMA, LEAH L 1500 E 2ND ST STE 202 RENO NV 108949 Washoe 775-323-1300 Physicians Obstetrics/Gynecology 880502320NAJMI, MOHAMMED O 2440 PROFESSIONAL CT STE 110 LAS VEGAS NV 108950 Clark 702-240-8155 Physicians Internal Medicine 880386657NAKAMURA, CRAIG T 3006 S MARYLAND PKWY STE 690 LAS VEGAS NV 108952 Clark 702-598-4411 Physicians Pediatric Pulmonology 886000436NAKANISHI, CHIAKI 5420 KIETZKE LN STE 106 RENO NV 108953 Washoe 775-851-2444 Physicians Anesthesiology 880101307NAKHLE, SAMER N 3150 N TENAYA WAY LAS VEGAS NV 108966 Clark 702-696-7256 Physicians Endocrinology 770401460NAKHLEH, BASHAR I 2650 N TENAYA WAY STE 302 LAS VEGAS NV 108972 Clark 702-240-0088 Physicians Internal Medicine 472990144NALBONE, VINCENT P 9111 W RUSSELL RD STE A LAS VEGAS NV 108973 Clark 702-312-3333 Physicians Otolaryngology 880394893NAN, SANOEUN 10530 SOUTHERN HIGHLANDS PKWY STE 150 LAS VEGAS NV 108975 Clark 702-474-0077 Physicians Certified Nurse Practitioner 463164188NANDAKUMAR, NIRMAL V 2375 E PRATER WAY SPARKS NV 108990 Washoe 775-331-7000 Physicians Emergency Medicine 208753074NANDALUR, KARUNAKAR R 6900 PECOS RD NORTH LAS VEGAS NV 108992 Clark 702-791-9000 Physicians Internal Medicine 205657908NANDIKANTI, DEEPAK K 2065 LAS VEGAS BLVD N N LAS VEGAS NV 108993 Clark 702-877-1887 Physicians Nephrology 880136673NANNIZZI CASSITY, ANNETTE 3685 KINGS ROW RENO NV 108994 Washoe 775-746-9355 Physicians Chiropractor 572652609NAOR, JESSICA 7175 W LAKE MEAD BLVD STE 110 LAS VEGAS NV 108995 Clark 702-228-9911 Physicians General Dentist 205338830NAPOLEON PHYSICAL THERAPY AND SPORTS MEDICINE4765 S DURANGO DR STE 106 LAS VEGAS NV 108997 Clark 702-898-7633 Rehabilitation 043821114

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 135 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDNAQVI, USKER 7175 N DURANGO DR LAS VEGAS NV 108998 Clark 702-880-4193 Physicians Physical Medicine & Rehabilitation880404982NARA, MARY M 2300 CORPORATE CIR STE 190 HENDERSON NV 109005 Clark 702-369-0142 Physicians Certified Nurse Practitioner 880368011NARACH, TIENCHAI 2435 FIRE MESA ST STE 120 LAS VEGAS NV 109006 Clark 702-968-2437 Physicians Infectious Diseases 260790928NARADZAY, JEROME F 1800 W CHARLESTON BLVD LAS VEGAS NV 109007 Clark 702-383-2085 Physicians Emergency Medicine 453136848NARAG FALLON FAMILY CLINIC PC 1077 NEW RIVER PKWY FALLON NV 109014 Churchill 775-428-2747 Physicians Internal Medicine 203385004NARAG, ANDREA 3100 W CHARLESTON BLVD STE 210 LAS VEGAS NV 109015 Clark 702-388-4428 Physicians Certified Nurse Practitioner 880500453NARAG, LANA L 1077 NEW RIVER PKWY FALLON NV 109016 Churchill 775-428-2747 Physicians Pediatrics 203385004NARALA, CHANDRASEKHAR R 2847 SAINT ROSE PKWY STE 100 HENDERSON NV 109017 Clark 702-947-5700 Physicians Cardiology 891177528NARASIMHAN, VIVEK B 3186 S MARYLAND PKWY LAS VEGAS NV 109018 Clark 702-731-8211 Physicians Internal Medicine 430687806NARAYAN, SONAM 5465 MEADOWOOD MALL CIR RENO NV 109019 Washoe 775-826-4100 Physicians Optometry 861235381NARULA, DHIRAJ D 3150 N TENAYA WAY STE 320 LAS VEGAS NV 109020 Clark 702-731-8224 Physicians Cardiology 880213519NASEATH, SYLVIA L 6853 W CHARLESTON BLVD LAS VEGAS NV 109023 Clark 702-353-7646 Physicians Social Worker 043290453NASH, HEATHER M 1601 E BASIN AVE STE 302 PAHRUMP NV 109024 Nye 775-751-1349 Physicians Psychology (Clinical) 264539379NASH, JOBIN 343 ELM ST RENO NV 109025 Washoe 775-336-6900 Physicians Anesthesiology 741201585NASH, KATHLEEN 204 W PACIFIC AVE HENDERSON NV 109027 Clark 702-856-0665 Physicians Chiropractor 461502021NASIAK, MICHAEL A 1707 W CHARLESTON BLVD STE 230 LAS VEGAS NV 109028 Clark 702-671-5060 Physicians Internal Medicine 886000436NASON, DANIEL 880 RYLAND ST RENO NV 109030 Washoe 775-329-4600 Physicians Gastroenterology 880182841NASRI CHENIJANI, SINA 3150 N TENAYA WAY STE 575 LAS VEGAS NV 109033 Clark 702-804-4729 Physicians Otolaryngology 880383349NASSAR, JAMES E 10120 S EASTERN AVE STE 375 HENDERSON NV 109034 Clark 702-361-9611 Physicians General Dentist 880473988NASSAR, JOHNNY E 6115 S FORT APACHE RD STE 108 LAS VEGAS NV 109036 Clark 702-309-9611 Physicians General Dentist 204584377NASSIRI, OBTEEN N 7835 S RAINBOW BLVD STE 15 LAS VEGAS NV 109038 Clark 702-860-8965 Physicians Chiropractor 880501566NASSOF, STEPHEN J 1750 WHEELER PEAK DR LAS VEGAS NV 109039 Clark 702-272-1100 Physicians Pediatric Dentist 880510609NATH, MANOJ 6857 W CHARLESTON BLVD LAS VEGAS NV 109040 Clark 702-224-2555 Physicians Internal Medicine 202662761NATHAN ADELSON HOSPICE 4141 UNIVERSITY CENTER DR LAS VEGAS NV 109045 Clark 702-733-0320 Ancillary Providers 880161009NATHU, RAKESH M 2004 S JONES BLVD LAS VEGAS NV 109046 Clark 702-604-7156 Physicians Radiation Oncology 204290845National Seating & Mobility, Inc 7360 COMMERCIAL WAY STE H HENDERSON NV 109047 Clark 800-509-4886 Ancillary Providers 621400785NATIONAL WELLNESS CARE PLAN ASSOCIATION711 S CARSON ST STE 4 CARSON CITY NV 109049 Carson City 866-638-7500 Physicians General Practice 271397489NATO, JOCELYN 3835 S JONES BLVD LAS VEGAS NV 109050 Clark 702-880-4193 Physicians Certified Nurse Practitioner 880404982NAUMAN, NUDRAT R 8551 W LAKE MEAD BLVD LAS VEGAS NV 109057 Clark 702-750-1230 Physicians Pediatrics 208299333NAVAR, JONATHAN P 1397 S LOOP RD PAHRUMP NV 109058 Nye 775-727-5500 Physicians Family Medicine 880213519NAVARRETE PAK, JENERIE R 1825 E WARM SPRINGS RD LAS VEGAS NV 109059 Clark 866-389-2727 Physicians Certified Nurse Practitioner 262329877NAVARRO, VIVENCIO 2000 GOLDRING AVE LAS VEGAS NV 109060 Clark 702-384-5101 Physicians Certified Nurse Practitioner 880329731NAVIDI, BABAK 3663 E SUNSET RD STE 301 LAS VEGAS NV 109061 Clark 702-450-5999 Physicians General Dentist 880366264NAVRATIL, DAVID L 2865 SIENA HEIGHTS DR STE 331A HENDERSON NV 109062 Clark 702-407-0110 Physicians Cardiology 880407499NAYLOR, CHERYL 931 MICA DR CARSON CITY NV 109066 Douglas 775-267-3396 Rehabilitation Physical Therapy 270892994NAYYAR, SANJAY 2031 MCDANIEL ST NORTH LAS VEGAS NV 109067 Clark 702-633-0207 Physicians Gastroenterology 262321457NAZERIMONFARED, SARAH M 2000 WELLNESS WAY LAS VEGAS NV 109068 Clark 702-384-5101 Physicians Certified Nurse Practitioner 880329731NEARY, KAITLIN C 350 W 6TH ST RENO NV 109069 Washoe 775-788-5254 Physicians Orthopedic Surgery 880103557NEATE, SHELLEY L 844 W NYE LN STE 102 CARSON CITY NV 109070 Carson City 775-883-4161 Rehabilitation Physical Therapy 880329446NEBEKER, FRANKLIN K 10463 DOUBLE R BLVD STE 100 RENO NV 109072 Washoe 775-358-2542 Physicians Podiatry 886005135NEDEAU, NATALIE R 3641 GS RICHARDS BLVD CARSON CITY NV 109073 Carson City 775-982-5000 Physicians Certified Nurse Practitioner 880502320NEE, JEANNETTE 2865 SIENA HEIGHTS DR HENDERSON NV 109074 Clark 702-407-0110 Physicians Cardiology 880156903NEGRETE, JACQUE M 777 E WILLIAM ST STE 106 CARSON CITY NV 109078 Carson City 775-686-0117 Physicians Social Worker 273555765NEIBAUR, DARRICK W 1505 WIGWAM PKWY STE 100 HENDERSON NV 109079 Clark 702-896-6043 Physicians Ophthalmology 880107297NEIBAUR, RUSSELL N 861 CORONADO CENTER DR STE 103 HENDERSON NV 109083 Clark 702-990-0622 Physicians Internal Medicine 204895064NELLUTLA, AJAY K 2035 E LAKE MEAD BLVD NORTH LAS VEGAS NV 109088 Clark 702-649-8009 Physicians Geriatric Medicine 770632326NELSON, AMANDA K 6545 S FORT APACHE RD STE 110 LAS VEGAS NV 109091 Clark 702-331-4444 Physicians General Dentist 262473394NELSON, CARLY R 861 CORONADO CENTER DR STE 131 HENDERSON NV 109092 Clark 725-777-0414 Physicians Certified Nurse Practitioner 842331498NELSON, DAVID 1800 W CHARLESTON BLVD LAS VEGAS NV 109093 Clark 330-493-4443 Physicians Pediatrics 943293742NELSON, DEAN 6161 W CHARLESTON BLVD LAS VEGAS NV 109094 Clark 702-486-6045 Physicians Psychology (Clinical) 886000022NELSON, DEBRA 8285 W ARBY AVE STE 100B LAS VEGAS NV 109095 Clark 702-737-7753 Physicians Neurological Surgery 880460674

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 136 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDNELSON, EDWARD W 1120 SHADOW LN STE D-100 LAS VEGAS NV 109098 Clark 702-383-2224 Physicians General Surgery 886000436NELSON, KERRI B 1161 S VALLEY VIEW BLVD LAS VEGAS NV 109099 Clark 702-486-7670 Rehabilitation Speech Pathology 886000022NELSON, KIMBERLY 5301 LONGLEY LN # B43 RENO NV 109100 Washoe 775-829-8686 Physicians Chiropractor 611738167NELSON, LISA A 2375 E PRATER WAY SPARKS NV 109101 Washoe 775-331-7000 Physicians Emergency Medicine 880232199NELSON, LISA D 6925 N DURANGO DR LAS VEGAS NV 109105 Clark 702-732-6000 Physicians Radiology/Diagnostic 880232199NELSON, MARIETTA 2598 WINDMILL PKWY HENDERSON NV 109113 Clark 702-384-2020 Physicians Ophthalmology 364620877NELSON, PAUL W 2880 N TENAYA WAY STE 100 LAS VEGAS NV 109115 Clark 702-962-9550 Physicians General Surgery 351606994NELSON, ROBERT 100 N GRN VLY PKWY STE 220 HENDERSON NV 109116 Clark 702-944-3627 Physicians Urology 880400850NELSON, ROBERT W 1201 SOUTH CARSON STREET CARSON CITY NV 109119 Carson City 775-885-4685 Physicians Family Medicine 880489509NELSON, STACY L 2501 N GREEN VALLEY PKWY BLDG D HENDERSON NV 109120 Clark 337-238-6431 Physicians Professional Counselor 471751350NEM-CARE LLC 939 S DECATUR BLVD 650 SHADOW LANE STE 12STE 12LAS VEGAS NV 109124 Clark 702-255-1114 Physicians Family Medicine 201264285NEMCIC, RACHAEL L 1800 W CHARLESTON BLVD STE 507 LAS VEGAS NV 109127 Clark 702-383-2092 Physicians General Surgery 880330858NEMEDEZ, JACQUELYN 1898 COLLEGE PKWY STE 102 CARSON CITY NV 109131 Carson City 775-883-8800 Rehabilitation Physical Therapy 200932822NEMI, AJIT 7135 W SAHARA AVE STE 100 LAS VEGAS NV 109132 Clark 702-362-3900 Physicians Ophthalmology 201361069NEMIROFF, BARNEY J 10016 SUMMIT CANYON DR LAS VEGAS NV 109133 Clark 702-245-6979 Physicians Anesthesiology 731639153NEPAL, ARJUN 5070 ION DR STE 100 SPANISH SPRINGS NV 109134 Washoe 775-770-7727 Physicians Pediatrics 455557052NESSEN, SHAWN C 2040 W CHARLESTON BLVD LAS VEGAS NV 109136 Clark 910-425-9710 Physicians General Surgery 880330858NETSKI, ALISON L 2040 W CHARLESTON BLVD LAS VEGAS NV 109137 Clark 702-671-6470 Physicians Psychiatry 813419791NEUGEBAUER, TAMRA L 475 KIRMAN AVE RENO NV 109138 Washoe 775-284-4161 Physicians General Dentist 880122578NEUMAN, TRACEY 1505 WIGWAM PKWY STE 130 HENDERSON NV 109139 Clark 702-856-1400 Physicians Certified Nurse Practitioner 880350180NEUROMONITORING ASSOCIATES 9811 W CHARLESTON BLVD # 2-641 LAS VEGAS NV 109140 Clark 800-282-4548 Ancillary Providers 510654972NeuroRestorative 3980 LAKE PLACID DR RENO NV 109141 Washoe 775-470-8260 Rehabilitation 263221201NeuroRestorative4Kids - Buffalo Drive 3391 N BUFFALO DR LAS VEGAS NV 109142 Clark 702-800-8860 Rehabilitation 263221201NeuroRestorative4kids - Las Vegas 7690 CARMEN BLVD LAS VEGAS NV 109143 Clark 702-255-7399 Rehabilitation 042893910NEVADA ADVANCED PAIN SPECIALIST 10623 PROFESSIONAL CIR STE A RENO NV 109145 Washoe 775-284-8650 Physicians Physical Medicine & Rehabilitation264664305NEVADA ARRHYTHMIA SERVICES 2385 E PRATER WAY STE 309 SPARKS NV 109146 Washoe 775-322-4449 Physicians Cardiology 880377895NEVADA BEHAVIORAL SOLUTIONS 6889 S EASTERN AVE LAS VEGAS NV 109147 Clark 702-434-1200 Physicians Social Worker 201427365Nevada Brain and Spine 9499 W CHARLESTON BLVD STE 270 LAS VEGAS NV 109148 Clark 702-933-6720 Physicians Neurological Surgery 200505466NEVADA CANCER CENTER 3006 S MARYLAND PKWY STE 205 LAS VEGAS NV 109149 Clark 702-735-7154 Physicians Hematology/Oncology 880133767NEVADA CANCER CENTER NAGY CHARTERED2851 N TENAYA WAY STE 101 LAS VEGAS NV 109159 Clark 702-735-7154 Physicians Hematology/Oncology 880133767NEVADA CANCER CENTERS - SAN MARTIN 8285 W ARBY AVE STE 100 LAS VEGAS NV 109160 Clark 702-735-7154 Physicians Hematology/Oncology 953216090NEVADA CANCER CENTERS - TENAYA 2851 N TENAYA WAY STE 101 LAS VEGAS NV 109161 Clark 702-735-7154 Physicians Hematology/Oncology 953216090NEVADA CARDILOGY 978 MOUNTAIN CITY HWY ELKO NV 109162 Elko 800-628-6915 Physicians Cardiology 342009042NEVADA CHILDRENS CLINIC 8352 W WARM SPRINGS RD STE 210 LAS VEGAS NV 109163 Clark 702-944-4028 Physicians Neurological Surgery 880456336NEVADA CHIROPRACTIC REHABILITATION CENTER3900 W CHARLESTON BLVD STE 140 LAS VEGAS NV 109165 Clark 702-310-5528 Physicians Chiropractor 680542743NEVADA COMMUNITY ENRICHMENT P 2820 W CHARLESTON BLVD LAS VEGAS NV 109166 Clark 702-259-1903 Rehabilitation 411330242NEVADA DIALYSIS CENTER 1510 W WARM SPRINGS RD STE 100 HENDERSON NV 109169 Clark 702-451-2131 Ambulatory Facilities 261117691NEVADA EAR & SINUS INSTITUTE 3686 E SUNSET RD LAS VEGAS NV 109170 Clark 702-735-7668 Physicians Otolaryngology 453178823NEVADA EM-I SILVER-HOMANSKY MEDICAL SERVICES PROFESSIONAL CORP.620 SHADOW LN LAS VEGAS NV 109171 Clark 788-342-8000 Physicians Emergency Medicine 860888215NEVADA EM-I SILVER/HOMANSKY MEDICAL SERVICES PC360 S LOLA LN PAHRUMP NV 109172 Nye 775-751-7580 Physicians Emergency Medicine 860888215NEVADA EYE & EAR 2598 WINDMILL PKWY STE 1 HENDERSON NV 109173 Clark 702-896-6043 Physicians Ophthalmology 364620877NEVADA EYE CARE PROFESSIONALS 2090 E FLAMINGO RD LAS VEGAS NV 109176 Clark 702-213-9190 Physicians Ophthalmology 880316581NEVADA EYE CONSULTANTS 5420 KIETZKE LN STE 103 RENO NV 109177 Washoe 775-329-2300 Physicians Ophthalmology 860879921NEVADA FAMILY CARE 100 N GREEN VALLEY PKWY STE 239 HENDERSON NV 109178 Clark 702-933-1485 Physicians Family Medicine 202335171NEVADA FERTILITY CARES 653 N TOWN CENTER DR STE 206 LAS VEGAS NV 109179 Clark 702-341-6616 Physicians Obstetrics/Gynecology 061639425NEVADA GASTROENTEROLOGY ASSOCIATED CHART2385 E PRATER WAY STE 207 SPARKS NV 109181 Washoe 775-356-7373 Physicians Cardiology 770597981NEVADA HAND THERAPY LLC 3773 BAKER LN STE 2 RENO NV 109182 Washoe 775-826-0557 Ambulatory Facilities 043821114NEVADA HAND THERAPY, LLC 3773 BAKER LN STE 2 RENO NV 109184 Washoe 775-826-0557 Ambulatory Facilities 453449190NEVADA HEART & VASCULAR CENTER 3685 N MOAPA VALLEY BLVD LOGANDALE NV 109185 Clark 702-398-3621 Physicians Orthopedic Surgery 200562668NEVADA HEART AND VASCULAR CENTER 7455 W WASHINGTON AVE STE 300 LAS VEGAS NV 109195 Clark 702-240-6482 Physicians Cardiology 200562668NEVADA HOME HEALTH PROVIDERS 1210 S VALLEY VIEW BLVD LAS VEGAS NV 109202 Clark 702-382-8331 Ancillary Providers 593789942

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 137 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDNEVADA HOSPITALISTS LTD 3150 N TENAYA WAY STE 555 LAS VEGAS NV 109203 Clark 702-685-8392 Ambulatory Facilities 860881655NEVADA INTERNAL MEDICINE CENTER 4275 BURNHAM AVE STE 200A LAS VEGAS NV 109204 Clark 702-320-7100 Physicians Internal Medicine 134244105NEVADA MUSCLE AND NERVE 3017 W CHARLESTON BLVD STE 90 LAS VEGAS NV 109205 Clark 702-826-2816 Physicians Physical Medicine & Rehabilitation463578727NEVADA NEPHROLOGY CONSULTANTS 1409 E LAKE MEAD BLVD NORTH LAS VEGAS NV 109206 Clark 702-649-7711 Physicians Nephrology 113794290NEVADA OCCUPATIONAL HEALTH SERVICE 3488 GONI RD STE 141 CARSON CITY NV 109208 Carson City 775-887-5030 Ambulatory Facilities 880418826NEVADA ORTHOPEDICS 10635 PROFESSIONAL CIR STE A RENO NV 109209 Washoe 775-852-0505 Physicians Orthopedic Surgery 264818362NEVADA ORTHOTICS & PROSTHETICS 7331 W CHARLESTON BLVD STE 160 LAS VEGAS NV 109210 Clark 702-233-5500 Ancillary Providers 270535280NEVADA PHYSICAL THERAPY INC 5255 LONGLEY LN STE 140 RENO NV 109211 Washoe 775-322-1200 Rehabilitation 880297530NEVADA PHYSICIANS IMAGING 2300 CORPORATE CIRCLE DRIVE SU HENDERSON NV 109213 Clark 702-507-2403 Ancillary Providers 880447330NEVADA PULMONARY DIAGNOSTICS & SLEEP DISORDERS INC7500 W LAKE MEAD BLVD LAS VEGAS NV 109217 Clark 702-822-2444 Ancillary Providers 880346040NEVADA PULMONARY DIAGNOSTICS A 7500 W LAKE MEAD BLVD STE 314 LAS VEGAS NV 109218 Clark 702-214-4800 Ancillary Providers 880289008NEVADA RAHABILITATION CENTERS 6800 W CHEYENNE AVE LAS VEGAS NV 109219 Clark 702-309-4878 Physicians Ophthalmology 043821114NEVADA REHABILITATION CENTERS 4225 E SAHARA AVE STE 11 LAS VEGAS NV 109220 Clark 702-309-4878 Physicians Chiropractor 860854559NEVADA RETINA CENTER 3131 LA CANADA ST STE 201 LAS VEGAS NV 109222 Clark 702-732-4500 Physicians Ophthalmology 880456955NEVADA SLEEP DIAGNOSTICS 661 S BLAGG RD PAHRUMP NV 109224 Nye 775-727-9974 Ancillary Providers 330977857NEVADA SLEEP DIAGNOSTICS, INC 10655 PROFESSIONAL CIR STE B RENO NV 109226 Washoe 775-851-8282 Ancillary Providers 880406354NEVADA SPORTS AND SPINE 6765 W CHARLESTON BLVD STE 150 LAS VEGAS NV 109231 Clark 702-518-5774 Physicians Sports Medicine 471607811NEVADA STATE PUBLIC HEALTH LABORATORY1660 N VIRGINIA ST RENO NV 109233 Washoe 775-688-1335 Ancillary Providers 886000024Nevada State Veterans Home - Boulder City 100 VETERANS MEMORIAL DR BOULDER CITY NV 109234 Clark 702-332-6784 Rehabilitation 886000022NEVADA VASCULAR INSTITUTE 501 S RANCHO DR STE F38 LAS VEGAS NV 109235 Clark 702-258-7788 Physicians Vascular Surgery 203717237NEVADA VISION GROUP 620 SIERRA ROSE DR RENO NV 109236 Washoe 775-689-4519 Physicians Optometry 202330909NEVADAS CHILDRENS CLINIC 653 N TOWN CENTER DR STE 112 LAS VEGAS NV 109237 Clark 702-614-5437 Physicians Pediatrics 880456336NEVINS FAMILY MEDICINE 855 RAILROAD ST ELKO NV 109239 Elko 775-753-4044 Physicians General Practice 260796883NEVINS, RUSSELL T 8402 CENTENNIAL PKWY LAS VEGAS NV 109240 Clark 702-731-4088 Physicians Orthopedic Surgery 910858192NEVINS, TERRY J 855 RAILROAD ST STE 413 ELKO NV 109245 Elko 775-738-1212 Physicians Family Medicine 260796883NEVIUS, MICHAEL S 931 JACKS VALLEY RD CARSON CITY NV 109249 Douglas 775-400-2722 Physicians Chiropractor 204926199NEW AMSTERDAM MEDCIAL GROUP 2881 S VALLEY VIEW BLVD STE 16 LAS VEGAS NV 109250 Clark 702-384-3027 Physicians Internal Medicine 743222672NEW BEGINNINGS OB-GYN 6140 S FORT APACHE RD STE 110 LAS VEGAS NV 109251 Clark 702-740-0500 Physicians Obstetrics/Gynecology 461211666NEW DAWN RECOVERY CENTERS 10585 DOUBLE R BLVD STE 200 RENO NV 109252 Washoe 775-964-4898 Rehabilitation 770474657NEWBOLD, RICHARD D 1600 MEDICAL PKWY CARSON CITY NV 109253 Carson City 775-445-8733 Physicians Emergency Medicine 880502320NEWBY, QUIN T 3001 SAINT ROSE PKWY HENDERSON NV 109254 Clark 702-616-6137 Physicians Emergency Medicine 880262438NEWELL, DAVID 1673 LUCERNE ST STE C MINDEN NV 109256 Douglas 775-782-4144 Physicians General Dentist 474956127NEWMAN, BARBARA A 2020 PALOMINO LN STE 100 LAS VEGAS NV 109257 Clark 702-759-8600 Physicians Radiology/Diagnostic 232192005NEWMAN, LAWRENCE H 5320 S RAINBOW BLVD STE 272 LAS VEGAS NV 109271 Clark 702-948-1199 Physicians Urology 954521852NEWMARK, MICHAEL J 2345 E PRATER WAY SPARKS NV 109276 Washoe 775-356-9393 Physicians Cardiology 463672648NEWPORT AUDIOLOGY CENTER 3650 S POINTE CIR STE 113 LAUGHLIN NV 109277 Clark 702-243-4700 Rehabilitation Audiology 330687313NEWSOM, BRANDEE L 2011 PINTO LN STE 200 LAS VEGAS NV 109280 Clark 702-382-3200 Physicians Certified Nurse Practitioner 880479581NEWTON, SARAH L 2851 N TENAYA WAY LAS VEGAS NV 109281 Clark 702-228-0319 Physicians Obstetrics/Gynecology 880406389NEXT STEP MEDICAL 8285 W ARBY AVE STE 155 LAS VEGAS NV 109283 Clark 702-489-8165 Ancillary Providers 244845633NEYLAND, BEVERLY A 1524 PINTO LN LAS VEGAS NV 109285 Clark 702-944-2828 Physicians Pediatrics 880330858NG ZHAO, PINTO F 8750 W CHARLESTON BLVD LAS VEGAS NV 109288 Clark 312-945-6871 Physicians Optometry 364620877NG, KANT 1513 W CRAIG RD STE 1 NORTH LAS VEGAS NV 109289 Clark 702-368-2021 Physicians Optometry 201704287NG, MATTHEW 5380 S RAINBOW BLVD LAS VEGAS NV 109290 Clark 702-992-6828 Physicians Otolaryngology 880330858NG, NANCY 212 ELKS POINT RD UNIT 332 ZEPHYR COVE NV 109292 Douglas 530-314-3249 Rehabilitation Physical Therapy 854060713NGHIEM, AUDREY H 169 N NELLIS BLVD LAS VEGAS NV 109294 Clark 702-384-1010 Physicians General Dentist 300889342NGO, ANTHONY Q 1975 W CRAIG RD STE 103 NORTH LAS VEGAS NV 109295 Clark 702-880-4266 Physicians General Dentist 201265556NGO, JULIE M 300 E LAKE MEAD PKWY HENDERSON NV 109297 Clark 702-435-4301 Physicians Optometry 880484278NGO, RENEE L 3680 E SUNSET RD LAS VEGAS NV 109298 Clark 702-855-0748 Physicians Psychiatry 432058646NGO, THANH N 5061 E SAHARA AVE STE 1A LAS VEGAS NV 109299 Clark 702-641-8868 Physicians General Dentist 271183479NGUYEN SU, SUZIE T 2451 PROFESSIONAL CT STE 110 LAS VEGAS NV 109300 Clark 702-240-4242 Physicians General Dentist 860883983NGUYEN, ALISON M 2767 N TENAYA WAY LAS VEGAS NV 109301 Clark 702-732-6000 Physicians Radiology/Diagnostic 880232199

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 138 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDNGUYEN, ANDY H 1000 S RAINBOW BLVD # A LAS VEGAS NV 109310 Clark 702-952-9171 Physicians Internal Medicine 203023073NGUYEN, ANTHONY V 1505 WIGWAM PKWY STE 130 HENDERSON NV 109311 Clark 702-952-2140 Physicians Hematology/Oncology 880350180NGUYEN, BRIAN D 450 E SILVERADO RANCH BLVD STE 105 LAS VEGAS NV 109312 Clark 702-263-8820 Physicians General Dentist 271653460NGUYEN, CHANEL 4380 BLUE DIAMOND RD STE 102 LAS VEGAS NV 109313 Clark 702-425-4424 Physicians General Dentist 261748512NGUYEN, CINDY P 9975 S EASTERN AVE STE 100 LAS VEGAS NV 109315 Clark 702-270-4636 Physicians Optometry 880484278NGUYEN, CUONG T 10105 BANBRY CROSS DR STE 250 LAS VEGAS NV 109326 Clark 702-360-7600 Physicians Cardiology 880156903NGUYEN, DIEU HOA 7780 S JONES BLVD STE 101 LAS VEGAS NV 109328 Clark 702-450-6060 Physicians General Dentist 710878385NGUYEN, HAI T 5270 S FORT APACHE RD STE 330 LAS VEGAS NV 109330 Clark 702-776-6720 Physicians Family Medicine 821357714NGUYEN, HERMANN H 7501 N CIMARRON RD STE 105 LAS VEGAS NV 109333 Clark 702-655-8600 Physicians General Dentist 880486984NGUYEN, HIEN 4401 E SUNSET RD STE 3 HENDERSON NV 109334 Clark 702-735-5297 Physicians General Dentist 261151836NGUYEN, HO V 2767 N TENAYA WAY LAS VEGAS NV 109335 Clark 702-732-6000 Physicians Radiology/Diagnostic 880232199NGUYEN, HONG T 2505 ANTHEM VILLAGE DR HENDERSON NV 109343 Clark 504-782-2428 Physicians Optometry 331026936NGUYEN, HUNG T 445 W CRAIG RD STE 121 NORTH LAS VEGAS NV 109344 Clark 702-399-9118 Physicians General Dentist 261591087NGUYEN, HUY C 2605 S DECATUR BLVD STE 116 LAS VEGAS NV 109345 Clark 702-876-2525 Physicians General Dentist 274500829NGUYEN, HUY N 6771 W CHARLESTON BLVD LAS VEGAS NV 109348 Clark 702-450-1717 Physicians Internal Medicine 261837270NGUYEN, JACK 2311 S CASINO DR STE D-2 LAUGHLIN NV 109349 Clark 702-299-9919 Physicians General Dentist 452645665NGUYEN, KHANH 6525 N DECATUR BLVD STE 150 LAS VEGAS NV 109364 Clark 702-577-1941 Physicians General Dentist 208862814NGUYEN, KHANH H 9330 W FLAMINGO RD STE 112 LAS VEGAS NV 109367 Clark 702-562-2333 Physicians General Dentist 113650142NGUYEN, KHANH T 4570 N RANCHO DR STE 2 LAS VEGAS NV 109368 Clark 702-656-9497 Physicians General Dentist 270769901NGUYEN, KIM A 6240 N DURANGO DR STE 120 LAS VEGAS NV 109369 Clark 702-791-7855 Physicians General Surgery 261443080NGUYEN, KIM CHI T 1516 VIRGINIA RANCH RD GARDNERVILLE NV 109372 Douglas 775-782-4823 Physicians Family Medicine 880405927NGUYEN, KIM T 450 E SILVERADO RANCH BLVD STE 105 LAS VEGAS NV 109374 Clark 702-263-8820 Physicians General Dentist 271653460NGUYEN, MAN D 3040 W ANN RD STE 101 NORTH LAS VEGAS NV 109375 Clark 702-839-2244 Physicians General Dentist 371797092NGUYEN, NATHAN K 3100 N TENAYA WAY STE 205 LAS VEGAS NV 109377 Clark 702-290-2963 Physicians Internal Medicine 331159527NGUYEN, NEWTON 9975 S EASTERN AVE STE 100 LAS VEGAS NV 109378 Clark 702-270-4636 Physicians Optometry 880484278NGUYEN, PAUL A 1700 E DESERT INN RD STE 113 LAS VEGAS NV 109384 Clark 702-862-4774 Physicians Psychiatry 822420344NGUYEN, PETER S 7171 W CRAIG RD STE 102 LAS VEGAS NV 109387 Clark 702-655-0331 Physicians Pediatric Dentist 452993092NGUYEN, PHUNG K 3960 W CRAIG RD STE 110 NORTH LAS VEGAS NV 109393 Clark 702-464-3000 Physicians General Dentist 753067808NGUYEN, QUANG T 229 N PECOS RD HENDERSON NV 109394 Clark 702-605-5750 Physicians Endocrinology 465010353NGUYEN, STEVE H 5575 SIMMONS ST STE 10 NORTH LAS VEGAS NV 109396 Clark 702-317-7767 Physicians General Dentist 454044984NGUYEN, TAM T 3006 S MARYLAND PKWY LAS VEGAS NV 109397 Clark 702-894-5100 Physicians Radiation Oncology 880384403NGUYEN, THONG H 2381 E WINDMILL LN STE 11 LAS VEGAS NV 109399 Clark 702-877-2378 Physicians General Dentist 542065436NGUYEN, TRANG 4250 S RAINBOW BLVD STE 1004 LAS VEGAS NV 109400 Clark 702-456-4600 Physicians General Dentist 205590345NGUYEN, TRI M 6820 W FLAMINGO RD STE I LAS VEGAS NV 109401 Clark 702-222-4330 Physicians General Dentist 202550456NGUYEN, TRINH P 5515 CAMINO AL NORTE STE 100 NORTH LAS VEGAS NV 109402 Clark 702-633-6332 Physicians General Dentist 870701064NGUYEN, VAN 2020 PALOMINO LN LAS VEGAS NV 109403 Clark 702-759-8600 Physicians Radiology/Diagnostic 821793574NGUYEN, VAN T 2020 PALOMINO LN STE 100 LAS VEGAS NV 109427 Clark 702-759-8700 Physicians Radiology/Diagnostic 880119638NGUYEN, VINH-TRUYEN Q 3001 STREET ROSE PKWY HENDERSON NV 109428 Clark 702-616-5000 Physicians Internal Medicine 472990144NGUYEN-LE, TRANG Q 2850 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 109429 Clark 702-726-6344 Physicians Nephrology 462812104NICHOLAS, STEVEN W 520 MOUNT ROSE ST RENO NV 109437 Washoe 775-335-5746 Physicians Marriage & Family Therapist 530961413NICHOLL, RAYMOND P 7488 W SAHARA AVE LAS VEGAS NV 109438 Clark 702-562-0652 Physicians Family Medicine 880490261NICHOLS II, LORENZO L 8145 W SAHARA AVE STE 510 LAS VEGAS NV 109440 Clark 702-360-0106 Physicians Optometry 271192356NICKLES, GEORGE B 1600 MEDICAL PKWY CARSON CITY NV 109448 Carson City 775-445-8005 Physicians Emergency Medicine 880502320NICKNAM, AMIR K 1712 WELLNESS WAY LAS VEGAS NV 109449 Clark 702-733-6622 Physicians Occupational Medicine 263434846NICKUM, KIRK R 2101 S DECATUR BLVD STE 8 LAS VEGAS NV 109451 Clark 702-368-3910 Physicians Chiropractor 880359054NICOLA, JOSEPH R 1049 S RAINBOW BLVD LAS VEGAS NV 109454 Clark 702-252-7246 Physicians Chiropractor 331010872NICOLAIDES, AARON 9140 W POST RD STE A LAS VEGAS NV 109457 Clark 702-251-8000 Physicians Social Worker 043290453NIELSEN, CHARLES E 2465 SKYLINE BLVD RENO NV 109459 Washoe 775-825-7509 Physicians Psychiatry 886000022NIELSEN, EARL S 834 WILLOW ST RENO NV 109460 Washoe 775-323-6766 Physicians Psychology (Clinical) 886004349NIELSEN, ERIC Z 2375 E PRATER WAY SPARKS NV 109461 Washoe 775-331-7000 Physicians Emergency Medicine 475671561NIELSEN, JARL C 610 SIERRA ROSE DR RENO NV 109462 Washoe 775-356-7272 Physicians Ophthalmology 880502320

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 139 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDNIELSEN, LORRI L 75 PRINGLE WAY STE 909 RENO NV 109463 Washoe 775-333-8000 Physicians Certified Nurse Practitioner 421580690NIELSEN, RYAN C 555 W ARLINGTON AVE RENO NV 109465 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557NIELSON, JASON H 9050 W CHEYENNE AVE LAS VEGAS NV 109466 Clark 702-998-5200 Physicians Orthopedic Surgery 205292952NIEMANN, DAWN 1000 S RAINBOW BLVD LAS VEGAS NV 109469 Clark 702-259-0088 Physicians Certified Nurse Practitioner 880368011NIETO, MICHELLE L 2121 E FLAMINGO RD STE 110 LAS VEGAS NV 109470 Clark 702-382-8841 Physicians Dietitian 880436341NIETRZEBA, RALPH M 9280 W SUNSET RD STE 312 LAS VEGAS NV 109471 Clark 702-737-5864 Physicians Pulmonology 880350180NIGHTINGALE HOME HEALTHCARE OF NEVADA, INC.6236 W DESERT INN RD LAS VEGAS NV 109473 Clark 702-240-9002 Ancillary Providers 205172168NIHO, CHRISTINE N 1274 E PLUMB LN STE C RENO NV 109474 Washoe 775-786-8711 Rehabilitation Occupational Therapy 870699404NIJIM, SHADI W 500 S RANCHO DR LAS VEGAS NV 109476 Clark 702-877-1887 Physicians Nephrology 911822851NIK ABDUL RASHID, NIK F 8352 W WARM SPRINGS RD STE 200 LAS VEGAS NV 109478 Clark 702-330-0555 Physicians Pediatric Hematology 822793154NIKI, JINU 4221 MCLEOD DR LAS VEGAS NV 109479 Clark 702-474-6450 Physicians Marriage & Family Therapist 880111970NIKOGOSIAN, ARMEN E 5380 S RAINBOW BLVD STE 306 LAS VEGAS NV 109481 Clark 702-379-4753 Physicians Internal Medicine 043774572NILOFAR KURAISHI MD 1500 E DESERT INN RD STE 4 LAS VEGAS NV 109483 Clark 702-733-0899 Physicians Family Medicine 880289513NIMSUWAN, ALISSARA G 169 N NELLIS BLVD LAS VEGAS NV 109484 Clark 702-384-1010 Physicians General Dentist 371797092NINO, MAURICIO E 9127 W RUSSELL RD LAS VEGAS NV 109487 Clark 702-878-0070 Physicians Anesthesiology 860916679NISHIHARA, RYAN M 9030 W CHEYENNE AVE LAS VEGAS NV 109496 Clark 702-436-7337 Physicians Pediatrics 571153998NISHIYAMA, STEVEN K 2930 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 109497 Clark 702-263-9082 Physicians Orthopedic Surgery 910858192NISWONGER, JODI 7040 LAREDO ST STE D LAS VEGAS NV 109503 Clark 702-898-5311 Physicians Social Worker 743067299NIXON, RANDALL G 155 HIGHWAY 50 STATELINE NV 109505 Douglas 800-207-5004 Physicians Urology 880363142NNADI, EVARISTA C 3186 S MARYLAND PKWY LAS VEGAS NV 109507 Clark 702-233-5300 Physicians Family Medicine 043808683NNAH, JAMES 6180 N DECATUR BLVD STE 100 LAS VEGAS NV 109508 Clark 702-359-3107 Physicians General Dentist 821271826NO CHILD LEFT BEHIND 895 ROBERTA LN STE 101 SPARKS NV 109509 Washoe 775-331-6252 Ambulatory Facilities 273412547NOBACK, CARL R 2300 S RANCHO DR STE 109 LAS VEGAS NV 109510 Clark 702-384-3027 Physicians Anesthesiology 880306825NOBLE, JENNIFER L 5552 S FORT APACHE RD LAS VEGAS NV 109511 Clark 702-641-8255 Rehabilitation Speech Pathology 886000022NOBLE, LARRY M 1500 E 2ND ST RENO NV 109512 Washoe 775-982-2400 Physicians Cardiology 880303924NOCHE, ALEXANDER C 1715 KUENZLI ST RENO NV 109513 Washoe 775-329-5162 Physicians Family Medicine 886004349NOCTURNA SLEEP CENTER 5191 W CHARLESTON BLVD STE 190 LAS VEGAS NV 109516 Clark 702-896-7378 Ancillary Providers 432062521NOCTURNA SLEEP CENTER LLC 5191 W CHARLESTON BLVD STE 190 LAS VEGAS NV 109521 Clark 702-896-7378 Ancillary Providers 432062521NOCTURNA SLEEP THERAPY LP 9077 S PECOS RD STE 3710 HENDERSON NV 109525 Clark 702-438-4263 Ancillary Providers 300107581NOEL CHAMIAN MD PC 780 CORONADO CENTER DR STE 110 HENDERSON NV 109528 Clark 702-527-8587 Physicians Internal Medicine 270679166NOGUEIRA, TREVOR 2020 E DESERT INN RD LAS VEGAS NV 109529 Clark 702-796-5505 Physicians Physical Medicine & Rehabilitation953216090NOH, HEESUCK M 18653 WEDGE PKWY RENO NV 109531 Washoe 800-656-7226 Physicians Radiology/Diagnostic 455557052NOLL, AIMEE 2021 N RAINBOW BLVD STE 100 LAS VEGAS NV 109533 Clark 702-270-6660 Physicians Optometry 844866203NOLL, FRANCIS G 3575 PECOS MCLEOD LAS VEGAS NV 109534 Clark 702-731-2088 Physicians Ophthalmology 880107297NOLLE, JACKIE J 9476 DOUBLE R BLVD RENO NV 109535 Washoe 775-284-3333 Physicians Chiropractor 530927879NOMAN, AHMAD 3150 N TENAYA WAY LAS VEGAS NV 109538 Clark 702-445-7770 Physicians Internal Medicine 272300175NOONE, PATRICK B 4855 BLUE DIAMOND RD STE 100 LAS VEGAS NV 109543 Clark 702-216-7305 Physicians Emergency Medicine 862775542NOORDA, J CAL C 2901 N TENAYA WAY LAS VEGAS NV 109544 Clark 702-228-4088 Physicians Internal Medicine 880252300NOORDA, JAMESON B 68 N PECOS RD STE A HENDERSON NV 109545 Clark 702-456-1441 Physicians Podiatry 593830283NOORDA, SPENCER K 68 N PECOS RD STE A HENDERSON NV 109546 Clark 702-456-1441 Physicians Podiatry 880461624NOPAH VISTA EMERGENCY PHYSICIANS 360 S LOLA LN PAHRUMP NV 109547 Nye 775-751-7580 Physicians Emergency Medicine 204311300NORASEAT, PACHARIN 1600 MEDICAL PKWY CARSON CITY NV 109548 Carson City 775-445-8795 Physicians Emergency Medicine 880502320NORENSBERG, BRIAN D 4270 S DECATUR BLVD STE A10A LAS VEGAS NV 109552 Clark 702-912-5559 Physicians Psychology (Clinical) 475386258NORICKS, JAY 9402 W LAKE MEAD BLVD STE 102 LAS VEGAS NV 109553 Clark 702-877-4944 Physicians Marriage & Family Therapist 562563133NORK, KRISTEN A 1075 N HILLS BLVD RENO NV 109554 Washoe 775-982-5000 Physicians Family Medicine 930390463NORMAN, JARED L 8665 S EASTERN AVE LAS VEGAS NV 109555 Clark 702-492-1776 Physicians Chiropractor 510585097NOROZIAN, FARAZ M 657 N TOWN CENTER DR LAS VEGAS NV 109556 Clark 702-233-7000 Physicians Pediatric Critical Care 880367250NOROZIAN, FARNAZ 1800 W CHARLESTON BLVD LAS VEGAS NV 109558 Clark 702-385-0890 Physicians Pediatrics 450603718NORRIS, KELLY K 3835 S JONES BLVD LAS VEGAS NV 109593 Clark 702-880-4193 Physicians CRNA 752668018NORRIS, STEPHEN H 7040 W SUNSET RD LAS VEGAS NV 109594 Clark 702-732-2438 Physicians Nephrology 880115040NORTH CENTRAL UROLOGY, PC 865 TAHOE BLVD STE 101 INCLINE VILLAGE NV 109602 Washoe 775-832-5117 Physicians Urology 460438016

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 140 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDNORTH LAS VEGAS CARE CENTER 3215 E CHEYENNE AVE NORTH LAS VEGAS NV 109603 Clark 702-649-7800 Rehabilitation 200112759NORTH NEVADA RADIOLOGISTS 85 KIRMAN AVE STE 2A RENO NV 109605 Washoe 775-322-9089 Physicians Radiology/Diagnostic 880143698NORTH TAHOE PHYSICAL THERAPY 889 ALDER AVE STE 303 INCLINE VILLAGE NV 109606 Washoe 775-831-7144 Rehabilitation 542128732NORTH VALLEY MEDICAL ASSOCIATES 10555 STEAD BLVD STE 10 RENO NV 109611 Washoe 775-971-3300 Ambulatory Facilities 202616164NORTH VISTA HOSPITAL 1409 E LAKE MEAD BLVD NORTH LAS VEGAS NV 109612 Clark 702-567-5507 Hospitals 880307447NORTH VISTA PHYSICIANS, INC. 1815 E LAKE MEAD BLVD STE 100 NORTH LAS VEGAS NV 109614 Clark 702-657-1506 Physicians Orthopedic Surgery 454021253NORTHEASTERN NEVADA IMAGING ASSOCIATES2110 ERRECART BLVD ELKO NV 109615 Elko 775-884-2455 Physicians Radiology/Diagnostic 204933877NORTHEASTERN NEVADA REGIONAL HOSPITAL2001 ERRECART BLVD ELKO NV 109617 Elko 775-738-5151 Hospitals Short Term Acute Care Hospital 621740235NORTHERN NEVADA ADULT MENTAL HEALTH480 GALLETTI WAY SPARKS NV 109618 Washoe 775-688-2001 Hospitals 886000022NORTHERN NEVADA ADULT MENTAL HEALTH SERVICES480 GALLETTI WAY SPARKS NV 109619 Washoe 775-688-2001 Ambulatory Facilities 886000022NORTHERN NEVADA ALLERGY CLINIC LTD 4796 CAUGHLIN PKWY RENO NV 109621 Washoe 775-827-3937 Physicians Allergy/Immunology 880113241NORTHERN NEVADA EYECARE 50 E HASKELL ST STE A WINNEMUCCA NV 109623 Humboldt 775-623-5211 Physicians Optometry 880412790NORTHERN NEVADA MEDICAL GROUP 2345 E PRATER WAY STE 104 SPARKS NV 109624 Washoe 775-352-5200 Physicians Family Medicine 263303591NORTHSTAR IMAGING 11 E HASKELL ST WINNEMUCCA NV 109629 Humboldt 775-623-5222 Physicians Radiology/Diagnostic 860857507NORTHSTAR IMAGING INC. 25 MCCABE DR RENO NV 109633 Washoe 775-826-8100 Physicians Radiology/Diagnostic 860857507NORTHSTAR IMAGING, INC 6490 S MCCARRAN BLVD STE 22 RENO NV 109637 Washoe 775-829-9800 Physicians Radiology/Diagnostic 860857507NORTHSTAR IMAGING, INC. 1500 H AVE ELY NV 109638 White Pine 775-289-3001 Physicians Radiology/Diagnostic 860857507NORTHSTAR PHYSICAL THERAPY 112 W MOANA LN STE 101 RENO NV 109641 Washoe 775-323-1222 Rehabilitation 043821114NORTHSTAR RADIOLOGY 6490 S MCCARRAN BLVD STE C24 RENO NV 109642 Washoe 775-827-5775 Physicians Radiology/Diagnostic 364779215NORTHWEST HEALTH GROUP 7398 SMOKE RANCH RD STE 230 LAS VEGAS NV 109643 Clark 702-254-0766 Physicians Chiropractor 860846085NORTHWEST OB GYN 653 N TOWN CENTER DR STE 514 LAS VEGAS NV 109644 Clark 702-869-0070 Physicians Obstetrics/Gynecology 880344224NORTHWEST RENO SMILES DENTAL GROUP5150 MAE ANNE AVE STE 810A RENO NV 109645 Washoe 775-747-0680 Physicians General Dentist 464394010NORTON, NIKKI R 10870 W CHARLESTON BLVD STE 170 LAS VEGAS NV 109646 Clark 702-254-6412 Physicians General Dentist 204714507NOTLEY, DAVID A 102 E LAKE MEAD PKWY HENDERSON NV 109665 Clark 510-350-2600 Physicians Emergency Medicine 862775542NOUR, KHALED K 655 SIERRA ROSE DR RENO NV 109667 Washoe 775-829-7600 Physicians Gastroenterology 272663607NOURANI, SAM M 655 SIERRA ROSE DR RENO NV 109670 Washoe 775-829-7600 Physicians Gastroenterology 880213397NOUREDDIN, NABIL 1707 W CHARLESTON BLVD STE 100 LAS VEGAS NV 109672 Clark 702-671-5070 Physicians Internal Medicine 886000436NOVACARE REHABILITATION 2055 E SAHARA AVE LAS VEGAS NV 109674 Clark 702-735-1760 Rehabilitation 232725850NOVAK, CYNTHIA Z 1600 MEDICAL PKWY CARSON CITY NV 109684 Carson City 775-445-8000 Physicians Emergency Medicine 880502320NOVAK, KERRY W 1600 MEDICAL PKWY CARSON CITY NV 109686 Carson City 775-445-8000 Physicians Emergency Medicine 880502320NOVAKOVIC, DULCE 653 N TOWN CENTER DR STE 402 LAS VEGAS NV 109688 Clark 702-243-7200 Physicians Certified Nurse Practitioner 880350180NOVALIS, PETER N 6161 W CHARLESTON BLVD LAS VEGAS NV 109689 Clark 702-486-8051 Physicians Psychiatry 886000022NOVICK, RICHARD 525 E MOANA LN STE A RENO NV 109690 Washoe 775-823-5100 Physicians Orthodontist 454797322NOWAKOWSKI, SANDRA 6161 W CHARLESTON BLVD LAS VEGAS NV 109694 Clark 702-486-6045 Physicians Psychology (Clinical) 886000022NOWINS, JOHN M 3380 S EASTERN AVE LAS VEGAS NV 109695 Clark 702-791-3260 Physicians Obstetrics/Gynecology 880280641NOWINS, ROSEMARY A 1621 E FLAMINGO RD LAS VEGAS NV 109696 Clark 702-272-1551 Physicians Internal Medicine 880280641NOYES, PATTY 4600 KIETZKE LN STE C122 RENO NV 109699 Washoe 775-823-9133 Physicians Marriage & Family Therapist 530440742NOZAWA, KEVIN K 7220 S CIMARRON RD STE 200 LAS VEGAS NV 109700 Clark 702-623-5564 Physicians Chiropractor 880464017NU WAVE ESWT, LLC 4510 W DIABLO DR STE A LAS VEGAS NV 109703 Clark 702-984-0604 Physicians Pain Management 263132653NULL, RICHARD P 6161 W CHARLESTON BLVD LAS VEGAS NV 109705 Clark 702-486-0675 Physicians Certified Nurse Practitioner 886000022NUNEZ, VIBEKE N 880 RYLAND ST RENO NV 109706 Washoe 775-329-4600 Physicians CRNA 880182841NUNLEY, JAMES C 6554 S MCCARRAN BLVD RENO NV 109707 Washoe 775-324-0288 Physicians General Surgery 880266640NUTHI, USHA K 2385 E PRATER WAY STE 205 SPARKS NV 109708 Washoe 775-356-4888 Physicians Neurology 263303591NUTTER, MELVIN 5420 KIETZKE LN STE 106 RENO NV 109709 Washoe 775-851-2444 Physicians Anesthesiology 880101307NV - CORONADO PEDS 2790 W HORIZON RIDGE PKWY STE 110 HENDERSON NV 109720 Clark 702-312-4878 Rehabilitation 382617193NV EYE SURGERY MGMT. SERVICES 2390 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 109722 Clark 702-825-2085 Physicians Optometry 462143691NWAPA, EMMANUEL 5440 W SAHARA AVE STE 202 LAS VEGAS NV 109724 Clark 702-380-8200 Physicians Psychiatry 262640503NWAUGBALA, DESTINY 9285 S CIMARRON RD STE 125 LAS VEGAS NV 109726 Clark 702-433-5355 Physicians General Dentist 262260433NWOKIKE, CHIDIOGO C 2831 SAINT ROSE PKWY STE 221 HENDERSON NV 109729 Clark 702-589-4871 Physicians Certified Nurse Practitioner 823795906NWOKIKE, JEROME N 6850 N DURANGO DR STE 302 LAS VEGAS NV 109730 Clark 702-750-2438 Physicians Psychiatry 371564205NWOKIKE, MARIA K 5105 CAMINO AL NORTE STE 100 NORTH LAS VEGAS NV 109731 Clark 702-750-2438 Physicians Endocrinology 465614751

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 141 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDNYAMUSWA, GILBERT M 4750 W OAKEY BLVD SECOND FLOOR LAS VEGAS NV 109734 Clark 702-724-8787 Physicians Hematology/Oncology 880370553NYARKO, MICHAEL O 10105 BANBRY CROSS DR STE 250 LAS VEGAS NV 109735 Clark 702-260-4525 Physicians Pediatrics 880351343NYE REGIONAL MEDICAL CENTER 301 S 2ND ST BEATTY NV 109737 Nye 775-553-2000 Hospitals Short Term Acute Care Hospital 311658282NYLK, THOMAS M 2385 E PRATER WAY STE 302 SPARKS NV 109740 Washoe 775-356-4514 Physicians Cardiology 263303591NYON, SAMUEL 2850 SIENA HEIGHTS DR HENDERSON NV 109741 Clark 702-732-6000 Physicians Radiology/Diagnostic 880232199NZERUE, CHIKE M 8280 W WARM SPRINGS RD LAS VEGAS NV 109746 Clark 702-492-8000 Physicians Nephrology 472990144O CONNOR, PATRICK 630 S RANCHO DR STE B LAS VEGAS NV 109747 Clark 702-870-2555 Physicians Family Medicine 880279278O GORMAN, KATHERINE A 1055 N HILLS BLVD RENO NV 109748 Washoe 775-677-1055 Physicians General Dentist 465063631O LAUGHLIN, ROBERT C 8285 W ARBY AVE STE 100 LAS VEGAS NV 109749 Clark 702-735-7154 Physicians Radiation Oncology 880133767O'CONNELL, BRIAN J 1707 W CHARLESTON BLVD STE 160 LAS VEGAS NV 109750 Clark 702-671-5150 Physicians General Surgery 813419791O'CONNOR, KATHLEEN M 75 PRINGLE WAY STE 909 RENO NV 109751 Washoe 775-333-8000 Physicians Pediatrics 421580690O'CONNOR, KRISTEN 501 S RANCHO DR STE D25 LAS VEGAS NV 109752 Clark 702-898-5297 Rehabilitation Speech Pathology 886000022O'DEA, COLIN M 3325 S FORT APACHE RD LAS VEGAS NV 109753 Clark 702-916-8434 Physicians Emergency Medicine 843376866O'GORMAN, JOHN B 2667 ENTERPRISE RD RENO NV 109790 Washoe 775-338-3857 Rehabilitation Speech Pathology 886000022O'GORMAN, KATHERINE A 2244 ODDIE BLVD SPARKS NV 109791 Washoe 775-997-7300 Physicians General Dentist 880293149O'NEILL, RAQUEL S 2831 SAINT ROSE PKWY STE 221 HENDERSON NV 109792 Clark 702-589-4871 Physicians Social Worker 823795906O'ROURKE, REBECCA J 1397 S LOOP RD PAHRUMP NV 109793 Nye 775-727-5500 Physicians Family Medicine 880213519O'SHAUGHNESSY, WILLIAM P 1600 MEDICAL PKWY CARSON CITY NV 109794 Carson City 775-445-8795 Physicians Family Medicine 880502320O-LEE, TSUNGJU 5380 S RAINBOW BLVD LAS VEGAS NV 109796 Clark 702-992-6828 Physicians Otolaryngology 880330858O’Rourke, Ryan 2800 E DESERT INN RD STE 100 LAS VEGAS NV 109798 Clark 702-731-1616 Physicians Orthopedic Surgery 910858192OASIS COUNSELING LLC 7361 PRAIRIE FALCON RD LAS VEGAS NV 109802 Clark 702-294-0433 Ambulatory Facilities 454429023OASIS COUNSELING, LLC 2360 W HORIZON RIDGE PKWY STE 120 HENDERSON NV 109805 Clark 702-294-0433 Physicians Professional Counselor 454429023OASIS MEDICAL SERVICES INC. 10602 ADAMSONG AVE LAS VEGAS NV 109806 Clark 702-921-6829 Physicians Infectious Diseases 261898141OASIS PEDIATRICS, DBA HIDAJI MERHI PLLC 8285 W ARBY AVE STE 255 LAS VEGAS NV 109807 Clark 702-476-2944 Physicians Pediatrics 831025026OASIS WELLNESS GROUP INC. 4958 S RAINBOW BLVD STE 100 LAS VEGAS NV 109808 Clark 702-987-6174 Ambulatory Facilities 262400654OATES, JOYCE M 1590 W SUNSET RD HENDERSON NV 109809 Clark 702-486-6700 Physicians Psychiatry 886000022OB ANESTHESIA CONSULTANTS 2320 PASEO DEL PRADO STE 201B LAS VEGAS NV 109812 Clark 702-362-4567 Physicians Anesthesiology 270162417OBARA, GRZEGORZ 3730 S EASTERN AVE LAS VEGAS NV 109813 Clark 702-952-3400 Physicians Hematology/Oncology 880350180OBERT, DAVID R 1800 W CHARLESTON BLVD LAS VEGAS NV 109815 Clark 702-385-0890 Physicians Emergency Medicine 911984897OBHG NEVADA PC 3001 SAINT ROSE PKWY HENDERSON NV 109865 Clark 800-967-2289 Physicians Obstetrics/Gynecology 851279864OBI, OKWUCHUKWU G 2705 W HORIZON RIDGE PKWY HENDERSON NV 109866 Clark 702-880-4193 Physicians Anesthesiology 880404982OBI, SHIJUANA 3835 S JONES BLVD LAS VEGAS NV 109873 Clark 702-880-4193 Physicians CRNA 880404982OBIJEKWU, CHUDI A 1825 PINION RD STE A ELKO NV 109880 Elko 775-738-8021 Physicians Professional Counselor 886000022OBRIEN, MICHAEL P 5575 KIETZKE LN RENO NV 109881 Washoe 775-352-5300 Physicians Family Medicine 880502320OBRYAN, GWENYTH G 325 FLINT ST RENO NV 109884 Washoe 775-329-3339 Physicians Psychology (Clinical) 880506470OCAMPO, MELANIE C 1785 E SAHARA AVE LAS VEGAS NV 109885 Clark 702-486-0427 Physicians Certified Nurse Practitioner 886000022OCAMPO, RESURRECCION M 3370 S HIGHWAY 160 STE 8-11 PAHRUMP NV 109886 Nye 775-413-6025 Physicians Internal Medicine 261136614OCARIZA, GENEVIEVE C 3213 W CHARLESTON BLVD LAS VEGAS NV 109888 Clark 702-570-6222 Rehabilitation Speech Pathology 453199019OCCHIALINO, RICHARD D 1485 W WARM SPRINGS RD STE 101 HENDERSON NV 109890 Clark 702-616-1942 Physicians General Dentist 880487633OCONNELL, CRISTY D 4075 S DURANGO DR STE 108 LAS VEGAS NV 109891 Clark 702-701-9509 Physicians Certified Nurse Practitioner 463164188OCONNELL, RION S 18653 WEDGE PKWY RENO NV 109907 Washoe 800-656-7226 Physicians Radiology/Diagnostic 455557052OCONNOR, KEVIN J 5412 BOULDER HWY LAS VEGAS NV 109909 Clark 702-383-2406 Physicians Emergency Medicine 886000436OCONNOR-SANDERS, LYDIA E 2820 E FLAMINGO RD STE A LAS VEGAS NV 109911 Clark 702-735-0355 Physicians Family Medicine 203918978OCSKAY, OLIVER 888 W 2ND ST STE 304 RENO NV 109918 Washoe 775-786-5775 Physicians Psychology (Clinical) 557789755ODAY, CAASI 9140 W POST RD STE A LAS VEGAS NV 109919 Clark 702-251-8000 Physicians Social Worker 043290453ODDERS, ROSEMARY J 3213 W CHARLESTON BLVD LAS VEGAS NV 109921 Clark 702-570-6222 Rehabilitation Physical Therapy 453199019ODELL JR, ROBERT H 8084 W SAHARA AVE LAS VEGAS NV 109923 Clark 702-257-7246 Physicians Anesthesiology 164364079ODOM, MICHAEL R 4075 S DURANGO DR STE 108 LAS VEGAS NV 109927 Clark 702-901-8230 Physicians Family Medicine 463164188ODYSSEY HEALTHCARE 5345 RENO CORPORATE DR RENO NV 109942 Washoe 775-825-5008 Ancillary Providers 860800230ODYSSEY MEDICAL CENTER 14 W PACIFIC AVE HENDERSON NV 109943 Clark 702-568-0007 Physicians Internal Medicine 770588383OEHLSEN, GEORGE M 61 N NELLIS BLVD LAS VEGAS NV 109945 Clark 702-383-6240 Physicians Internal Medicine 886000436

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 142 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDOFA, KARYN L 1000 S RAINBOW BLVD LAS VEGAS NV 109946 Clark 702-259-0088 Physicians Internal Medicine 880213519OFFENBACKER, TREVOR A 1420 E CALVADA BLVD STE 300 PAHRUMP NV 109947 Nye 775-727-4700 Rehabilitation Physical Therapy 562298123OFIKWU, FRANKA 3186 S MARYLAND PKWY LAS VEGAS NV 109949 Clark 702-961-5000 Physicians Radiology/Diagnostic 050589923OFORI, EDWARD N 1301 BERTHA HOWE AVE MESQUITE NV 109973 Clark 702-345-2122 Physicians Obstetrics/Gynecology 201015697OFORI-MANTE, JULIANA A 210 N SANDHILL BLVD MESQUITE NV 109974 Clark 702-345-5000 Physicians Pediatrics 300427805OGARA, THOMAS D 601 RALSTON ST RENO NV 109975 Washoe 775-786-1110 Physicians Family Medicine 880459017OH, JOHN 620 SHADOW LN LAS VEGAS NV 109976 Clark 788-342-8000 Physicians Radiology/Diagnostic 330872858OH, STEPHANIE 3575 PECOS MCLEOD LAS VEGAS NV 110020 Clark 702-731-2088 Physicians Optometry 880107297OH-CIERNICK, CHIN H 3150 N TENAYA WAY STE 125 LAS VEGAS NV 110021 Clark 702-869-0855 Physicians Certified Nurse Practitioner 880350180OHANLANIII, MICHAEL A 8905 S PECOS RD STE 23A HENDERSON NV 110023 Clark 702-734-8311 Physicians Rheumatology 880151737OHNING, GORDON V 1707 W CHARLESTON BLVD STE 220 LAS VEGAS NV 110024 Clark 702-671-2345 Physicians Gastroenterology 813419791OHRINER, MARK I 4675 W FLAMINGO RD STE 1 LAS VEGAS NV 110026 Clark 702-364-1252 Physicians Optometry 342058737OHUOBA, ADESUWA S 2831 SAINT ROSE PKWY STE 221 HENDERSON NV 110028 Clark 702-589-4871 Physicians Certified Nurse Practitioner 823795906OIKAWA, REBECCA H 3370 S HIGHWAY 160 PAHRUMP NV 110030 Nye 775-537-4098 Physicians Marriage & Family Therapist 586090681OKAFOR, CHIDI C 2065 LAS VEGAS BLVD N N LAS VEGAS NV 110031 Clark 702-877-1887 Physicians Nephrology 880136673OKAFOR, INEADA 10001 S EASTERN AVE HENDERSON NV 110032 Clark 702-566-2400 Physicians Pediatrics 205204446OKAMOTO, RAFAEL 1060 N RANCHO DR LAS VEGAS NV 110033 Clark 702-384-1110 Physicians Internal Medicine 880213519OKEKE, CHINYERE L 3110 S DURANGO DR STE 200 LAS VEGAS NV 110039 Clark 702-629-2986 Physicians Family Medicine 463657029OKEKE, IRENE N 3247 S MARYLAND PKWY LAS VEGAS NV 110041 Clark 702-776-3500 Rehabilitation Audiology 454953696OKEKE, MATTHEW O 2021 S JONES BLVD LAS VEGAS NV 110042 Clark 702-202-0099 Physicians Psychiatry 452932796OKEKE, NICOLE C 4270 S DECATUR BLVD STE B6 LAS VEGAS NV 110043 Clark 702-485-2100 Physicians Certified Nurse Practitioner 812219401OKI, EARLE Y 1500 E 2ND ST STE B RENO NV 110044 Washoe 775-829-0573 Physicians Obstetrics/Gynecology 810598528OKNAIAN, SARO 175 N STEPHANIE ST STE 170 HENDERSON NV 110045 Clark 702-997-5958 Physicians General Dentist 208863082OKSENHOLT, LORRIE M 491 COURT ST RENO NV 110056 Washoe 775-525-8103 Physicians Internal Medicine 825259010OKU, KINTARO 2470 SAINT ROSE PKWY STE 306 HENDERSON NV 110058 Clark 702-579-9876 Physicians Chiropractor 205673413OKUYEMI, OLUWAFUNMILOLA T 3150 N TENAYA WAY STE 112 LAS VEGAS NV 110059 Clark 702-562-1777 Physicians Otolaryngology 880330858OLAGUNJU, OLUMIDE T 2040 W CHARLESTON BLVD LAS VEGAS NV 110060 Clark 702-671-2273 Physicians Internal Medicine 911286274OLAN CABRERA, MARICEL 3006 S MARYLAND PKWY STE 320 LAS VEGAS NV 110062 Clark 702-962-0000 Physicians Certified Nurse Practitioner 331159527OLCOTT, MANDY L 1321 S RAINBOW BLVD STE 102 LAS VEGAS NV 110063 Clark 702-839-2010 Physicians Podiatry 113483180OLD, TAMARA S 620 SIERRA ROSE DR RENO NV 110066 Washoe 775-689-4519 Physicians Optometry 202330909OLDE, DARIN M 5590 KIETZKE LN RENO NV 110067 Washoe 775-323-2080 Physicians Certified Nurse Practitioner 880167036OLEARY, JULIA 85 KEYSTONE AVE RENO NV 110068 Washoe 775-200-8528 Physicians Certified Nurse Practitioner 264664305OLEARY, SUSAN L 1470 MEDICAL PKWY STE 160 CARSON CITY NV 110069 Carson City 775-445-7650 Physicians Cardiology 273686996OLEK, MICHAEL J 874 AMERICAN PACIFIC DR HENDERSON NV 110072 Clark 909-558-2880 Physicians Neurology 200363127OLENDER, GAIL P 329 LORRAINE CT RENO NV 110073 Washoe 775-825-4626 Physicians CRNA 273164155OLIVER, STACIE L 9127 W RUSSELL RD LAS VEGAS NV 110074 Clark 702-878-0070 Physicians Anesthesiology 200420553Oliver, Wendy 491 COURT ST RENO NV 110083 Washoe 775-525-8103 Physicians Psychology (Clinical) 825259010OLIVERA, LEILA R 1297 BOULDER CITY HWY A A BOULDER CITY NV 110085 Clark 702-294-1919 Physicians Internal Medicine 880213519OLIVERI, DAVID J 851 S RAMPART BLVD LAS VEGAS NV 110086 Clark 702-778-9300 Physicians Physical Medicine & Rehabilitation880315037OLIVETI, JOSEPH B 801 E WILLIAMS AVE STE 2209 FALLON NV 110087 Churchill 775-423-3151 Physicians CRNA 842010869OLSEN, ALISON A 9400 DOUBLE DIAMOND PKWY RENO NV 110088 Washoe 775-852-5595 Rehabilitation Physical Therapy 880415575OLSEN, JARVIS D 2481 PROFESSIONAL CT LAS VEGAS NV 110091 Clark 702-213-8251 Physicians Certified Nurse Practitioner 202595077OLSEN, JEFFERY J 1800 W CHARLESTON BLVD LAS VEGAS NV 110093 Clark 702-207-8253 Physicians General Practice 208753074OLSEN, PHILLIP 585 COLLEGE DR STE C HENDERSON NV 110095 Clark 702-855-0500 Physicians Family Medicine 463164188OLSEN, ROBERT G 3530 E FLAMINGO RD STE 101 LAS VEGAS NV 110112 Clark 702-898-5700 Rehabilitation Audiology 880290187OLSEN, SANDRA J 645 SIERRA ROSE DR STE 204 RENO NV 110114 Washoe 775-352-9355 Physicians Obstetrics/Gynecology 880415474OLSEN, SCOTT R 1301 BERTHA HOWE AVE MESQUITE NV 110115 Clark 702-346-1899 Rehabilitation Physical Therapy 201621111OLSHOVE, ASHLEY 171 N GIBSON RD HENDERSON NV 110116 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643OLSON IMAGING LLC 4180 S PECOS RD STE 115 LAS VEGAS NV 110117 Clark 702-433-5368 Physicians Radiology/Diagnostic 900217292OLSON, CHARISSA A 3196 S MARYLAND PKWY STE 209 LAS VEGAS NV 110118 Clark 702-944-2888 Physicians Obstetrics/Gynecology 880330858OLSON, HEATHER N 6395 S MCCARRAN BLVD STE B RENO NV 110119 Washoe 775-823-9419 Physicians General Dentist 462690803

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 143 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDOLSON, JAMES H 425 W B ST FALLON NV 110121 Churchill 775-828-2873 Physicians Orthopedic Surgery 880345183OLSON, KEVIN J 4530 S CARSON ST STE 5 CARSON CITY NV 110125 Carson City 775-461-3800 Physicians Pediatric Dentist 814172785OLSON, RANDALL 10965 LAVENDER HILL DR STE 120 LAS VEGAS NV 110126 Clark 702-852-2755 Physicians General Dentist 810950476OLSSON, STEVEN 3150 N TENAYA WAY STE 630 LAS VEGAS NV 110127 Clark 702-562-0801 Physicians Gastroenterology 880230469OLSZEWSKI, ABBIE L 1664 N VIRGINIA ST RENO NV 110129 Washoe 775-682-8500 Rehabilitation Speech Pathology 886000024OMANDAC, BETTY T 2410 FIRE MESA ST STE 160 LAS VEGAS NV 110131 Clark 702-518-1534 Physicians Certified Nurse Practitioner 880386657OMANDAC, LORENZO T 8402 CENTENNIAL PKWY STE 100 LAS VEGAS NV 110133 Clark 702-869-3486 Physicians Certified Nurse Practitioner 910858192OMAR B. CABAHUG MD PROF CORP. 2500 WIGWAM PKWY STE 112 HENDERSON NV 110135 Clark 702-914-6994 Physicians Neurology 880513232OMARA, TIMOTHY J 555 W ARLINGTON AVE RENO NV 110136 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557OMFS SURGERY CENTER 6950 SMOKE RANCH RD STE 200 LAS VEGAS NV 110137 Clark 702-360-8918 Physicians Oral Surgery 800354365OMWANGHE, AUDRA I 2831 SAINT ROSE PKWY STE 222 HENDERSON NV 110138 Clark 702-589-4871 Physicians Certified Nurse Practitioner 823795906ONBIRBAK, BRIAN B 2300 S RANCHO DR LAS VEGAS NV 110139 Clark 702-383-2691 Physicians Internal Medicine 886000436ONEILL, BILL M 1500 E 2ND ST STE 106 RENO NV 110140 Washoe 775-322-4550 Physicians Nephrology 201405833ONEILL, HANNAH 1025 ROBERTA LN SPARKS NV 110147 Washoe 775-825-4744 Rehabilitation Physical Therapy 562328617ONEILL, JENNIFER L 1600 MEDICAL PKWY CARSON CITY NV 110148 Carson City 240-686-2310 Physicians Certified Nurse Practitioner 272167350ONG, BERNARD C 8551 W LAKE MEAD BLVD STE 251 LAS VEGAS NV 110177 Clark 702-796-7979 Physicians Orthopedic Surgery 880252372ONG, GENE 2850 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 110180 Clark 702-726-6344 Physicians Nephrology 462812104ONG, LIANNE 2410 FIRE MESA ST LAS VEGAS NV 110187 Clark 702-992-6888 Physicians Family Medicine 741874450ONG, TENG C 5300 SPRING MOUNTAIN RD STE 112 LAS VEGAS NV 110189 Clark 702-362-6373 Physicians Family Medicine 741874450ONGTENGCO, RICHARD L 1800 W CHARLESTON BLVD LAS VEGAS NV 110193 Clark 702-207-8253 Physicians Internal Medicine 208753074ONO-MOORE, COLIN H 3 RISING SUN CT HENDERSON NV 110195 Clark 702-263-6514 Rehabilitation Physical Therapy 850437737ONORIODE, HELEN 2231 W CHARLESTON BLVD LAS VEGAS NV 110196 Clark 702-944-2805 Physicians Obstetrics/Gynecology 880330858ONTANILLAS, JALET MARIE N 8352 W WARM SPRINGS RD STE 210 LAS VEGAS NV 110197 Clark 702-944-4028 Physicians Pediatrics 880456336ONWUTUEBE, EMMANUEL K 6771 W CHARLESTON BLVD LAS VEGAS NV 110199 Clark 702-450-1717 Physicians Internal Medicine 204842418ONYEMASR, JOHN N 4180 S RAINBOW BLVD LAS VEGAS NV 110201 Clark 702-383-3626 Physicians Internal Medicine 886000436OPARAUGO, ANSLEM A 3050 E BONANZA RD LAS VEGAS NV 110202 Clark 702-383-0663 Physicians Pediatrics 271942969OPHTHALMIC ASSOCIATES 3802 MEADOWS LN LAS VEGAS NV 110203 Clark 702-870-2020 Physicians Ophthalmology 880248937OPIE CHIROPRACTIC OFFICE 5642 S EASTERN AVE STE C LAS VEGAS NV 110205 Clark 702-736-8535 Ambulatory Facilities 043821114OPIMO, ANTHONY BRANDO 3900 W CHARLESTON BLVD STE 170 LAS VEGAS NV 110206 Clark 702-362-2273 Physicians Certified Nurse Practitioner 821947437OPTICAL OPHTHALMIC ASSOCIATES 3016 W CHARLESTON BLVD STE 100 LAS VEGAS NV 110207 Clark 702-870-2020 Physicians Ophthalmology 880248937OPTIMAL HEALTH PRIMARY CARE 10120 S EASTERN AVE STE 100 HENDERSON NV 110208 Clark 702-871-7004 Physicians Family Medicine 202096335OPTIMUM MEDICAL SUPPLY 4161 S EASTERN AVE LAS VEGAS NV 110209 Clark 702-693-6222 Ancillary Providers 870690836OPTIMUM PHYSICAL THERAPY 604 W WASHINGTON ST STE B CARSON CITY NV 110211 Carson City 775-882-5001 Rehabilitation 271868235OPTION CARE 7300 S VIRGINIA ST RENO NV 110212 Washoe 800-829-8416 Ancillary Providers 331076602OPTION CARE - LAS VEGAS 3920 W CHARLESTON BLVD STE G LAS VEGAS NV 110213 Clark 702-258-0011 Ancillary Providers 880277504Option Care Enterprises, Inc. 4708 W SAHARA AVE LAS VEGAS NV 110214 Clark 866-258-3099 Ancillary Providers 680208702OPTION CARE, NEVADA, L.L.C. 3920 W CHARLESTON BLVD LAS VEGAS NV 110216 Clark 702-258-0011 Ancillary Providers 203347448ORANGE, LAURA M 75 PRINGLE WAY RENO NV 110219 Washoe 775-327-4673 Physicians Certified Nurse Practitioner 364572218ORAVITZ, MATTHEW S 6100 PLUMAS ST RENO NV 110221 Washoe 610-390-1111 Rehabilitation Physical Therapy 163662653ORBIT MEDICAL OF PORTLAND 4780 W HARMON AVE LAS VEGAS NV 110222 Clark 702-248-6847 Ancillary Providers 204625355ORDEN, BELINDA 861 CORONADO CENTER DR STE 220 HENDERSON NV 110223 Clark 702-357-8811 Physicians Certified Nurse Practitioner 201026537OREVILLO, JOEL D 7200 CATHEDRAL ROCK DR STE 170 LAS VEGAS NV 110224 Clark 702-255-7245 Physicians Pulmonology 880329731ORION HOMECARE, LLC 2325 RENAISSANCE DR STE A LAS VEGAS NV 110225 Clark 702-568-1176 Ancillary Providers 300570179ORMSBY POST ACUTE REHAB 3050 N ORMSBY BLVD CARSON CITY NV 110226 Carson City 775-841-4646 Rehabilitation 912165422ORNELLAS, PAMELA 780 KUENZLI ST STE 202 RENO NV 110227 Washoe 775-982-4590 Physicians Family Medicine 530584026OROOMCHI, NEEMA 1701 W CHARLESTON BLVD STE 250 LAS VEGAS NV 110229 Clark 702-671-2358 Physicians Internal Medicine 880330858OROSZI, KYLIE S 3700 GRANT DR RENO NV 110230 Washoe 775-829-4700 Rehabilitation Speech Pathology 880291454ORPHANIDIS, STEPHANOS P 8670 W CHEYENNE AVE LAS VEGAS NV 110231 Clark 702-649-7711 Physicians Emergency Medicine 880262438ORPRO PROSTHETICS & ORTHOTICS, INC 501 ROSE ST STE 150 LAS VEGAS NV 110233 Clark 702-384-7770 Ancillary Providers 931203565ORR II, DANIEL L 2040 W CHARLESTON BLVD STE 201 LAS VEGAS NV 110234 Clark 702-383-3711 Physicians Oral Surgery 880164701ORR, JEFFREY A 212 ELKS POINT RD ZEPHYR COVE NV 110235 Douglas 775-589-8950 Physicians Orthopedic Surgery 880382265

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 144 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDORR, LANCE M 1107 US HIGHWAY 395 S GARDNERVILLE NV 110236 Douglas 775-782-1600 Physicians Emergency Medicine 261513495ORR, MARIAN M 6161 W CHARLESTON BLVD LAS VEGAS NV 110239 Clark 702-486-6045 Physicians Psychiatry 886000022ORTEGA, LUIS CARLOS O 1604 WELLNESS WAY LAS VEGAS NV 110244 Clark 702-413-1391 Physicians Psychiatry 880321556ORTEGA, YVONNE C 2001 ERRECART BLVD ELKO NV 110245 Elko 888-952-6772 Physicians Emergency Medicine 880307849ORTEGA-BERMUDEZ, ANGELA N 100 N GREEN VALLEY PKWY HENDERSON NV 110246 Clark 702-933-1485 Physicians Internal Medicine 202335171ORTHO SUPPLY 6965 SPEEDWAY BLVD LAS VEGAS NV 110248 Clark 800-944-3422 Ancillary Providers 330620126ORTHOPAEDIC INSTITUTE OF HENDERSON 10001 S EASTERN AVE STE 102 HENDERSON NV 110249 Clark 702-990-2290 Physicians Orthopedic Surgery 880365656ORTHOPAEDIC SOLUTIONS LLC 301 S LOLA LN PAHRUMP NV 110254 Nye 702-475-4390 Physicians Orthopedic Surgery 273148970ORTHOPAEDIC SPECIALISTS OF NEVADA 3233 W CHARLESTON BLVD STE 101 LAS VEGAS NV 110257 Clark 702-388-1008 Physicians Orthopedic Surgery 880218251ORTHOPAEDICS & SPORTS MEDICINE 3570 E FLAMINGO RD LAS VEGAS NV 110258 Clark 702-454-3400 Physicians Orthopedic Surgery 880214018ORTHOPAEDICS, SPORTS & WORKERS MEDICAL GROUP804 MILL ST RENO NV 110259 Washoe 775-657-8171 Physicians Orthopedic Surgery 680377643ORTHOPEDIC FOOT AND ANKLE INSTITUTE, LLC3175 SAINT ROSE PKWY STE 320 HENDERSON NV 110260 Clark 702-475-4390 Physicians Orthopedic Surgery 273517274ORTHOPEDIC MOTION INC 3233 W CHARLESTON BLVD STE 111 LAS VEGAS NV 110261 Clark 702-697-7070 Ancillary Providers 880295881ORTHOPEDIC REHABILITATION SPECIALIST OF NEVADA6630 S MCCARRAN BLVD STE A4 RENO NV 110268 Washoe 775-853-7513 Physicians Physical Medicine & Rehabilitation880329853ORTHOPEDIC SPEACALIST OF NEVADA 3233 W CHARLESTON BLVD STE 107 LAS VEGAS NV 110271 Clark 702-258-9381 Ancillary Providers 043821114ORTHOPRO OF CARSON CITY, INC. 177 N DIVISION ST STE 2 CARSON CITY NV 110272 Carson City 775-841-0660 Ancillary Providers 200213408ORTHOPRO OF ELKO 997 COURT ST ELKO NV 110275 Elko 775-778-0507 Ancillary Providers 710952259ORTHOPRO OF RENO INC 487 CASAZZA DR RENO NV 110276 Washoe 775-324-1443 Ancillary Providers 200476585ORTHOREHAB 8550 W CHARLESTON BLVD STE 102355 LAS VEGAS NV 110277 Clark 702-431-3766 Ancillary Providers 743032515ORTHOSPORT PHYSICAL THERAPY AND SPORTS PERFORMANCE INC2930 W HORIZON RIDGE PKWY STE 205 HENDERSON NV 110278 Clark 702-597-8999 Rehabilitation 752984052ORTIZ MALL, MARGARET 6850 N DURANGO DR STE 310 LAS VEGAS NV 110280 Clark 702-255-3547 Physicians Certified Nurse Practitioner 880213519ORTIZ, ALFONSO A 540 N NELLIS BLVD LAS VEGAS NV 110281 Clark 702-877-5199 Physicians Endocrinology 582501863ORTIZ, ISAAC J 6900 PECOS RD NORTH LAS VEGAS NV 110282 Clark 702-791-9000 Physicians Optometry 880331757ORTIZ, JULIE B 1025 ROBERTA LN SPARKS NV 110283 Washoe 775-825-4744 Rehabilitation Speech Pathology 562328617ORTIZ, MARIO A 64 N PECOS RD STE 1200 HENDERSON NV 110285 Clark 855-284-7483 Physicians Marriage & Family Therapist 263447487ORTIZ-COLON, JESSICA G 10105 BANBRY CROSS DR STE 460 LAS VEGAS NV 110286 Clark 702-255-3547 Physicians CRNA 880213519ORTON, DOUGLAS 1505 WIGWAM PKWY STE 100 HENDERSON NV 110291 Clark 702-896-6043 Physicians Optometry 880107297ORUENE, ALAFURO T 1701 BEARDEN DR STE 200 LAS VEGAS NV 110295 Clark 702-310-9110 Physicians Pain Management 880400682OSAK, NINA 4855 BLUE DIAMOND RD LAS VEGAS NV 110300 Clark 702-216-7305 Physicians Emergency Medicine 264299424OSGA, AARON J 130 N BOULDER HWY STE 100 HENDERSON NV 89015 Clark 702-645-6888 Physicians General Dentist 842473451OSGARD, ERIC M 880 RYLAND ST RENO NV 89502 Washoe 775-329-4600 Physicians Gastroenterology 860872914OSGOOD, ERIC P 112 W MOANA LN STE 101 RENO NV 89509 Washoe 775-323-1222 Physicians Chiropractor 880298616OSHEA, TIMOTHY J 5065 PYRAMID WAY SPARKS NV 89436 Washoe 775-425-9335 Physicians Optometry 558862261OSHIRO, ANDREW C 4570 S EASTERN AVE STE 21 LAS VEGAS NV 89119 Clark 702-733-6033 Physicians Pediatrics 880473141OSMAN, ASHRAF I 4432 S EASTERN AVE LAS VEGAS NV 89119 Clark 702-733-2982 Physicians Thoracic Surgery 880407499OSMAN, HASSAN E 6970 W PATRICK LN STE 140 LAS VEGAS NV 89113 Clark 702-588-7077 Physicians Nephrology 462812104OSSLER, MARY 1325 AIRMOTIVE WAY STE 100 RENO NV 89502 Washoe 775-453-4143 Physicians Social Worker 471013467OSTER, SHARON A 921 S HIGHWAY 160 STE 409 PAHRUMP NV 89048 Nye 775-727-3838 Rehabilitation Physical Therapy 264613465OSTERHOUDT, DARRELL L 2575 N 5TH ST STE A ELKO NV 89801 Elko 775-738-9666 Physicians General Dentist 201340174OSTLER, THOMAS J 4510 S EASTERN AVE STE 400 LAS VEGAS NV 89119 Clark 702-796-0201 Physicians General Dentist 880424922OSTOLAZA, ROBERTO 3742 E TROPICANA AVE STE 1 LAS VEGAS NV 89121 Clark 702-318-3344 Physicians Chiropractor 880464246OSTROWSKY, AVI A 2121 E FLAMINGO RD STE 104 LAS VEGAS NV 89119 Clark 702-735-0355 Physicians Endocrinology 880378253OSUCHUKWU, UZOMA C 5105 CAMINO AL NORTE NORTH LAS VEGAS NV 89031 Clark 702-750-2438 Physicians Psychiatry 113312035OSUOHA, CHIMA A 5400 S RAINBOW BLVD LAS VEGAS NV 89118 Clark 702-853-3000 Physicians Internal Medicine 472990144OTI, ARTURO J 1600 MEDICAL PKWY CARSON CITY NV 89703 Carson City 775-445-8000 Physicians Emergency Medicine 880502320OTTO BOCK ORTHOPEDIC SERVICES 5320 CAMERON ST UNIT 5 LAS VEGAS NV 89118 Clark 800-736-8276 Ancillary Providers 320288792OTTO, TARA M 1397 S LOOP RD PAHRUMP NV 89048 Nye 702-759-8600 Physicians Radiology/Diagnostic 842544520OTTO, WALTER C 1750 S RAINBOW BLVD LAS VEGAS NV 89146 Clark 702-363-2336 Rehabilitation Audiology 880455302OUIMET, ADAM C 1600 MEDICAL PKWY CARSON CITY NV 89703 Carson City 775-445-8786 Physicians Emergency Medicine 880135776OUJEVOLK, AMERICA V 825 ERIE MAIN TONOPAH NV 89049 Nye 775-482-6233 Physicians Family Medicine 311658282OVER THE RAINBOW 10170 S EASTERN AVE HENDERSON NV 89052 Clark 702-550-2273 Ambulatory Facilities 812168877

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 145 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDOVERHOLSER, JASON C 604 W WASHINGTON ST STE B CARSON CITY NV 89703 Carson City 775-240-1059 Rehabilitation Physical Therapy 271868235OVERLAND SR, JAMES T 2700 E LAKE MEAD BLVD STE 10 NORTH LAS VEGAS NV 89030 Clark 702-399-6655 Physicians Chiropractor 860883966OVERTON PHYSICAL THERAPY 210 N SANDHILL BLVD MESQUITE NV 89027 Clark 090-499-8009 Rehabilitation 880511122OVERTON, JARED L 145 S MOAPA VALLEY BLVD STE 2 OVERTON NV 89040 Clark 702-397-2900 Physicians Psychology (Clinical) 205411342OWEIS, SARAH 4301 E SUNSET RD STE 100 HENDERSON NV 89014 Clark 702-465-8187 Physicians General Dentist 475009169OWEN, RICHARD A 6837 W CHARLESTON BLVD LAS VEGAS NV 89117 Clark 702-240-0520 Physicians Chiropractor 880385353OWEN, RULON D 7660 W CHEYENNE AVE STE 110 LAS VEGAS NV 89129 Clark 702-722-2665 Physicians Family Medicine 831492203OWENS PSYCHOLOGICAL SERVICES 2510 W HORIZON RIDGE PKWY STE 200 HENDERSON NV 89052 Clark 702-508-9181 Physicians Psychology (Clinical) 273522770OWENS, ANASTASIA L 1001 RIO VISTA DR FALLON NV 89406 Churchill 775-423-3634 Physicians General Dentist 880120723OWENS, TANE 3213 W CHARLESTON BLVD STE 105 LAS VEGAS NV 89102 Clark 702-570-6222 Rehabilitation Physical Therapy 200932822OWENS, THERESA L UNR SPORTSMEDICINE COMPLEX RENO NV 89507 Washoe 775-784-1999 Rehabilitation Physical Therapy 880297530OWENS, WHITNEY E 2510 W HORIZON RIDGE PKWY STE 200 HENDERSON NV 89052 Clark 702-508-9181 Physicians Psychology (Clinical) 273522770OXFORD, LAUREN 9990 DOUBLE R BLVD STE 200 RENO NV 89521 Washoe 775-348-8800 Rehabilitation Physical Therapy 270028866OXHORN, LUBIA 2450 FIRE MESA ST STE 110 LAS VEGAS NV 89128 Clark 702-853-0090 Physicians Certified Nurse Practitioner 462812104OZAKI, ALAN L 6707 W CHARLESTON BLVD STE 3 LAS VEGAS NV 89146 Clark 702-870-5783 Physicians General Dentist 880356080OZOBIA, NATHAN I 5701 W CHARLESTON BLVD STE 104 LAS VEGAS NV 89146 Clark 702-643-0500 Physicians General Surgery 886000436P HARDING PSYCHIATRIC CARE PC 9101 W SAHARA AVE STE 105-K18 LAS VEGAS NV 89117 Clark 520-382-2230 Physicians Psychiatry 900621800PAAS, JOHN T 236 W 6TH ST STE 301 RENO NV 89503 Washoe 775-348-2983 Physicians Obstetrics/Gynecology 200736386PABBY, KAVITA 1000 S RAINBOW BLVD LAS VEGAS NV 89145 Clark 702-952-9171 Physicians Internal Medicine 880213519PACHOVA, DANIELA L 8906 SPANISH RIDGE AVE LAS VEGAS NV 89148 Clark 702-577-1622 Physicians Obstetrics/Gynecology 860873319PACIFIC ANESTHESIA CONSULTANTS/ ATLANTIC ANESTHESI2316 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-877-5319 Physicians Anesthesiology 860857176PACIFIC PULMONARY SERVICES 6237 DEAN MARTIN DR LAS VEGAS NV 89118 Clark 702-310-6661 Ancillary Providers 943122268PACK, EDMOND E 8285 W ARBY AVE STE 100B LAS VEGAS NV 89113 Clark 702-862-8862 Physicians Obstetrics/Gynecology 203080081PADDA, MANMEET S 1330 S VALLEY VIEW BLVD STE B LAS VEGAS NV 89102 Clark 702-633-0207 Physicians Gastroenterology 262321457PADILLA-JONES, BRANDY 3131 LA CANADA ST STE 217 LAS VEGAS NV 89169 Clark 702-369-7152 Physicians General Surgery 271152943PADRE-CADAVONA, LAURENA P 2031 N BUFFALO DR LAS VEGAS NV 89128 Clark 702-383-3750 Physicians Internal Medicine 880368011PAEZ, ROGER 5905 S EASTERN AVE STE 101 LAS VEGAS NV 89119 Clark 702-893-3937 Physicians Optometry 450540012PAGAY, CHARISMA MARIA B 2000 WELLNESS WAY LAS VEGAS NV 89106 Clark 702-384-5101 Physicians Certified Nurse Practitioner 880329731PAGUIA, RICHARD A 2320 MCDANIEL ST STE A NORTH LAS VEGAS NV 89030 Clark 702-214-5948 Physicians Infectious Diseases 954806004PAHLEVAN, IOANA M 9499 W CHARLESTON BLVD STE 150 LAS VEGAS NV 89117 Clark 702-228-5477 Physicians Internal Medicine 880213519PAHRUMP DIALYSIS CENTER 330 S LOLA LN STE 100 PAHRUMP NV 89048 Nye 775-751-4300 Ambulatory Facilities 452930715PAHRUMP HEALTH AND REHABILITATION CENTER4501 N BLAGG RD PAHRUMP NV 89060 Nye 775-751-6600 Rehabilitation 912165423PAHRUMP MEDICAL SUPPLY, INC. 2280 E CALVADA BLVD STE 202A PAHRUMP NV 89048 Nye 775-751-4999 Ancillary Providers 208792838PAHRUMP MENTAL HEALTH CENTER 240 HUMAHUACA ST PAHRUMP NV 89048 Nye 775-751-7406 Ambulatory Facilities 886000022PAHURIRAY, LOURDES S 4100 W FLAMINGO RD STE 2100 LAS VEGAS NV 89103 Clark 702-822-5000 Physicians Certified Nurse Practitioner 911912844PAIGE, TODD E 2375 E PRATER WAY SPARKS NV 89434 Washoe 775-331-7000 Physicians Emergency Medicine 475671561PAIK, DAN C 301 N PECOS RD STE F HENDERSON NV 89074 Clark 702-558-4488 Physicians General Dentist 830385524PAIN INSTITUTE OF NEVADA, INC. 7435 W AZURE DR STE 190 LAS VEGAS NV 89130 Clark 702-878-8252 Ancillary Providers 880245302PAIVA, ROSE E 6542 S MCCARRAN BLVD STE B RENO NV 89509 Washoe 775-329-3484 Physicians Family Medicine 202616164PAJARA, MARIA C 7391 W CHARLESTON BLVD STE 140 LAS VEGAS NV 89117 Clark 702-304-2144 Physicians Certified Nurse Practitioner 201026537PAJUHESHFAR, JIMMY 7770 DEAN MARTIN DR LAS VEGAS NV 89139 Clark 702-445-7554 Rehabilitation Physical Therapy 134222973PAK, MINYONG 3960 W ANN RD STE 120 NORTH LAS VEGAS NV 89031 Clark 702-399-8888 Physicians General Dentist 208662970PAK, RONALD S 4130 N MARTIN L KING BLVD NORTH LAS VEGAS NV 89032 Clark 702-802-5757 Physicians Marriage & Family Therapist 201427365PAK, YONG S 4495 W HACIENDA AVE LAS VEGAS NV 89118 Clark 702-385-5331 Physicians Social Worker 043290453PAKDEESUPAPOL, PONGCHANOK 1000 S RAINBOW BLVD LAS VEGAS NV 89145 Clark 702-464-8866 Physicians Internal Medicine 880213519PAKZAD, ZIMA 4880 WYNN RD LAS VEGAS NV 89103 Clark 702-759-8600 Physicians Family Medicine 880213519PALACIO, LUIS E 897 IRONWOOD DR MINDEN NV 89423 Douglas 775-782-1610 Physicians Sports Medicine 880405927PALACIOS, JULIE F 10624 S EASTERN AVE STE A955 HENDERSON NV 89052 Clark 702-551-9085 Physicians Certified Nurse Practitioner 263668328PALACIOS, SEAN D 3692 E SUNSET RD LAS VEGAS NV 89120 Clark 702-735-7668 Physicians Otolaryngology 880321377PALAFOX, DESEREE D 1700 WHEELER PEAK DR LAS VEGAS NV 89106 Clark 702-383-2565 Physicians Certified Nurse Practitioner 886000436PALCHINSKY, CHRISTA L 3820 S JONES BLVD LAS VEGAS NV 89103 Clark 702-731-0831 Rehabilitation Physical Therapy 880349542

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 146 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDPALERACIO, FELIPE M 601 S RANCHO DR STE B15 LAS VEGAS NV 89106 Clark 702-385-1166 Physicians General Dentist 030564756PALISOC, QUELYN GAYLE M 9320 W SAHARA AVE LAS VEGAS NV 89117 Clark 702-383-3633 Physicians Certified Nurse Practitioner 886000436PALITANG, ELMER G 3006 S MARYLAND PKWY STE 780 LAS VEGAS NV 89109 Clark 702-737-0740 Physicians Infectious Diseases 880188590PALLASIGUI, ELITA C 280 S DECATUR BLVD LAS VEGAS NV 89107 Clark 702-759-1000 Physicians Certified Nurse Practitioner 880151573PALLER, MELISSA M 840 S RANCHO DR STE 4-903 LAS VEGAS NV 89106 Clark 702-440-8430 Physicians Social Worker 832602698PALLUCK, SUFIA L 7720 W SAHARA AVE STE 107 LAS VEGAS NV 89117 Clark 702-862-4088 Physicians General Dentist 264056067PALM MEDICAL GROUP 6040 S FORT APACHE RD STE 100 LAS VEGAS NV 89148 Clark 702-696-7256 Physicians Endocrinology 203216643Palmeira Home Health - Las Vegas 1210 S VALLEY VIEW BLVD LAS VEGAS NV 89102 Clark 702-259-4966 Ancillary Providers 412105497PALMER, ELISSA J 2410 FIRE MESA ST STE 180 LAS VEGAS NV 89128 Clark 702-992-6888 Physicians Family Medicine 813419791PALMER, GARY A 6827 W TROPICANA AVE STE 110 LAS VEGAS NV 89103 Clark 702-508-9128 Physicians Oncology 844370538PALMER, JAMES T 537 S BOULDER HWY HENDERSON NV 89015 Clark 702-565-6211 Physicians Chiropractor 262387085PALMER, JOLEEN 9520 PROTOTYPE CT RENO NV 89521 Washoe 775-852-6323 Rehabilitation Speech Pathology 562572878PALMER, MARY 3700 GRANT DR RENO NV 89509 Washoe 775-829-4700 Rehabilitation Occupational Therapy 880291454PALMER, MELISSA A 6900 PECOS RD NORTH LAS VEGAS NV 89086 Clark 702-791-9000 Physicians Radiology/Diagnostic 742161737PALMS CHIROPRACTIC 133 W LAKE MEAD PKWY STE 200 HENDERSON NV 89015 Clark 702-531-3338 Ambulatory Facilities 043821114PALOOLIAN, GREG W 2375 E PRATER WAY SPARKS NV 89434 Washoe 775-331-7000 Physicians Emergency Medicine 475671561PALU, MARIE L 797 SOUTHWOOD BLVD STE 2 INCLINE VILLAGE NV 89451 Washoe 775-833-1900 Rehabilitation Physical Therapy 860877349PALUMBO, JOSEPH M 4855 BLUE DIAMOND RD LAS VEGAS NV 89139 Clark 702-216-7305 Physicians Emergency Medicine 824933457PAM Rehabilitation Hospital of Centennial Hills6166 N DURANGO DR LAS VEGAS NV 89149 Clark 725-223-4100 Hospitals 611772282PAM SPECIALTY HOSPITAL OF LAS VEGAS 2500 N TENAYA WAY LAS VEGAS NV 89128 Clark 702-562-2021 Hospitals 842783143PAM Specialty Hospital of Sparks 2375 E PRATER WAY SPARKS NV 89434 Washoe 775-355-5600 Hospitals 842782634PAMMER CHIROPRACTIC OFFICE 5642 S EASTERN AVE STE C LAS VEGAS NV 89119 Clark 702-736-8535 Physicians Chiropractor 043821114PAN, GOLDEN 5250 NEIL RD STE 201 RENO NV 89502 Washoe 775-823-1999 Physicians Radiology/Diagnostic 201651590PAN, HARRY S 2645 W HORIZON RIDGE PKWY STE 120 HENDERSON NV 89052 Clark 702-790-2211 Physicians Internal Medicine 812140000PANCRUDO, JACKLYN R 3100 N TENAYA WAY LAS VEGAS NV 89128 Clark 702-731-8460 Physicians Critical Care 331159527PANDIAN, SHIVKUMAR 720 S 7TH ST LAS VEGAS NV 89101 Clark 702-668-4600 Physicians Psychiatry 886000022PANELLI, RICH W 9770 S MCCARRAN BLVD RENO NV 89523 Washoe 775-322-4589 Rehabilitation Audiology 880498458PANER-CHING, ABEGAIL E 9499 W CHARLESTON BLVD STE 150 LAS VEGAS NV 89117 Clark 702-228-5477 Physicians Family Medicine 251490707PANG, GORDEN 7125 N DURANGO DR LAS VEGAS NV 89149 Clark 702-658-2311 Physicians General Dentist 205339044PANGILINAN, SHINLY M 6950 W DESERT INN RD LAS VEGAS NV 89117 Clark 702-259-5550 Physicians Certified Nurse Practitioner 880319744PANICCO, PRESTON J 8402 CENTENNIAL PKWY LAS VEGAS NV 89149 Clark 702-869-3486 Physicians Podiatry 910858192PANKAJ K BHATNAGAR MD PC 6240 N DURANGO DR STE 120 LAS VEGAS NV 89149 Clark 702-791-7855 Physicians General Surgery 261443080PANNU, AMARJIT 1815 E LAKE MEAD BLVD NORTH LAS VEGAS NV 89030 Clark 702-657-6365 Physicians Pediatrics 880411080PANTAZE, KATHLEEN S 61 N WILLOW ST STE 4 MESQUITE NV 89027 Clark 702-346-4696 Physicians Professional Counselor 886000022PANTER, STEPHEN D 313 W ANN ST CARSON CITY NV 89703 Carson City 775-883-2202 Physicians CRNA 880140896PANUNCIALMAN, LUIS G 2031 MCDANIEL ST STE 230 NORTH LAS VEGAS NV 89030 Clark 702-649-7300 Physicians General Surgery 562430887PANWAR, SADIK R 4432 S EASTERN AVE LAS VEGAS NV 89119 Clark 702-733-2982 Physicians Cardiology 880407499PAPAGEORGE, EVANGELIA 9280 W SUNSET RD STE 426 LAS VEGAS NV 89148 Clark 702-688-8110 Physicians Family Medicine 460766041PAPAZIAN, VARTAN D 620 SHADOW LN LAS VEGAS NV 89106 Clark 702-388-8436 Physicians Nephrology 202901522PAPE, FRANK G 620 SHADOW LN LAS VEGAS NV 89106 Clark 702-259-1228 Physicians Emergency Medicine 880366100PAPEZ, REBECCA T 1475 MEDICAL PKWY CARSON CITY NV 89703 Carson City 775-885-2229 Physicians Pediatrics 880502320PAPPAS, JAMES N 5255 LONGLEY LN RENO NV 89511 Washoe 775-322-1200 Physicians Orthopedic Surgery 880103557PAPPAS, JAMES T 555 W ARLINGTON AVE RENO NV 89503 Washoe 775-786-3040 Physicians Urology 930665563PAQUETTE, KRISTI R 75 PRINGLE WAY RENO NV 89502 Washoe 775-323-7500 Physicians Certified Nurse Practitioner 880341656PARADISO, SARA 4358 W CHEYENNE AVE NORTH LAS VEGAS NV 89032 Clark 702-735-9500 Physicians General Dentist 830987180PARAFIANOWICZ, ANNIE 4760 GALLERIA PKWY STE 102 SPARKS NV 89436 Washoe 775-391-6212 Physicians General Dentist 821857740PARAGON HEALTHCARE 1701 N GREEN VALLEY PKWY HENDERSON NV 89074 Clark 702-914-2790 Rehabilitation 880500777PARAGON HEALTHCARE OF PAHRUMP 1470 E CALVADA BLVD PAHRUMP NV 89048 Nye 775-537-2300 Ambulatory Facilities 880500777PARAN, FEBIANA C 9187 W FLAMINGO RD STE 100 LAS VEGAS NV 89147 Clark 702-252-3002 Physicians General Dentist 880471025PARASUGO, NATALIE K 6040 S FORT APACHE RD STE 100 LAS VEGAS NV 89148 Clark 702-475-4007 Physicians Dietitian 462520735PARDEE, STUART F 1698 COUNTY RD MINDEN NV 89423 Douglas 775-782-5143 Physicians Chiropractor 880195911

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 147 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDPAREKH, BHARAT D 6900 PECOS RD NORTH LAS VEGAS NV 89086 Clark 702-791-9000 Physicians Pulmonology 521186406PAREKH, MILAN S 2285 E FLAMINGO RD STE 104 LAS VEGAS NV 89119 Clark 702-862-8226 Physicians Family Medicine 261185425PAREKH, PARAG 500 S RANCHO DR STE 12 LAS VEGAS NV 89106 Clark 702-877-1887 Physicians Internal Medicine 880136673PARIKH, NUTAN K 6450 MEDICAL CENTER ST LAS VEGAS NV 89148 Clark 702-471-7779 Physicians Hematology/Oncology 880326483PARIKH, RUPESH J 10001 S EASTERN AVE STE 108 HENDERSON NV 89052 Clark 702-952-3444 Physicians Hematology/Oncology 880350180PARILAK, LEONARD D 876 SEVEN HILLS DR HENDERSON NV 89052 Clark 702-914-2028 Physicians Cardiology 860161856PARIMI, AMAR K 2285 E FLAMINGO RD STE 105 LAS VEGAS NV 89119 Clark 702-862-8226 Physicians Family Medicine 880213519PARISI, THOMAS S 3525 E HARMON AVE LAS VEGAS NV 89121 Clark 702-898-9191 Physicians Internal Medicine 880443995PARIZO, ROSE A 255 W MOANA LN STE 110 RENO NV 89509 Washoe 775-440-1520 Physicians Certified Nurse Practitioner 275565244PARK, DANIEL 1707 W CHARLESTON BLVD STE 160 LAS VEGAS NV 89102 Clark 951-809-5908 Physicians Psychiatry 886000022PARK, DAVID J 801 RANCHO CIR STE F1 LAS VEGAS NV 89107 Clark 702-777-4803 Physicians Family Medicine 200363127PARK, ELIZABETH 501 S DIVISION ST CARSON CITY NV 89703 Carson City 775-882-1195 Physicians General Dentist 880502320PARK, EUN-MI 2020 GOLDRING AVE STE 401 LAS VEGAS NV 89106 Clark 702-792-4336 Physicians Internal Medicine 880252300PARK, GRIFFIN D 366 W LAKE MEAD PKWY STE 100 HENDERSON NV 89015 Clark 702-464-3090 Physicians General Dentist 454612311PARK, JAI 5001 E BONANZA RD STE 160 LAS VEGAS NV 89110 Clark 702-307-2273 Physicians General Dentist 821394606PARK, JINTAE 6795 S VIRGINIA ST STE E RENO NV 89511 Washoe 775-853-0503 Physicians General Dentist 262716635PARK, LINDA 3896 N MARTIN L KING BLVD NORTH LAS VEGAS NV 89032 Clark 702-614-1792 Physicians General Dentist 204714412PARK, NAM H 7250 PEAK DR STE 100 LAS VEGAS NV 89128 Clark 702-386-4700 Physicians Anesthesiology 204727467PARK, ROMY 3615 S RAINBOW BLVD LAS VEGAS NV 89103 Clark 702-641-2007 Physicians Optometry 202492010PARK, SEUNG B 120 CONTINENTAL DR RENO NV 89509 Washoe 775-786-3302 Physicians Acupuncturist 880189173PARK, SOONJIN 10643 PROFESSIONAL CIR STE 102 RENO NV 89521 Washoe 775-737-4035 Physicians General Dentist 453572392PARK, STEWART D 7730 W CHEYENNE AVE STE 103 LAS VEGAS NV 89129 Clark 702-633-2020 Physicians Ophthalmology 880316581PARK, SUNGKOOK A 2930 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 89052 Clark 702-263-9082 Physicians Pain Management 910858192PARK-CHANG, JULIE S 4350 N NELLIS BLVD LAS VEGAS NV 89115 Clark 702-643-1500 Physicians Optometry 886000022PARKE, CONAN R 2641 BOX CANYON DR STE A LAS VEGAS NV 89128 Clark 702-243-3668 Physicians Podiatry 472943037PARKE, LEANNE G 3247 S MARYLAND PKWY LAS VEGAS NV 89109 Clark 702-776-3500 Physicians CRNA 454953696PARKER, AMMON R 9127 W RUSSELL RD STE 110 LAS VEGAS NV 89148 Clark 702-878-0070 Physicians CRNA 592905984PARKER, COLEMAN 10410 S EASTERN AVE HENDERSON NV 89052 Clark 702-616-0777 Physicians General Dentist 264222951PARKER, ROBERT J 653 N TOWN CENTER DR STE 518 LAS VEGAS NV 89144 Clark 702-369-0200 Physicians Ophthalmology 260076062PARKER, RYON E 5380 S RAINBOW BLVD LAS VEGAS NV 89118 Clark 702-778-2204 Physicians Internal Medicine 814145757PARKER, WENDY 171 N GIBSON RD HENDERSON NV 89014 Clark 702-360-1137 Rehabilitation Speech Pathology 412129643PARKHILL, SCOTT G 6630 S MCCARRAN BLVD STE 25 RENO NV 89509 Washoe 775-827-7555 Physicians Anesthesiology 880101307PARKS JR, DAVID P 1524 PINTO LN FL 3 LAS VEGAS NV 89106 Clark 702-944-2828 Physicians Pediatric Pulmonology 880330858PARKS, BYRON 1225 WESTFIELD AVE # 8 RENO NV 89509 Washoe 775-323-7799 Physicians Professional Counselor 201229334PARKS, LAWRENCE W 1321 S RAINBOW BLVD STE 201 LAS VEGAS NV 89146 Clark 832-580-2465 Physicians Chiropractor 270663011PARKWAY SURGERY CENTER 100 N GREEN VALLEY PKWY HENDERSON NV 89074 Clark 702-616-4954 Ambulatory Facilities 880403777PARLASCA, ROBERT J 555 W ARLINGTON AVE RENO NV 89503 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557PARRA PSYCHIATRY PLLC 6940 SIERRA CENTER PKWY RENO NV 89511 Washoe 775-393-2201 Ambulatory Facilities 824882475PARRA, MATTHEW G 690 EDISON WAY RENO NV 89502 Washoe 775-858-3303 Physicians Psychiatry 824882475PARRAGUIRRE, KATHLEEN C 10447 GARDEN ROSE DR LAS VEGAS NV 89135 Clark 702-371-2979 Rehabilitation Physical Therapy 530421957PARRY, TODD C 1675 AVENUE F ELY NV 89301 White Pine 775-289-6171 Physicians Social Worker 886000022PARSON, MARK R 1409 E LAKE MEAD BLVD NORTH LAS VEGAS NV 89030 Clark 702-649-7711 Physicians Radiology/Diagnostic 880307477PARSONS, HEATHER M 3362 S MCCARRAN BLVD RENO NV 89502 Washoe 775-329-5437 Physicians Pediatric Dentist 880502320PARTIDA CORONA, JOSE M 2950 E FLAMINGO RD STE E LAS VEGAS NV 89121 Clark 702-565-6004 Physicians Internal Medicine 260626894PARTIDA MEDICAL CENTER LLC 5757 WAYNE NEWTON BLVD LAS VEGAS NV 89111 Clark 702-837-1265 Physicians Internal Medicine 472376539PARTOVI, SAM 10175 W TWAIN AVE STE 120 LAS VEGAS NV 89147 Clark 702-202-2300 Physicians General Dentist 205871337PASCOE, JOSHUA E 1800 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-383-2000 Physicians Emergency Medicine 274436407PASCUA, KIMBRELLE A 500 S RANCHO DR STE 12 LAS VEGAS NV 89106 Clark 702-877-1887 Physicians Certified Nurse Practitioner 880136773PASHA, TOUSIF M 7150 SMOKE RANCH RD STE 110 LAS VEGAS NV 89128 Clark 702-948-9480 Physicians Gastroenterology 470922673PASION, JARIEL 3001 SAINT ROSE PKWY HENDERSON NV 89052 Clark 702-616-5925 Physicians Internal Medicine 472990144PASLEY, ERIN G 680 W NYE LN CARSON CITY NV 89703 Carson City 775-882-2211 Rehabilitation Physical Therapy 880253654

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 148 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDPASSION MEDICAL ASSOCIATES 10300 W CHAS BLVD STE 13-173 LAS VEGAS NV 89135 Clark 702-487-7055 Physicians Family Medicine 261328548PASTERNAK IV, ANDREW V 10467 DOUBLE R BLVD RENO NV 89521 Washoe 775-853-9394 Physicians Family Medicine 880502320PASTRELL, DAVID L 6120 MAE ANNE AVE STE 3 RENO NV 89523 Washoe 775-746-1177 Physicians General Dentist 530680816PASTRO, BRADLEY R 3232 CARMINE ST CARSON CITY NV 89706 Carson City 775-883-4114 Physicians Chiropractor 880411911PATAMASUCON, PISESPONG 3006 S MARYLAND PKWY STE 315 LAS VEGAS NV 89109 Clark 702-992-6868 Physicians Pediatric Infectious Diseases 880330858PATEL BHATT, HIMALI 7171 W CRAIG RD STE 102 LAS VEGAS NV 89129 Clark 702-655-0331 Physicians General Dentist 452993092PATEL, BEJAL 2001 ERRECART BLVD ELKO NV 89801 Elko 775-738-3654 Physicians Pediatrics 886000088PATEL, BHAVIN 6485 N DECATUR BLVD STE 150 LAS VEGAS NV 89131 Clark 702-846-5745 Physicians Orthodontist 833358691PATEL, BINA J 3201 S MARYLAND PKWY STE 414 LAS VEGAS NV 89109 Clark 702-893-0800 Physicians Internal Medicine 880447355PATEL, DHRUMIL V 10624 S EASTERN AVE STE A955 HENDERSON NV 89052 Clark 702-800-5393 Physicians Internal Medicine 263668328PATEL, DIMAL 1707 W CHARLESTON BLVD STE 230 LAS VEGAS NV 89102 Clark 702-671-5070 Physicians Internal Medicine 813419791PATEL, DINA 1701 W CHARLESTON BLVD STE 250 LAS VEGAS NV 89102 Clark 702-671-2355 Physicians Certified Nurse Practitioner 880330858PATEL, DIPTI S 4700 LAS VEGAS BLVD N NELLIS AFB NV 89191 Clark 702-653-2965 Physicians Family Medicine 261240910PATEL, HERSH K 805 E MAIN ST STE A FERNLEY NV 89408 Lyon 775-575-7171 Physicians Family Medicine 880502320PATEL, IRYNA 670 SIERRA ROSE DR RENO NV 89511 Washoe 775-322-4550 Physicians Nephrology 201405833PATEL, JANMEJAY J 9280 W SUNSET RD STE 320 LAS VEGAS NV 89148 Clark 702-534-5464 Physicians Cardiology 880213519PATEL, JUSMIN R 855 RAILROAD ST ELKO NV 89801 Elko 775-322-4550 Physicians Nephrology 201405833PATEL, KETAN 4855 BLUE DIAMOND RD STE 100 LAS VEGAS NV 89139 Clark 702-216-7305 Physicians Emergency Medicine 271562128PATEL, KUSH D 9127 W RUSSELL RD LAS VEGAS NV 89148 Clark 702-878-0070 Physicians Anesthesiology 200420553PATEL, MITULKUMAR P 5850 POLARIS AVE STE 100 LAS VEGAS NV 89118 Clark 702-739-9957 Physicians Internal Medicine 752014828PATEL, PARUL J 1524 PINTO LN FL 3 LAS VEGAS NV 89106 Clark 702-992-6868 Physicians Pediatric Endocrinology 813419791PATEL, PRIYANKA S 10624 S EASTERN AVE STE A955 HENDERSON NV 89052 Clark 702-800-5393 Physicians Internal Medicine 263668328PATEL, PURVI 1707 W CHARLESTON BLVD STE 160 LAS VEGAS NV 89102 Clark 702-671-5150 Physicians General Surgery 880330858PATEL, RAJ 4980 W SAHARA AVE LAS VEGAS NV 89146 Clark 702-216-7365 Physicians Family Medicine 271065031PATEL, RASIKA K 7140 N DURANGO DR STE 110 LAS VEGAS NV 89149 Clark 702-740-5437 Physicians General Dentist 822856088PATEL, SAGAR D 7391 W CHARLESTON BLVD LAS VEGAS NV 89117 Clark 702-823-4255 Physicians Emergency Medicine 880262438PATEL, SAMIR J 1707 W CHARLESTON BLVD STE 230 LAS VEGAS NV 89102 Clark 702-671-5060 Physicians Internal Medicine 880330858PATEL, SANKET L 5380 S RAINBOW BLVD STE 306 LAS VEGAS NV 89118 Clark 702-379-4753 Physicians Internal Medicine 205497067PATEL, SARAV K 170 S GREEN VALLEY PKWY STE 300 HENDERSON NV 89012 Clark 702-794-1241 Physicians Internal Medicine 472192630PATEL, SARIKA R 8370 W CHEYENNE AVE STE 103 LAS VEGAS NV 89129 Clark 702-388-8989 Physicians General Dentist 371797092PATEL, SUSHIL R 10624 S EASTERN AVE STE A-960 HENDERSON NV 89052 Clark 702-875-4222 Physicians Internal Medicine 274002331PATEL, SWETAL D 102 E LAKE MEAD PKWY HENDERSON NV 89015 Clark 702-564-2622 Physicians Internal Medicine 472990144PATEL, VAMAN K 2012 S JONES BLVD LAS VEGAS NV 89146 Clark 702-360-1137 Rehabilitation Physical Therapy 412129643PATEL, VIRAG P 9127 W RUSSELL RD LAS VEGAS NV 89148 Clark 702-878-0070 Physicians Anesthesiology 461237632PATEL, YOGESH K 8930 W SUNSET RD STE 300 LAS VEGAS NV 89148 Clark 702-258-7788 Physicians General Surgery 880336385PATIDAR, SANDIP A 4275 BURNHAM AVE STE 127B LAS VEGAS NV 89119 Clark 702-990-6900 Physicians Radiology/Diagnostic 880447330PATIN, CHRISTOPHER T 5295 SUN VALLEY BLVD STE 8 SUN VALLEY NV 89433 Washoe 775-870-4334 Physicians Family Medicine 263303591PATON G. WHIMPLE DO LLC 1995 ERRECART BLVD STE 107 ELKO NV 89801 Elko 775-777-1895 Physicians Internal Medicine 030543598PATRICIO JR, ROGER R 5320 S RAINBOW BLVD STE 154 LAS VEGAS NV 89118 Clark 702-853-3853 Physicians Certified Nurse Practitioner 464920174PATRICK, RICKY M 1000 S RAINBOW BLVD LAS VEGAS NV 89145 Clark 702-479-4881 Physicians Certified Nurse Practitioner 880213519PATTERSON, DENIS G 10715 DOUBLE R BLVD BLDG 11 RENO NV 89521 Washoe 775-284-8650 Physicians Physical Medicine & Rehabilitation264664305PATTERSON, JACQUELINE N 6545 S FORT APACHE RD STE 110 LAS VEGAS NV 89148 Clark 702-331-4444 Physicians General Dentist 262473394PATTERSON, MICHELLE A 848 N RAINBOW BLVD STE 357 LAS VEGAS NV 89107 Clark 702-804-0026 Rehabilitation Physical Therapy 880386672PATTI, ROBERT W 2080 E FLAMINGO RD LAS VEGAS NV 89119 Clark 702-734-8876 Physicians Orthopedic Surgery 341344779PATYNOWSKI, NINA 415 W SOPHIA ST STE 100 CARSON CITY NV 89703 Carson City 775-841-5530 Physicians Certified Nurse Practitioner 880502320PAUL, ANISHA V 59 DAMONTE RANCH PKWY STE F RENO NV 89521 Washoe 775-851-2204 Physicians General Dentist 461410369PAUL, STEVEN F 6950 SMOKE RANCH RD STE 200 LAS VEGAS NV 89128 Clark 702-360-8918 Physicians Oral Surgery 412110757PAULBICK, CHRIS J 2980 S JONES BLVD LAS VEGAS NV 89146 Clark 702-256-2225 Physicians Chiropractor 880431711PAULINO, ROBERT J 2151 VILLAGE WALK DR APT 15303 HENDERSON NV 89012 Clark 917-640-6231 Physicians Internal Medicine 232772504PAULRAJ, NIRUPA 10624 S EASTERN AVE STE A955 HENDERSON NV 89052 Clark 702-380-1888 Physicians Internal Medicine 263668328PAULSEN, MICHELLE M 679 SIERRA ROSE DR STE A RENO NV 89511 Washoe 775-324-4800 Rehabilitation Occupational Therapy 880302345

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 149 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDPAULSON, LARRY E 901 E 2ND ST STE 303 RENO NV 89502 Washoe 800-656-7226 Physicians Physical Medicine & Rehabilitation200428885PAULSON, SHELLEY D 1811 S RAINBOW BLVD STE 210 LAS VEGAS NV 89146 Clark 702-641-8255 Rehabilitation Speech Pathology 721589409PAULUK, WENDY J 10870 S EASTERN AVE STE 103 HENDERSON NV 89052 Clark 702-386-1041 Physicians Psychology (Clinical) 880506362PAULY, QUINN 6570 S MCCARRAN BLVD RENO NV 89509 Washoe 775-982-8256 Physicians Family Medicine 540866046PAVLISIN, ANNE 973 MICA DR STE 201 CARSON CITY NV 89705 Douglas 775-392-3689 Rehabilitation Occupational Therapy 870699404PAXINOS, MARIA 4794 S EASTERN AVE LAS VEGAS NV 89119 Clark 702-732-0304 Physicians Social Worker 880142948PAYAM, AHOORA 595 W LAKE MEAD PKWY HENDERSON NV 89015 Clark 702-565-1007 Physicians Internal Medicine 880213519PAYOS, CARMELITA L 595 W LAKE MEAD PKWY HENDERSON NV 89015 Clark 702-566-5500 Physicians Family Medicine 880213519PB LAL MD A PROFESSIONAL CORP. 5701 W CHARLESTON BLVD STE 102 LAS VEGAS NV 89146 Clark 702-528-3557 Physicians General Surgery 272312652PEACOCK, ANGELIA L 1161 S VALLEY VIEW BLVD LAS VEGAS NV 89102 Clark 702-486-7670 Rehabilitation Audiology 886000022PEACOCK, THERESA L 2851 EL CAMINO AVE STE 101 LAS VEGAS NV 89102 Clark 702-380-3210 Physicians Certified Nurse Practitioner 880250024PEAK CONDITION LLC 6040 S RAINBOW BLVD STE B1 LAS VEGAS NV 89118 Clark 702-876-9737 Rehabilitation 201159020PEAK PERFORMANCE CHIROPRACTIC LLC 241 RIDGE ST STE 101 RENO NV 89501 Washoe 775-786-7325 Physicians Chiropractor 208069555PEAK PHYSICAL THERAPY 1575 E LINCOLN WAY SPARKS NV 89434 Washoe 877-611-3415 Rehabilitation 880443371PEAK PHYSICAL THERAPY (UT) 1561 S VIRGINIA ST RENO NV 89502 Washoe 775-322-4555 Rehabilitation 043821114PEARL VISION NELLIS 230 N NELLIS BLVD STE B LAS VEGAS NV 89110 Clark 702-452-2020 Physicians Optometry 271192356PEARL, JOANNE E 10155 W TWAIN AVE STE 110 LAS VEGAS NV 89147 Clark 702-722-2200 Physicians Certified Nurse Practitioner 880477868PEARSON, ERIK D 2375 E PRATER WAY SPARKS NV 89434 Washoe 775-331-7000 Physicians Emergency Medicine 475671561PEATROWSKY, JAMIE 5560 KIETZKE LN BLDG A RENO NV 89511 Washoe 775-322-7811 Physicians Urology 208628418PEAVINE FAMILY PRACTICE 2005 SIERRA HILND DR STE 101 RENO NV 89523 Washoe 775-624-6492 Physicians Family Medicine 231934804Peccole Ranch Quick Care 9320 W SAHARA AVE LAS VEGAS NV 89117 Clark 702-383-3850 Ambulatory Facilities 886000436PECK, RONALD L 1650 US HIGHWAY 395 N MINDEN NV 89423 Douglas 775-782-8847 Rehabilitation Physical Therapy 880243501PECK, STEVEN D 4680 S EASTERN AVE STE B LAS VEGAS NV 89119 Clark 702-454-4336 Physicians Chiropractor 880253391PEDDADA, ABHINAND V 1155 MILL ST RENO NV 89502 Washoe 775-982-5638 Physicians Radiation Oncology 272894276PEDERSEN, REGINA D 1055 S WELLS AVE STE 120 RENO NV 89502 Washoe 775-329-6300 Physicians Family Medicine 880293149PEDERSON, CHRISTOPHER A 401 ROYALTON DR LAS VEGAS NV 89144 Clark 702-289-4562 Physicians Occupational Medicine 463529817PEDIATRIC ASSOCIATES 350 W 6TH ST STE A2 RENO NV 89503 Washoe 775-329-2525 Physicians Pediatrics 880459167PEDROCHE, SHARON V 2025 CIVIC CENTER DR NORTH LAS VEGAS NV 89030 Clark 702-633-7970 Physicians Certified Nurse Practitioner 260684470PEELE, KATHLEEN 75 PRINGLE WAY STE 300 RENO NV 89502 Washoe 775-982-6020 Physicians Certified Nurse Practitioner 880502320PEERA, FATEHALI G 1524 PINTO LN FL 3 LAS VEGAS NV 89106 Clark 702-992-6868 Physicians Pediatrics 813419791PEFLEY, MEGHAN N 2667 ENTERPRISE RD RENO NV 89512 Washoe 775-688-1341 Rehabilitation Physical Therapy 886000022PELICAN POINT DIALYSIS 7316 W CHEYENNE AVE LAS VEGAS NV 89129 Clark 702-395-0227 Ambulatory Facilities 472066663PELLEGRINI, LAWRENCE J 2001 ERRECART BLVD ELKO NV 89801 Elko 888-952-6772 Physicians Emergency Medicine 880307849PENA, LEINI-LUCK C 9127 W RUSSELL RD LAS VEGAS NV 89148 Clark 702-878-0070 Physicians Anesthesiology 200420553PENA, MARIO 6900 PECOS RD NORTH LAS VEGAS NV 89086 Clark 702-791-9000 Physicians Family Medicine 880345631PENA, ROEHL T 6850 N DURANGO DR LAS VEGAS NV 89149 Clark 702-835-9870 Physicians Internal Medicine 462964527PENDLETON, DANIEL L 3001 SAINT ROSE PKWY HENDERSON NV 89052 Clark 702-616-6137 Physicians Emergency Medicine 824933457PENDLETON, ERIC B 601 W MOANA LN STE 4 RENO NV 89509 Washoe 775-825-5711 Physicians General Dentist 208198627PENDYALA, SWAROOP 1385 VISTA LN CARSON CITY NV 89703 Carson City 775-884-4567 Physicians Gastroenterology 880502320PENFIL, RICHARD L 2020 PALOMINO LN LAS VEGAS NV 89106 Clark 702-759-8600 Physicians Radiology/Diagnostic 822135009PENMAN II, ROBERT G 600 WHITNEY RANCH DR STE 5A HENDERSON NV 89014 Clark 702-433-5015 Physicians Chiropractor 800009949PENNA, ROGER M 2670 CRIMSON CANYON DR LAS VEGAS NV 89128 Clark 702-232-3189 Physicians Chiropractor 880452301PENNA, RONALD G 1301 BERTHA HOWE AVE STE 1 MESQUITE NV 89027 Clark 702-732-1290 Physicians Chiropractor 880176637PENNELLE, DONALD K 700 SHADOW LN STE 470 LAS VEGAS NV 89106 Clark 702-383-9800 Physicians Family Medicine 880165043PENNER, DAVID L 75 PRINGLE WAY STE 804 RENO NV 89502 Washoe 775-323-7500 Physicians General Surgery 880341656PENSIVY, SCOTT R 9070 W CHEYENNE AVE LAS VEGAS NV 89129 Clark 702-655-8535 Rehabilitation Physical Therapy 134222973PENTONY, SHANNON 880 SEVEN HILLS DR STE 140 HENDERSON NV 89052 Clark 702-990-2290 Rehabilitation Physical Therapy 880454760PEOPLES, RANDAL R 2865 SIENA HEIGHTS DR STE 131 HENDERSON NV 89052 Clark 702-616-6580 Physicians Neurological Surgery 770465765PEOPLES, REBECCA R 3140 TRADERS WAY WINNEMUCCA NV 89445 Humboldt 775-623-6580 Physicians Social Worker 886000022PEPE, HARRY 550 CALIFORNIA AVE BOULDER CITY NV 89005 Clark 702-376-7016 Physicians Family Medicine 271090455PERAHIA, BARAK 975 KIRMAN AVE STE 112 RENO NV 89502 Washoe 775-786-7200 Physicians Urology 880502320

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 150 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDPERALTA, CHRISTIAN R 242 LOS ALTOS PKWY SPARKS NV 89436 Washoe 775-354-1785 Physicians General Dentist 464871811PERAZA, FRANCISCO 4424 S EASTERN AVE LAS VEGAS NV 89119 Clark 702-732-7440 Physicians Pediatrics 260625345PERDICHIZZI, JUSTIN T 1701 N GREEN VALLEY PKWY STE 7A HENDERSON NV 89074 Clark 702-837-6555 Physicians General Dentist 264222951PEREL, LEON S 7730 W CHEYENNE AVE STE 107 LAS VEGAS NV 89129 Clark 941-313-3300 Physicians Anesthesiology 270638220PERER, MARVIN A 3150 N TENAYA WAY STE 630 LAS VEGAS NV 89128 Clark 702-562-0801 Physicians Gastroenterology 880230469PEREZ ANDREU, VIRGINIA 10624 S EASTERN AVE STE A955 HENDERSON NV 89052 Clark 702-407-7700 Physicians Internal Medicine 263668328PEREZ DE JANERO, ELENA 3186 S MARYLAND PKWY LAS VEGAS NV 89109 Clark 702-304-2144 Physicians Internal Medicine 201419272PEREZ, AMBER L 866 SEVEN HILLS DR STE 103 HENDERSON NV 89052 Clark 702-263-7800 Rehabilitation Physical Therapy 260349482PEREZ, ERIC 9127 W RUSSELL RD STE 110 LAS VEGAS NV 89148 Clark 702-878-0070 Physicians CRNA 200420553PEREZ, JORGE H 1000 N DIVISION ST STE 104 CARSON CITY NV 89703 Carson City 775-883-3336 Physicians Hematology/Oncology 460466378PEREZ, LISELOTT A 4800 ALPINE PL STE 1 LAS VEGAS NV 89107 Clark 702-870-6362 Physicians General Dentist 760762013PEREZ, MARK A 4275 BURNHAM AVE STE 210 LAS VEGAS NV 89119 Clark 702-384-7669 Physicians Family Medicine 020544084PEREZ-MONTES, MARIA D 9260 W SUNSET RD STE 200 LAS VEGAS NV 89148 Clark 702-255-3547 Physicians Obstetrics/Gynecology 880213519PEREZ-TSELIKIS, JACQUELINE L 6850 N DURANGO DR STE 406 LAS VEGAS NV 89149 Clark 702-260-4525 Physicians Pediatrics 880364745PERFORMANCE PHYSICAL THERAPY 720 ROBB DR STE 103 RENO NV 89523 Washoe 775-787-3733 Rehabilitation 043821114PERFORMANCE PHYSICAL THERAPY INC 720 ROBB DR STE 103 RENO NV 89523 Washoe 775-787-3733 Rehabilitation 208488469PERFORMANCE PHYSICAL THERAPY PC 70 E HORIZN RIDGE PKWY STE 180 HENDERSON NV 89002 Clark 702-856-0422 Rehabilitation 043821114PERINATAL ASSOCIATES OF NORTHERN NEVADA, LLP1500 E 2ND ST STE 108 RENO NV 89502 Washoe 775-829-0573 Physicians Obstetrics/Gynecology 810598528PERIYASAMY, BASKER 861 CORONADO CENTER DR STE 120 HENDERSON NV 89052 Clark 702-726-6344 Physicians Nephrology 462812104PERKES, ASHLEY A 2121 E FLAMINGO RD STE 114 LAS VEGAS NV 89119 Clark 702-382-8841 Physicians Dietitian 880436341PERKINS, ANNIE P 460 W HASKELL ST WINNEMUCCA NV 89445 Humboldt 775-623-6580 Physicians Social Worker 886000022PERKINS, ASHLEY 8035 S RAINBOW BLVD LAS VEGAS NV 89139 Clark 702-896-7211 Physicians General Dentist 205337268PERKINSON, BYRON L 10652 S EASTERN AVE HENDERSON NV 89052 Clark 702-476-2800 Physicians Family Medicine 463164188PERL, MELANIE R 10467 DOUBLE R BLVD RENO NV 89521 Washoe 775-853-9394 Physicians Family Medicine 880502320PERLMAN, HENRY 2475 W HORIZON RIDGE PKWY HENDERSON NV 89052 Clark 702-463-3501 Rehabilitation Physical Therapy 200932822PERLOT, ROY L 4880 WYNN RD LAS VEGAS NV 89103 Clark 702-871-5005 Physicians Internal Medicine 880213519PERNELL, ANDREA E 2810 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-870-2213 Physicians Physical Medicine & Rehabilitation452678856PERNULA, MICHAEL L 10521 JEFFREYS ST STE 100 HENDERSON NV 89052 Clark 702-724-2020 Physicians Ophthalmology 450930381PERO, JAMIE 2780 W HORIZON RIDGE PKWY HENDERSON NV 89052 Clark 702-564-4116 Rehabilitation Occupational Therapy 886000022PERRIN, RICHARD G 5590 KIETZKE LN RENO NV 89511 Washoe 775-323-2080 Physicians Neurological Surgery 880167036PERRINE, JOSEE A 844 W NYE LN STE 201 CARSON CITY NV 89703 Carson City 775-885-7717 Physicians Professional Counselor 680539101PERRON, AMANDA R 2012 S JONES BLVD LAS VEGAS NV 89146 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643PERRY III, EDWARD C 1470 MEDICAL PKWY CARSON CITY NV 89703 Carson City 775-348-8800 Physicians Neurological Surgery 270028866PERRY, JESSE E 1090 E DESERT INN RD STE 200 LAS VEGAS NV 89109 Clark 702-732-1493 Physicians Thoracic Surgery 880133088PERRY, RODNEY 6837 W CHARLESTON BLVD LAS VEGAS NV 89117 Clark 702-240-0520 Physicians Chiropractor 880298616PERRYJR, ARCHIE C 8402 CENTENNIAL PKWY LAS VEGAS NV 89149 Clark 702-731-1616 Physicians Orthopedic Surgery 910858192PERSHING GENERAL HOSPITAL 855 6TH ST LOVELOCK NV 89419 Pershing 775-273-2621 Ambulatory Facilities 880201578Pershing General Hospitals Skilled Nursing Facility855 6TH ST LOVELOCK NV 89419 Pershing 775-273-2621 Rehabilitation 880201578PERVAIZ, SYED I 4972 S MARYLAND PKWY STE 2 LAS VEGAS NV 89119 Clark 702-740-4789 Physicians Internal Medicine 770588383PETAR JAMBORCIC, MD, A PROFESSIONAL CORP.8285 W ARBY AVE STE 390 LAS VEGAS NV 89113 Clark 702-614-1250 Physicians Internal Medicine 205747058PETERS, JENNIFER 1600 MEDICAL PKWY CARSON CITY NV 89703 Carson City 775-445-8795 Physicians Certified Nurse Practitioner 260755054PETERS, JENNIFER K 1600 MEDICAL PKWY CARSON CITY NV 89703 Carson City 240-686-2310 Physicians Certified Nurse Practitioner 521971689PETERS, OLIVIA 7425 W AZURE DR STE 140 LAS VEGAS NV 89130 Clark 702-515-4009 Rehabilitation Occupational Therapy 472546455PETERS, THOMAS A 8785 W WARM SPRINGS RD STE 1 LAS VEGAS NV 89148 Clark 702-263-4795 Physicians Internal Medicine 880498894PETERSEN, ANGELA A 435 S 13TH ST ELY NV 89301 White Pine 775-289-1622 Rehabilitation Physical Therapy 886000022PETERSON, AARON T 3100 N TENAYA WAY LAS VEGAS NV 89128 Clark 702-962-5000 Physicians Interventional Radiology 834325292PETERSON, APRIL C 1301 BERTHA HOWE AVE STE 1 MESQUITE NV 89027 Clark 877-455-4778 Physicians Certified Nurse Practitioner 832104232PETERSON, BRADLEY 4451 N RANCHO DR LAS VEGAS NV 89130 Clark 702-313-6868 Physicians General Dentist 454797322PETERSON, JAMES A 2020 PALOMINO LN STE 100 LAS VEGAS NV 89106 Clark 888-727-1074 Physicians Radiology/Diagnostic 453154648PETERSON, JENNIFER L 1104 N DIVISION ST CARSON CITY NV 89703 Carson City 775-882-9123 Physicians Optometry 880422211PETERSON, KATHERINE L 1475 MEDICAL PKWY CARSON CITY NV 89703 Carson City 775-883-3636 Physicians Obstetrics/Gynecology 880502320

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 151 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDPETERSON, MARK C 1600 W SUNSET RD STE B HENDERSON NV 89014 Clark 702-733-8341 Physicians Pediatric Dentist 880220425PETERSON, NATHAN R 2012 S JONES BLVD LAS VEGAS NV 89146 Clark 702-360-1137 Rehabilitation Physical Therapy 412129643PETERSON, STEVEN W 169 N NELLIS BLVD LAS VEGAS NV 89110 Clark 702-384-1010 Physicians General Dentist 371797092PETEVA, YOANA L 3025 S MARYLAND PKWY LAS VEGAS NV 89109 Clark 702-254-5437 Physicians Pediatrics 680640053PETRAS, MARIA H 1430 E CALVADA BLVD STE 200 PAHRUMP NV 89048 Nye 775-751-1555 Physicians Certified Nurse Practitioner 880213519PETRICK, JON S 2779 W HORIZON RIDGE PKWY STE 210 HENDERSON NV 89052 Clark 702-948-2520 Physicians Chiropractor 462346351PETRIE, CLARANNA 3602 E SUNSET RD STE 100 LAS VEGAS NV 89120 Clark 702-932-4308 Physicians Marriage & Family Therapist 870693568PETRIE, JUSTIN 4270 S DECATUR BLVD STE B6 LAS VEGAS NV 89103 Clark 702-485-2100 Physicians Psychiatry 812219401PETRIE, NATASHA 6160 W TROPICANA AVE STE E1 LAS VEGAS NV 89103 Clark 702-858-9466 Physicians General Dentist 474703621PETRO-ROY, RACHEL 555 W ARLINGTON AVE RENO NV 89503 Washoe 775-786-3040 Physicians Certified Nurse Practitioner 880103557PETRUSO, MICHAEL J 3150 N TENAYA WAY STE 120 LAS VEGAS NV 89128 Clark 702-598-3999 Physicians Internal Medicine 880252300PETRY, AMANDA J 2780 S JONES BLVD STE 100A LAS VEGAS NV 89146 Clark 702-820-3061 Physicians Social Worker 820870653PETTERSEN, JODI A 783 BASQUE WAY STE 103 CARSON CITY NV 89706 Carson City 775-720-3490 Physicians Dietitian 680642743PEUGH, WILLIAM N 3196 S MARYLAND PKWY STE 303 LAS VEGAS NV 89109 Clark 702-735-2305 Physicians General Surgery 880104685PEZANOSKI, JONATHAN P 10619 PROFESSIONAL CIR RENO NV 89521 Washoe 775-852-4848 Physicians Gastroenterology 880182841PFAU, WILLIAM 5250 KIETZKE LN RENO NV 89511 Washoe 775-829-8855 Physicians Gastroenterology 880502320PFEIFFER, AMY M 3131 LA CANADA ST STE 200 LAS VEGAS NV 89169 Clark 702-731-8224 Physicians Certified Nurse Practitioner 880213519PFISTER, JESSICA M 2779 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 89052 Clark 702-222-1000 Rehabilitation Physical Therapy 860861354PHAM, ANN 4210 W CRAIG RD STE 104 NORTH LAS VEGAS NV 89032 Clark 702-436-5222 Physicians General Dentist 460496618PHAM, CHI T 7377 S JONES BLVD STE 110 LAS VEGAS NV 89139 Clark 702-382-2709 Physicians General Dentist 412157076PHAM, CHRISTIAN 60 S STEPHANIE ST STE 100 HENDERSON NV 89012 Clark 702-558-5788 Physicians General Dentist 263156004PHAM, JEREMY H 3405 MARKET ST STE 102 CARSON CITY NV 89706 Carson City 775-461-1180 Physicians General Dentist 320479852PHAM, KIM VY C 1825 E FLAMINGO RD LAS VEGAS NV 89119 Clark 702-798-6684 Physicians General Dentist 815463734PHAM, QUYEN M 3375 E TROPICANA AVE STE F8 LAS VEGAS NV 89121 Clark 702-964-3626 Physicians General Dentist 811004194PHAM, TRACY 6160 W TROPICANA AVE STE E1 LAS VEGAS NV 89103 Clark 702-858-9466 Physicians General Dentist 474703621PHAM, TREY Q 2020 PALOMINO LN STE 100 LAS VEGAS NV 89106 Clark 702-759-8600 Physicians Radiology/Diagnostic 880119638PHAM, YVES 1985 N NELLIS BLVD LAS VEGAS NV 89115 Clark 702-531-3777 Physicians General Dentist 474689651PHAN, ANTHONY 6116 W FLAMINGO RD LAS VEGAS NV 89103 Clark 702-369-5551 Physicians General Dentist 800563636PHAN, DAWNA T 860 S RANCHO DR STE 4 LAS VEGAS NV 89106 Clark 702-878-0808 Physicians General Dentist 371797092PHAN, HUNG C 8280 W WARM SPRINGS RD LAS VEGAS NV 89113 Clark 702-492-8000 Physicians Internal Medicine 201026537PHAN, NAM M 5001 E BONANZA RD STE 160 LAS VEGAS NV 89110 Clark 702-307-2273 Physicians General Dentist 821394606PHAN, NHUNG 4380 BLUE DIAMOND RD STE 102 LAS VEGAS NV 89139 Clark 702-425-4424 Physicians General Dentist 261748512PHAN, PAUL H 3625 S RAINBOW BLVD STE 103 LAS VEGAS NV 89103 Clark 702-227-0085 Physicians General Dentist 453996711PHANG, FRANCES W 1111 SHADOW LN LAS VEGAS NV 89102 Clark 702-383-4040 Physicians General Surgery 880219190PHARES, TANYA M 1155 MILL ST RENO NV 89502 Washoe 775-982-7878 Physicians Internal Medicine 330587175PHARRIS, SHEREE L 1201 SOUTH CARSON STREET CARSON CITY NV 89701 Carson City 775-445-7330 Physicians Certified Nurse Practitioner 880502320PHEN, HUAI C 80 N PECOS RD STE D HENDERSON NV 89074 Clark 702-438-2500 Physicians General Dentist 454797322PHILANDER, PETER 2481 PROFESSIONAL CT LAS VEGAS NV 89128 Clark 702-382-1599 Physicians Family Medicine 880330858PHILIPS, MELISSA 2831 SAINT ROSE PKWY STE 200 HENDERSON NV 89052 Clark 800-249-1266 Physicians Marriage & Family Therapist 452748445PHILLIP DAVID MALINAS, M.D. 255 W MOANA LN STE 110 RENO NV 89509 Washoe 775-440-1520 Physicians Psychiatry 275565244PHILLIPS, ALFRED 1520 VIRGINIA RANCH RD GARDNERVILLE NV 89410 Douglas 775-782-1550 Physicians Emergency Medicine 261513495PHILLIPS, ALFRED 1520 VIRGINIA RANCH RD GARDNERVILLE NV 89410 Douglas 775-782-1550 Physicians Emergency Medicine 880405927PHILLIPS, CHARI 3360 E RUSSELL RD STE C LAS VEGAS NV 89120 Clark 702-458-4423 Physicians Marriage & Family Therapist 880253339PHILLIPS, CHRISTOPHER J 8280 W WARM SPRINGS RD LAS VEGAS NV 89113 Clark 702-492-8000 Physicians Anesthesiology 204727467PHILLIPS, HEBER S 8280 W WARM SPRINGS RD LAS VEGAS NV 89113 Clark 702-492-8600 Physicians Emergency Medicine 880262438PHILLIPS, KENT L 5220 NEIL RD RENO NV 89502 Washoe 775-332-1750 Physicians Orthodontist 880502320PHILLIPS, KIMBERLY A 7670 W SAHARA AVE STE 2 LAS VEGAS NV 89117 Clark 702-457-7400 Physicians Certified Nurse Practitioner 475300373PHILLIPS, MITCHEL E 5970C S RAINBOW BLVD STE 100 LAS VEGAS NV 89118 Clark 702-363-4000 Physicians Family Medicine 880160813PHIPPS, TIMOTHY D 1775 BROWNING WAY STE 201 ELKO NV 89801 Elko 775-777-3535 Physicians Orthopedic Surgery 331038798PHUI, ANDY 6885 ALIANTE PKWY STE 111 NORTH LAS VEGAS NV 89084 Clark 702-515-1888 Physicians General Dentist 204508246PHUNG, THIEN P 1155 MILL ST # W11 RENO NV 89502 Washoe 775-982-5000 Physicians Internal Medicine 880291454

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 152 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDPHYS SURG CTR OF NEVADA 3475 GS RICHARDS BLVD STE 110 CARSON CITY NV 89703 Carson City 775-885-7726 Ambulatory Facilities 471884235PHYSICAL THERAPY PARTNERS 3595 HWY 50 W SILVER SPRINGS NV 89429 Lyon 775-577-2117 Rehabilitation 043821114PHYSICAL THERAPY PARTNERS NEVADA LLC3595 HWY 50 W SILVER SPRINGS NV 89429 Lyon 775-577-2117 Rehabilitation 510513345PHYSICAL THERAPY SPORTS REHAB 9393 GATEWAY DR RENO NV 89521 Washoe 775-853-3345 Rehabilitation 043821114PHYSIOTHERAPY ASSOCIATES 5920 S RAINBOW BLVD STE 1 LAS VEGAS NV 89118 Clark 702-248-7903 Rehabilitation 841452795PIASTA, ERMA 2441 TECH CENTER CT LAS VEGAS NV 89128 Clark 702-318-8260 Physicians Professional Counselor 450504272PICENO KIDNEY & HYPERTENSION SPECIALISTS LLC600 WHITNEY RANCH DR STE A3B HENDERSON NV 89014 Clark 702-558-6366 Physicians Nephrology 463547808PICENO, JESSIE M 2610 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 89052 Clark 702-818-9246 Physicians Nephrology 463547808PICHLER, CINDY B 1161 S VALLEY VIEW BLVD LAS VEGAS NV 89102 Clark 702-486-7670 Rehabilitation Audiology 886000022Pickert Medical Group, P.C. (dba Associated Anesthesiologists) LOGISTS OF RENO1 E LIBERTY ST STE 555 RENO NV 89501 Washoe 775-348-1900 Physicians Anesthesiology 880101307PIELAET, MARIA A 1201 SOUTH CARSON STREET CARSON CITY NV 89701 Carson City 775-885-4685 Physicians Family Medicine 880489509PIERCE III, JUDSON H 2351 PYRAMID WAY STE 20 SPARKS NV 89431 Washoe 775-331-4447 Physicians Chiropractor 880181996PIERCE, BETINA 7351 PRAIRIE FALCON RD STE 100 LAS VEGAS NV 89128 Clark 702-968-0520 Rehabilitation Physical Therapy 880447923PIERCE, PATRICIA M 5761 S FORT APACHE RD LAS VEGAS NV 89148 Clark 702-341-6610 Physicians Obstetrics/Gynecology 522406330PIERCE, S W 1800 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-383-2000 Physicians Family Medicine 886000436PIERCE, SABRINA M 1800 INDUSTRIAL RD STE 100 LAS VEGAS NV 89102 Clark 702-474-4104 Physicians Professional Counselor 043290453PIERSON, BRIAN M 2040 W CHARLESTON BLVD STE 504 LAS VEGAS NV 89102 Clark 702-671-6437 Physicians Psychiatry 886000022PIERSON, LEIGH A 3170 W SAHARA AVE STE 120 LAS VEGAS NV 89102 Clark 702-562-3590 Physicians Anesthesiology 880400218PIETRZAK, JENNIFER K 1701 N GREEN VALLEY PKWY HENDERSON NV 89074 Clark 702-650-0590 Physicians Social Worker 203418095PIKYAVIT, KRISTI M 2847 SAINT ROSE PKWY HENDERSON NV 89052 Clark 702-213-4848 Physicians Certified Nurse Practitioner 202335171PILGRIM, RUSSEL 4517 W SAHARA AVE LAS VEGAS NV 89102 Clark 702-301-8030 Physicians Social Worker 454429023PILLAR, MIKAYLA 2490 PASEO VERDE PKWY STE 115 HENDERSON NV 89074 Clark 702-515-4009 Rehabilitation Occupational Therapy 472546455PILLON, LUANA 7908 W SAHARA AVE LAS VEGAS NV 89117 Clark 702-600-8086 Physicians Nephrology 454779083PILLSBURY III, EDMUND P 2874 N CARSON ST STE 300 CARSON CITY NV 89706 Carson City 775-445-5500 Physicians Radiology/Diagnostic 811470804PILLSBURY, KINSEY R 1600 MEDICAL PKWY CARSON CITY NV 89703 Carson City 605-721-4900 Physicians Radiology/Diagnostic 460440466PILOSYAN, TATEVIK 6136 W SAHARA AVE LAS VEGAS NV 89146 Clark 702-362-9353 Physicians General Dentist 880513323PIMENTEL, IMELDA P 3630 N RANCHO DR STE 104 LAS VEGAS NV 89130 Clark 702-212-1240 Physicians Pediatrics 880482059PINARD, KRISTA L 3016 W CHARLESTON BLVD STE 150 LAS VEGAS NV 89102 Clark 702-790-2701 Physicians Psychiatry 886000022PINCOCK, JAMES L 1470 MEDICAL PKWY STE 260 CARSON CITY NV 89703 Carson City 775-884-4433 Physicians Oral Surgery 880502320PINEDA, MARIA JULIETA F 5876 S PECOS RD BLDG B LAS VEGAS NV 89120 Clark 702-733-0744 Physicians Certified Nurse Practitioner 461446286PINEGAR, CALEB O 2779 W HORIZON RIDGE PKWY HENDERSON NV 89052 Clark 702-990-2290 Physicians Orthopedic Surgery 880454760PINEIRO, MARIO 2510 WIGWAM PKWY STE 104 HENDERSON NV 89074 Clark 702-947-1000 Physicians Internal Medicine 203342696PINERO, SUSAN S 2020 PALOMINO LN LAS VEGAS NV 89106 Clark 702-759-8600 Physicians Radiology/Diagnostic 470894654PINGOL, ELLAINE S 10001 S EASTERN AVE STE 209 HENDERSON NV 89052 Clark 702-837-4397 Physicians Family Medicine 364469805PINION ORTHOPEDICS 1775 BROWNING WAY STE 201 ELKO NV 89801 Elko 775-777-3535 Physicians Orthopedic Surgery 331038798PINION REHABILITATION LLC 1775 BROWNING WAY ELKO NV 89801 Elko 775-738-4494 Rehabilitation 264238069PINNACLE EASYCARE CLINIC 1776 E WARM SPRINGS RD STE 200 LAS VEGAS NV 89119 Clark 702-932-8500 Ambulatory Facilities 432103482PINNACLE PAIN MEDICINE 550 W WASHINGTON ST STE 2 CARSON CITY NV 89703 Carson City 775-783-3494 Physicians Pain Management 201164332PINON, MONICA N 4355 S GRAND CANYON DR LAS VEGAS NV 89147 Clark 702-917-1694 Physicians Optometry 273839166PINSON, JENNY M 141 KEDDIE ST FALLON NV 89406 Churchill 775-423-7141 Physicians Certified Nurse Practitioner 886000022PINTAR, SUSAN R 2874 N CARSON ST STE 200 CARSON CITY NV 89706 Carson City 775-883-9003 Physicians Pediatrics 880449978PINTO, JOHN F 98 E LAKE MEAD PKWY STE 302 HENDERSON NV 89015 Clark 702-565-3037 Physicians Pulmonology 880242550PIONEER HEALTH CARE LLC 10743 WEATHER TOP CT LAS VEGAS NV 89135 Clark 702-921-6823 Physicians Internal Medicine 721597863PIONEER HEALTH RESOURCES INC. 85 CONTINENTAL DR RENO NV 89509 Washoe 775-324-5820 Ambulatory Facilities 204049306PIONEER URGENT FAMILY MED CLINIC 160 12TH ST ELKO NV 89801 Elko 775-738-2034 Ambulatory Facilities 860860509PIRANI, NADEER A 1905 MCDANIEL ST NORTH LAS VEGAS NV 89030 Clark 702-703-4340 Physicians Interventional Radiology 463758279PIROOZI, ALI 3186 S MARYLAND PKWY LAS VEGAS NV 89109 Clark 702-731-8240 Physicians Pediatrics 880371504PIRRAGLIA, MARIA V 9990 DOUBLE R BLVD STE 200 RENO NV 89521 Washoe 775-348-8800 Physicians Physical Medicine & Rehabilitation270028866PIRRUCCELLO, PAUL R 3670 GRANT DR STE 101 RENO NV 89509 Washoe 775-852-3333 Physicians Chiropractor 411310335PISTORIO, ASHLEY L 1707 W CHARLESTON BLVD STE 160 LAS VEGAS NV 89102 Clark 702-671-5112 Physicians Plastic & Reconstructive Surgery 813419791PITINO, LISA M 2385 E PRATER WAY STE 204 SPARKS NV 89434 Washoe 775-348-8800 Physicians Pain Management 270028866

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 153 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDPITOTTI, CHRISTOPHER J 1800 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-383-3736 Physicians Emergency Medicine 274752989PITTENGER, SUSAN M 6490 S MCCARRAN BLVD STE D1-28 RENO NV 89509 Washoe 775-826-6218 Physicians Psychology (Clinical) 886004349PITTENGER, TERRI 850 MILL ST RENO NV 89502 Washoe 775-982-5320 Physicians Psychology (Clinical) 886000022PITTERMAN, ARTHUR B 1736 BEARDEN DR LAS VEGAS NV 89106 Clark 702-366-1250 Physicians Internal Medicine 880205113PITTS, THOMAS R 4786 CAUGHLIN PKWY STE 305 RENO NV 89519 Washoe 775-825-3400 Physicians Orthodontist 880502320PITTS, TODD A 1000 N DIVISION ST STE 200 CARSON CITY NV 89703 Carson City 775-882-2067 Physicians General Surgery 880106584PIYEVSKY, YELENA 7481 W LAKE MEAD BLVD STE 100 LAS VEGAS NV 89128 Clark 702-304-1234 Physicians General Dentist 743057704PIZAN, MARICHU C 8854 CARRADORI AVE LAS VEGAS NV 89148 Clark 702-239-9235 Physicians Certified Nurse Practitioner 263668328PIZIO, HELGA L 7305 S PECOS RD STE 101 LAS VEGAS NV 89120 Clark 702-485-5000 Physicians Ophthalmology 880404140PLANINIC, PETAR 2231 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-944-2805 Physicians Obstetrics/Gynecology 880330858PLATKA-BIRD, LORRAINE 421 W PLUMB LN STE 1 RENO NV 89509 Washoe 775-525-8103 Physicians Dietitian 825259010PLATON, PACITA S 1715 KUENZLI ST RENO NV 89502 Washoe 775-329-5162 Physicians Pediatrics 886004349PLAUTZ, JOSEPH W 653 N TOWN CENTER DR STE 602 LAS VEGAS NV 89144 Clark 702-255-3547 Physicians Obstetrics/Gynecology 201780157PLAZA, CARL ANTHONY L 3835 S JONES BLVD STE 103 LAS VEGAS NV 89103 Clark 702-880-4193 Physicians Certified Nurse Practitioner 880404982PLECHA JR, STANLEY L 6490 S MCCARRAN BLVD STE D40 RENO NV 89509 Washoe 775-284-0100 Physicians Ophthalmology 203707845PLEITEZ, CHRISTINE G 10120 S EASTERN AVE STE 243 HENDERSON NV 89052 Clark 702-803-5534 Physicians Certified Nurse Practitioner 202096335PLETINSKAYA, EKATERINA 461 N MOAPA VALLEY BLVD OVERTON NV 89040 Clark 702-397-6344 Physicians Family Medicine 880374072PLON, MARINA 4275 BURNHAM AVE LAS VEGAS NV 89119 Clark 702-796-4278 Physicians Cardiology 880217735PLOTNITSKIY, GENNADIY 1546 W WARM SPRINGS RD STE 130 HENDERSON NV 89014 Clark 702-248-0000 Physicians Obstetrics/Gynecology 271424074PLUNKETT, DAVID M 2020 PALOMINO LN LAS VEGAS NV 89106 Clark 702-759-8779 Physicians Radiology/Diagnostic 822135009PO, GREGORY B 5001 E BONANZA RD STE 160 LAS VEGAS NV 89110 Clark 702-307-2273 Physicians General Dentist 821394606POCKEY, MAURICE 1090 E DESERT INN RD STE 200 LAS VEGAS NV 89109 Clark 702-732-1493 Physicians Thoracic Surgery 880133088PODLOSKI, ANTHONY G 7664 W LAKE MEAD BLVD STE 107 LAS VEGAS NV 89128 Clark 702-254-6222 Physicians Optometry 880322065POHL, MELVIN I 3321 N BUFFALO DR LAS VEGAS NV 89129 Clark 702-868-5800 Physicians Family Medicine 043751284POKHAREL, SANDESH B 1500 E 2ND ST RENO NV 89502 Washoe 775-982-5000 Physicians Internal Medicine 260755054POKROY, NEVILLE 500 S RANCHO DR STE 12 LAS VEGAS NV 89106 Clark 702-877-1887 Physicians Nephrology 891064844POKROY, RAANAN E 4980 W SAHARA AVE LAS VEGAS NV 89146 Clark 702-216-7365 Physicians Emergency Medicine 824933457POLATIS, TODD 6592 N DECATUR BLVD STE 115 LAS VEGAS NV 89131 Clark 702-396-4993 Physicians Chiropractor 821213332POLCE, DEAN R 9127 W RUSSELL RD LAS VEGAS NV 89148 Clark 702-878-0070 Physicians Anesthesiology 731451967POLETE, JEDIDIAH D 129 W LAKE MEAD PKWY # B-18 HENDERSON NV 89015 Clark 702-564-4440 Physicians CRNA 880213519POLINER, ROBERT 2020 PALOMINO LN LAS VEGAS NV 89106 Clark 702-759-8600 Physicians Radiology/Diagnostic 831984436POLIO, JOSEPH A 555 W ARLINGTON AVE RENO NV 89503 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557POLISETTY, SUDHEER K 1800 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-207-8253 Physicians Internal Medicine 208753074POLITZ, JODI S 653 N TOWN CENTER DR LAS VEGAS NV 89144 Clark 702-240-8038 Physicians Podiatry 880475400POLKINGHORN, ASHLEE S 10509 PROFESSIONAL CIR STE 101 RENO NV 89521 Washoe 775-323-6100 Physicians Neurological Surgery 880502320POLLARD, ANTHONY L 1341 SOUHT RAINBOW BOULEVARD SUIT STE 101LAS VEGAS NV 89102 Clark 702-255-4200 Physicians Family Medicine 880345631POLLARD, TATIANA B 123 17TH ST RENO NV 89557 Washoe 775-784-1533 Physicians Certified Nurse Practitioner 880291454POLLARO, MEREDITH 1850 DANIEL WEBSTER DR RENO NV 89509 Washoe 970-389-1624 Rehabilitation Occupational Therapy 886000022POLLOCK, HILTON R 3645 WARREN WAY RENO NV 89509 Washoe 775-825-3838 Physicians Obstetrics/Gynecology 880122015POLLOCK, VERNON W 169 N NELLIS BLVD LAS VEGAS NV 89110 Clark 702-384-1010 Physicians Orthodontist 300889342POMBIER, KATHLEEN M 1707 W CHARLESTON BLVD STE 220 LAS VEGAS NV 89102 Clark 702-944-2805 Physicians Obstetrics/Gynecology 813419791POMERANTZ, ANITA A 8285 W ARBY AVE STE 100 LAS VEGAS NV 89113 Clark 702-735-7154 Physicians Radiation Oncology 880213519POMERANTZ, DAVID A 8285 W ARBY AVE LAS VEGAS NV 89113 Clark 702-735-7154 Physicians Radiation Oncology 880133767POMERANTZ, MARC 801 S RANCHO DR # D1 LAS VEGAS NV 89106 Clark 702-477-0772 Physicians Radiology/Diagnostic 330872858POMERANZ, GARY A 9468 DOUBLE R BLVD STE B RENO NV 89521 Washoe 775-322-3333 Physicians Ophthalmology 200053554POMERANZ, MARCELLA 2031 MCDANIEL ST STE 140 NORTH LAS VEGAS NV 89030 Clark 702-633-0207 Physicians Certified Nurse Practitioner 262321457POMERLYAN, EMANUELLA 1200 MOUNTAIN ST CARSON CITY NV 89703 Carson City 775-882-1324 Physicians Certified Nurse Practitioner 880502320PONCE, MONICA R 7250 S DURANGO DR STE 110 LAS VEGAS NV 89113 Clark 702-432-4329 Physicians General Dentist 454807571PONNAIYA, PAUL R 7391 W CHARLESTON BLVD LAS VEGAS NV 89117 Clark 702-304-2144 Physicians Internal Medicine 202662761POOLE, STANLEY S 3186 S MARYLAND PKWY LAS VEGAS NV 89109 Clark 702-731-8000 Physicians Physical Medicine & Rehabilitation330587175POON CHUE, ALICE H 2950 S MARYLAND PKWY LAS VEGAS NV 89109 Clark 702-732-6000 Physicians Radiology/Diagnostic 880232199

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 154 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDPOON, LARRY 1800 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 330-493-4443 Physicians Emergency Medicine 943293742POON, SHARON L 7326 W CHEYENNE AVE LAS VEGAS NV 89129 Clark 702-386-4700 Physicians Anesthesiology 204727467POOPAT, CHAD 2020 PALOMINO LN LAS VEGAS NV 89106 Clark 702-759-8600 Physicians Radiology/Diagnostic 842544520POP, ANDREIA R 235 W 6TH ST RENO NV 89503 Washoe 775-329-5001 Physicians Internal Medicine 352182577POPESCU, ANDREW 5205 S DURANGO DR STE 103 LAS VEGAS NV 89113 Clark 702-384-2828 Physicians General Dentist 812651128POPESCU, RODICA M 1707 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-671-5175 Physicians General Dentist 850437737POPOV, MICHAEL 2040 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-671-5127 Physicians Psychiatry 886000022POPOVIC, MIRELA 10001 S EASTERN AVE HENDERSON NV 89052 Clark 702-483-4483 Physicians Certified Nurse Practitioner 474436324POPULAR MEDICAL CONSULTANTS 1301 S MARYLAND PKWY LAS VEGAS NV 89104 Clark 702-458-3800 Physicians Internal Medicine 421548531PORCII, CHARMAINE 4200 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-569-2566 Physicians Certified Nurse Practitioner 263668328PORCIUNCULA, AMELIA P 61 N NELLIS BLVD LAS VEGAS NV 89110 Clark 702-383-6250 Physicians Certified Nurse Practitioner 886000436POREMBA, ALAN S 5693 S JONES BLVD STE 113 LAS VEGAS NV 89118 Clark 702-838-6684 Physicians General Dentist 202273688PORRAS, JASON 1665 OLD HOT SPRINGS RD STE 150 CARSON CITY NV 89706 Carson City 775-687-0870 Physicians Social Worker 886000022PORRECA, EUGENE G 2655 BOX CANYON DR LAS VEGAS NV 89128 Clark 702-363-9900 Physicians General Surgery 770589284PORT JEFFERSON PHYSICAL THERAPY PC 129 W LAKE MEAD PKWY HENDERSON NV 89015 Clark 702-564-6712 Rehabilitation 043821114Portable X Ray of Southern Nevada 5488 DUNCAN DR LAS VEGAS NV 89130 Clark 702-655-0535 Ancillary Providers 880303625PORTEOUS, GREGSON J 7326 W CHEYENNE AVE LAS VEGAS NV 89129 Clark 702-386-4700 Physicians Anesthesiology 204727467PORTER, CLYDE W 1005 TERMINAL WAY STE 270 RENO NV 89502 Washoe 775-331-0177 Physicians Chiropractor 880178222PORTER, STANSBY A 8370 W CHEYENNE AVE STE 103 LAS VEGAS NV 89129 Clark 702-388-8989 Physicians General Dentist 371797092PORTILLO, GENGHIS N 1800 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-878-0070 Physicians Anesthesiology 592905984PORTNEY, ALEXANDER L 810 S DURANGO DR LAS VEGAS NV 89145 Clark 702-240-0874 Physicians Internal Medicine 260032731PORTNEY, MARINA M 810 S DURANGO DR LAS VEGAS NV 89145 Clark 702-240-0874 Physicians Internal Medicine 260032731PORTZ, STEPHEN J 9280 W SUNSET RD LAS VEGAS NV 89148 Clark 702-534-5464 Physicians Cardiology 880213519POSADAS, EMERSON S 620 SHADOW LN LAS VEGAS NV 89106 Clark 702-388-4506 Physicians Emergency Medicine 474980349POSKUTE-RODRIGUEZ, IRENA 1025 ROBERTA LN SPARKS NV 89431 Washoe 775-825-4744 Rehabilitation Speech Pathology 562328617POST ACUTE PHYSICIANS OF NEVADA VARGAS GROUP2325 E HARMON AVE LAS VEGAS NV 89119 Clark 877-749-7428 Physicians Physical Medicine & Rehabilitation813798308POTECHIN, JULIANA I 8205 W WARM SPRINGS RD STE 250 LAS VEGAS NV 89113 Clark 702-227-2152 Physicians Certified Nurse Practitioner 910858192POTRUCH, THEODORE 2020 GOLDRING AVE STE 206 LAS VEGAS NV 89106 Clark 702-382-2273 Physicians General Surgery 880294889POTSIC, BRADLEY 2020 PALOMINO LN LAS VEGAS NV 89106 Clark 702-759-8600 Physicians Radiology/Diagnostic 275233957POTTS, CURTIS R 595 MOUNT ROSE ST RENO NV 89509 Washoe 775-323-3286 Physicians Chiropractor 530585276POUR, HAMID 10870 W CHARLESTON BLVD STE 170 LAS VEGAS NV 89135 Clark 702-254-6412 Physicians General Dentist 260160921POURHAMIDI, JALEH 6395 S MCCARRAN BLVD STE B RENO NV 89509 Washoe 775-823-9419 Physicians Orthodontist 462690803POWELL, BRADY K 4765 S DURANGO DR STE 106 LAS VEGAS NV 89147 Clark 702-898-7633 Rehabilitation Physical Therapy 200932822POWELL, CRISTINA 5216 BOULDER HWY STE 105 LAS VEGAS NV 89122 Clark 702-547-6764 Physicians Certified Nurse Practitioner 852357914POWELL, MCCADE V 171 N GIBSON RD HENDERSON NV 89014 Clark 702-360-1137 Rehabilitation Physical Therapy 412129643POWELL, SUZANNE E 600 WHITNEY RANCH DR HENDERSON NV 89014 Clark 702-768-8762 Physicians Professional Counselor 473891728POWER HEALTH CHIROPRACTIC INC 1175 HARVARD WAY RENO NV 89502 Washoe 775-329-4402 Physicians Chiropractor 880483232POWERS, EMILY M 5190 NEIL RD STE 215 RENO NV 89502 Washoe 775-784-4917 Physicians Social Worker 860881749POWERS, JENNIFER D 9499 W CHARLESTON BLVD LAS VEGAS NV 89117 Clark 866-530-3940 Physicians Certified Nurse Practitioner 880213519PRABHU, RACHAKONDA D 5701 W CHARLESTON BLVD STE 100 LAS VEGAS NV 89146 Clark 702-877-9514 Physicians Pulmonology 880168054PRABHU, SURESH G 7100 SMOKE RANCH RD STE 100 LAS VEGAS NV 89128 Clark 702-545-0751 Physicians Internal Medicine 770632326PRADA, PATRICIA 1125 N MCCARRAN BLVD STE 107 SPARKS NV 89431 Washoe 775-359-9300 Physicians Pediatric Dentist 383984569PRADO, EFREM J 230 N NELLIS BLVD STE B LAS VEGAS NV 89110 Clark 702-452-2020 Physicians Optometry 271192356PRALL, ERIC M 9670 W TROPICANA AVE STE 110 LAS VEGAS NV 89147 Clark 702-227-4848 Physicians Chiropractor 880428536PRANGE, TRAVIS L 5546 S FORT APACHE RD STE 100B LAS VEGAS NV 89148 Clark 702-798-4778 Rehabilitation Physical Therapy 200932822PRASAD, AMISH S 4510 S EASTERN AVE STE 3 LAS VEGAS NV 89119 Clark 702-791-1952 Physicians Cardiology 880407499PRASAD, DARBHA R 100 N GRN VALLEY PKWY STE 310 HENDERSON NV 89074 Clark 702-877-1887 Physicians Nephrology 880136673PRASAD, HOLAVANAHALLI K 3730 S EASTERN AVE LAS VEGAS NV 89169 Clark 702-952-3400 Physicians Hematology/Oncology 880350180PRATAP, SURAJ 1905 CIVIC CENTER DR NORTH LAS VEGAS NV 89030 Clark 702-877-9514 Physicians Pediatrics 880168054PRATHER, STEPHANIE A 1649 LUCERNE ST MINDEN NV 89423 Douglas 775-782-1603 Physicians Certified Nurse Practitioner 261513495PRATT, ANN E 6554 S MCCARRAN BLVD STE B RENO NV 89509 Washoe 775-324-0288 Physicians General Surgery 880266640

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 155 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDPRATT, MEGAN R 75 PRINGLE WAY STE 401 RENO NV 89502 Washoe 775-982-3866 Physicians Certified Nurse Practitioner 880291454PRATT, RICHARD H 1701 N GREEN VALLEY PKWY STE 5C HENDERSON NV 89074 Clark 702-614-6550 Physicians Psychology (Clinical) 880406542PRAXAIR HEALTH CARE SERVICES 7585 COMMERCIAL WAY HENDERSON NV 89011 Clark 702-565-1800 Ancillary Providers 450467418Praxedes, Alejandra 1090 S ROCK BLVD RENO NV 89502 Washoe 775-856-6200 Physicians Marriage & Family Therapist 810550989PRECISION ORTHOTICS & PROSTHETICS 526 S TONOPAH DR STE 120 LAS VEGAS NV 89106 Clark 702-243-7671 Ancillary Providers 201711531PRECISION SURGERY CENTER 1701 WELLNESS WAY STE 202 LAS VEGAS NV 89106 Clark 702-310-9110 Ambulatory Facilities 465478811PREDDY, JAMES L 1800 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-385-0890 Physicians Emergency Medicine 833491734PREFERRED HOMECARE 871 GRIER DR LAS VEGAS NV 89119 Clark 702-951-6900 Ancillary Providers 860898663PREMAN, JENNIFER B 5165 SUMMIT RIDGE CT RENO NV 89523 Washoe 775-787-8200 Rehabilitation Physical Therapy 232446104Premier Health and Rehabilitation Center of Las Vegas2945 CASA VEGAS ST LAS VEGAS NV 89169 Clark 702-735-7179 Rehabilitation 200042669PREMIER PHYSICAL THERAPY 2213 N 5TH ST STE B ELKO NV 89801 Elko 775-777-0901 Rehabilitation 200702179PREMIER PHYSICAL THERAPY & SPORTS PERFORMANCE615 SIERRA ROSE DR STE 2A RENO NV 89511 Washoe 775-828-9724 Rehabilitation 200932822PREMIERE MEDICAL SERVICES 102 E LAKE MEAD PKWY HENDERSON NV 89015 Clark 702-622-4355 Physicians Internal Medicine 274002331PREMIERE OXYGEN, LLC 2436 PRECISION DR STE A MINDEN NV 89423 Douglas 775-267-2004 Ancillary Providers 204373878PREMIUM SURGICAL SERVICES CTR. 8954 SPANISH RIDGE AVE LAS VEGAS NV 89148 Clark 702-243-9555 Ambulatory Facilities 204221282PRESSLEY, HILAIRE A 6592 N DECATUR BLVD STE 130 LAS VEGAS NV 89131 Clark 702-998-8080 Physicians Optometry 880329534PRESTIGE HOME HEALTH CARE INC 6270 MCLEOD DR LAS VEGAS NV 89120 Clark 702-792-5112 Ancillary Providers 880401784PRESTIGE LASER & CATARACT INSTITUTE 8230 W SAHARA AVE STE 111 LAS VEGAS NV 89117 Clark 702-472-9902 Physicians Ophthalmology 453128512PRESTON, DIGBY M 75 PRINGLE WAY STE 401 RENO NV 89502 Washoe 775-786-3380 Physicians Orthopedic Surgery 880402693PREVOST, RACHEL N 1333 N BUFFALO DR UNIT 260 LAS VEGAS NV 89128 Clark 702-979-4268 Rehabilitation Speech Pathology 886000022PREWITT, ANNISE 600 WHITNEY RANCH DR # D19A HENDERSON NV 89014 Clark 702-531-3200 Physicians Social Worker 043290453PRIBYL, JAMIE L 615 SIERRA ROSE DR RENO NV 89511 Washoe 775-828-9724 Rehabilitation Physical Therapy 264664305PRICE, ROY V 480 GALLETTI WAY SPARKS NV 89431 Washoe 775-688-2001 Physicians Social Worker 886000022PRIDDY, NATHAN 2020 PALOMINO LN STE 100 LAS VEGAS NV 89106 Clark 702-759-8600 Physicians Radiology/Diagnostic 822135009PRIDHAM, SARAH 555 W ARLINGTON AVE RENO NV 89503 Washoe 775-786-3040 Rehabilitation Physical Therapy 880103557PRIESTMAN, SUSAN 321 N BUFFALO DR LAS VEGAS NV 89145 Clark 702-228-4559 Rehabilitation Physical Therapy 880300915PRIMARY CARE PLUS 6850 S VIRGINIA ST RENO NV 89511 Washoe 775-853-3333 Ambulatory Facilities 611496658PRIMARY HEALTH LINE DIAGNOSTIC CENTER3365 E FLAMINGO RD STE 3 LAS VEGAS NV 89121 Clark 702-434-6486 Physicians Radiology/Diagnostic 201902211PRIMAVERA, TYLER S 1155 MILL ST RENO NV 89502 Washoe 775-982-7878 Physicians Internal Medicine 880502320PRIMERANO, JAIME J 2380 W HORIZON RIDGE PKWY STE 110 HENDERSON NV 89052 Clark 702-823-4255 Physicians Emergency Medicine 880262438PRIMERO, BRENDA G 3211 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-871-3730 Physicians Certified Nurse Practitioner 465614751PRINA-TONNER, THERESA A 2667 ENTERPRISE RD RENO NV 89512 Washoe 775-688-1341 Rehabilitation Speech Pathology 886000022PRINCE, DOUGLAS R 830 S DURANGO DR STE 104 LAS VEGAS NV 89145 Clark 702-240-0202 Physicians General Dentist 880428545PRINCE, KEVIN D 2231 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-383-6276 Physicians Internal Medicine 886000436PRING, JAN L 3100 N TENAYA WAY LAS VEGAS NV 89128 Clark 702-731-8460 Physicians Pulmonology 331159527PRIOR, TAMI L 6940 SIERRA CENTER PKWY RENO NV 89511 Washoe 877-787-8518 Physicians Certified Nurse Practitioner 842050464PRITZ, NORMA 7250 S DURANGO DR STE 110 LAS VEGAS NV 89113 Clark 702-432-4329 Physicians General Dentist 454807571PRO-CARE MEDICAL INC 4420 ARVILLE ST STE 39 LAS VEGAS NV 89103 Clark 702-740-4138 Ancillary Providers 593117567ProCare Medical Center - Rainbow 6870 S RAINBOW BLVD LAS VEGAS NV 89118 Clark 702-396-6000 Ambulatory Facilities 262333043Procare Medical Group, LLC 5270 S FORT APACHE RD STE 330 LAS VEGAS NV 89148 Clark 702-776-6720 Ambulatory Facilities 821357714PROCHASKA, VERN J 880 SEVEN HILLS DR STE 140 HENDERSON NV 89052 Clark 702-990-2290 Physicians Orthopedic Surgery 880454760PROFESSIONAL ANESTHESIA COUNSULTANTS3540 W SAHARA AVE # 434 LAS VEGAS NV 89102 Clark 702-562-3590 Physicians Anesthesiology 880400218PROFETA, JOSEPH P 7326 W CHEYENNE AVE LAS VEGAS NV 89129 Clark 702-386-4700 Physicians Anesthesiology 880375544PROGRESSIVE EYECARE 1513 W CRAIG RD STE 1 NORTH LAS VEGAS NV 89032 Clark 702-368-2021 Physicians Optometry 201704287PROGRESSIVE HOSPITAL 4015 MCLEOD DR LAS VEGAS NV 89121 Clark 702-433-2200 Hospitals 460468751PROGRESSIVE MEDICAL ASSOCIATES INC. 3540 W SAHARA AVE # 244 LAS VEGAS NV 89102 Clark 702-921-6829 Physicians Internal Medicine 261877370PROKOP, TARA N 645 N ARLINGTON AVE STE 620 RENO NV 89503 Washoe 775-329-2525 Physicians Pediatrics 880459167PROSTHETIC CENTER OF EXCELLENCE 400 SHADOW LN STE 106 LAS VEGAS NV 89106 Clark 702-253-7802 Ancillary Providers 880414299PROSTHETIC CONSULTING TECHNOLOGIES 220 N HIGHWAY 395 SUITE STE 303 WASHOE VALLEY NV 89704 Washoe 775-831-1783 Ancillary Providers 203452706PROTELL, PETER H 1107 US HWY 395 N GARDNERVILLE NV 89410 Douglas 775-782-1600 Physicians Emergency Medicine 880405927PROTHRO, DAVID L 1475 TERMINAL WAY STE 81 RENO NV 89502 Washoe 775-322-4449 Physicians Cardiology 880377895

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 156 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDPROULX-VIGIL, YOLANDA M 6900 PECOS RD NORTH LAS VEGAS NV 89086 Clark 702-791-9000 Physicians Social Worker 886000022PRUETT, JOHN W 5190 NEIL RD STE 215 RENO NV 89502 Washoe 775-784-4917 Physicians Psychiatry 860881749PRUM, ANDRA L 2410 FIRE MESA ST STE 180 LAS VEGAS NV 89128 Clark 702-968-4371 Physicians Family Medicine 462964527PRUTZMAN, GEORGE W 689 SIERRA ROSE DR RENO NV 89511 Washoe 775-786-2100 Physicians Orthopedic Surgery 860860891PRUZANSKY, JULIE M 690 E PLUMB LN STE 200 RENO NV 89502 Washoe 775-322-4650 Physicians Social Worker 880296734PRY, SAMUALLA L 1001 RIO VISTA DR FALLON NV 89406 Churchill 775-423-3634 Physicians Social Worker 886000022PRYOR, LESLYE 7425 W AZURE DR STE 104 LAS VEGAS NV 89130 Clark 702-515-4009 Rehabilitation Speech Pathology 472546455PRYOR, NATHANIEL 5546 S FORT APACHE RD STE 100B LAS VEGAS NV 89148 Clark 702-798-4778 Rehabilitation Physical Therapy 200932822PSOINOS, DANIEL N 5190 NEIL RD STE 215 RENO NV 89502 Washoe 775-784-6388 Physicians Psychiatry 886000022PSP HOMECARE 3863 S VALLEY VIEW BLVD STE 11 LAS VEGAS NV 89103 Clark 855-476-7679 Ancillary Providers 330980823PSYCHIATRIC SOLUTIONS 1771 E FLAMINGO RD STE 120B LAS VEGAS NV 89119 Clark 702-444-4690 Ambulatory Facilities 810767628PSYCHOLOGY SPECIALISTS LTD 801 S RANCHO DR STE A2 LAS VEGAS NV 89106 Clark 702-805-5360 Physicians Psychology (Clinical) 352175684PTAK, ELIAS J 874 AMERICAN PACIFIC DR HENDERSON NV 89014 Clark 702-777-4803 Physicians Neurology 200363127PUCCI, NICOLE 6402 MCLEOD DR STE 5 LAS VEGAS NV 89120 Clark 702-898-5311 Physicians Social Worker 743067299PUEBLO MEDICAL IMAGING 8551 W LAKE MEAD BLVD LAS VEGAS NV 89128 Clark 702-228-0031 Physicians Radiology/Diagnostic 880288071PUEBLO MEDICAL IMAGING, LLC 8551 W LAKE MEAD BLVD LAS VEGAS NV 89128 Clark 702-228-0031 Physicians Radiology/Diagnostic 880188071PUGSLEY, BRENDA A 5250 NEIL RD STE 207 RENO NV 89502 Washoe 775-398-1981 Physicians Certified Nurse Practitioner 880502320PULMONARY MEDICINE ASSOCIATES 601 S ARLINGTON AVE RENO NV 89509 Washoe 775-329-1727 Ancillary Providers 880173816PULMONARY PHYSICIANS OF NEVADA 8275 S EASTERN AVE STE 200 LAS VEGAS NV 89123 Clark 702-614-4550 Physicians Critical Care 205529400PULMONARY REHAB CENTER OF LAS VEGAS LLC8685 S EASTERN AVE STE B LAS VEGAS NV 89123 Clark 702-914-1398 Rehabilitation 462622758PUMAREJO, ALEXI E 5546 S FORT APACHE RD STE 100B LAS VEGAS NV 89148 Clark 941-313-3300 Rehabilitation Physical Therapy 200932822PURAYIL, PREEMA P 1397 GALLERIA DR STE 100 HENDERSON NV 89014 Clark 702-436-5800 Physicians Family Medicine 880213519PURCELL, JOSHUA K 3315 W CRAIG RD STE 105 NORTH LAS VEGAS NV 89032 Clark 702-636-2843 Physicians Chiropractor 753094787PURDY, NAOMI C 9010 W CHEYENNE AVE LAS VEGAS NV 89129 Clark 702-240-8646 Physicians Family Medicine 431560263PURGASON, CHRISTIAN T 2375 E PRATER WAY SPARKS NV 89434 Washoe 775-331-7000 Physicians Emergency Medicine 943223279PURVIS CHIROPRACTIC 2304 ODDIE BLVD SPARKS NV 89431 Washoe 775-358-3590 Physicians Chiropractor 043821114PUSKAS, FERENC 3001 SAINT ROSE PKWY HENDERSON NV 89052 Clark 702-878-0070 Physicians Anesthesiology 860916679PUVVADA, RAO V 6161 W CHARLESTON BLVD BLDG 1 LAS VEGAS NV 89146 Clark 702-486-6045 Physicians Psychiatry 886000022PYRAMID LAKE TRIBAL HEALTH CLINIC 7337 SANSOL DR SPARKS NV 89436 Washoe 775-303-3851 Ambulatory Facilities 886004349QAZI, RIZWAN 7326 W CHEYENNE AVE STE 110 LAS VEGAS NV 89129 Clark 702-877-1887 Physicians Nephrology 880136773QNEIBI, NAWAL M 2653 W HORIZON RIDGE PKWY HENDERSON NV 89052 Clark 702-220-4006 Physicians Certified Nurse Practitioner 860891362QUACH, THIEN D 2600 S TOWN CENTER DR APT 2013 LAS VEGAS NV 89135 Clark 404-831-2786 Physicians Pain Management 202004975QUADRI, SYED M 6375 W CHARLESTON BLVD STE A100 LAS VEGAS NV 89146 Clark 206-734-5445 Physicians Psychiatry 813419791QUAGLIANA, JOSEPH M 10001 S EASTERN AVE STE 108 HENDERSON NV 89052 Clark 702-952-3444 Physicians Hematology/Oncology 232856644QUAGLIERI, CHARLES E 6630 S MCCARRAN BLVD STE 8 RENO NV 89509 Washoe 775-824-8100 Physicians Neurology 880211605QUAIL SURGICAL AND PAIN MANAGEMENT CENTER6630 S MCCARRAN BLVD RENO NV 89509 Washoe 775-827-7555 Ambulatory Facilities 880391609QUALICARE CHIROPRACTIC LTD 1736 E CHARLESTON BLVD PMB 255 LAS VEGAS NV 89104 Clark 702-614-6777 Physicians Chiropractor 860836654QUAM, THOMAS J 1800 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-383-2000 Physicians Family Medicine 886000436QUEJA, ASHTON-TRAVIS 9516 W FLAMINGO RD STE 200 LAS VEGAS NV 89147 Clark 702-254-3135 Physicians General Dentist 273147586Quest Diagnostics Incorporated 4230 BURNHAM AVE STE 250 LAS VEGAS NV 89119 Clark 702-733-7866 Ancillary Providers 880103554QUEYQUEP, DONNA C 1501 E CALVADA BLVD PAHRUMP NV 89048 Nye 702-454-6226 Physicians Pediatrics 880407938QUEZADA, YARINI 9260 W SUNSET RD STE 100 LAS VEGAS NV 89148 Clark 702-255-3547 Physicians Obstetrics/Gynecology 460766041QUIAMZON-ADOBO, JENNIFER G 633 N DECATUR BLVD LAS VEGAS NV 89107 Clark 702-258-4900 Physicians Certified Nurse Practitioner 943489399QUICK BIODIAGNOSTIC LAB LLC 3950 S EASTERN AVE STE 100 LAS VEGAS NV 89119 Clark 702-836-9688 Ancillary Providers 475148963QUINESARES, CHARYNNE A 283 N PECOS RD HENDERSON NV 89074 Clark 702-430-3570 Physicians Certified Nurse Practitioner 880213519QUINLAN, JENNIFER L 653 N TOWN CENTER DR STE 112 LAS VEGAS NV 89144 Clark 702-733-0981 Physicians Pediatrics 880367250QUINN, ANTHONY E 1701 W CHARLESTON BLVD STE 300 LAS VEGAS NV 89102 Clark 702-251-8000 Physicians Psychiatry 886000022QUINN, JOHN M 8930 W SUNSET RD STE 190 LAS VEGAS NV 89148 Clark 702-795-2273 Physicians General Dentist 451661335QUINN, SARAH C 670 SIERRA ROSE DR RENO NV 89511 Washoe 775-322-4550 Physicians Certified Nurse Practitioner 880502320QUINN, SOPHIA 3519 SAINT ROSE PKWY STE 110 HENDERSON NV 89052 Clark 702-529-0321 Physicians General Dentist 842583004QUINTANA, RICARDO 9127 W RUSSELL RD LAS VEGAS NV 89148 Clark 702-878-0070 Physicians CRNA 202428069

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 157 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDQUINTERO, CHAD E 2001 ERRECART BLVD ELKO NV 89801 Elko 775-738-5151 Physicians Internal Medicine 474209984QUINTERO, CHRISTIAN L 1707 W CHARLESTON BLVD STE 120 LAS VEGAS NV 89102 Clark 702-671-5060 Physicians Obstetrics/Gynecology 880330858QUINTON, SPENCER J 305 N PECOS RD STE A HENDERSON NV 89074 Clark 702-938-0320 Physicians Optometry 880437162QUINTOS, ROBBY A 8280 W WARM SPRINGS RD LAS VEGAS NV 89113 Clark 702-492-8000 Physicians Internal Medicine 472990144QUIROS, RAJ M 9127 W RUSSELL RD STE 110 LAS VEGAS NV 89148 Clark 702-878-0070 Physicians CRNA 852385334QUIROZ, DULCE P 7391 W CHARLESTON BLVD STE 140 LAS VEGAS NV 89117 Clark 702-304-2144 Physicians Internal Medicine 455187461QURASHI, MUNAWAR A 2847 SAINT ROSE PKWY HENDERSON NV 89052 Clark 702-464-7883 Physicians Physical Medicine & Rehabilitation203710982QURESHI, AMIR Z 4275 BURNHAM AVE STE 130 LAS VEGAS NV 89119 Clark 702-487-7119 Physicians Infectious Diseases 880497489QURESHI, HASHIM J 8845 W FLAMINGO RD STE 100 LAS VEGAS NV 89147 Clark 702-960-4150 Physicians Anesthesiology 463394675QURESHI, NAWAZ A 150 E HARMON AVE STE 202 LAS VEGAS NV 89109 Clark 702-949-2702 Physicians Pulmonology 880139242QURESHI, SAFDAR A 3540 W SAHARA AVE LAS VEGAS NV 89102 Clark 702-921-6823 Physicians Internal Medicine 721597863QURESHI, ZOYA 8689 W CHARLESTON BLVD LAS VEGAS NV 89117 Clark 702-616-5801 Physicians Certified Nurse Practitioner 721597863R.D. Prabhu-Lata K Shete MD's LTD 5701 W CHARLESTON BLVD LAS VEGAS NV 89146 Clark 702-877-9514 Ambulatory Facilities 880168254RABARA, RENATO O 4200 W CHARLESTON BLVD STE A LAS VEGAS NV 89102 Clark 702-677-0661 Physicians Certified Nurse Practitioner 822179860RACHAKONDA, TARA D 1905 CIVIC CENTER DR NORTH LAS VEGAS NV 89030 Clark 702-877-9514 Physicians Sleep Medicine 880168054RACKER, NICHOLAS S 343 ELM ST STE 100 RENO NV 89503 Washoe 775-789-6500 Physicians Anesthesiology 880101307RACOMA, ESTELA O 2620 ACOMA AVE PAHRUMP NV 89048 Nye 775-751-0754 Physicians Pediatrics 384924736RADHAKRISHNAN, GOWRI 3001 SAINT ROSE PKWY HENDERSON NV 89052 Clark 702-616-5925 Physicians Internal Medicine 472990144RADIATION ONCOLOGY CENTERS OF LAS VEGAS3006 S MARYLAND PKWY STE 100 LAS VEGAS NV 89109 Clark 702-894-5100 Physicians Radiation Oncology 880335047RADIATION THERAPY CENTER OF HENDERSON98 E LAKE MEAD PKWY STE 101 HENDERSON NV 89015 Clark 775-585-5311 Physicians Pain Management 880277034RADIOLOGY 24/7 1409 E LAKE MEAD BLVD NORTH LAS VEGAS NV 89030 Clark 702-649-7711 Physicians Radiology/Diagnostic 203657695RADIOLOGY ASSOCIATES OF NEVADA 8551 W LAKE MEAD BLVD STE 150SUITE LAS VEGAS NV 89128 Clark 702-228-0031 Physicians Radiology/Diagnostic 330872858RADIOLOGY CONSULTANTS, LTD. 645 N ARLINGTON AVE STE 250A RENO NV 89503 Washoe 855-896-8446 Physicians Radiology/Diagnostic 880145500RADIOLOGY SPECIALISTS LTD. 3186 S MARYLAND PKWY LAS VEGAS NV 89109 Clark 702-731-8211 Physicians Radiology/Diagnostic 880119638RADLOSKY, BRAD 5270 S FORT APACHE RD STE 340 LAS VEGAS NV 89148 Clark 702-273-3404 Physicians General Dentist 814017924RADMALL, AARON G 6180 N DECATUR BLVD STE 100 LAS VEGAS NV 89130 Clark 702-359-3107 Physicians Periodontist 821271826RAFALKO, CHRISTOPHER 800 S VALLEY VIEW BLVD LAS VEGAS NV 89107 Clark 702-252-8342 Physicians Social Worker 043290453RAFFERTY, DAVID 5575 S DURANGO DR STE 103 LAS VEGAS NV 89113 Clark 702-435-5437 Physicians Pediatrics 880213519RAFTOPOULOS, GEORGEANNE A 9127 W RUSSELL RD LAS VEGAS NV 89148 Clark 702-878-0070 Physicians Anesthesiology 731451967RAGLAND, DARRYL 7730 W CHEYENNE AVE STE 108 LAS VEGAS NV 89129 Clark 702-656-9977 Physicians General Dentist 680439938RAGUSA, DANIEL J 3416 N RAINBOW BLVD HENDERSON NV 89002 Clark 702-658-7777 Physicians Chiropractor 061658090RAHER, LAURIE E 7251 W LAKE MEAD BLVD STE 300 LAS VEGAS NV 89128 Clark 800-897-9177 Physicians Certified Nurse Practitioner 463916551RAHIM, MALIK T 8530 W SUNSET RD STE 110 LAS VEGAS NV 89113 Clark 702-489-9000 Physicians Cardiology 860993363RAHIMI, ALI R 2880 N TENAYA WAY STE 100 LAS VEGAS NV 89128 Clark 702-962-9550 Physicians Internal Medicine 331159527RAHIMZADEH, NARIMAN 10101 DOUBLE R BLVD RENO NV 89521 Washoe 775-982-7000 Physicians Anesthesiology 880101307RAHMAN, SYED F 3603 LAS VEGAS BLVD N STE 110 LAS VEGAS NV 89115 Clark 702-314-2400 Physicians Geriatric Medicine 880496981RAHMANNY, SABIR M 3100 N TENAYA WAY LAS VEGAS NV 89128 Clark 702-921-6823 Physicians Family Medicine 362604009RAHNEMA, MOLOUK F 653 N TOWN CENTER DR STE 504 LAS VEGAS NV 89144 Clark 702-701-8400 Physicians Endocrinology 460735948RAIFORD, SALLY T 2360 W HORIZON RIDGE PKWY STE 120 HENDERSON NV 89052 Clark 702-294-0433 Physicians Marriage & Family Therapist 454429023RAINBOW MEDICAL CENTER 821 N NELLIS BLVD LAS VEGAS NV 89110 Clark 702-438-4003 Physicians Family Medicine 880407695RAINBOW MEDICAL CENTERS 4920 W LONE MOUNTAIN RD LAS VEGAS NV 89130 Clark 702-438-2425 Physicians Family Medicine 880345631RAINBOW MEDICAL CENTERS - BOULDER 1341 S RAINBOW BLVD STE 101 LAS VEGAS NV 89146 Clark 702-255-4200 Physicians Family Medicine 880345631RAINBOW MEDICAL CENTERS - RAMPART 1341 S RAINBOW BLVD STE 101 LAS VEGAS NV 89146 Clark 702-255-4200 Physicians Family Medicine 880345631RAINBOW MEDICAL CENTERS - WEST 8522 DEL WEBB BLVD LAS VEGAS NV 89134 Clark 702-254-9192 Physicians Family Medicine 880407695RAINBOW MEDICAL CTRS NORTH 1341 S RAINBOW BLVD STE 101 LAS VEGAS NV 89146 Clark 702-255-4200 Physicians Family Medicine 880345631RAINBOW PEDIATRICS 2620 ACOMA AVE PAHRUMP NV 89048 Nye 775-751-0404 Physicians Pediatrics 262375554RAINER S VOGEL MD LTD. 10561 JEFFREYS ST STE 211 HENDERSON NV 89052 Clark 702-990-4530 Physicians Pain Management 203260432RAINES, FRANCIS L 2625 S RAINBOW BLVD LAS VEGAS NV 89146 Clark 702-502-9683 Physicians Chiropractor 475215286RAINEY, MATTHEW C 7130 SMOKE RANCH RD LAS VEGAS NV 89128 Clark 800-656-7226 Physicians Interventional Radiology 880119638RAINI, FRANCIS O 5120 S PECOS RD LAS VEGAS NV 89120 Clark 702-560-5973 Physicians Certified Nurse Practitioner 900837799RAISSI, ABDOLREZA 2800 E DESERT INN RD LAS VEGAS NV 89121 Clark 702-731-1616 Physicians Orthopedic Surgery 910858192

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 158 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDRAIYN, SAYED K 3220 N JONES BLVD STE 4 LAS VEGAS NV 89108 Clark 702-645-7310 Physicians General Dentist 383709520RAJA, ROSHAN 2847 SAINT ROSE PKWY STE 130 HENDERSON NV 89052 Clark 702-920-0290 Physicians Neurology 010784431RAJAMAND, SINA 10509 PROFESSIONAL CIR STE 101 RENO NV 89521 Washoe 775-323-6100 Physicians Neurological Surgery 204088419RAJAN, SUBHA 118 E HASKELL ST WINNEMUCCA NV 89445 Humboldt 775-623-5222 Physicians Family Medicine 886000088RAJU, SUJATHA 6970 W PATRICK LN STE 140 LAS VEGAS NV 89113 Clark 702-588-7077 Physicians Nephrology 462812104RALPHS, CHAZ G 7495 W AZURE DR LAS VEGAS NV 89130 Clark 702-515-4009 Rehabilitation Occupational Therapy 472546455RALSTON FAMILY PHYSICIANS 601 RALSTON ST STE 100 RENO NV 89503 Washoe 775-786-1110 Physicians Family Medicine 880459017RAMAN, SURESH 10101 DOUBLE R BLVD RENO NV 89521 Washoe 775-982-7000 Physicians Anesthesiology 880101307RAMANATHAN, RAVI S 2626 S RAINBOW BLVD STE 100 LAS VEGAS NV 89146 Clark 702-616-9471 Physicians Family Medicine 880461939RAMIREZ RODRIGUEZ, NORMA V 280 S DECATUR BLVD LAS VEGAS NV 89107 Clark 702-759-1000 Physicians Social Worker 880151573RAMIREZ, JUANITA C 3006 S MARYLAND PKWY LAS VEGAS NV 89109 Clark 702-369-5582 Physicians Family Medicine 880213519RAMIREZ, PAUL 1559 WATASHEAMU RD GARDNERVILLE NV 89460 Douglas 775-265-8622 Physicians General Practice 880120754RAMIREZ, RUTH F 1771 E FLAMINGO RD STE 120A LAS VEGAS NV 89119 Clark 702-444-4690 Physicians Certified Nurse Practitioner 810767628RAMIRO, MARIA P 1025 ROBERTA LN SPARKS NV 89431 Washoe 775-825-4744 Rehabilitation Speech Pathology 562328617RAMOS JR, EDUARDO 10624 S EASTERN AVE HENDERSON NV 89052 Clark 702-407-7700 Physicians Internal Medicine 272360802RAMOS, JIMMY G 939 S DECATUR BLVD 650 SHADOW LANE STE 12STE 12LAS VEGAS NV 89107 Clark 702-255-1114 Physicians Family Medicine 201264285RAMSEIER, JAMES A 500 N RAINBOW BLVD STE 203 LAS VEGAS NV 89107 Clark 702-878-0554 Physicians Emergency Medicine 204311300RAMSEY DIALYSIS LLC 1750 E DESERT INN RD LAS VEGAS NV 89169 Clark 702-732-2438 Ambulatory Facilities 472151613RAMSEY, DAVID L 205 S PRATT AVE CARSON CITY NV 89701 Carson City 775-882-3945 Physicians Certified Nurse Practitioner 880502320RAMSEY, KEVIN P 10561 JEFFREYS ST STE 100 HENDERSON NV 89052 Clark 702-478-5620 Physicians Family Medicine 271413336RANA, ARSHIYA R 8280 W WARM SPRINGS RD LAS VEGAS NV 89113 Clark 702-492-8000 Physicians Internal Medicine 472990144RANA, JIBRAN 1707 W CHARLESTON BLVD STE 100 LAS VEGAS NV 89102 Clark 702-676-3650 Physicians Internal Medicine 813419791RANAI, RAMCHAND B 100 N GRN VALLEY PKWY STE 310 HENDERSON NV 89074 Clark 702-877-1887 Physicians Nephrology 880136773RANASINGHE, RUCHIKA N 2320 MCDANIEL ST STE D NORTH LAS VEGAS NV 89030 Clark 702-633-7970 Physicians Pediatrics 880276559RANCHO INTERNAL MEDICINE 7010 SMOKE RANCH RD STE 120 LAS VEGAS NV 89128 Clark 702-256-3637 Physicians Internal Medicine 880479559RAND, JAMIE 1707 W CHARLESTON BLVD STE 230 LAS VEGAS NV 89102 Clark 314-977-6125 Physicians General Surgery 813419791RAND, KATHRYN E 685 E PRATER WAY STE 103 SPARKS NV 89431 Washoe 775-358-4600 Physicians Orthodontist 262128554RAND, ROBERT G 6880 S MCCARRAN BLVD STE 14 RENO NV 89509 Washoe 775-826-7263 Physicians Family Medicine 721596196RANDALL-STANIS, ADRIENNE 4270 S DECATUR BLVD STE B6 LAS VEGAS NV 89103 Clark 866-678-2924 Physicians Social Worker 264546700RANDAZZO, HANNAH 9990 DOUBLE R BLVD STE 200 RENO NV 89521 Washoe 775-348-8800 Rehabilitation Physical Therapy 270028866RANGA, VISHWESHWAR R 3201 S MARYLAND PKWY STE 100 LAS VEGAS NV 89109 Clark 702-649-8009 Physicians Internal Medicine 770632326RANGEL, LESLIE M 1250 LAMOILLE HWY STE 310 ELKO NV 89801 Elko 702-271-3942 Physicians Professional Counselor 886000022RANGNEKAR, ISHAN 4300 MEADOWS LN STE 1350 LAS VEGAS NV 89107 Clark 702-472-7320 Physicians General Dentist 371797092RANNIGER, STACIE L 9880 W FLAMINGO RD LAS VEGAS NV 89147 Clark 702-216-7335 Physicians Emergency Medicine 824933457RANSDELL, TRACY M 1725 E WARM SPRINGS RD STE 1 LAS VEGAS NV 89119 Clark 702-270-8790 Physicians General Dentist 454797322RANTISSI JR, MICHEL S 2625 W HORIZON RIDGE PKWY HENDERSON NV 89052 Clark 702-896-0383 Rehabilitation Physical Therapy 202279187RAO, ABHINAYA 5265 VISTA BLVD BLDG B SPARKS NV 89436 Washoe 775-352-5335 Physicians Internal Medicine 263303591RAO, AMBIKA 1707 W CHARLESTON BLVD STE 220 LAS VEGAS NV 89102 Clark 702-671-5070 Physicians Endocrinology 880330858RAO, ANITA B 2345 E PRATER WAY STE 207 SPARKS NV 89434 Washoe 775-352-5335 Physicians Family Medicine 263303591RAO, JAHNAVI 8929 W SAHARA AVE LAS VEGAS NV 89117 Clark 702-242-5251 Physicians Orthodontist 264117765RAPHI, MOHAMMED 5380 S RAINBOW BLVD LAS VEGAS NV 89118 Clark 725-333-8465 Physicians Certified Nurse Practitioner 462964527RAPID CARE MEDICAL CLINIC LLC 4270 S DECATUR BLVD LAS VEGAS NV 89103 Clark 702-798-7770 Ambulatory Facilities 260972029RAPID CARE MEDICAL CLINIC, LLC. 4375 W DESERT INN RD STE G LAS VEGAS NV 89102 Clark 702-798-7770 Physicians Family Medicine 260994642RAPID REHAB AND, WELLNESS CENTER 8751 W CHARLESTON BLVD LAS VEGAS NV 89117 Clark 702-982-2232 Rehabilitation 204635517RAPP JR, MANNY 1701 N GREEN VALLEY PKWY STE 8E HENDERSON NV 89074 Clark 702-492-1955 Physicians Pediatric Dentist 020637337RAPP, MARTIN A 1955 S CASINO DR STE 118 LAUGHLIN NV 89029 Clark 702-299-7203 Physicians Certified Nurse Practitioner 860993363RAPPAPORT, JAMES R 6630 S MCCARRAN BLVD STE A4 RENO NV 89509 Washoe 775-828-2873 Physicians Orthopedic Surgery 880435183RAROQUE, JENNIFER C 10624 S EASTERN AVE STE A955 HENDERSON NV 89052 Clark 702-380-1888 Physicians Internal Medicine 830477898RASHID, BASHIR Q 2470 E FLAMINGO RD STE D LAS VEGAS NV 89121 Clark 702-737-1427 Physicians Family Medicine 141999501RASHID, FARAN D 1700 ALTA DR APT 2003 LAS VEGAS NV 89106 Clark 646-645-5944 Physicians Internal Medicine 261891465RASHTAK, SHAHROOZ 1707 W CHARLESTON BLVD STE 160 LAS VEGAS NV 89102 Clark 702-671-6448 Physicians Gastroenterology 880330858

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 159 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDRASMUSSEN, DEBBIE J 835 ROCK BLVD SPARKS NV 89431 Washoe 775-355-7722 Physicians Marriage & Family Therapist 558753800RASMUSSEN, MALINDA 601 E WASHINGTON ST CARSON CITY NV 89701 Carson City 775-882-7085 Physicians Chiropractor 880502320RATH, DENIS C 305 N PECOS RD HENDERSON NV 89074 Clark 702-547-1588 Physicians Optometry 880432123RATLIFF CHIROPRACTIC 6441 N DURANGO DR STE 130 LAS VEGAS NV 89149 Clark 702-538-9100 Physicians Chiropractor 043821114RATNASABAPATHY, RAMALINGAM 6190 S FORT APACHE RD LAS VEGAS NV 89148 Clark 702-822-2000 Physicians Hematology/Oncology 880368011RAU, CRAIG S 1600 MEDICAL PKWY CARSON CITY NV 89703 Carson City 240-686-2310 Physicians Internal Medicine 474961193RAVEENDRAN, SHIRLEY A 5320 S RAINBOW BLVD STE 150 LAS VEGAS NV 89118 Clark 702-944-7105 Physicians Family Medicine 880213519RAVEN, KAREN A 3645 WARREN WAY RENO NV 89509 Washoe 775-825-3838 Physicians Obstetrics/Gynecology 880122015RAVICHANDRAN, PREETHI 8280 W WARM SPRINGS RD LAS VEGAS NV 89113 Clark 702-492-8000 Physicians Internal Medicine 472990144RAWAF, MUSTAFA M 2040 W CHARLESTON BLVD STE 302 LAS VEGAS NV 89102 Clark 702-671-2273 Physicians Psychiatry 886000022RAWLINGS, BRANDON H 3120 S RAINBOW BLVD STE 202 LAS VEGAS NV 89146 Clark 702-233-4327 Rehabilitation Audiology 262948435RAWSON, RAYMOND 2217 SCARLET ROSE DR LAS VEGAS NV 89134 Clark 702-731-5700 Physicians General Dentist 886000024RAXO DRUG INC 3199 S EASTERN AVE LAS VEGAS NV 89169 Clark 702-369-9135 Ambulatory Facilities 880305276RAYLS, KEVIN R 9280 W SUNSET RD STE 242 LAS VEGAS NV 89148 Clark 702-724-1400 Physicians General Surgery 880418505RAYMOND, VI N 6545 S FORT APACHE RD STE 110 LAS VEGAS NV 89148 Clark 702-331-4444 Physicians General Dentist 262473394RAZA, KASHIF 3100 N TENAYA WAY LAS VEGAS NV 89128 Clark 702-731-8460 Physicians Pulmonology 331159527RAZA, SYED M 3247 S MARYLAND PKWY LAS VEGAS NV 89109 Clark 702-776-3500 Physicians Critical Care 454953696RAZON, JOSEPHINE A 2625 W HORIZON RIDGE PKWY STE 120 HENDERSON NV 89052 Clark 702-896-0383 Rehabilitation Physical Therapy 202279187RAZZAQ, IRFANA K 8280 W WARM SPRINGS RD LAS VEGAS NV 89113 Clark 702-492-8000 Physicians Internal Medicine 472990144RCG-FIRE MESA 2450 FIRE MESA ST LAS VEGAS NV 89128 Clark 702-384-2242 Ambulatory Facilities 141956759REABILITATION ASSOCIATES OF NEVADA 653 N TOWN CENTER DR STE 418 LAS VEGAS NV 89144 Clark 702-869-5270 Physicians Physical Medicine & Rehabilitation880436841READENCE, DENISE J 311 N BUFFALO DR STE C LAS VEGAS NV 89145 Clark 702-341-0606 Rehabilitation Physical Therapy 260349482REAGAN, TIMOTHY D 1600 MEDICAL PKWY CARSON CITY NV 89703 Carson City 240-686-2310 Physicians Certified Nurse Practitioner 272167350REAGOR, ASHLEY C 2629 W HORIZON RIDGE PKWY HENDERSON NV 89052 Clark 702-545-0555 Rehabilitation Physical Therapy 454635610REAL CARE PHARMACY 4718 E FLAMINGO RD LAS VEGAS NV 89121 Clark 702-902-5400 Ancillary Providers 541637450REAM, ERIC J 3100 N TENAYA WAY LAS VEGAS NV 89128 Clark 972-915-3600 Physicians Emergency Medicine 880502320REAM, SARA M 1600 MEDICAL PKWY CARSON CITY NV 89703 Carson City 775-445-8000 Physicians Emergency Medicine 880502320REARDON, KATHLEEN M 3061 S MARYLAND PKWY STE 101 LAS VEGAS NV 89109 Clark 702-254-5437 Physicians Certified Nurse Practitioner 680640053REARDON, LEIGH C 3006 S MARYLAND PKWY STE 690 LAS VEGAS NV 89109 Clark 702-732-1290 Physicians Pediatric Cardiology 880176637REARRICK, JENNIFER 2261 PYRAMID WAY STE 2 SPARKS NV 89431 Washoe 775-331-4456 Physicians General Dentist 463352316REBENTISH, ALKA P 6088 S DURANGO DR STE D100 LAS VEGAS NV 89113 Clark 702-380-4242 Physicians Infectious Diseases 880330858REBIEJO, SHANNON M 1675 AVENUE F ELY NV 89301 White Pine 775-289-1671 Physicians Social Worker 886000022REBOTON, JONATHAN C 1409 E LAKE MEAD BLVD NORTH LAS VEGAS NV 89030 Clark 702-649-7711 Physicians Family Medicine 880480976RECHTZIGEL, DEANNA L 2650 N TENAYA WAY STE 301 LAS VEGAS NV 89128 Clark 702-878-0393 Physicians Certified Nurse Practitioner 201026537RECOVERCARE LLC 3170 POLARIS AVE UNIT 44 LAS VEGAS NV 89102 Clark 702-222-2444 Ancillary Providers 223661634RED ROCK BEHAVIORAL HEALTH HOSPITAL 5975 W TWAIN AVE LAS VEGAS NV 89103 Clark 702-214-8099 Hospitals 743150134RED ROCK GASTROENTEROLOGY OF LAS VEGAS3150 N TENAYA WAY STE 525 LAS VEGAS NV 89128 Clark 702-966-2446 Physicians Gastroenterology 205154617RED ROCK PODIATRY 8530 W SUNSET RD # 300 LAS VEGAS NV 89113 Clark 702-586-7468 Physicians Podiatry 451001337RED ROCK PSYCHOLOGICAL HEALTH LLC 6402 MCLEOD DR STE 5 LAS VEGAS NV 89120 Clark 702-292-5311 Physicians Social Worker 743067299RED ROCK RADIOLOGY SMOKE RANCH 7130 SMOKE RANCH RD LAS VEGAS NV 89128 Clark 855-476-1268 Physicians Radiology/Diagnostic 421706080REDA, BRIANNA 3700 GRANT DR RENO NV 89509 Washoe 775-829-4700 Rehabilitation Physical Therapy 880291454REDDY, ARCHANA V 2090 E FLAMINGO RD STE 200 LAS VEGAS NV 89119 Clark 702-733-9271 Physicians Ophthalmology 880316581REDDY, ATIGADDA N 880 RYLAND ST RENO NV 89502 Washoe 775-329-4600 Physicians Gastroenterology 880182841REDDY, GAUTHAM G 2401 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 89052 Clark 702-385-7001 Physicians Family Medicine 020530969REDDY, KIRAN 7391 W CHARLESTON BLVD STE 140 LAS VEGAS NV 89117 Clark 702-304-2144 Physicians Internal Medicine 911822851REDDY, PRAHLAD A 160 COUNTRY ESTATES CIR STE 2 RENO NV 89511 Washoe 775-322-9100 Physicians Rheumatology 263303591REDDY, RAVINDRANATH K 2100 N RAMPART BLVD LAS VEGAS NV 89128 Clark 702-731-2088 Physicians Ophthalmology 880107297REDDY, SANDEEP K 5575 S DURANGO DR LAS VEGAS NV 89113 Clark 702-435-5437 Physicians Pediatrics 880213519REDDY, TUSHINA A 3575 PECOS MCLEOD LAS VEGAS NV 89121 Clark 702-731-2088 Physicians Ophthalmology 880107297REDDY, VENUMBAKA C 2704 N TENAYA WAY LAS VEGAS NV 89128 Clark 702-243-8500 Physicians Internal Medicine 480892445REDDY, VODUR S 5423 RENO CORPORATE DR RENO NV 89511 Washoe 775-329-0222 Physicians Hematology/Oncology 880152239

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 160 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDREDFERN, FRED C 1701 N GREEN VALLEY PKWY STE 4B HENDERSON NV 89074 Clark 702-456-2400 Physicians Orthopedic Surgery 880240549REDLINGER, ELIZABETH E 175 N STEPHANIE ST STE 170 HENDERSON NV 89074 Clark 702-997-5958 Physicians General Dentist 208863082REDLINGER, JEFFREY J 10470 W CHEYENNE AVE STE 110 LAS VEGAS NV 89129 Clark 702-405-7400 Physicians General Dentist 450896566REDLINGER, SCOTT M 5420 KIETZKE LN STE 102 RENO NV 89511 Washoe 775-853-9696 Physicians Oral Surgery 460995056REECE, BRIAN R 4814 SPARKS BLVD SPARKS NV 89436 Washoe 775-324-0699 Physicians Certified Nurse Practitioner 813253496REED PHYSICAL THERAPY INC 85 KIRMAN AVE RENO NV 89502 Washoe 866-389-0211 Rehabilitation 043821114REED, COURTNEY L 6360 MAE ANNE AVE STE 1 RENO NV 89523 Washoe 775-787-9137 Physicians Optometry 203190243REED, DANIEL 8352 W WARM SPRINGS RD FL 3 LAS VEGAS NV 89113 Clark 702-851-7287 Physicians Podiatry 465010353REED, DANILO 4972 S MARYLAND PKWY STE 2 LAS VEGAS NV 89119 Clark 702-740-4789 Physicians Internal Medicine 880434268REED, MARK 3100 W CHARLESTON BLVD STE 205 LAS VEGAS NV 89102 Clark 800-656-7226 Physicians Physical Medicine & Rehabilitation382755747REED, PAUL H 4700 LAS VEGAS BLVD N NELLIS AFB NV 89191 Clark 702-653-2344 Physicians Emergency Medicine 824933457REED, R R 3006 S MARYLAND PKWY STE 460 LAS VEGAS NV 89109 Clark 800-656-7226 Physicians Orthodontist 880166963REED, ROGER B 2649 W HRZN RG PKWY STE 100 HENDERSON NV 89052 Clark 702-565-6641 Physicians Podiatry 710871704REEDLEY PHYSICAL THERAPY 20 N WEST ST FERNLEY NV 89408 Lyon 775-575-5508 Rehabilitation 043821114REESE, CARI L 1075 N HILLS BLVD STE 180 RENO NV 89506 Washoe 775-982-5000 Physicians Certified Nurse Practitioner 880361999REESE, LEE M 1111 SHADOW LN LAS VEGAS NV 89102 Clark 702-383-4040 Physicians General Surgery 880219190REEVES, CRAIG D 3376 S EASTERN AVE STE 174 LAS VEGAS NV 89169 Clark 702-796-1915 Physicians Chiropractor 572841766REEVES, JOHN 1800 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-383-2000 Physicians Emergency Medicine 822991358REFORMINA, STEPHANIE J 280 S DECATUR BLVD LAS VEGAS NV 89107 Clark 702-759-1000 Physicians Certified Nurse Practitioner 880151573REGALADO, JASON S 2004 GLENVIEW DR LAS VEGAS NV 89134 Clark 702-629-6992 Physicians Certified Nurse Practitioner 202367478REGALADO, MARIA CORAZON O 1909 S JONES BLVD LAS VEGAS NV 89146 Clark 405-740-5378 Physicians Internal Medicine 471575922REGANTI, SOWJANYA 236 W 6TH ST STE 400 RENO NV 89503 Washoe 775-329-0873 Physicians Hematology/Oncology 880152239Regent Care Center of Reno 555 HAMMILL LN RENO NV 89511 Washoe 775-828-5600 Rehabilitation 742949971REHAB DIRECTIVES 3213 W CHARLESTON BLVD STE 105 LAS VEGAS NV 89102 Clark 702-570-6222 Rehabilitation 453199019REHAB SERVICES OF NEVADA 52 COMMERCIAL WAY FALLON NV 89406 Churchill 775-625-2222 Rehabilitation Physical Therapy 880449233REHAB. SERVICES P A 9280 W SUNSET RD STE 220 LAS VEGAS NV 89148 Clark 702-939-1900 Physicians Physical Medicine & Rehabilitation431913732REHABILITATION MEDICINE PHYSICIANS 751 RYLAND ST RENO NV 89502 Washoe 775-356-0100 Physicians Physical Medicine & Rehabilitation202227386REHMAN, SAMEER 2020 PALOMINO LN STE 100 LAS VEGAS NV 89106 Clark 702-759-8600 Physicians Radiology/Diagnostic 814824771REICH, RICHARD L 602 E CAROLINE ST CARSON CITY NV 89701 Carson City 775-882-7676 Physicians General Dentist 880151606REID, DAVID G 418 CHENEY ST RENO NV 89502 Washoe 775-354-1017 Physicians Marriage & Family Therapist 473622602REID, JAY G 9270 PRAIRIE ASTER PL LAS VEGAS NV 89148 Clark 702-838-7502 Physicians Emergency Medicine 880423070REILLY, LYNNE F 781 GERALDINE DR INCLINE VILLAGE NV 89451 Washoe 775-527-5653 Physicians Professional Counselor 880502320REIMANN-PHILIPP, IRIS 2012 S JONES BLVD LAS VEGAS NV 89146 Clark 702-360-1137 Rehabilitation Speech Pathology 412129643REINER, MICHAEL D 1320 E CALVADA BLVD PAHRUMP NV 89048 Nye 775-751-6111 Physicians Geriatric Medicine 262775400REINHARDT, STEPHANIE R 10085 DOUBLE R BLVD STE 310 RENO NV 89521 Washoe 775-982-5000 Physicians Family Medicine 880502320REINHOLZ, KATHERINE R 7425 W AZURE DR STE 140 LAS VEGAS NV 89130 Clark 702-515-4009 Rehabilitation Speech Pathology 472546455REISINGER, SUSAN A 3006 S MARYLAND PKWY STE 400 LAS VEGAS NV 89109 Clark 702-894-5100 Physicians Radiation Oncology 880384403REISS, MICHAEL T 9670 W TROPICANA AVE STE 110 LAS VEGAS NV 89147 Clark 702-227-4848 Physicians Chiropractor 880514000REITER, LISA L 3150 N TENAYA WAY STE 125 LAS VEGAS NV 89128 Clark 702-869-0855 Physicians Certified Nurse Practitioner 880350180REIZES, ILAN N 501 ROSE ST LAS VEGAS NV 89106 Clark 702-485-5000 Physicians Ophthalmology 262563581RELIANT PHYSICIANS (KUMAR) 1180 N TOWN CENTER DR STE 100 LAS VEGAS NV 89144 Clark 702-202-2060 Physicians Internal Medicine 824990723RELYEA, RICHARD L 3201 S MARYLAND PKWY STE 601 LAS VEGAS NV 89109 Clark 702-894-4440 Physicians Ophthalmology 880331757REMARK, RICHARD R 800 SHADOW LN LAS VEGAS NV 89106 Clark 702-366-9700 Physicians Radiology/Diagnostic 521278857REMBETSKI, THOMAS E 6554 S MCCARRAN BLVD STE B RENO NV 89509 Washoe 775-324-0288 Physicians General Surgery 880266640REMSING, JUSTIN L 975 KIRMAN AVE RENO NV 89502 Washoe 775-328-1429 Physicians Internal Medicine 742967081RENAISSANCE EMERGENCY PHYSICIANS, LLC118 E HASKELL ST WINNEMUCCA NV 89445 Humboldt 469-401-2386 Physicians Emergency Medicine 810754200RENAL DIALYSIS CENTERS 3150 N TENAYA WAY STE 260 LAS VEGAS NV 89128 Clark 702-870-2099 Physicians Pediatrics 880324827RENAL TREATMENT CENTER - CINCINNATI 4860 VISTA BLVD STE 100 SPARKS NV 89436 Washoe 775-359-5432 Ambulatory Facilities 232518331RENAL TREATMENT CENTER - PHENIX CIT 4860 VISTA BLVD STE 100 SPARKS NV 89436 Washoe 775-359-5432 Ambulatory Facilities 232518331RENAL TREATMENT CENTER - SPARKS 4860 VISTA BLVD STE 100 SPARKS NV 89436 Washoe 775-359-5432 Physicians Nephrology 232518331RENEAU, JOHN D 501 S RANCHO DR STE I67 LAS VEGAS NV 89106 Clark 702-243-4700 Physicians Physical Medicine & Rehabilitation432041736

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 161 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDRENEAU, MICHELLE M 1707 W CHARLESTON BLVD STE 230 LAS VEGAS NV 89102 Clark 702-671-5060 Physicians Certified Nurse Practitioner 194259210RENEE LIM NGO PC 3680 E SUNSET RD STE 100 LAS VEGAS NV 89120 Clark 702-735-1200 Physicians Psychiatry 432058646RENEWED HEALTH & WELLNESS MEDICINE, LLC661 SIERRA ROSE DR RENO NV 89511 Washoe 775-853-7669 Ambulatory Facilities 463323081RENNIE, PAUL R 874 AMERICAN PACIFIC DR HENDERSON NV 89014 Clark 702-777-3138 Physicians Family Medicine 200363127RENO - CHILDRENS HE 85 KIRMAN AVE STE 401 RENO NV 89502 Washoe 775-324-6644 Physicians Pediatric Cardiology 880176637RENO BEHAVIORAL HEALTHCARE HOSPITAL6940 SIERRA CENTER PKWY RENO NV 89511 Washoe 877-787-8518 Hospitals 813526906RENO DENTAL ASSOCIATES LTD 475 KIRMAN AVE RENO NV 89502 Washoe 775-786-3400 Physicians General Dentist 880122578RENO DENTURES, LLC 300 BRINKBY AVE STE 101 RENO NV 89509 Washoe 775-829-8222 Physicians General Dentist 202717649RENO DIALYSIS CENTER 1500 E 2ND ST STE 101 RENO NV 89502 Washoe 775-329-2479 Ambulatory Facilities 263558729RENO FAMILY MEDICAL CLINIC 1699 S VIRGINIA ST STE 100 RENO NV 89502 Washoe 775-376-2383 Ambulatory Facilities 463078865RENO FAMILY PHYSICIANS 7111 S VIRGINIA ST RENO NV 89511 Washoe 775-851-5700 Physicians Family Medicine 880390423RENO HAND CENTER LTD. 1274 E PLUMB LN STE C RENO NV 89502 Washoe 775-786-8711 Ambulatory Facilities 870699404RENO OPEN AIR MRI & DIAGNOSTIC IMAGING C500 DAMONTE RANCH PKWY STE 765 RENO NV 89521 Washoe 775-851-7626 Physicians Radiology/Diagnostic 061676517RENO ORTHOPAEDIC CLINIC 2213 N 5TH ST ELKO NV 89801 Elko 800-748-6861 Physicians Physical Medicine & Rehabilitation880103557RENO ORTHOPAEDIC CLINIC INC. 350 W 6TH ST STE E1 RENO NV 89503 Washoe 775-786-3040 Rehabilitation 880103557RENO ORTHOPAEDIC OCCUPATIONAL THERAPY350 W 6TH ST RENO NV 89503 Washoe 775-786-3040 Ambulatory Facilities 880103557RENO ORTHOPAEDIC SURGERY CENTER 350 W 6TH ST RENO NV 89503 Washoe 775-786-3040 Ambulatory Facilities 208256386RENO PHYSICAL THERAPY INC 20 N WEST ST FERNLEY NV 89408 Lyon 775-575-5508 Rehabilitation 880145347RENO SPARKS TRIBAL HEALTH CENTER 1715 KUENZLI ST RENO NV 89502 Washoe 775-329-5162 Ambulatory Facilities 886004349RENO VEIN SURGERY CENTER 10685 PROFESSIONAL CIR RENO NV 89521 Washoe 775-329-3100 Ambulatory Facilities 880496099RENO-SPARKS TRIBAL HEALTH CENTER 34 RESERVATION RD RENO NV 89502 Washoe 775-329-5162 Ambulatory Facilities 886004349RENOWN INSTITUTE FOR HEART & VASCULAR HEALTH130 E HASKELL ST STE C WINNEMUCCA NV 89445 Humboldt 775-623-5074 Physicians Cardiology 880303924RESH, WILLIAM H 3150 N TENAYA WAY STE 320 LAS VEGAS NV 89128 Clark 702-240-6482 Physicians Cardiology 200562668RESNICK, STEPHEN A 1550 W CRAIG RD NORTH LAS VEGAS NV 89032 Clark 702-777-3615 Physicians Family Medicine 824933457RESNIK, RYAN 1701 N GREEN VALLEY PKWY STE B HENDERSON NV 89074 Clark 702-998-3333 Rehabilitation Physical Therapy 911912844RESPIRATORY ASSOCIATED SERVICES 2501 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-247-9994 Rehabilitation Respiratory Therapy 880468046RETINA CONSULTANTS OF NEVADA 653 N TOWN CENTER DR STE 518 LAS VEGAS NV 89144 Clark 702-369-0200 Physicians Ophthalmology 260076062RETTGER, LINDA D 3831 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-876-1733 Physicians Family Medicine 250998168REYES, DAHNA 2308 E CHEYENNE AVE NORTH LAS VEGAS NV 89030 Clark 702-384-1110 Physicians Pediatrics 880249971REYES, EVELYN 5701 W CHARLESTON BLVD STE 100 LAS VEGAS NV 89146 Clark 702-877-9514 Physicians Certified Nurse Practitioner 880168054REYES, JOSEPH R 10561 JEFFREYS ST HENDERSON NV 89052 Clark 702-990-4530 Physicians Anesthesiology 391918100REYES, KEVIN C 526 S TONOPAH DR STE 200 LAS VEGAS NV 89106 Clark 702-440-8430 Physicians Psychiatry 886000088REYES, LOVELINE 5001 E BONANZA RD STE 160 LAS VEGAS NV 89110 Clark 702-307-2273 Physicians General Dentist 821394606REYES, MARIA R 8610 TECHNOLOGY WAY RENO NV 89521 Washoe 775-826-4900 Physicians Allergy/Immunology 880502320REYES, RYAN D 4380 BLUE DIAMOND RD STE 102 LAS VEGAS NV 89139 Clark 702-425-4424 Physicians General Dentist 261748512REYES, SEAN W 7135 W SAHARA AVE STE 201 LAS VEGAS NV 89117 Clark 702-851-7287 Physicians Podiatry 465010353REYHER JR, JOHN L 6630 S MCCARRAN BLVD STE A4 RENO NV 89509 Washoe 775-828-2873 Physicians Physical Medicine & Rehabilitation880345183REYKA, LADONNA D 1038 GRASS VALLEY RD STE I WINNEMUCCA NV 89445 Humboldt 775-621-5270 Physicians Certified Nurse Practitioner 752302928REYKA, MARK 118 E HASKETT ST WINNEMUCCA NV 89445 Humboldt 775-623-5222 Physicians CRNA 886000088REYNA, ROBERT 5701 W CHARLESTON BLVD STE 210 LAS VEGAS NV 89146 Clark 702-877-9514 Physicians Sleep Medicine 880168054REYNOLDS, BRANDON Q 5550 PAINTED MIRAGE RD LAS VEGAS NV 89149 Clark 702-410-9800 Physicians Plastic & Reconstructive Surgery 454184406REYNOLDS, BRENT M 916 NEVADA HWY BOULDER CITY NV 89005 Clark 702-294-2866 Physicians Social Worker 271896696REYNOLDS, CECILY M 2375 E PRATER WAY SPARKS NV 89434 Washoe 775-331-7000 Physicians Emergency Medicine 833597814REYNOLDS, PAUL Q 9127 W RUSSELL RD LAS VEGAS NV 89148 Clark 702-878-0070 Physicians Anesthesiology 910885149REYNOSO JR, JUAN 3001 SAINT ROSE PKWY HENDERSON NV 89052 Clark 510-350-2600 Physicians Emergency Medicine 862775542REYRAO, REGINALD P 2980 S JONES BLVD STE A LAS VEGAS NV 89146 Clark 702-362-3937 Physicians Certified Nurse Practitioner 204453113REZAEI, SEYED A 3315 W CRAIG RD STE 108 NORTH LAS VEGAS NV 89032 Clark 702-202-2970 Physicians General Dentist 450761089REZANOV, MARYSOL 6787 W TROPICANA AVE STE 12 LAS VEGAS NV 89103 Clark 702-659-8827 Physicians Social Worker 043290453REZAPOUR, NOURA 581 N EASTERN AVE LAS VEGAS NV 89101 Clark 702-444-7810 Physicians General Dentist 843606834RHEE, ANN Y 9127 W RUSSELL RD LAS VEGAS NV 89148 Clark 702-878-0070 Physicians Anesthesiology 202428069RHEE, CHRISTOPHER 653 N TOWN CENTER DR STE 400 LAS VEGAS NV 89144 Clark 702-765-5793 Physicians Pediatric Gastroenterology 880330858

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 162 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDRHEE, HAK E 1995 PARADISE RD LAS VEGAS NV 89104 Clark 702-732-0051 Physicians Acupuncturist 880143099RHEE, JONATHAN K 3131 LA CANADA ST LAS VEGAS NV 89169 Clark 702-933-9400 Physicians Cardiology 465250564RHEE, OLIVIA O 1995 PARADISE RD LAS VEGAS NV 89104 Clark 702-732-0051 Physicians Acupuncturist 263135726RHOADES, CLAUDETTE 1955 S CASINO DR STE 118 LAUGHLIN NV 89029 Clark 702-299-7203 Physicians Certified Nurse Practitioner 860993363RHOADES, HEIDI M 418 CHENEY ST RENO NV 89502 Washoe 775-354-1017 Physicians Professional Counselor 473622602RHODES, AMY B 10085 DOUBLE R BLVD STE 200 RENO NV 89521 Washoe 775-786-3040 Rehabilitation Occupational Therapy 880103557RHODES, CHARLES A 1440 E CALVADA BLVD STE 700 PAHRUMP NV 89048 Nye 702-240-6482 Physicians Cardiology 880189348RHODES, JOHN C 8205 W WARM SPRINGS RD LAS VEGAS NV 89113 Clark 702-724-8888 Physicians Family Medicine 274003150RHODES, KRISTINA J 415 US HIGHWAY 95A S FERNLEY NV 89408 Lyon 775-575-5700 Physicians Optometry 880494659RHYME TIME PEDIATRICS INC. 975 5TH ST STE 3 ELKO NV 89801 Elko 775-777-3445 Ambulatory Facilities 270269925RIBEIRO, KRYSTAL L 4855 BLUE DIAMOND RD STE 100 LAS VEGAS NV 89139 Clark 702-216-7305 Physicians Emergency Medicine 862775542RIBEIRO, PHILLIP 500 S RANCHO DR STE 12 LAS VEGAS NV 89106 Clark 702-877-1877 Physicians Nephrology 880136773RIBEIRO, SUSAN D 18653 WEDGE PKWY RENO NV 89511 Washoe 775-770-7630 Physicians Pediatrics 455557052RICARDO FONTILLAS MD 1090 WIGWAM PKWY STE 100 HENDERSON NV 89074 Clark 702-454-0201 Physicians Psychiatry 880500918RICCIARDI, ANTHONY M 8084 W SAHARA AVE LAS VEGAS NV 89117 Clark 702-878-2455 Physicians Podiatry 880368193RICCIARDI, CRYSTAL L 10084 SILVER STAR DR RENO NV 89521 Washoe 775-338-0136 Rehabilitation Occupational Therapy 880291454RICCIARDI, LIANNE F 801 E WILLIAMS AVE FALLON NV 89406 Churchill 775-423-3151 Physicians CRNA 273164155RICCOBONO, PHILIP L 6039 ELDORA AVE LAS VEGAS NV 89146 Clark 702-228-4900 Physicians Social Worker 204471187RICE, ALAN M 2040 W CHARLESTON BLVD STE 402 LAS VEGAS NV 89102 Clark 702-671-2231 Physicians Pediatric Endocrinology 880330858RICE, GABRIEL M 9127 W RUSSELL RD LAS VEGAS NV 89148 Clark 702-878-0070 Physicians Anesthesiology 461237632RICH, JENNIFER 1343 CENTERVILLE LN GARDNERVILLE NV 89410 Douglas 775-782-0488 Physicians Marriage & Family Therapist 545518560RICH, PHILIP A 628 LAKE ST RENO NV 89501 Washoe 775-329-1717 Physicians Psychiatry 880300031RICH-MAZZEO, SONIA 2375 E PRATER WAY SPARKS NV 89434 Washoe 775-331-7000 Physicians Certified Nurse Practitioner 833597814RICHARD DAVID WASHINSKY MD LTD. 9410 DEL WEBB BLVD LAS VEGAS NV 89134 Clark 702-240-8155 Physicians Internal Medicine 880287979RICHARD WASHINSKY MD 2851 N TENAYA WAY STE 103 LAS VEGAS NV 89128 Clark 702-649-4297 Ambulatory Facilities 880287979RICHARDS, SUSAN 10587 DOUBLE R BLVD RENO NV 89521 Washoe 775-324-5371 Rehabilitation Physical Therapy 530809115RICHARDSON, CARISSA M 2231 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-383-2403 Physicians Obstetrics/Gynecology 880330858RICHARDSON, CHRISTOPHER E 3210 E LAKE MEAD BLVD NORTH LAS VEGAS NV 89030 Clark 702-642-7711 Physicians General Surgery 455465185RICHARDSON, DEBRA 6880 S MCCARRAN BLVD STE 12 RENO NV 89509 Washoe 775-324-4800 Rehabilitation Speech Pathology 880302345RICHARDSON, ERIC J 1300 E PLUMB LN RENO NV 89502 Washoe 775-829-8066 Physicians Podiatry 880200474RICHARDSON, GARY D 8995 W FLAMINGO RD STE 100 LAS VEGAS NV 89147 Clark 702-838-5437 Physicians Pediatric Dentist 510639482RICHARDSON, LESLIE 8945 W POST RD LAS VEGAS NV 89148 Clark 702-254-1222 Physicians Chiropractor 262605352RICHARDSON, SHAINA M 10101 DOUBLE R BLVD RENO NV 89521 Washoe 775-982-7000 Physicians Anesthesiology 880101307RICHARDSON, STUART E 445 S MAINE ST FALLON NV 89406 Churchill 775-423-4334 Physicians Optometry 880249788RICHESON III, ROBERT B 235 W 6TH ST FL 5 RENO NV 89503 Washoe 775-770-7980 Physicians Critical Care 880173816RICHTER, AMBER A 4179 AMBER MARIE LN RENO NV 89503 Washoe 775-772-5098 Rehabilitation Speech Pathology 886000022RICHTER, MICHAEL 1800 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 330-493-4443 Physicians Emergency Medicine 272792655RICK, AIMEE 11258 LAVANDOU DR LAS VEGAS NV 89141 Clark 208-360-7389 Rehabilitation Occupational Therapy 886000022RICKARDS, JAMES S 1397 S LOOP RD PAHRUMP NV 89048 Nye 702-759-8600 Physicians Radiology/Diagnostic 760373635RICKER, JONATHAN M 2625 WIGWAM PKWY STE 112 HENDERSON NV 89074 Clark 702-492-1162 Physicians Gastroenterology 462964527RICKS, STARLA C 1995 ERRECART BLVD STE 206 ELKO NV 89801 Elko 775-777-2061 Physicians Certified Nurse Practitioner 821905957RIDENOUR, GARY C 625 W WILLIAMS AVE STE B FALLON NV 89406 Churchill 775-423-6400 Physicians Family Medicine 880182301RIDER, JOHN V 1301 BERTHA HOWE AVE MESQUITE NV 89027 Clark 702-346-1899 Rehabilitation Occupational Therapy 201621111RIEDEL JR, JOHN J 9127 W RUSSELL RD STE 110 LAS VEGAS NV 89148 Clark 702-878-0070 Physicians CRNA 592905984RIEDL, MARGARET A 1701 W CHARLESTON BLVD STE 250 LAS VEGAS NV 89102 Clark 702-671-2395 Physicians Dietitian 880330858RIEGEL, ROBERT C 3663 E SUNSET RD STE 507 LAS VEGAS NV 89120 Clark 702-436-6186 Physicians General Dentist 831615405RIEHM, KAY D 270 S MAINE ST FALLON NV 89406 Churchill 775-423-5381 Physicians Social Worker 886000022RIES, MICHAEL D 555 W ARLINGTON AVE RENO NV 89503 Washoe 778-786-3040 Physicians Orthopedic Surgery 943281658RILEY, DUSTIN L 1200 MOUNTAIN ST STE 230 CARSON CITY NV 89703 Carson City 775-882-1324 Physicians Family Medicine 880502320RILEY, ROBERT J 6630 S MCCARRAN BLVD RENO NV 89509 Washoe 775-829-1212 Physicians Dermatology 880443520RILLERA, CARMELO V 330 S LOLA LN PAHRUMP NV 89048 Nye 702-475-4390 Physicians Family Medicine 880213519

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 163 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDRILLO, ARLENE C 5320 S RAINBOW BLVD LAS VEGAS NV 89118 Clark 702-944-7105 Physicians Family Medicine 880213519RIMOLDI, REYNOLD L 7455 W WASHINGTON AVE STE 160 LAS VEGAS NV 89128 Clark 702-258-3751 Physicians Orthopedic Surgery 880313907RINALDI, ELLI 1749 N STEWART ST STE 50 CARSON CITY NV 89706 Carson City 775-392-3689 Rehabilitation Physical Therapy 886000022RINDFLEISCH, DALLAS G 620 SHADOW LN LAS VEGAS NV 89106 Clark 788-342-8000 Physicians Family Medicine 880213519RINGER, MONT M 2625 S RAINBOW BLVD STE 106 LAS VEGAS NV 89146 Clark 702-876-6337 Physicians Oral Surgery 880111317RIOS, ALEJANDRO 8680 W CHEYENNE AVE LAS VEGAS NV 89129 Clark 702-750-3460 Physicians Certified Nurse Practitioner 742673760RIOS, MORGAN M 850 HARVARD WAY RENO NV 89502 Washoe 775-982-5262 Physicians Certified Nurse Practitioner 270028866RIPP, SEAN T 7450 W CHEYENNE AVE STE 114 LAS VEGAS NV 89129 Clark 702-655-2999 Physicians Chiropractor 880489258RIPPLINGER, GREGG M 10001 S EASTERN AVE STE 307 HENDERSON NV 89052 Clark 702-914-2420 Physicians General Surgery 880232840RIPPLINGER, MATTHEW C 102 E LAKE MEAD PKWY HENDERSON NV 89015 Clark 702-616-5000 Physicians Radiology/Diagnostic 880307447RITCHEY, ROBERT K 600 WHITNEY RANCH DR STE B6 HENDERSON NV 89014 Clark 702-547-0088 Physicians Family Medicine 651280664RIVARA, ALLISA 580 W 5TH ST STE 12C RENO NV 89503 Washoe 775-786-4673 Physicians Family Medicine 455557052RIVAZ, MALIHE 2010 WELLNESS WAY STE 306 LAS VEGAS NV 89106 Clark 702-432-2233 Physicians Neurology 471182996RIVAZ, MARYAM 9280 W SUNSET RD STE 306 LAS VEGAS NV 89148 Clark 702-696-7256 Physicians Endocrinology 383452013RIVER CITY HOSPITALISTS 234 W 6TH ST RENO NV 89503 Washoe 775-222-0045 Physicians Internal Medicine 463954790RIVERA, ADAM 5001 E BONANZA RD STE 160 LAS VEGAS NV 89110 Clark 702-307-2273 Physicians General Dentist 821394606RIVERA, MARIANGELA 2040 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-671-2273 Physicians General Surgery 880330858RIVERA, MARINELLI 600 S TONOPAH DR STE 350 LAS VEGAS NV 89106 Clark 702-384-6330 Rehabilitation Physical Therapy 880284110RIVERA, NANCY 3131 LA CANADA ST STE 217 LAS VEGAS NV 89169 Clark 702-369-7152 Physicians General Surgery 271152943RIVERS, JANIECE 2705 W HORIZON RIDGE PKWY HENDERSON NV 89052 Clark 702-880-4193 Physicians Certified Nurse Practitioner 880404982RIVES, BARRY J 10300 W CHARLESTON BLVD STE 13180 LAS VEGAS NV 89135 Clark 702-796-0022 Physicians General Surgery 880418505ROACH, MATTHEW G 5650 W FLAMINGO RD STE A LAS VEGAS NV 89103 Clark 702-871-3420 Physicians Chiropractor 860890060ROBEN, THOMAS S 9499 W CHARLESTON BLVD LAS VEGAS NV 89117 Clark 702-228-5477 Physicians Internal Medicine 880213519ROBERSON, CONRAD E 1910 IDAHO ST ELKO NV 89801 Elko 775-738-6256 Physicians Obstetrics/Gynecology 461972369ROBERSON, GLEN 366 W LAKE MEAD PKWY STE 100 HENDERSON NV 89015 Clark 702-464-3090 Physicians Orthodontist 454612311ROBERSON, MATTHEW B 3012 S DURANGO DR SUUITE 1 LAS VEGAS NV 89117 Clark 775-727-8900 Physicians Family Medicine 832127215ROBERT A KUTNER PSYD AND ASSOCIATES 6628 SKY POINTE DR STE 125 LAS VEGAS NV 89131 Clark 702-476-1212 Physicians Psychology (Clinical) 650329439ROBERT B. STRIMLING MD & ASSOCIATES LLC10105 BANBURRY CROSS DR STE 350 LAS VEGAS NV 89144 Clark 702-243-6400 Physicians Dermatology 880384013ROBERT C. GUTIERREZ MD 3717 S ROSECREST CIR LAS VEGAS NV 89121 Clark 702-990-2290 Physicians Orthopedic Surgery 743040607ROBERT M. YEH MD PC 259 N PECOS RD STE 110 HENDERSON NV 89074 Clark 702-309-0888 Physicians Gastroenterology 760758536ROBERT R. GAO M.D. A PROFESSIONAL CORP.229 N PECOS RD STE 120 HENDERSON NV 89074 Clark 702-269-0781 Physicians Physical Medicine & Rehabilitation352176059ROBERTS, BOBBI 3030 S JONES BLVD STE 105 LAS VEGAS NV 89146 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643ROBERTS, DONALD L 5761 S FORT APACHE RD LAS VEGAS NV 89148 Clark 702-341-6610 Physicians Obstetrics/Gynecology 522406330ROBERTS, LISA A 9120 W POST RD STE 200 LAS VEGAS NV 89148 Clark 702-870-2229 Physicians Obstetrics/Gynecology 880294236ROBERTS, PATRICIA J 4000 E CHARLESTON BLVD STE 100 LAS VEGAS NV 89104 Clark 702-432-9544 Physicians Certified Nurse Practitioner 880329731ROBERTS, SCHON C 4855 BLUE DIAMOND RD STE 100 LAS VEGAS NV 89139 Clark 702-216-7305 Physicians Emergency Medicine 823517583ROBERTS-MANSON, KERRY K 427 RIDGE ST STE A RENO NV 89501 Washoe 775-322-0111 Physicians Psychology (Clinical) 396827279ROBERTSON & KOENIG, LTD. 233 S MAIN ST YERINGTON NV 89447 Lyon 775-463-2020 Physicians Optometry 880494659ROBERTSON, CARL D 415 US HIGHWAY 95A S FERNLEY NV 89408 Lyon 775-575-1966 Physicians Optometry 880494659ROBERTSON, CRISTY 653 N TOWN CENTER DR STE 70 LAS VEGAS NV 89144 Clark 702-877-1887 Physicians Nephrology 880136773ROBERTSON, DANIEL T 212 ELKS POINT RD STE 200 ZEPHYR COVE NV 89448 Douglas 775-588-3636 Physicians Orthopedic Surgery 880382265ROBERTSON, KENT M 409 MURRY ST ELY NV 89301 White Pine 775-289-2580 Physicians Optometry 870746623ROBERTSON, TYLER 1250 GREAT BASIN BLVD ELY NV 89301 White Pine 775-289-2580 Physicians Optometry 820581689ROBERTSON, WESLEY J 653 N TOWN CENTER DR LAS VEGAS NV 89144 Clark 702-363-3000 Physicians Pediatrics 880341682ROBINSON, BRITTANY N 6402 MCLEOD DR LAS VEGAS NV 89120 Clark 702-898-5311 Physicians Social Worker 743067299ROBINSON, CHERYL M 1155 MILL ST RENO NV 89502 Washoe 775-982-5463 Physicians Pediatrics 880367250ROBINSON, DEVINA 4855 BOULDER HWY # 2258 LAS VEGAS NV 89121 Clark 702-769-9967 Rehabilitation Occupational Therapy 886000022ROBISON, DAVID E 9127 W RUSSELL RD LAS VEGAS NV 89148 Clark 702-878-0070 Physicians Anesthesiology 461237632ROBISON, DOUGLAS R 9127 W RUSSELL RD LAS VEGAS NV 89148 Clark 702-878-0070 Physicians Anesthesiology 461237632ROBISON, WILLIAM G 4765 S DURANGO DR STE 100 LAS VEGAS NV 89147 Clark 702-384-5070 Physicians General Dentist 880479912ROBY, KEVIN 6161 W CHARLESTON BLVD LAS VEGAS NV 89146 Clark 702-486-6045 Physicians Psychology (Clinical) 886000022

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 164 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDROCK & ROWLES PEDIATRICS PC 7690 CARMEN BLVD LAS VEGAS NV 89128 Clark 702-882-3490 Physicians Pediatrics 822078236ROCK VALLEY PHYSICAL THERAPY 210 N SANDHILL BLVD MESQUITE NV 89027 Clark 090-499-8009 Rehabilitation 043821114ROCKY MOUNTAIN PLANNED PARENTHOOD3300 E FLAMINGO RD STE 25 LAS VEGAS NV 89121 Clark 702-547-9888 Physicians Obstetrics/Gynecology 840404253RODRIGUEZ JR, HUMBERTO 9975 S EASTERN AVE STE 110 LAS VEGAS NV 89183 Clark 702-492-7208 Physicians General Practice 463164188RODRIGUEZ, ADIB F 1524 PINTO LN FL 3RD LAS VEGAS NV 89106 Clark 702-944-2828 Physicians Pediatrics 880330858RODRIGUEZ, BEATRIZ A 7040 LAREDO ST STE K LAS VEGAS NV 89117 Clark 707-331-4874 Physicians Social Worker 886000022RODRIGUEZ, BRYN M 7391 W CHARLESTON BLVD STE 140 LAS VEGAS NV 89117 Clark 702-304-2144 Physicians Internal Medicine 201026537RODRIGUEZ, CORINNA M 500 RYLAND ST STE 500 RENO NV 89502 Washoe 775-453-2148 Rehabilitation Speech Pathology 886000022RODRIGUEZ, HECTOR F 1350 E FLAMINGO RD LAS VEGAS NV 89119 Clark 310-948-4620 Physicians Anesthesiology 204727467RODRIGUEZ, JAVIER A 1595 ROBB DR STE 2 RENO NV 89523 Washoe 775-982-5000 Physicians Family Medicine 942761692RODRIGUEZ, JEANINE 2832 S MARYLAND PKWY LAS VEGAS NV 89109 Clark 702-735-5848 Rehabilitation Occupational Therapy 886000022RODRIGUEZ, MAGDALENA 4424 S EASTERN AVE LAS VEGAS NV 89119 Clark 702-732-7440 Physicians Certified Nurse Practitioner 886000022RODRIGUEZ, MARISA 897 IRONWOOD DR MINDEN NV 89423 Douglas 775-782-1610 Physicians Certified Nurse Practitioner 880405927RODRIGUEZ, ROMAN 1107 US HIGHWAY 395 S GARDNERVILLE NV 89410 Douglas 775-782-1630 Physicians Psychiatry 880405927RODRIGUEZ, SHIRLEY 821 N NELLIS BLVD LAS VEGAS NV 89110 Clark 702-438-4003 Physicians Family Medicine 880213519RODWAY, GEORGE W 2145 GREEN VISTA DR STE 112-B SPARKS NV 89431 Washoe 775-359-6060 Physicians Certified Nurse Practitioner 953154530ROEHL T PENA MD 7280 W AZURE DR STE 130 LAS VEGAS NV 89130 Clark 702-217-8326 Physicians Internal Medicine 200606973ROELOFS, BRENT J 885 SPARKS BLVD STE 300 SPARKS NV 89434 Washoe 775-359-1600 Physicians Chiropractor 880492143ROESSNER, LEIGH S 840 PINNACLE CT MESQUITE NV 89027 Clark 702-346-5030 Physicians Chiropractor 200264670ROETMAN, KELLY A 973 MICA DR STE 201 CARSON CITY NV 89705 Douglas 775-783-6190 Physicians Certified Nurse Practitioner 270028866ROGALSKI, ROGER P 973 MICA DR STE 201 CARSON CITY NV 89705 Douglas 775-783-6190 Physicians Orthopedic Surgery 941709925ROGERS, ARON F 2410 FIRE MESA ST STE 180 LAS VEGAS NV 89128 Clark 702-992-6888 Physicians Family Medicine 880330858ROGERS, BRIAN D 537 S BOULDER HWY STE B HENDERSON NV 89015 Clark 702-565-6211 Physicians Chiropractor 611435250ROGERS, DAN C 1155 MILL ST BLDG 55 RENO NV 89502 Washoe 775-982-7878 Physicians Anesthesiology 852385334ROGERS, JAMES 7181 N HUALAPAI WAY STE 105 LAS VEGAS NV 89166 Clark 702-852-2244 Physicians Periodontist 810950476ROGERS, JASON 590 EUREKA AVE RENO NV 89512 Washoe 775-323-5083 Physicians Radiology/Diagnostic 756003935ROGERS, TERESA A 3355 SPRING MOUNTAIN RD LAS VEGAS NV 89102 Clark 702-570-5818 Rehabilitation Physical Therapy 260349482ROGLER, GINENE M 6130 ELTON AVE LAS VEGAS NV 89107 Clark 702-476-0297 Physicians Anesthesiology 760482007ROHANI, ARDESHIR 3824 S JONES BLVD STE A LAS VEGAS NV 89103 Clark 702-463-3000 Physicians Internal Medicine 886000436ROHR, ALYSSA 2012 S JONES BLVD LAS VEGAS NV 89146 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643ROJAS II, JOSEPH A 9201 W POST RD STE 200 LAS VEGAS NV 89148 Clark 702-870-2229 Physicians Obstetrics/Gynecology 886294236ROJAS, AYDHE M 1845 CIVIC CENTER DR N LAS VEGAS NV 89030 Clark 702-657-1965 Physicians Internal Medicine 880244657ROJAS, KIRSTEN B 9120 W POST RD STE 200 LAS VEGAS NV 89148 Clark 702-870-2229 Physicians Obstetrics/Gynecology 880294236ROJAS, VANESSA R 1707 W CHARLESTON BLVD STE 100 LAS VEGAS NV 89102 Clark 702-671-5070 Physicians Internal Medicine 813419791ROLLING, GAYNELLE V 653 N TOWN CENTER DR LAS VEGAS NV 89144 Clark 702-255-3547 Physicians Obstetrics/Gynecology 274174150ROLLINS, DANIEL 8374 W CAPOVILLA AVE LAS VEGAS NV 89113 Clark 702-270-8210 Physicians Family Medicine 880201578ROLLINS, ROBERT C 653 N TOWN CENTER DR LAS VEGAS NV 89144 Clark 866-530-3940 Physicians Pediatric Cardiology 880176637ROMANESCHI, KARL B 801 E WILLIAMS AVE STE D FALLON NV 89406 Churchill 775-883-7666 Physicians Otolaryngology 680405220ROMANO, CASSANDRA 2012 SOUUTH JONES BLVD LAS VEGAS NV 89146 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643ROMANOSKI, MARGARET J 2980 Sunridge Heights Pkwy STE 120 Henderson NV 89052 Clark 702-792-9939 Physicians Professional Counselor 043290453ROMBERGER, EMILY M 8460 S EASTERN AVE STE D LAS VEGAS NV 89123 Clark 800-598-5300 Rehabilitation Audiology 810966997ROMERO, ARTHUR O 1707 W CHARLESTON BLVD STE 290 LAS VEGAS NV 89102 Clark 702-671-6475 Physicians Pulmonology 813419791ROMES, DEBORAH L 6166 S SANDHILL RD LAS VEGAS NV 89120 Clark 702-985-5330 Physicians Social Worker 200468524RON ZEDEK MD, PC DBA: NEVADA BEHAVIORAL SOLUTIONS6889 S EASTERN AVE LAS VEGAS NV 89119 Clark 702-434-1200 Physicians Professional Counselor 201427365ROOFIAN, CLAUDE 1321 S RAINBOW BLVD LAS VEGAS NV 89146 Clark 702-476-2287 Physicians Family Medicine 271611732ROOKHUYZEN, MARK S 9555 S EASTERN AVE STE 240 LAS VEGAS NV 89123 Clark 702-896-3416 Physicians Chiropractor 891238008ROONGSRITONG, CHANWIT 1500 E 2ND ST STE B RENO NV 89502 Washoe 775-982-2400 Physicians Cardiology 880303924ROOT, ERIN N 9127 W RUSSELL RD STE 110 LAS VEGAS NV 89148 Clark 702-878-0070 Physicians CRNA 200420553ROPERS, STEVEN K 9127 W RUSSELL RD LAS VEGAS NV 89148 Clark 702-878-0070 Physicians Anesthesiology 200420553RORES, REBECCA E 15 MCCABE DR STE 202 RENO NV 89511 Washoe 775-284-2525 Physicians General Dentist 821950411ROSALES, JON-CHRISTOPHER 9484 W LAKE MEAD BLVD STE 2 LAS VEGAS NV 89134 Clark 702-304-8338 Physicians General Dentist 943377514

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 165 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDROSARIO, ROMMEL U 9127 W RUSSELL RD STE 110 LAS VEGAS NV 89148 Clark 702-878-0070 Physicians Anesthesiology 852385334ROSE, CRAIG R 8490 S EASTERN AVE STE C LAS VEGAS NV 89123 Clark 702-914-0000 Physicians General Dentist 880386038ROSE, EDWARD R 1200 MOUNTAIN ST STE 230 CARSON CITY NV 89703 Carson City 775-883-3636 Physicians Family Medicine 880502320ROSE, KRYSTIN H 5631 S PECOS RD LAS VEGAS NV 89120 Clark 702-685-0877 Physicians Social Worker 383889285ROSELEE, CAREY J 10170 S EASTERN AVE STE 160 HENDERSON NV 89052 Clark 702-550-2273 Physicians Certified Nurse Practitioner 812168877ROSEN, LARRY M 901 RANCHO LN LAS VEGAS NV 89106 Clark 702-636-3000 Physicians Radiology/Diagnostic 880119638ROSEN, RONALD G 2911 N TENAYA WAY LAS VEGAS NV 89128 Clark 000-000-0000 Physicians General Surgery 880440919ROSENBERG, JAY H 9505 HILLWOOD DR STE 100 LAS VEGAS NV 89134 Clark 702-303-4220 Physicians Neurology 851479761ROSENBERG, JOSHUA A 2020 PALOMINO LN LAS VEGAS NV 89106 Clark 702-759-8600 Physicians Radiology/Diagnostic 832651883ROSENBERG, LISA J 801 S RANCHO DR LAS VEGAS NV 89106 Clark 702-474-4454 Physicians Geriatric Medicine 200363127ROSENBERG, MURRAY M 7391 W CHARLESTON BLVD STE 140 LAS VEGAS NV 89117 Clark 702-304-2144 Physicians Family Medicine 880384419ROSENBERG, WILLIAM A 2930 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 89052 Clark 702-263-9082 Physicians Sports Medicine 910858192ROSENBLUM, RICHARD S 2020 PALOMINO LN LAS VEGAS NV 89106 Clark 702-759-8600 Physicians Radiology/Diagnostic 208846496ROSENMAN, MICHAEL 2870 S MARYLAND PKWY STE 160 LAS VEGAS NV 89109 Clark 702-405-7799 Physicians Pediatrics 860876472ROSENSTEIN, DAVID H 201 N BUFFALO DR LAS VEGAS NV 89145 Clark 702-242-2737 Physicians Internal Medicine 204307180ROSENSTEIN, JONATHAN A 100 N GREEN VALLEY PKWY STE 110 HENDERSON NV 89074 Clark 702-436-7700 Physicians Pediatrics 880059427ROSENTHAL, SAMUEL D 3157 N RAINBOW BLVD # 518 LAS VEGAS NV 89108 Clark 702-386-4700 Physicians Anesthesiology 204727467ROSEWOOD REHABILITATION CENTER 2045 SILVERADA BLVD RENO NV 89512 Washoe 775-359-3161 Rehabilitation 205362224ROSHAN LLC 1700 ALTA DR LAS VEGAS NV 89106 Clark 702-427-2166 Physicians Internal Medicine 270164550ROSHINI, INC DBA OM MEDICAL 2980 SAINT ROSE PKWY STE 140 HENDERSON NV 89052 Clark 702-456-7546 Physicians Family Medicine 261240910ROSIN, DAVID 480 GALLETTI WAY SPARKS NV 89431 Washoe 775-688-2001 Physicians Psychiatry 540722061ROSING, KEITH J 3001 SAINT ROSE PKWY HENDERSON NV 89052 Clark 510-350-2600 Physicians Emergency Medicine 862775542ROSS, ALI C 2021 S JONES BLVD LAS VEGAS NV 89146 Clark 702-360-1137 Rehabilitation Physical Therapy 412129643ROSS, DAVID M 2320 PASEO DEL PRADO LAS VEGAS NV 89102 Clark 702-873-4567 Physicians Anesthesiology 161679125ROSS, DIANE C 3700 GRANT DR STE A RENO NV 89509 Washoe 775-829-4700 Rehabilitation Speech Pathology 880291454ROSS, DOUGLAS B 1219 E CHARLESTON BLVD LAS VEGAS NV 89104 Clark 702-384-1110 Physicians Emergency Medicine 943293742ROSS, LYNDA J 2450 VASSAR ST RENO NV 89502 Washoe 775-219-9015 Physicians Psychology (Clinical) 371745396ROSS, MATTHEW 1457 S CARSON ST STE 101 CARSON CITY NV 89701 Carson City 775-372-9898 Physicians General Dentist 822154965ROSS, MICHAEL T 722 BARING BLVD SPARKS NV 89434 Washoe 775-359-1009 Physicians Chiropractor 894341500ROSS, SHAWNA M 9520 PROTOTYPE CT RENO NV 89521 Washoe 775-852-6323 Rehabilitation Speech Pathology 562572878ROSS, STACI R 716 S 6TH ST LAS VEGAS NV 89101 Clark 702-382-3670 Physicians Psychology (Clinical) 141862452ROSS, TROY W 975 RYLAND ST STE 100 RENO NV 89502 Washoe 775-982-4754 Physicians Occupational Medicine 752014828ROSSINGTON, SHAUNA L 4600 KIETZKE LN RENO NV 89502 Washoe 775-825-9995 Physicians Marriage & Family Therapist 680062345ROSSO, JUDITH E 1520 VIRGINIA RANCH RD GARDNERVILLE NV 89410 Douglas 775-782-1550 Physicians Family Medicine 942693002ROSTAGNI, CHELSA 8733 RIVER FRONT CT RENO NV 89523 Washoe 775-453-0255 Rehabilitation Speech Pathology 942815686ROSTER, BRENT M 555 W ARLINGTON AVE RENO NV 89503 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557ROTENBERG, DAVID D 2800 E DESERT INN RD STE 100 LAS VEGAS NV 89121 Clark 702-731-1616 Physicians Orthopedic Surgery 200592148ROTER, GLENN K 5200 S FORT APACHE RD LAS VEGAS NV 89148 Clark 702-368-0092 Physicians Optometry 200928837ROTH, BOBBI LEE 236 W 6TH ST STE 307 RENO NV 89503 Washoe 775-432-6189 Physicians Certified Nurse Practitioner 841764074ROTH, ROBERT S 2647 BOX CANYON DR LAS VEGAS NV 89128 Clark 702-363-5575 Physicians Internal Medicine 880477529ROTH, RONALD M 700 SHADOW LN LAS VEGAS NV 89106 Clark 702-258-1601 Physicians Cardiology 880182329ROTHCHILD, SUZANNE B 600 S RANCHO DR STE 113 LAS VEGAS NV 89106 Clark 702-878-1065 Physicians Obstetrics/Gynecology 043479571ROTHERMEL, CHRISTINE A 102 E LAKE MEAD PKWY HENDERSON NV 89015 Clark 702-616-5000 Rehabilitation Speech Pathology 943293742ROTHMAN, ABRAHAM 3006 S MARYLAND PKWY STE 400 LAS VEGAS NV 89109 Clark 702-732-1290 Physicians Pediatric Cardiology 880176637ROTHSTEIN, DRAKE J 3001 SAINT ROSE PKWY HENDERSON NV 89052 Clark 702-616-5235 Physicians Emergency Medicine 205521741ROUSH, ASHLEY 1711 WHITNEY MESA DR HENDERSON NV 89014 Clark 702-385-2090 Physicians Professional Counselor 814712246ROUTH, JERRY D 3131 LA CANADA ST LAS VEGAS NV 89169 Clark 702-933-9400 Physicians Cardiology 880156903ROUWEYHA, RAJY M 2598 WINDMILL PKWY HENDERSON NV 89074 Clark 702-896-6043 Physicians Ophthalmology 880321377ROVIT, ADAM J 9100 W POST RD LAS VEGAS NV 89148 Clark 702-731-2088 Physicians Ophthalmology 880107297ROW, LINDSAY 653 N TOWN CENTER DR STE 104 LAS VEGAS NV 89144 Clark 702-838-9013 Physicians Pediatric Dentist 453667181ROWAN, CHRISTOPHER J 1500 E 2ND ST RENO NV 89502 Washoe 775-982-2400 Physicians Cardiology 850416296

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 166 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDROWAN, DANIEL T 9700 S MCCARRAN BLVD RENO NV 89523 Washoe 775-827-3937 Physicians Optometry 203190243ROWE, CAROL A 3885 S DECATUR BLVD STE 1100 LAS VEGAS NV 89103 Clark 702-838-3311 Physicians General Dentist 202245747ROWE, DAN E 3950 GS RICHARDS BLVD CARSON CITY NV 89703 Carson City 775-882-8777 Physicians Dermatology 813253496ROWE, KELLY R 100 N GREEN VALLEY PKWY HENDERSON NV 89074 Clark 702-933-1485 Physicians Certified Nurse Practitioner 202335171ROWEJR, ROBERT D 4445 S EASTERN AVE STE A LAS VEGAS NV 89119 Clark 702-735-1556 Physicians Certified Nurse Practitioner 465082098ROWLES, SHAWN A 916 W OWENS AVE STE B LAS VEGAS NV 89106 Clark 702-425-2792 Physicians Pediatrics 822078236ROWLEY, ROBB K 5115 S DURANGO DR LAS VEGAS NV 89113 Clark 702-478-2424 Physicians Internal Medicine 454351612ROYAL, DANIEL F 9065 S PECOS RD HENDERSON NV 89074 Clark 702-938-5055 Physicians Family Medicine 270715779ROZAK, MICHAEL R 9480 DOUBLE DIAMOND PKWY STE 200 RENO NV 89521 Washoe 775-348-8800 Physicians Physical Medicine & Rehabilitation270028866RS MEDICAL 255 GLENDALE AVE STE 12 SPARKS NV 89431 Washoe 775-356-8181 Ancillary Providers 911490213RUANGJUMRUSVET, CHANON 2585 S NELLIS BLVD STE 6 LAS VEGAS NV 89121 Clark 702-641-0481 Physicians General Dentist 475047760RUBALCAVA, KIMBERLY J 4221 MCLEOD DR LAS VEGAS NV 89121 Clark 702-474-6450 Physicians Marriage & Family Therapist 880111970RUBEN, SAUL 6925 N DURANGO DR LAS VEGAS NV 89149 Clark 702-732-6000 Physicians Radiology/Diagnostic 880232199RUBIN, ALAN M 657 N TOWN CENTER DR LAS VEGAS NV 89144 Clark 702-233-7000 Physicians Neurology 465980167RUBIN, MARSHA 1161 S VALLEY VIEW BLVD LAS VEGAS NV 89102 Clark 702-486-7670 Rehabilitation Speech Pathology 886000022RUBIN, SCOTT A 5440 W SAHARA AVE STE 202 LAS VEGAS NV 89146 Clark 702-380-8200 Physicians Psychiatry 260120454RUBINSTEIN, MARK A 4680 S EASTERN AVE STE B LAS VEGAS NV 89119 Clark 702-454-4336 Physicians Chiropractor 880766406RUBIO, ERNESTO 5785 CENTENNIAL CENTER BLVD STE 230 LAS VEGAS NV 89149 Clark 702-383-2273 Physicians Internal Medicine 886000436RUBIO, JESUS 9127 W RUSSELL RD LAS VEGAS NV 89148 Clark 702-878-0070 Physicians Anesthesiology 822526636RUBY MOUNTAIN PHYSICAL THERAPY 875 RAILROAD ST ELKO NV 89801 Elko 775-777-7722 Rehabilitation 911456113RUCKER, ELLESTON C 2231 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-383-2403 Physicians Internal Medicine 886000436RUCKER, MARC W 1161 S VALLEY VIEW BLVD LAS VEGAS NV 89102 Clark 702-486-7670 Rehabilitation Physical Therapy 886000022RUCKMAN, DAVID J 5961 S LOS ALTOS PKWY STE 101 SPARKS NV 89436 Washoe 775-359-2020 Physicians Optometry 880275507RUCKMAN, RAYMOND J 311 W WASHINGTON ST CARSON CITY NV 89703 Carson City 775-883-4664 Physicians Optometry 275139769RUCKSTUHLJR, LIONEL E 1001 RIO VISTA DR FALLON NV 89406 Churchill 775-423-3634 Physicians Psychology (Clinical) 880120723RUDACK, STEVEN M 1215 S FORT APACHE RD STE 140 LAS VEGAS NV 89117 Clark 702-362-0336 Physicians Chiropractor 880471488Rudis, Steven 4855 BLUE DIAMOND RD LAS VEGAS NV 89139 Clark 702-216-7305 Physicians Emergency Medicine 824933457RUDNITSKY, BENJAMIN S 2545 S BRUCE ST STE 200 LAS VEGAS NV 89169 Clark 702-732-2438 Physicians Nephrology 462812104RUESS, ROBERT W 350 FALCON RIDGE PKWY MESQUITE NV 89027 Clark 702-346-8346 Physicians Thoracic Surgery 208088888RUGGEROLI, ANTHONY C 6070 S FORT APACHE RD STE 100 LAS VEGAS NV 89148 Clark 702-307-7700 Physicians Anesthesiology 880394081RUGGEROLI, EDWARD P 601 S RANCHO DR STE A3 LAS VEGAS NV 89106 Clark 702-382-2311 Physicians General Dentist 880273046RUGGEROLIJR, CHARLES E 500 S RANCHO DR STE 5 LAS VEGAS NV 89106 Clark 702-258-1601 Physicians Cardiology 880182329RUIZ, ADRIAN R 2633 W HORIZON RIDGE PKWY STE 130 HENDERSON NV 89052 Clark 702-897-7001 Physicians General Dentist 273197107RUIZ, ALLYSON M 2011 PINTO LN STE 200 LAS VEGAS NV 89106 Clark 702-382-3200 Physicians Certified Nurse Practitioner 880479581RUIZ, LINDA B 9505 HILLWOOD DR STE 100 LAS VEGAS NV 89134 Clark 702-303-4220 Physicians Certified Nurse Practitioner 851479761RUKAVINA, ADRIANA 2820 W CHARLESTON BLVD STE D38 LAS VEGAS NV 89102 Clark 702-870-1800 Rehabilitation Speech Pathology 886000022RULE, JOHN P 800 SHADOW LN LAS VEGAS NV 89106 Clark 702-366-9700 Physicians Radiology/Diagnostic 521278857RUNDLES, JOHN T 1706 W BONANZA RD LAS VEGAS NV 89106 Clark 702-631-6860 Rehabilitation Audiology 880504460RUNYON, ALEC C 3001 SAINT ROSE PKWY HENDERSON NV 89052 Clark 702-878-0070 Physicians Anesthesiology 860916679RUPP, MCKENZIE 118 E HASKELL ST WINNEMUCCA NV 89445 Humboldt 775-623-5222 Rehabilitation Speech Pathology 886000088RUPP, ROBERT E 212 ELKS POINT RD STE 200 ZEPHYR COVE NV 89448 Douglas 775-588-3636 Physicians Orthopedic Surgery 880382265RUPPERT, RONALD C 4275 BURNHAM AVE STE 365 LAS VEGAS NV 89119 Clark 702-731-1105 Physicians Family Medicine 880213519RUSHTON, JOHN M 4700 LAS VEGAS BLVD N STE C NELLIS AFB NV 89191 Clark 702-653-2344 Physicians Emergency Medicine 204311300RUSHTON, MICHAEL J 895 ADAMS BLVD BOULDER CITY NV 89005 Clark 702-293-0406 Physicians Podiatry 900009798RUSSELL, ALEXIS 7140 N DURANGO DR STE 110 LAS VEGAS NV 89149 Clark 702-740-5437 Physicians General Dentist 822856088RUSSELL, CORY L 9320 W SAHARA AVE LAS VEGAS NV 89117 Clark 702-383-3633 Physicians Family Medicine 886000436RUSSELL, JAMIE G 2005 OAK RIVER ST LAS VEGAS NV 89134 Clark 702-279-8124 Rehabilitation Occupational Therapy 886000022RUSSELL, PAMELA 6630 S MCCARRAN BLVD STE 25 RENO NV 89509 Washoe 775-827-7555 Physicians Anesthesiology 880101307RUSSELL, PATRICK M 2375 E PRATER WAY SPARKS NV 89434 Washoe 775-331-7000 Physicians Emergency Medicine 475671561RUSSELL, TROY D 715 MALL RING CIR HENDERSON NV 89014 Clark 702-990-2225 Physicians Chiropractor 465010353RUSSELL, TWYLA R 6465 W SAHARA AVE STE 103 LAS VEGAS NV 89146 Clark 702-822-1881 Physicians Certified Nurse Practitioner 832015453

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 167 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDRUSSO, SIMONE F 3729 GREENCREST DR LAS VEGAS NV 89121 Clark 702-369-2628 Physicians Family Medicine 880213519RUSTAMOVA, PARVINE 10624 S EASTERN AVE HENDERSON NV 89052 Clark 702-800-5393 Physicians Internal Medicine 263668328RUTHERFORD, MARTIN P 1175 HARVARD WAY RENO NV 89502 Washoe 775-329-4402 Physicians Chiropractor 880201578RUTISHAUSER LLC 3061 S MARYLAND PKWY STE 104 LAS VEGAS NV 89109 Clark 702-614-5437 Ambulatory Facilities 463671615RUTZ, DANIEL R 3001 SAINT ROSE PKWY HENDERSON NV 89052 Clark 702-616-5000 Physicians Emergency Medicine 880262438RUTZ, DANNY J 1420 S JONES BLVD LAS VEGAS NV 89146 Clark 702-312-2225 Physicians Chiropractor 860867243RYAN E. MITCHELL DO PLLC 54 N PECOS RD STE C HENDERSON NV 89074 Clark 702-951-3170 Physicians Otolaryngology 471616144RYAN, DEIRDRE D 1525 E WINDMILL LN STE 201 LAS VEGAS NV 89123 Clark 702-998-5200 Physicians Orthopedic Surgery 205292952RYAN, HEIDI A 3175 S ROSE PKWY STE 200 HENDERSON NV 89052 Clark 702-676-3600 Physicians General Surgery 880330858RYAN, JOHN K 8530 W SUNSET RD LAS VEGAS NV 89113 Clark 702-483-4483 Physicians Gastroenterology 951644600RYAN-BLANEY, BONNIE C 2808 FALCON RIDGE DR SPARKS NV 89436 Washoe 508-631-7715 Physicians Psychology (Clinical) 043106680RYBAK, WANDA 2012 S JONES BLVD LAS VEGAS NV 89146 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643RYDER, BRENDAN D 3700 GRANT DR STE A RENO NV 89509 Washoe 775-829-4700 Rehabilitation Physical Therapy 880291454RYDER, JESSICA D 680 W NYE LN CARSON CITY NV 89703 Carson City 775-882-2211 Rehabilitation Physical Therapy 880253654RYLAND HEARING ASSOCIATES 821 RYLAND ST RENO NV 89502 Washoe 775-322-4327 Rehabilitation Audiology 453213846RYU, JEFFREY Y 6970 W PATRICK LN STE 140 LAS VEGAS NV 89113 Clark 702-588-7077 Physicians Nephrology 462812104SAAB, AHMAD 2825 SIENA HEIGHTS DR HENDERSON NV 89052 Clark 702-616-7049 Physicians Family Medicine 880213519SAAD, ROLA J 6850 N DURANGO DR STE 301 LAS VEGAS NV 89149 Clark 702-641-8500 Physicians Pediatric Endocrinology 880464017SAAVEDRA, RUBIN 3376 S EASTERN AVE STE 150 LAS VEGAS NV 89169 Clark 702-248-2228 Physicians Family Medicine 571211004SABANGAN, EMMANUEL 6900 PECOS RD NORTH LAS VEGAS NV 89086 Clark 702-791-9000 Physicians Family Medicine 880345631SABANICO, MARIA LUNA S 2831 SAINT ROSE PKWY STE 221 HENDERSON NV 89052 Clark 702-589-4871 Physicians Certified Nurse Practitioner 823795906SABIR AND ASSOCIATES INC. 10743 WEATHER TOP CT LAS VEGAS NV 89135 Clark 702-921-6823 Physicians Internal Medicine 510537443SABIR, MUHAMMAD S 2600 S RAINBOW BLVD STE 108 LAS VEGAS NV 89146 Clark 702-921-6823 Physicians Internal Medicine 510537443SABOL, ERIC L 6136 W LAKE MEAD BLVD LAS VEGAS NV 89108 Clark 702-647-9788 Physicians Chiropractor 860332855SACHDEV, PRATIMA 40 WINTER ST RENO NV 89503 Washoe 775-786-0909 Physicians Pediatrics 880221098SACHTLER, KIRK J 720 ROBB DR STE 103 RENO NV 89523 Washoe 775-787-3733 Rehabilitation Physical Therapy 208488469SACKS, ANDREA M 3603 LAS VEGAS BLVD N STE 122 LAS VEGAS NV 89115 Clark 702-643-7720 Physicians General Dentist 880320316SACKS, DANIEL J 7391 W CHARLESTON BLVD STE 140 LAS VEGAS NV 89117 Clark 702-304-2144 Physicians Internal Medicine 463403819SADAT, FAHTEMA 7260 S RAINBOW BLVD STE 104 LAS VEGAS NV 89118 Clark 702-896-7211 Physicians General Dentist 205337268SADEGHI, NICK A 9300 W SUNSET RD LAS VEGAS NV 89148 Clark 702-880-2100 Physicians Emergency Medicine 880262438SADEGHI-NAJAFABADI, EBRAHIM 2231 W CHARLESTON BLVD FL 1 LAS VEGAS NV 89102 Clark 702-676-3650 Physicians Rheumatology 880330858SADIGHI, BABAK 3186 S MARYLAND PKWY LAS VEGAS NV 89109 Clark 702-878-0070 Physicians Anesthesiology 860916679SADORRA, JANE D 6330 S JONES BLVD LAS VEGAS NV 89118 Clark 702-880-7002 Physicians Certified Nurse Practitioner 812623134SAEED, BABAR 1667 LUCERNE ST STE A MINDEN NV 89423 Douglas 775-782-9118 Physicians Internal Medicine 261513495SAFAEI, SANA 9499 W CHARLESTON BLVD LAS VEGAS NV 89117 Clark 702-228-5477 Physicians Family Medicine 880213519SAFKO, MARTIN J 311 N BUFFALO DR STE A LAS VEGAS NV 89145 Clark 702-731-0933 Physicians Dermatology 880242132SAGALYN, EMILY B 1155 MILL ST RENO NV 89502 Washoe 775-324-4040 Physicians Emergency Medicine 870629690SAGASLLI, AHMED A 2231 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-944-2805 Physicians Internal Medicine 880330858SAGHIR, SYED MOHSIN 1707 W CHARLESTON BLVD STE 100 LAS VEGAS NV 89102 Clark 702-671-5070 Physicians Internal Medicine 813419791SAHARA DIALYSIS 2350 STOCKTON AVE LAS VEGAS NV 89104 Clark 702-457-7099 Ambulatory Facilities 822444654SAHARA SURGERY CENTER 2401 PASEO DEL PRADO LAS VEGAS NV 89102 Clark 702-362-7874 Ambulatory Facilities 752509486SAHARA WEST URGENT CARE AND WELLNESS LLC6125 W SAHARA AVE # 1B LAS VEGAS NV 89146 Clark 702-248-0554 Physicians Family Medicine 813015815SAIFEE, MUSTUFA T 1301 BERTHA HOWE AVE STE 10 MESQUITE NV 89027 Clark 435-688-7770 Physicians Pulmonology 208487468SAIGAL, KIRIT 118 E HASKELL ST WINNEMUCCA NV 89445 Humboldt 775-623-5222 Physicians Certified Nurse Practitioner 886000088SAINT MARYS GALENA URGENT CARE 18653 WEDGE PKWY STE 300 RENO NV 89511 Washoe 770-770-7210 Ambulatory Facilities 611496658SAINT MARYS MEDICAL GROUP INC 6770 S MCCARRAN BLVD RENO NV 89509 Washoe 775-853-3333 Ambulatory Facilities 611496658SAINT MARYS MEDICAL GROUP INC. 18653 WEDGE PKWY STE 300 RENO NV 89511 Washoe 775-770-7210 Ambulatory Facilities 455557052SAINT MARYS OUTPATIENT SURGERY CENTER18653 WEDGE PKWY RENO NV 89511 Washoe 800-656-7226 Ambulatory Facilities 800035199SAINT MARYS REGIONAL MEDICAL CENTER 235 W 6TH ST RENO NV 89503 Washoe 775-770-3000 Hospitals Short Term Acute Care Hospital 454989022SAINT MARYS URGENT CARE 6770 S MCCARRAN BLVD RENO NV 89509 Washoe 775-853-3333 Ambulatory Facilities 611496658SAINT MARYS URGENT CARE LLC 1595 ROBB DR STE 2 RENO NV 89523 Washoe 775-770-7580 Ambulatory Facilities 800883605

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 168 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDSAIYASOMBAT, MICHAEL I 1301 BERTHA HOWE AVE STE 1 MESQUITE NV 89027 Clark 702-346-0800 Physicians Internal Medicine 270531464SAJED, MOHAMMAD 3001 SAINT ROSE PKWY HENDERSON NV 89052 Clark 510-410-9049 Physicians Neurology 862775542SAJOR-SAM, ETHEL 568 N EASTERN AVE STE B LAS VEGAS NV 89101 Clark 702-522-7275 Physicians Certified Nurse Practitioner 465122580SAKELARIS, ANGELO G 6178 CARRIAGE HOUSE WAY RENO NV 89519 Washoe 775-826-2521 Rehabilitation Physical Therapy 886004349SAKOWSKI, ERIC D 2091 E SAHARA AVE LAS VEGAS NV 89104 Clark 702-732-4044 Physicians Chiropractor 880119469SAKOWSKI, LISA C 2091 E SAHARA AVE LAS VEGAS NV 89104 Clark 702-732-4044 Physicians Chiropractor 880119469SALABERRIOS, CAROLINA 4360 BLUE DIAMOND RD STE 103 LAS VEGAS NV 89139 Clark 513-846-6778 Physicians Certified Nurse Practitioner 852357914SALAHUDDIN, DANIA 1524 PINTO LN LAS VEGAS NV 89106 Clark 702-671-2236 Physicians Pediatrics 260684470SALAR, BEHNAM 10660 SOUTHERN HIGHLANDS PKWY STE 110 LAS VEGAS NV 89141 Clark 702-477-0040 Physicians Pediatric Dentist 462716946SALAS, MICHAEL M 889 ALDEN AVE INCLINE VILLAGE NV 89451 Washoe 775-832-8288 Physicians Physical Medicine & Rehabilitation202456661SALAZAR SHARMA, MARIGENE 861 CORONADO CENTER DR HENDERSON NV 89052 Clark 702-454-1322 Physicians Internal Medicine 850367119SALAZAR, LUIS 7125 N DURANGO DR LAS VEGAS NV 89149 Clark 702-658-2311 Physicians General Dentist 205339044SALCEDO, ANNA FLOR C 10001 S EASTERN AVE HENDERSON NV 89052 Clark 702-269-6345 Physicians Internal Medicine 880400682SALEEM, KAMRON L 500 S RANCHO DR STE 12 LAS VEGAS NV 89106 Clark 888-488-7640 Physicians Internal Medicine 880136773SALEHY, SIAMAC A 10624 S EASTERN AVE STE A-955 HENDERSON NV 89052 Clark 702-800-5393 Physicians Internal Medicine 202901522SALEM II, JAMES D 600 S RANCHO DR LAS VEGAS NV 89106 Clark 702-509-5098 Physicians Chiropractor 872711852SALEM, JANE M 8475 S EASTERN AVE STE 101 LAS VEGAS NV 89123 Clark 702-898-3311 Physicians Chiropractor 470910307SALINAS - GARCIA, RUBEN F 5871 W CRAIG RD LAS VEGAS NV 89130 Clark 702-724-2020 Physicians Ophthalmology 450930381SALLABERRY, JORGE L 1600 MEDICAL PKWY CARSON CITY NV 89703 Carson City 775-445-8795 Physicians Internal Medicine 261932485SALM, MARTIN E 276 KINGSBURY GRADE STE 101 STATELINE NV 89449 Douglas 775-588-5000 Physicians Dermatology 510566371SALO, CLINT H 2040 W CHARLESTON BLVD STE 202A LAS VEGAS NV 89102 Clark 702-258-3415 Physicians Psychiatry 886000022SALTZ, ERIC K 620 SHADOW LN LAS VEGAS NV 89106 Clark 702-259-1228 Physicians Emergency Medicine 204311300SALTZ, TIDA K 9053 S PECOS RD STE 3010 HENDERSON NV 89074 Clark 702-765-5400 Physicians General Dentist 860875660SALVADOR, MARK GORDON V 3186 S MARYLAND PKWY LAS VEGAS NV 89109 Clark 702-731-8115 Physicians Certified Nurse Practitioner 331159527SAMBO, EMERLINDA M 2425 N LAMB BLVD STE 120 LAS VEGAS NV 89115 Clark 702-851-7766 Physicians Certified Nurse Practitioner 462812104SAMBRANO, JORDAN 1625 E PRATER WAY STE 107 SPARKS NV 89434 Washoe 775-825-4744 Rehabilitation Occupational Therapy 562328617SAMEERA SBAIH MD PROF CORP 2649 WIGWAM PKWY STE 100 HENDERSON NV 89074 Clark 702-489-4500 Physicians Family Medicine 270537447SAMLASKA, CURT P 2839 SAINT ROSE PKWY STE 100 HENDERSON NV 89052 Clark 702-837-8988 Physicians Dermatology 880384939SAMLOWSKI, WOLFRAM E 9280 W SUNSET RD STE 100 LAS VEGAS NV 89148 Clark 702-952-1251 Physicians Hematology/Oncology 880350180SAMPSON, VENITA I 9127 W RUSSELL RD LAS VEGAS NV 89148 Clark 702-878-0070 Physicians CRNA 592905984SAMRA, JASWINDER S 7250 PEAK DR LAS VEGAS NV 89128 Clark 702-386-4700 Physicians Anesthesiology 204727467SAMSON, RICARDO A 3006 S MARYLAND PKWY STE 690 LAS VEGAS NV 89109 Clark 520-874-7207 Physicians Pediatric Cardiology 942958258SAN CARLOS CLINIC 1815 E LAKE MEAD BLVD STE 200 NORTH LAS VEGAS NV 89030 Clark 702-258-9183 Physicians Family Medicine 880436703SAN LUIS, JASMIN T 2000 WELLNESS WAY LAS VEGAS NV 89106 Clark 702-384-5101 Physicians Certified Nurse Practitioner 880329731SANATINIA, HAMIDREZA 9280 W SUNSET RD STE 100 LAS VEGAS NV 89148 Clark 702-952-1251 Physicians Hematology/Oncology 880350180SANCHEZ, CORTNIE S 1001 WHITNEY RANCH DR STE 110 HENDERSON NV 89014 Clark 702-233-2787 Physicians General Dentist 830987180SANCHEZ, FRANCISCO M 197 FOX LAKE AVE LAS VEGAS NV 89148 Clark 561-963-9881 Physicians Family Medicine 010790511SANCHEZ, INGRID L 2255 RENAISSANCE DR STE C LAS VEGAS NV 89119 Clark 702-486-7500 Physicians Social Worker 043290453SANCHEZ, JAIME C 2780 S JONES BLVD LAS VEGAS NV 89146 Clark 702-820-3061 Physicians Professional Counselor 820870653SANCHEZ, JAMES D 3730 S EASTERN AVE LAS VEGAS NV 89169 Clark 702-952-3400 Physicians Hematology/Oncology 880350180SANCHEZ, JENNY 670 SIERRA ROSE DR RENO NV 89511 Washoe 775-322-4550 Physicians Certified Nurse Practitioner 201405833SANCHEZ, LUIS M 2225 CIVIC CENTER DR STE 240 NORTH LAS VEGAS NV 89030 Clark 702-399-0447 Physicians Internal Medicine 880439684SANCHEZ, RACHELLE A 2012 S JONES BLVD LAS VEGAS NV 89146 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643SANCHEZ, RAMONA K 3370 S HIGHWAY 160 STE 12 PAHRUMP NV 89048 Nye 775-751-8980 Physicians Professional Counselor 364734407SANCHEZ, SUE O 1661 LUCERNE ST MINDEN NV 89423 Douglas 775-392-3232 Physicians Internal Medicine 452684760SAND, RACHAEL 2810 W CHARLESTON BLVD STE 70 LAS VEGAS NV 89102 Clark 309-706-3190 Physicians Psychology (Clinical) 352175684SANDE, CRAIG M 880 RYLAND ST RENO NV 89502 Washoe 775-329-4600 Physicians Gastroenterology 880182841SANDEEP VIJAY MD LTD. 2251 N RAMPART BLVD STE 127 LAS VEGAS NV 89128 Clark 702-388-1300 Physicians Internal Medicine 200555958SANDERS, AARON J 90 FALCON DR STE 110 FERNLEY NV 89408 Lyon 775-575-0777 Physicians General Dentist 821648832SANDERS, ANGELA D 973 MICA DR CARSON CITY NV 89705 Douglas 775-445-7225 Physicians Certified Nurse Practitioner 880502320SANDERS, ERIC P 2375 E PRATER WAY SPARKS NV 89434 Washoe 775-331-7000 Physicians Emergency Medicine 475671561

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 169 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDSANDERS, JENNIFER 5590 KIETZKE LN RENO NV 89511 Washoe 775-323-2080 Physicians Certified Nurse Practitioner 880167036SANDERS, MICHELLE A 3700 GRANT DR RENO NV 89509 Washoe 775-829-4700 Rehabilitation Physical Therapy 880291454SANDERS, OWEN K 3196 S MARYLAND PKWY STE 307 LAS VEGAS NV 89109 Clark 702-623-1633 Physicians General Dentist 811288198SANDERS, THOMAS J 2375 E PRATER WAY SPARKS NV 89434 Washoe 775-331-7000 Physicians Emergency Medicine 475671561SANDERSON, GARY R 801 E WILLIAMS AVE FALLON NV 89406 Churchill 775-423-3151 Physicians Emergency Medicine 464004517SANDHU, AMARPREET 670 SIERRA ROSE DR RENO NV 89511 Washoe 415-600-1070 Physicians Nephrology 850416296SANDHU, JYOTU P 2704 N TENAYA WAY LAS VEGAS NV 89128 Clark 702-243-8500 Physicians Family Medicine 274566015SANDHU, MANPREET 3016 W CHARLESTON BLVD STE 150 LAS VEGAS NV 89102 Clark 702-790-2701 Physicians Certified Nurse Practitioner 461203260SANDHU, REWA K 10624 S EASTERN AVE STE A955 HENDERSON NV 89052 Clark 702-800-5393 Physicians Internal Medicine 263668328SANDOVAL, MICHELLE V 10 E 6TH ST BATTLE MTN NV 89820 Lander 775-635-5753 Physicians Social Worker 886000022SANDROCK, GEORGE S 480 GALLETTI WAY BLDG 1 SPARKS NV 89431 Washoe 775-688-2001 Physicians Certified Nurse Practitioner 886000022SANDVICK, KATIE D 10105 BANBURRY CROSS DR STE 170 LAS VEGAS NV 89144 Clark 702-765-5437 Physicians Certified Nurse Practitioner 204529593SANEZ, RICHELL GRACE V 600 S TONOPAH DR STE 350 LAS VEGAS NV 89106 Clark 702-384-6330 Rehabilitation Physical Therapy 880284110SANGHAMITRA BASU MD PC 6850 N DURANGO DR LAS VEGAS NV 89149 Clark 702-750-2438 Physicians Pain Management 743196605SANGROY, NEIL 169 N NELLIS BLVD LAS VEGAS NV 89110 Clark 702-384-1010 Physicians General Dentist 371797092SANGROY, NEIL K 500 N RAINBOW BLVD STE 315 LAS VEGAS NV 89107 Clark 702-877-1055 Physicians General Dentist 834331420SANJAY VOHRA MD 8965 S PECOS RD STE 12A HENDERSON NV 89074 Clark 702-564-9898 Physicians Cardiology 880366564SANKARAN, SUNDAR N 2850 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 89052 Clark 702-726-6344 Physicians Nephrology 462812104SANNAR, TASHA N 2865 SIENA HEIGHTS DR STE 331 HENDERSON NV 89052 Clark 702-407-0110 Physicians Certified Nurse Practitioner 880213519SANTIAGO, AMY D 4432 S EASTERN AVE LAS VEGAS NV 89119 Clark 702-733-2982 Physicians Certified Nurse Practitioner 880407499SANTIAGO, CONNIE MARIE C 1552 W WARM SPRINGS RD STE 100 HENDERSON NV 89014 Clark 702-933-5544 Physicians Certified Nurse Practitioner 203448747SANTIAGO, CRYSTAL 4955 S DURANGO DR STE 207 LAS VEGAS NV 89113 Clark 702-650-6508 Physicians Social Worker 263198139SANTIAGO, ELEAZAR V 660 S GREEN VALLEY PKWY STE 110 HENDERSON NV 89052 Clark 702-610-8734 Physicians General Dentist 842527736SANTILLO, BRITTNEY 4221 MCLEOD DR LAS VEGAS NV 89121 Clark 702-474-6450 Physicians Professional Counselor 880111970SANTISTEVAN, JENNIFER R 1505 WIGWAM PKWY STE 230 HENDERSON NV 89074 Clark 702-562-8900 Physicians Pediatrics 880213519SANTOR, KATHLEEN G 1489 W WARM SPRINGS RD STE 110 HENDERSON NV 89014 Clark 702-458-5686 Physicians Marriage & Family Therapist 880334676SANTOS INTERNATIONAL PAIN MEDICINE 2440 PROFESSIONAL CT STE 150 LAS VEGAS NV 89128 Clark 702-405-3015 Physicians Pain Management 203479090SANTOS INTERVENTIONAL PAIN MEDICINE PC5741 S FORT APACHE RD STE 100 LAS VEGAS NV 89148 Clark 702-434-7246 Physicians Pain Management 203479090SANTOS, CRISPINO S 5741 S FORT APACHE RD STE 100 LAS VEGAS NV 89148 Clark 702-434-7246 Physicians Pain Management 721553684SANTOS, REYNALDO A 3150 N TENAYA WAY STE 260 LAS VEGAS NV 89128 Clark 702-870-2099 Physicians Pediatrics 880213519SAPARAM, NISCHAL 8370 W CHEYENNE AVE STE 103 LAS VEGAS NV 89129 Clark 702-388-8989 Physicians General Dentist 371797092SAPIR, LEORA B 5590 KIETZKE LN RENO NV 89511 Washoe 775-323-2080 Physicians Certified Nurse Practitioner 880167036SAQUETON, CONSOLACION S 1800 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-383-2420 Physicians Pediatric Critical Care 880313664SAQUIB, SYED F 1707 W CHARLESTON BLVD STE 160 LAS VEGAS NV 89102 Clark 702-671-5150 Physicians Critical Care 880330858SARABIA, ALAN R 1155 MILL ST BLDG 55 RENO NV 89502 Washoe 775-982-4100 Physicians Anesthesiology 880101307SARABIA, HEIDI P 10791 DOUBLE R BLVD RENO NV 89521 Washoe 775-284-2020 Physicians Anesthesiology 880101307SARAIYA, UDAY R 2121 E FLAMINGO RD STE 210 LAS VEGAS NV 89119 Clark 702-862-4814 Physicians Gastroenterology 880279768SARAN, PRAVEEN 2651 WESTWOOD DR LAS VEGAS NV 89109 Clark 702-443-9950 Physicians Internal Medicine 270637651SARASAN, ASHLEY 1707 W CHARLESTON BLVD STE 230 LAS VEGAS NV 89102 Clark 702-671-5060 Physicians Geriatric Medicine 813419791SARMAD, SHERVIN 2874 N CARSON ST STE 200 CARSON CITY NV 89706 Carson City 775-445-7170 Physicians Internal Medicine 880502320SARYBASHOVA, TYNARA 291 N PECOS RD HENDERSON NV 89074 Clark 702-616-9471 Physicians Certified Nurse Practitioner 263992356SASARITA, SAUNDRA 66 N PECOS RD STE C HENDERSON NV 89074 Clark 702-948-6051 Rehabilitation 232725850SASSE, KENT C 75 PRINGLE WAY RENO NV 89502 Washoe 775-829-7999 Physicians Colorectal Surgery 880341656SASTRY, VILAS 169 N NELLIS BLVD LAS VEGAS NV 89110 Clark 702-384-1010 Physicians General Dentist 371797092SATCHI, RAMANAN R 6850 N DURANGO DR STE 120 LAS VEGAS NV 89149 Clark 702-944-4028 Physicians Pediatrics 880456336SATISH K SHARMA MD PC 9029 S PECOS RD STE 2800 HENDERSON NV 89074 Clark 702-739-8323 Physicians Pain Management 203516398SATTERLEE, JOSHUA A 2520 SAINT ROSE PKWY STE 101 HENDERSON NV 89074 Clark 702-579-9876 Physicians Chiropractor 208909587SAUD, BIPIN M 2625 WIGWAM PKWY HENDERSON NV 89074 Clark 702-492-1162 Physicians Gastroenterology 462964527SAUER JR, RONALD F 3100 N TENAYA WAY LAS VEGAS NV 89128 Clark 702-962-5000 Physicians Radiology/Diagnostic 050589923SAUER, STACY L 2450 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-877-8661 Physicians CRNA 860857176SAURBORN, DANIEL P 4640 W CRAIG RD NORTH LAS VEGAS NV 89032 Clark 702-254-5004 Physicians Radiology/Diagnostic 260199135

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 170 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDSAUTER, TIMOTHY T 8480 S EASTERN AVE STE F LAS VEGAS NV 89123 Clark 702-914-6900 Physicians Obstetrics/Gynecology 880428797SAVAGE, SAMUEL H 223 N PECOS RD STE 130 HENDERSON NV 89074 Clark 702-734-1100 Physicians General Dentist 860877820SAVANT, TROY D 757 W 7TH ST STE 102 RENO NV 89503 Washoe 775-359-3322 Physicians Oral Surgery 454585496SAVARESE, DAVID A 1524 PINTO LN FL 3RD LAS VEGAS NV 89106 Clark 702-383-3642 Physicians Pediatrics 880330858SAVILLE, SANDRA J 305 W MOANA LN STE B3 RENO NV 89509 Washoe 775-410-4969 Physicians Chiropractor 861072758SAVORGNAN, FABIO 1219 E CHARLESTON BLVD LAS VEGAS NV 89104 Clark 702-384-1110 Physicians Pediatrics 880371504SAVRAN, STEPHEN V 3150 N TENAYA WAY STE 320 LAS VEGAS NV 89128 Clark 702-240-6482 Physicians Cardiology 200562668SAWI, ZIAD A 7140 SMOKE RANCH RD # 150 LAS VEGAS NV 89128 Clark 702-320-8111 Physicians Anesthesiology 880366031SAWYER, KURT C 1301 BERTHA HOWE AVE STE 1 MESQUITE NV 89027 Clark 877-455-4778 Physicians Certified Nurse Practitioner 270531464SAXE, ALANA K 3555 S TOWN CENTER DR STE 104 LAS VEGAS NV 89135 Clark 702-541-7070 Physicians Orthodontist 263639783SAXE, JOSHUA L 8710 W CHARLESTON BLVD STE 100 LAS VEGAS NV 89117 Clark 702-255-0133 Physicians Pediatric Dentist 880481169SAXE, MICHAEL D 8710 W CHARLESTON BLVD STE 100 LAS VEGAS NV 89117 Clark 702-255-0133 Physicians Pediatric Dentist 880481169SAXE, STEVEN A 1570 S RAINBOW BLVD LAS VEGAS NV 89146 Clark 702-258-0085 Physicians Oral Surgery 880286067SAXENA, ALOK C 3211 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-871-3730 Physicians Internal Medicine 201901401SAXENA, SAMIR S 2035 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-386-7980 Physicians Internal Medicine 455187461SAY, PHILLIP R 3201 S MARYLAND PKWY LAS VEGAS NV 89109 Clark 702-732-4491 Physicians Otolaryngology 880383349SAYEDNA, SHAHRAM 4333 LAS VEGAS BLVD N LAS VEGAS NV 89115 Clark 702-660-3196 Physicians General Dentist 475433671SAYEGH, DANNY J 10550 PARK RUN DR LAS VEGAS NV 89144 Clark 702-515-6200 Physicians Family Medicine 815145222SAZEGAR, HOOMAN Y 2000 WELLNESS WAY LAS VEGAS NV 89106 Clark 702-384-5101 Physicians Pulmonology 880329731SBAIH, SAMEERA A 2649 WIGWAM PKWY STE 100 HENDERSON NV 89074 Clark 702-489-4500 Physicians Family Medicine 270537447SCARFF, JOHN M 1934 E SAHARA AVE LAS VEGAS NV 89104 Clark 702-369-5758 Physicians Obstetrics/Gynecology 421717339SCHAEFER, CARLA ANNE T 1799 MOUNT MARIAH DR LAS VEGAS NV 89106 Clark 702-383-1961 Physicians Pediatrics 880330858SCHAFER, LEIGHA P 500 S RANCHO DR STE 12 LAS VEGAS NV 89106 Clark 702-877-1887 Physicians Certified Nurse Practitioner 880136773SCHAFFER, MARTIN D 3121 S MARYLAND PKWY STE 512 LAS VEGAS NV 89109 Clark 702-796-7150 Physicians Cardiology 880393130SCHALLER, FREDERICK A 3131 LA CANADA ST STE 140 LAS VEGAS NV 89169 Clark 702-731-8224 Physicians Cardiology 880213519SCHALLER, KELLY A 4700 LAS VEGAS BLVD N NELLIS AFB NV 89191 Clark 702-653-3880 Physicians Social Worker 451497384SCHANBACHER, PAUL D 9127 W RUSSELL RD LAS VEGAS NV 89148 Clark 702-878-0070 Physicians Anesthesiology 200420553SCHANER, MORRIS W 2020 PALOMINO LN STE 100 LAS VEGAS NV 89106 Clark 702-759-8700 Physicians Radiology/Diagnostic 880119638SCHATZ, CAREN L 1561 S VIRGINIA ST RENO NV 89502 Washoe 775-322-4555 Rehabilitation Physical Therapy 264772760SCHAUPP, JAMES F 7111 S VIRGINIA ST STE A7 RENO NV 89511 Washoe 775-851-5700 Physicians Family Medicine 880502320SCHECHLA, JARROD A 3820 S JONES BLVD LAS VEGAS NV 89103 Clark 702-731-0831 Rehabilitation Physical Therapy 880349542SCHEER, RONALD W 9880 W FLAMINGO RD LAS VEGAS NV 89147 Clark 702-216-7335 Physicians Emergency Medicine 273288810SCHEER, WENDY M 8084 W SAHARA AVE STE B LAS VEGAS NV 89117 Clark 702-233-3366 Physicians Chiropractor 880339588SCHEIN, JOEL C 2020 PALOMINO LN STE 100 LAS VEGAS NV 89106 Clark 702-759-8600 Physicians Radiology/Diagnostic 834325292SCHELLER, MARK S 2075 E FLAMINGO RD LAS VEGAS NV 89119 Clark 702-878-0070 Physicians Anesthesiology 202428069SCHELLIN, CHRISTINE N 501 HAMMILL LN RENO NV 89511 Washoe 775-473-9378 Rehabilitation Audiology 810966997SCHENK, JEFFREY J 7391 W CHARLESTON BLVD STE 140 LAS VEGAS NV 89117 Clark 702-304-2144 Physicians Internal Medicine 208545882SCHENK, SHELDON 1155 MILL ST RENO NV 89502 Washoe 775-324-4040 Physicians Emergency Medicine 954597348SCHENK, SHELDON 1155 MILL ST RENO NV 89502 Washoe 775-324-4040 Physicians Emergency Medicine 880303529SCHERM, TANJA R 10105 BANBRY CROSS DR STE 460 LAS VEGAS NV 89144 Clark 702-255-3547 Physicians Obstetrics/Gynecology 460766041SCHERR, REBECCA L 3006 S MARYLAND PKWY STE 470 LAS VEGAS NV 89109 Clark 702-796-9111 Physicians Pediatric Gastroenterology 880330858SCHERR, SCOTT A 3186 S MARYLAND PKWY LAS VEGAS NV 89109 Clark 702-731-8000 Physicians Emergency Medicine 812206928SCHERSCHEL, JOHN R 316 VICTORIAN AVE SPARKS NV 89431 Washoe 775-359-6500 Physicians Chiropractor 880367553SCHIEMER, JAMES P 9499 W CHARLESTON BLVD STE 200 LAS VEGAS NV 89117 Clark 702-933-9394 Rehabilitation Physical Therapy 201353026SCHIFF, STEVEN A 6130 PLUMAS ST RENO NV 89519 Washoe 775-329-0873 Physicians Hematology/Oncology 880152239SCHIFINI, JOSEPH J 600 S TONOPAH DR STE 240 LAS VEGAS NV 89106 Clark 702-870-0011 Physicians Anesthesiology 880424633SCHIMSCHOCK, AMY K 280 VISTA KNOLL PKWY STE 114 RENO NV 89506 Washoe 775-971-9282 Physicians General Dentist 474661062SCHIRO, MICHELLE R 9598 PROTOTYPE CT STE A RENO NV 89521 Washoe 775-234-5595 Physicians General Dentist 824526841SCHLAACK, MICHAEL F 105 N PECOS RD STE 111 HENDERSON NV 89074 Clark 702-263-4555 Physicians General Practice 880191596SCHLAGER, EVAN 620 SHADOW LN LAS VEGAS NV 89106 Clark 702-388-8436 Physicians Internal Medicine 263668328SCHLAGER, PHILIP S 1200 MOUNTAIN ST STE 230 CARSON CITY NV 89703 Carson City 775-883-3636 Physicians Otolaryngology 880502320

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 171 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDSCHLEIFMAN, ROBYN A 100 N GREEN VALLEY PKWY HENDERSON NV 89074 Clark 702-878-0070 Physicians CRNA 200420553SCHLESINGERIII, JAMES J 7181 N HUALAPAI WAY STE 105 LAS VEGAS NV 89166 Clark 702-852-1818 Physicians Oral Surgery 810950476SCHLEUSNER CHIROPRACTIC CENTER 2091 E SAHARA AVE LAS VEGAS NV 89104 Clark 702-732-4044 Physicians Chiropractor 880119469SCHLEUSNER, JULIE D 2091 E SAHARA AVE LAS VEGAS NV 89104 Clark 702-732-4044 Physicians Chiropractor 880119469SCHLEUSNER, LARRY P 2091 E SAHARA AVE LAS VEGAS NV 89104 Clark 702-732-4044 Physicians Chiropractor 880119469Schleusner, Todd L 2091 E SAHARA AVE LAS VEGAS NV 89104 Clark 702-732-4044 Physicians Chiropractor 880119469SCHMIDT, TERRI H 5070 ION DR SPANISH SPGS NV 89436 Washoe 775-770-7727 Physicians Certified Nurse Practitioner 455557052SCHMITT, JOANNA 2840 E FLAMAGO RD LAS VEGAS NV 89121 Clark 702-228-1106 Physicians General Dentist 264086484SCHMITZ, AMANDA J 5516 S FORT APACHE RD STE 130 LAS VEGAS NV 89148 Clark 702-641-8255 Rehabilitation Speech Pathology 412129643SCHNEIDER, ANDREW D 1001 WHITNEY RANCH DR STE 110 HENDERSON NV 89014 Clark 702-233-2787 Physicians General Dentist 830987180SCHNEIDER, SAMANTHA L 3640 WARREN WAY STE 100 RENO NV 89509 Washoe 775-323-2135 Physicians Dermatology 813253496SCHNEIDER, XENIA B 870 SEVEN HILLS DR STE 102 HENDERSON NV 89052 Clark 702-384-5101 Physicians Pulmonology 880329731SCHNEIER, MICHAEL I 10105 BANBRY CROSS DR STE 445 LAS VEGAS NV 89144 Clark 702-475-8454 Physicians Neurological Surgery 824016220SCHNITZLER, EUGENE E 1505 WIGWAM PKWY HENDERSON NV 89074 Clark 702-870-2099 Physicians Pediatrics 880111932SCHNURR, JACK A 1600 MEDICAL PKWY CARSON CITY NV 89703 Carson City 775-445-8000 Physicians Emergency Medicine 880502320SCHOENHAUS, SAMANTHA 8285 W ARBY AVE STE 280 LAS VEGAS NV 89113 Clark 702-862-8862 Physicians Obstetrics/Gynecology 421717339SCHOENING, PAMELA L 540 W PLUMB LN STE 201 RENO NV 89509 Washoe 775-853-7513 Rehabilitation Occupational Therapy 453449190SCHOR, NICOLE 4425 S JONES BLVD LAS VEGAS NV 89103 Clark 702-850-1852 Physicians Marriage & Family Therapist 813946028SCHORGL, WILLIAM G 9127 W RUSSELL RD LAS VEGAS NV 89148 Clark 702-878-0070 Physicians CRNA 592905984SCHORR, EMILY C 3575 PECOS MCLEOD LAS VEGAS NV 89121 Clark 702-731-2088 Physicians Ophthalmology 880107297SCHORR, JANICE L 118 E HASKELL ST WINNEMUCCA NV 89445 Humboldt 775-623-5222 Physicians Certified Nurse Practitioner 886000088SCHORR, JOSHUA D 3186 S MARYLAND PKWY LAS VEGAS NV 89109 Clark 215-869-6575 Physicians Emergency Medicine 880262438SCHOTT, KELLEY A 1025 ROBERTA LN SPARKS NV 89431 Washoe 775-825-4744 Rehabilitation Speech Pathology 562328617SCHRADER, TIMOTHY J 655 S GREEN VALLEY PKWY HENDERSON NV 89052 Clark 702-431-7337 Physicians Internal Medicine 452253262SCHREIBER, MATTHEW P 1707 W CHARLESTON BLVD STE 220 LAS VEGAS NV 89102 Clark 702-671-5070 Physicians Pulmonology 880330858SCHREIBER, SAUL E 1700 E DESERT INN RD STE 103 LAS VEGAS NV 89169 Clark 702-734-8511 Physicians Dermatology 880207468SCHREINER, VIRGINIA C 2020 PALOMINO LN LAS VEGAS NV 89106 Clark 702-759-8600 Physicians Radiology/Diagnostic 821793574SCHREURS, SHANNA L 6630 S MCCARRAN BLVD STE A12 RENO NV 89509 Washoe 775-221-7400 Physicians Certified Nurse Practitioner 886000088SCHROEDER, HARRY 7250 PEAK DR STE 100 LAS VEGAS NV 89128 Clark 702-386-4700 Physicians Anesthesiology 880375544SCHROEDER, JAY S 18653 WEDGE PKWY RENO NV 89511 Washoe 775-853-7997 Physicians Internal Medicine 941439787SCHROEDER, KIMI L 2360 W HORIZON RIDGE PKWY STE 120 HENDERSON NV 89052 Clark 702-294-0433 Physicians Marriage & Family Therapist 454429023SCHROEDER, MARGARETHA D 1470 MEDICAL PKWY STE 160 CARSON CITY NV 89703 Carson City 775-445-7650 Physicians Certified Nurse Practitioner 273686996SCHROEDER, WALTER W 3195 SAINT ROSE PKWY STE 210 HENDERSON NV 89052 Clark 702-792-6700 Physicians Otolaryngology 880341714SCHULACK, NICHOLAS 1800 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-383-2085 Physicians Emergency Medicine 274933934SCHULTHEIS, MARY E 2345 E PRATER WAY STE 110 SPARKS NV 89434 Washoe 775-356-9393 Physicians Colorectal Surgery 880485076SCHULTZ, DANIEL W 4925 W CRAIG RD LAS VEGAS NV 89130 Clark 702-656-7460 Physicians Chiropractor 880483599SCHULTZ, KANDICE D 255 GLENDALE AVE STE 12 SPARKS NV 89431 Washoe 775-356-8181 Physicians Certified Nurse Practitioner 752014828SCHULTZ, MYRA 6161 W CHARLESTON BLVD LAS VEGAS NV 89146 Clark 702-486-6000 Physicians Social Worker 886000022SCHULTZ, NICHOLE N 1661 LUCERNE ST MINDEN NV 89423 Douglas 775-392-3232 Physicians Certified Nurse Practitioner 880502320SCHUMACHER, MARK P 343 ELM ST STE 307 RENO NV 89503 Washoe 775-688-6200 Physicians Obstetrics/Gynecology 880211478SCHUMACHER, TROY J 1280 E CALVADA BLVD PAHRUMP NV 89048 Nye 775-751-3377 Physicians Family Medicine 880213519SCHUNK, MICHAEL W 2020 PALOMINO LN STE 100 LAS VEGAS NV 89106 Clark 702-759-8600 Physicians Radiology/Diagnostic 845116186SCHWARTZ, ADAM A 10521 JEFFREYS ST STE 100 HENDERSON NV 89052 Clark 702-724-2020 Physicians Optometry 201730312SCHWARTZ, ALLEN M 5850 POLARIS AVE STE 100 LAS VEGAS NV 89118 Clark 702-739-9957 Physicians Internal Medicine 752014828SCHWARTZ, BARBARA R 501 S RANCHO DR LAS VEGAS NV 89106 Clark 702-598-1622 Rehabilitation Speech Pathology 880248852SCHWARTZ, GARRETT D 973 MICA DR STE 100 CARSON CITY NV 89705 Douglas 775-267-2992 Physicians Internal Medicine 261513495SCHWARTZ, JOEL 9260 W SUNSET RD LAS VEGAS NV 89148 Clark 702-255-3547 Physicians Obstetrics/Gynecology 522406330SCHWARTZ, MATTHEW W 10001 S EASTERN AVE STE 108 HENDERSON NV 89052 Clark 702-952-3444 Physicians Radiation Oncology 880350180SCHWARTZ, RICHARD A 3100 N TENAYA WAY LAS VEGAS NV 89128 Clark 702-962-5000 Physicians Radiology/Diagnostic 822135009SCHWARTZ, SUSAN E 8985 S PECOS RD STE 3B HENDERSON NV 89074 Clark 702-647-2900 Physicians Otolaryngology 364105559SCHWARTZER, MARLENE 2035 VILLAGE CENTER CIR LAS VEGAS NV 89134 Clark 702-228-7117 Physicians Internal Medicine 880368011

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 172 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDSCHWARZ, ALICIA M 1525 E WINDMILL LN STE 202 LAS VEGAS NV 89123 Clark 702-202-1280 Rehabilitation Occupational Therapy 880386672SCHWARZ, PAUL 55 S VALLE VERDE DR STE 250 HENDERSON NV 89012 Clark 702-260-1890 Physicians General Dentist 264222951SCHWEICKERT, TORREY C 9990 DOUBLE R BLVD STE 200 RENO NV 89521 Washoe 775-348-8800 Rehabilitation Physical Therapy 270028866SCHWENK, THOMAS L 1701 W CHARLESTON BLVD STE 250 LAS VEGAS NV 89102 Clark 702-671-2355 Physicians Family Medicine 880330858SCIACCA, JOSEPHINE A 210 N SANDHILL BLVD MESQUITE NV 89027 Clark 702-345-5000 Physicians Certified Nurse Practitioner 880213519SCIASCIA II, ANTHONY M 2375 E PRATER WAY SPARKS NV 89434 Washoe 775-331-7000 Physicians Emergency Medicine 475671561SCIPIONE, TERENCE M 2020 PALOMINO LN LAS VEGAS NV 89106 Clark 702-759-8600 Physicians Radiology/Diagnostic 752296947SCLATER, RODNEY C 9260 W SUNSET RD LAS VEGAS NV 89148 Clark 702-255-3547 Physicians Anesthesiology 880213519SCOFIELD, WILLIAM J 102 E LAKE MEAD PKWY HENDERSON NV 89015 Clark 702-616-5000 Physicians Internal Medicine 204895064SCOTT JR, WILLIAM H 4700 LAS VEGAS BLVD N NELLIS AFB NV 89191 Clark 702-653-3050 Physicians General Surgery 880330858SCOTT, ILEANA 3006 S MARYLAND PKWY STE 690 LAS VEGAS NV 89109 Clark 702-732-1290 Physicians Certified Nurse Practitioner 880176637SCOTT, JOHN G 5560 KIETZKE LN BLDG A RENO NV 89511 Washoe 775-322-7811 Physicians Urology 208628418SCOTT, JOHN R 1001 RIO VISTA DR FALLON NV 89406 Churchill 775-423-3634 Physicians Family Medicine 880120723SCOTT, KATHLEEN 2031 MCDANIEL ST STE 140 NORTH LAS VEGAS NV 89030 Clark 702-633-0207 Physicians Certified Nurse Practitioner 262321457SCOTT, PATRICK R 340 N 11TH ST LAS VEGAS NV 89101 Clark 702-922-7015 Physicians Social Worker 263198139SCOTTIII, RAYMOND H 3050 N ORMSBY BLVD CARSON CITY NV 89703 Carson City 775-222-0044 Physicians Internal Medicine 260755054SCURLOCK, KRISTEN K 6630 S MCCARRAN BLVD STE 205 RENO NV 89509 Washoe 775-829-0177 Physicians Chiropractor 731636730SEAN JEET SINGH MD PC 9360 W FLAMINGO RD STE 110 LAS VEGAS NV 89147 Clark 702-357-8811 Physicians Internal Medicine 820767392SEAN L. LEHMANN, LLC 415 W SOPHIA ST STE 200 CARSON CITY NV 89703 Carson City 775-884-1800 Physicians Podiatry 271216859SEARCHLIGHT HEALTHCARE 98 E LAKE MEAD PKWY STE 305 HENDERSON NV 89015 Clark 702-765-5780 Ambulatory Facilities 300770519SEARE, WAYNE 2831 SAINT ROSE PKWY STE 221 HENDERSON NV 89052 Clark 702-589-4871 Physicians Certified Nurse Practitioner 823795906SEARS, ZAIGA R 10030 W SAHARA AVE LAS VEGAS NV 89117 Clark 702-570-8105 Physicians Family Medicine 463164188Seasons Hospice - Las Vegas 9205 W RUSSELL RD LAS VEGAS NV 89148 Clark 702-625-9109 Ancillary Providers 611765409SECK, FRANK J 786 W PIONEER BLVD STE A MESQUITE NV 89027 Clark 702-345-5000 Physicians Family Medicine 880213519SECOR, DUNCAN T 620 S 12TH ST ELKO NV 89801 Elko 775-738-0818 Physicians Physical Medicine & Rehabilitation811055912SEDINGER, KATHERINE M 491 COURT ST RENO NV 89501 Washoe 775-525-8103 Physicians Social Worker 825259010SEE RIGHT NOW WITH TIMOTHY PEROZEK, M.D. DBA PEROZEK PROFESS653 N TOWN CENTER DR STE 212 LAS VEGAS NV 89144 Clark 702-982-1360 Physicians Ophthalmology 830461378SEE, AUDRY L 2874 N CARSON ST STE 200 CARSON CITY NV 89706 Carson City 775-445-7170 Physicians Certified Nurse Practitioner 880502320SEECOF, JOHNETTE M 9920 W CHEYENNE AVE STE 120 LAS VEGAS NV 89129 Clark 702-316-2281 Physicians CRNA 464083972SEELHOFF, KAREN S 1155 W 4TH ST STE 110 RENO NV 89503 Washoe 775-786-8711 Rehabilitation Occupational Therapy 870699404SEEMA ANJUM, MD 3599 S EASTERN AVE LAS VEGAS NV 89169 Clark 702-531-5400 Physicians Internal Medicine 753016651SEFCIK, RYAN R 655 SIERRA ROSE DR RENO NV 89511 Washoe 775-770-2722 Physicians Gastroenterology 880213397SEGAL, KAREN 6980 S CIMARRON RD STE 100 LAS VEGAS NV 89113 Clark 702-564-8556 Physicians Pediatrics 203416144SEGERSTROM, STEVEN H 880 ALDER AVE INCLINE VILLAGE NV 89451 Washoe 775-833-4100 Physicians Family Medicine 862775542SEGURA GUERRA, FRANCISCO 2012 S JONES BLVD LAS VEGAS NV 89146 Clark 702-360-1137 Rehabilitation Physical Therapy 412129643SEGURITAN, VENERANDO 801 S RANCHO DR STE D1B1 LAS VEGAS NV 89106 Clark 702-477-0772 Physicians Interventional Radiology 930604377SEHDEV, KARISHMA B 1701 W CHARLESTON BLVD STE 250 LAS VEGAS NV 89102 Clark 702-671-2345 Physicians Internal Medicine 880330858SEHER, RICHARD P 1500 E 2ND ST STE 400 RENO NV 89502 Washoe 775-982-2400 Physicians Cardiology 611496658SEIBERT, BETH A 2345 E PRATER WAY STE 107 SPARKS NV 89434 Washoe 775-352-5300 Physicians Certified Nurse Practitioner 880502320SEIBERT, CHRISTINE L 1701 W CHARLESTON BLVD STE 300 LAS VEGAS NV 89102 Clark 702-251-8000 Physicians Social Worker 043290453SEIDERS, CRISTEN M 2780 S JONES BLVD STE 100A LAS VEGAS NV 89146 Clark 702-820-3061 Physicians Social Worker 820870653SEIFF, MICHAEL E 6850 N DURANGO DR LAS VEGAS NV 89149 Clark 702-948-8788 Physicians Neurological Surgery 271307712SEIFZAD, BEN 8280 W WARM SPRINGS RD LAS VEGAS NV 89113 Clark 702-492-8000 Physicians Internal Medicine 472990144SEIP ORTHOPEDICS A PROFESSIONAL CORP.1569 E FLAMINGO RD STE A LAS VEGAS NV 89119 Clark 702-304-1911 Physicians Orthopedic Surgery 272857766SEIP, DOUGLAS J 1565 E FLAMINGO RD LAS VEGAS NV 89119 Clark 702-304-1911 Physicians Orthopedic Surgery 272857766SEITZ, CYNTHIA K 3006 S MARYLAND PKWY STE 470 LAS VEGAS NV 89109 Clark 702-796-9111 Physicians Pediatrics 880330858SEKHON, LALI H 5590 KIETZKE LN RENO NV 89511 Washoe 775-323-2080 Physicians Neurological Surgery 271689573SEKHON, VIJAY S 2001 ERRECART BLVD ELKO NV 89801 Elko 775-738-5151 Physicians Radiology/Diagnostic 810561939SELA, ZVI 500 S RANCHO DR STE 12 LAS VEGAS NV 89106 Clark 702-877-1887 Physicians Nephrology 891064852SELDON, KALEY D 2012 S JONES BLVD LAS VEGAS NV 89146 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643SELDON, STEPHEN L 2870 S MARYLAND PKWY LAS VEGAS NV 89109 Clark 702-735-0258 Ambulatory Facilities 880332295

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 173 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDSELECT CARE CHIROPRACTIC PC 2522 E LAKE MEAD BLVD NORTH LAS VEGAS NV 89030 Clark 702-642-9672 Physicians Chiropractor 043821114SELECT HAND THERAPY 5380 S RAINBOW BLVD STE 100 LAS VEGAS NV 89118 Clark 702-804-1085 Rehabilitation 631133454SELECT PHYSICAL THERAPY 2650 N TENAYA WAY # S180 LAS VEGAS NV 89128 Clark 800-331-8840 Rehabilitation 631133454SELF, JEAN C 2810 S JONES BLVD STE 1 LAS VEGAS NV 89146 Clark 702-873-1899 Physicians Certified Nurse Practitioner 201786317SELF, LEWIS H 6857 W CHARLESTON BLVD LAS VEGAS NV 89117 Clark 702-304-2144 Physicians Internal Medicine 201026537SELF, SAMUEL K 9260 W SUNSET RD STE 200 LAS VEGAS NV 89148 Clark 702-255-3547 Physicians CRNA 880213519Selleck, Matthew 3150 N TENAYA WAY STE 510 LAS VEGAS NV 89128 Clark 702-962-2300 Physicians General Surgery 331159527SELTZER, LAURIE S 1000 S RAINBOW BLVD # A LAS VEGAS NV 89145 Clark 702-990-6900 Physicians Radiology/Diagnostic 880447330SELZNICK, JAY K 2500 W SAHARA AVE STE 202 LAS VEGAS NV 89102 Clark 702-436-9090 Physicians Oral Surgery 208160487SENITKO, MARTIN 2375 E PRATER WAY SPARKS NV 89434 Washoe 775-331-7000 Physicians Critical Care 472990144SEO, WONKYU 1820 E CRAIG RD STE 102 NORTH LAS VEGAS NV 89030 Clark 702-680-1009 Physicians General Dentist 822081293SEPULVEDA ESTRADA, ANDRES F 2450 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-724-8780 Physicians Anesthesiology 860857176SEPULVEDA, MIGUEL R 2031 N BUFFALO DR LAS VEGAS NV 89128 Clark 702-383-3750 Physicians Internal Medicine 886000436SEQUEL ALLIANCE FAMILY SERVICES LLC 1101 W MOANA LN STE 2 RENO NV 89509 Washoe 775-337-2394 Physicians Professional Counselor 810550989SERBOUSEK, THOMAS R 4880 WYNN RD LAS VEGAS NV 89103 Clark 702-871-5005 Physicians Family Medicine 880213519SERENITY HOSPICE 4560 S DECATUR BLVD STE 301 LAS VEGAS NV 89103 Clark 702-220-7109 Ancillary Providers 943487694SERFUSTINI, ANTHONY B 3650 S EASTERN AVE STE 200 LAS VEGAS NV 89169 Clark 702-733-7855 Physicians Orthopedic Surgery 880132897SERRU PAEZ, ANTONIO 4424 S EASTERN AVE LAS VEGAS NV 89119 Clark 702-732-7440 Physicians Internal Medicine 371616495SERVI, SHANNON M 491 COURT ST RENO NV 89501 Washoe 775-525-8103 Physicians Social Worker 825259010SESNEY, JOHN W 2056 NEWMAN PL CARSON CITY NV 89703 Carson City 775-885-8390 Physicians Psychology (Clinical) 880502320SESSIONS, KRISTI 2501 N GREEN VALLEY PKWY STE D116 HENDERSON NV 89014 Clark 702-605-2766 Physicians Psychology (Clinical) 471751350SETO, WENDY 1550 W HORIZON RIDGE PKWY STE S HENDERSON NV 89012 Clark 702-270-8880 Physicians General Dentist 461388170SEVEN HILLS FAMILY PRACTICE LLC 866 SEVEN HILLS DR STE 102 HENDERSON NV 89052 Clark 702-837-1265 Physicians Family Medicine 880506175SEVEN HILLS FAMILY PRACTICE, LLC 866 SEVEN HILLS DR STE 102 HENDERSON NV 89052 Clark 702-837-1265 Physicians Family Medicine 880506175SEVEN HILLS HOSPITAL 3021 W HORIZON RIDGE PKWY HENDERSON NV 89052 Clark 702-919-6182 Hospitals 510578850SEVEN HILLS SURGERY CENTER 876 SEVEN HILLS DR HENDERSON NV 89052 Clark 702-914-2028 Ambulatory Facilities 880461624SEVEN HILLS VISION CENTER 10608 S EASTERN AVE STE H HENDERSON NV 89052 Clark 702-617-2750 Physicians Optometry 880322065SEVERIN-RUIZ, MILAGROS 1640 ALTA DR STE 4 LAS VEGAS NV 89106 Clark 702-474-6450 Physicians Marriage & Family Therapist 880111970SEVERINO, MARK F 5320 S RAINBOW BLVD BLDG 2 LAS VEGAS NV 89118 Clark 702-794-0073 Physicians Obstetrics/Gynecology 391678306SEVILLA, ATHENI D 4270 S DECATUR BLVD STE B6 LAS VEGAS NV 89103 Clark 702-485-2100 Physicians Certified Nurse Practitioner 812219401SEWANI, HASSANALI A 2809 CRYSTAL BEACH DR LAS VEGAS NV 89128 Clark 702-655-1400 Physicians Critical Care 204898278SEWARD, CHRISTOPHER J 3012 S DURANGO DR SUUITE 1 LAS VEGAS NV 89117 Clark 702-835-0088 Physicians Neurological Surgery 822636612SEWELL, THOMAS L 1350 STARDUST ST STE D RENO NV 89503 Washoe 775-746-3400 Physicians Podiatry 880228641SEXTON, MERLYN A 4221 MCLEOD DR LAS VEGAS NV 89121 Clark 702-474-6450 Physicians Professional Counselor 880111970SEXTON, TRACY S 5852 S PECOS RD STE 10 LAS VEGAS NV 89120 Clark 702-942-6260 Physicians Professional Counselor 141607826SEYMORE, JUDY I 8240 W CHARLESTON BLVD LAS VEGAS NV 89117 Clark 702-220-7633 Physicians Psychology (Clinical) 263024047SFS THERAPIES 5575 SIMMONS ST STE 1217 NORTH LAS VEGAS NV 89031 Clark 702-979-4268 Rehabilitation Speech Pathology 264482623SHABNAM DARBARI MD PC 1905 MCDANIEL ST NORTH LAS VEGAS NV 89030 Clark 702-657-0088 Physicians Nephrology 262329877SHACKELTON, JEFFREY B 640 W MOANA LN RENO NV 89509 Washoe 775-324-0699 Physicians Dermatology 813253496SHAD, MUJEEB U 5400 S RAINBOW BLVD LAS VEGAS NV 89118 Clark 702-853-3000 Physicians Psychiatry 462964527SHADLEY, MERI L 1005 FOREST ST RENO NV 89509 Washoe 775-329-4582 Physicians Marriage & Family Therapist 497503429SHADOW EMERGENCY PHYSICIANS PLLC 2581 SAINT ROSE PKWY HENDERSON NV 89074 Clark 702-963-7595 Physicians Emergency Medicine 752807737SHADOW MOUNTAIN SURGICAL CENTER 7135 W SAHARA AVE STE 101 LAS VEGAS NV 89117 Clark 702-227-5848 Ambulatory Facilities 880441582SHAFER, ADAM D 3016 W CHARLESTON BLVD STE 150 LAS VEGAS NV 89102 Clark 702-790-2701 Physicians Psychiatry 461203260SHAFI, AMAAN 1707 W CHARLESTON BLVD STE 230 LAS VEGAS NV 89102 Clark 702-671-5070 Physicians Internal Medicine 886000436SHAFI, FATIMA 175 N STEPHANIE ST STE 170 HENDERSON NV 89074 Clark 702-997-5958 Physicians General Dentist 208863082SHAFIQUE, MUHAMMAD 6771 W CHARLESTON BLVD LAS VEGAS NV 89146 Clark 702-450-1717 Physicians Internal Medicine 262820707SHAGHARYAN, ANNA 4492 S PECOS RD LAS VEGAS NV 89121 Clark 702-701-7999 Physicians General Dentist 472246740SHAH, AANSHU A 2850 SIENA HEIGHTS DR HENDERSON NV 89052 Clark 702-732-6000 Physicians Radiology/Diagnostic 880232199SHAH, AMI P 1800 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-385-0890 Physicians Pediatrics 844638948SHAH, DIPTI R 10624 S EASTERN AVE HENDERSON NV 89052 Clark 702-644-0500 Physicians Nephrology 260209037

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 174 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDSHAH, EILEEN F 4035 S DURANGO DR STE 103 LAS VEGAS NV 89147 Clark 702-804-8888 Physicians General Dentist 371797092SHAH, HIMANSU R 3035 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 89052 Clark 702-684-5502 Physicians Plastic & Reconstructive Surgery 263499222SHAH, KENNETH J 2465 W HORIZON RIDGE PKWY HENDERSON NV 89052 Clark 702-616-0500 Physicians Cardiology 880455545SHAH, LOPA H 1524 PINTO LN FL 3 LAS VEGAS NV 89106 Clark 702-383-3642 Physicians Pediatrics 880330858SHAH, MANE 2901 N TENAYA WAY STE 100 LAS VEGAS NV 89128 Clark 702-852-2000 Physicians Internal Medicine 201026537SHAH, PINAK A 3001 SAINT ROSE PKWY HENDERSON NV 89052 Clark 877-297-7507 Physicians Internal Medicine 472990144SHAH, RAHI 7181 N HUALAPAI WAY STE 105 LAS VEGAS NV 89166 Clark 702-852-1818 Physicians General Dentist 810950476SHAH, RAJIV R 2767 N TENAYA WAY LAS VEGAS NV 89128 Clark 702-732-6000 Physicians Radiology/Diagnostic 880232199SHAH, RITA G 1800 W CHARLESTON BLVD STE 402 LAS VEGAS NV 89102 Clark 702-992-6868 Physicians Pediatric Infectious Diseases 880330858SHAH, RUSSELL J 2628 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-644-0500 Physicians Neurology 260209037SHAH, SYED I 500 S RANCHO DR STE 12 LAS VEGAS NV 89106 Clark 702-877-1887 Physicians Nephrology 880136773SHAH, TAPAN R 6450 MEDICAL CENTER ST LAS VEGAS NV 89148 Clark 702-304-9494 Physicians Ophthalmology 460497142SHAH, TUSHAR V 657 N TOWN CENTER DR LAS VEGAS NV 89144 Clark 702-369-0142 Physicians Internal Medicine 880368011SHAH, VIPUL A 500 S RANCHO DR LAS VEGAS NV 89106 Clark 702-877-1887 Physicians Nephrology 880136773SHAHIN, MOHAMMAD A 3325 RESEARCH WAY CARSON CITY NV 89706 Carson City 775-887-5140 Physicians Family Medicine 880502320SHAHRESTANI, ALI 242 LOS ALTOS PKWY SPARKS NV 89436 Washoe 775-354-1785 Physicians General Dentist 464871811SHAHROKH, POUYAN 445 W CRAIG RD STE 121 NORTH LAS VEGAS NV 89032 Clark 702-399-9118 Physicians General Dentist 261591087SHAHZAD, ASHER 1200 S 4TH ST STE 111 LAS VEGAS NV 89104 Clark 702-380-8118 Physicians Infectious Diseases 260790928SHAIKH, FAROOQ M 6088 S DURANGO DR LAS VEGAS NV 89113 Clark 702-380-4242 Physicians Infectious Diseases 261898141SHAINKER, ALYSON 7473 W LAKE MEAD BLVD STE 100 LAS VEGAS NV 89128 Clark 702-810-8400 Physicians Social Worker 273663626SHAKERI, HAMID 4791 SUMMIT RIDGE DR RENO NV 89523 Washoe 775-982-5000 Physicians Internal Medicine 880291454SHAKIR, ASHANTI A 2360 W HORIZON RIDGE PKWY STE 120 HENDERSON NV 89052 Clark 702-294-0433 Physicians Marriage & Family Therapist 454429023SHALEV, AMIR 3320 N BUFFALO DR LAS VEGAS NV 89129 Clark 702-256-8454 Physicians Podiatry 880424803SHALEV, JOSEPH 101 N GREEN VALLEY PARKWAY SUTIE SUTIE 215 HENDERSON NV 89074 Clark 702-731-2088 Physicians Ophthalmology 880107297SHALLENBERGER, FRANK A 1231 COUNTRY CLUB DR CARSON CITY NV 89703 Carson City 775-884-3990 Physicians Family Medicine 953154530SHAMIS, MICHAEL 2020 PALOMINO LN LAS VEGAS NV 89106 Clark 702-759-8600 Physicians Radiology/Diagnostic 842544520SHAMIYA, MOHAMED S 2400 S CIMARRON RD STE 130 LAS VEGAS NV 89117 Clark 702-478-8819 Physicians Sleep Medicine 263832744SHAMLOO, BEHROOZ K 2904 W HORIZON RIDGE PKWY HENDERSON NV 89052 Clark 702-471-7779 Physicians Oncology 472990144SHAMLOO, MEHDI 9280 W SUNSET RD LAS VEGAS NV 89148 Clark 702-688-8110 Physicians Family Medicine 880213519SHANE, STANLEY R 1500 E 2ND ST STE 302 RENO NV 89502 Washoe 775-784-7500 Physicians Endocrinology 953154530SHANE, STEVEN A 1800 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-383-2000 Physicians Pediatrics 453460014SHANG, THOMAS A 2626 S RAINBOW BLVD LAS VEGAS NV 89146 Clark 702-370-5430 Physicians Family Medicine 463164188SHANNON, KRISTOPHER R 102 E LAKE MEAD PKWY HENDERSON NV 89015 Clark 702-856-0633 Physicians Emergency Medicine 880262438SHANNON, MARY A 501 S RANCHO DR STE I67 LAS VEGAS NV 89106 Clark 702-243-4700 Physicians Orthopedic Surgery 364169253SHAPIRA, HARVEY 3650 S EASTERN AVE STE 100 LAS VEGAS NV 89169 Clark 866-389-0211 Rehabilitation Physical Therapy 880348546SHAPIRO, BRUCE S 8851 W SAHARA AVE STE 100 LAS VEGAS NV 89117 Clark 702-254-1777 Physicians Obstetrics/Gynecology 880285933SHAPIRO, LEONARD 2135 GREEN VISTA DR STE 109 SPARKS NV 89431 Washoe 775-359-5010 Physicians Allergy/Immunology 880137191SHAPOSHNIKOV, YAKOV D 2020 GOLDRING AVE STE 406 LAS VEGAS NV 89106 Clark 702-737-3337 Physicians Gastroenterology 880482103SHARDA SUN MEDICAL GROUP 2435 FIRE MESA ST LAS VEGAS NV 89128 Clark 702-939-4407 Physicians Radiation Oncology 753135224SHARDA, NAVNEET N 3509 E HARMON AVE LAS VEGAS NV 89121 Clark 702-547-2273 Physicians Radiation Oncology 880485808SHARIF, KEVIN R 7455 W WASHINGTON AVE STE 160 LAS VEGAS NV 89128 Clark 702-878-0393 Physicians Orthopedic Surgery 880313907SHARIFIAN, ALEX R 175 N STEPHANIE ST STE 170 HENDERSON NV 89074 Clark 702-997-5958 Physicians General Dentist 208863082SHARMA, AKANKSHA 169 N NELLIS BLVD LAS VEGAS NV 89110 Clark 702-384-1010 Physicians General Dentist 371797092SHARMA, BIKAS 6787 W TROPICANA AVE STE 110 LAS VEGAS NV 89103 Clark 702-750-1744 Physicians Family Medicine 880213519SHARMA, DEEPAK 3150 N TENAYA WAY STE 320 LAS VEGAS NV 89128 Clark 702-240-6482 Physicians Cardiology 201293115SHARMA, KONARK 700 W WARM SPRINGS RD STE 100 LAS VEGAS NV 89119 Clark 702-216-3350 Physicians Infectious Diseases 880404402SHARMA, MANOJ K 620 SHADOW LN LAS VEGAS NV 89106 Clark 702-388-8436 Physicians Internal Medicine 264058719SHARMA, MUKESH K 670 SIERRA ROSE DR RENO NV 89511 Washoe 775-322-4550 Physicians Nephrology 201405833SHARMA, RASSILEE 6375 W CHARLESTON BLVD STE A500 LAS VEGAS NV 89146 Clark 702-651-5510 Physicians General Dentist 886000024SHARMA, SATISH K 630 S RANCHO DR STE H LAS VEGAS NV 89106 Clark 702-739-8323 Physicians Anesthesiology 203516398SHARMA, SHEENA 725 S GREEN VALLEY PKWY STE 100 HENDERSON NV 89052 Clark 702-560-5231 Physicians General Dentist 463544011

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 175 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDSHARMA, SIDHARTH G 4270 S DECATUR BLVD STE B6 LAS VEGAS NV 89103 Clark 702-485-2100 Physicians Psychiatry 812219401SHARMA, UMANGA 1600 MEDICAL PKWY CARSON CITY NV 89703 Carson City 775-445-8795 Physicians Internal Medicine 261932485SHARMA, UMANGA 975 KIRMAN AVE STE 111 RENO NV 89502 Washoe 775-982-5000 Physicians Internal Medicine 260755054SHARMA, VISHVINDER 870 SEVEN HILLS DR STE 201 HENDERSON NV 89052 Clark 702-633-0207 Physicians Gastroenterology 880219049SHATTUCK, RIANNA A 2012SOUTH JONES BLVD LAS VEGAS NV 89146 Clark 702-360-1137 Rehabilitation Physical Therapy 412129643SHAW, LAURA K 1701 W CHARLESTON BLVD STE 250 LAS VEGAS NV 89102 Clark 702-671-2355 Physicians Family Medicine 880330858SHAW, LAWRENCE G 1707 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-671-5140 Physicians Obstetrics/Gynecology 810564970SHAW, PRIYA B 3001 SAINT ROSE PKWY HENDERSON NV 89052 Clark 702-616-5925 Physicians Family Medicine 472990144SHAW, STEPHEN B 9310 S STE HENDERSON NV 89014 Clark 702-873-2307 Physicians Chiropractor 880416777SHAW, STEVEN 375 N STEPHANIE ST STE 211 HENDERSON NV 89014 Clark 702-454-1008 Physicians Orthodontist 832897319SHAWAR, REEM 2040 W CHARLESTON BLVD STE 402 LAS VEGAS NV 89102 Clark 702-671-2236 Physicians Pediatrics 731088577SHAZIA PROFESSIONAL CORP. 612 SILVER GROVE ST LAS VEGAS NV 89144 Clark 702-463-8762 Physicians Internal Medicine 262499321SHEA, JOSEPH 1701 W CHARLESTON BLVD STE 215 LAS VEGAS NV 89102 Clark 702-671-2355 Physicians Obstetrics/Gynecology 880330858SHECKLER-SCOTT, LYN 65 LOGAN ST LAS VEGAS NV 89110 Clark 702-498-2946 Rehabilitation Speech Pathology 886000022SHEDLOCK, AARON R 1524 PINTO LN LAS VEGAS NV 89106 Clark 702-383-3642 Physicians Pediatrics 880330858SHEEHAN, MICHAEL 1425 VISTA LN CARSON CITY NV 89703 Carson City 775-883-1030 Physicians Certified Nurse Practitioner 880363142SHEEHAN, MICHAEL 1425 VISTA LN CARSON CITY NV 89703 Carson City 775-883-1030 Physicians Certified Nurse Practitioner 880502320SHEEP, ANDREW E 2375 E PRATER WAY SPARKS NV 89434 Washoe 775-331-7000 Physicians Emergency Medicine 833597814SHEFFIELD, SHERRY 4221 MCLEOD DR LAS VEGAS NV 89121 Clark 702-474-6450 Physicians Professional Counselor 880111970SHEHANE, RICHARD R 3150 N TENAYA WAY STE 320 LAS VEGAS NV 89128 Clark 702-240-6482 Physicians Cardiology 880332598SHEHATA, ADEL R 4275 BURNHAM AVE LAS VEGAS NV 89119 Clark 702-796-4278 Physicians Cardiology 880217735SHEIKH, AJAZ A 657 N TOWN CENTER DR LAS VEGAS NV 89144 Clark 702-233-7000 Physicians Pediatric Gastroenterology 870749299SHEIKH, AMAN 3016 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-380-1212 Physicians General Dentist 454797322SHEIKH, FAREED A 3150 N TENAYA WAY STE 320 LAS VEGAS NV 89128 Clark 702-240-6482 Physicians Cardiology 200562668SHEIKH, MAHMUD A 3540 W SAHARA AVE STE 330 LAS VEGAS NV 89102 Clark 702-921-6823 Physicians Internal Medicine 680551963SHEIKH, SAMEER I 2600 S RAINBOW BLVD STE 108 LAS VEGAS NV 89146 Clark 702-921-6823 Physicians Internal Medicine 261877370SHEILA L MIRANDA MD PC 9811 W CHARLESTON BLVD STE 2543 LAS VEGAS NV 89117 Clark 702-256-3637 Physicians Internal Medicine 300318525SHEILA L. MIRANDA MD PROFESSIONAL 9811 W CHARLESTON BLVD LAS VEGAS NV 89117 Clark 702-380-2082 Physicians Internal Medicine 300318525SHELIN, RANDALL G 2020 PALOMINO LN STE 100 LAS VEGAS NV 89106 Clark 888-727-1074 Physicians Radiology/Diagnostic 834721282SHEMMS, ARIANA K 2012 S JONES BLVD LAS VEGAS NV 89146 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643SHEN, CHRISTOPHER C 2110 E FLAMINGO RD LAS VEGAS NV 89119 Clark 702-733-2020 Physicians Ophthalmology 880331757SHEN, JOANNA 6525 N DECATUR BLVD STE 150 LAS VEGAS NV 89131 Clark 702-577-1941 Physicians General Dentist 208862814SHEN, MARGARET 2851 N TENAYA WAY STE 205 LAS VEGAS NV 89128 Clark 702-655-9456 Rehabilitation Occupational Therapy 200042642SHEPHERD EYE CENTER 2475 W HORIZON RIDGE PKWY HENDERSON NV 89052 Clark 702-731-2088 Ancillary Providers 880107297Shepherd Eye Surgicenter - Las Vegas 3575 PECOS MCLEOD LAS VEGAS NV 89121 Clark 702-731-2088 Ambulatory Facilities 752829740SHEPHERD, JOHN 7260 S RAINBOW BLVD STE 104 LAS VEGAS NV 89118 Clark 702-896-7211 Physicians General Dentist 205337268SHEPHERD, JOHN R 3575 PECOS MCLEOD LAS VEGAS NV 89121 Clark 702-731-2088 Physicians Ophthalmology 880107297SHEPHERD, SCOTT F 2375 E PRATER WAY SPARKS NV 89434 Washoe 775-331-7000 Physicians Emergency Medicine 475671561SHEPPARD, WANDA L 3150 N TENAYA WAY STE 500 LAS VEGAS NV 89128 Clark 702-869-0070 Physicians Certified Nurse Practitioner 886000022SHER INSTITUTE FOR REPRODUCTIVE MEDICINE ST LOUIS5320 S RAINBOW BLVD STE 300 LAS VEGAS NV 89118 Clark 702-794-0073 Physicians Obstetrics/Gynecology 431878078SHER, GEOFFREY 5320 S RAINBOW BLVD STE 300 LAS VEGAS NV 89118 Clark 702-794-0073 Physicians Obstetrics/Gynecology 020713968SHER. INSTITUTE FOR REPRODUCTIVE MEDICINE5320 S RAINBOW BLVD STE 300 LAS VEGAS NV 89118 Clark 702-892-9696 Physicians Obstetrics/Gynecology 464231229SHERIDAN, DIANE M 1624 10TH ST MINDEN NV 89423 Douglas 775-782-0700 Physicians Dermatology 844163629SHERIFF, IMRAN 901 E 2ND ST STE 205 RENO NV 89502 Washoe 775-322-5050 Physicians Family Medicine 030523406SHERMAN, MICHAEL L 3073 W CRAIG RD STE 1 NORTH LAS VEGAS NV 89032 Clark 702-636-8760 Physicians General Dentist 900894850SHERROD III, JESSE A 8906 SPANISH RIDGE AVE LAS VEGAS NV 89148 Clark 702-577-1622 Physicians Obstetrics/Gynecology 880330858SHERWILL-NAVARRO, PAMELA J 118 E HASKELL ST WINNEMUCCA NV 89445 Humboldt 775-623-5222 Physicians Certified Nurse Practitioner 920044965SHERWOOD, JOHN D 2207 N 5TH ST ELKO NV 89801 Elko 775-738-2225 Physicians Chiropractor 898012458SHERYL J CIPOLLINI LLC 1360 E NEVADA HIGHWAY 372 STE 5 PAHRUMP NV 89048 Nye 775-877-9500 Physicians Certified Nurse Practitioner 820655729SHETA, MOSTAFA 282 E LAKE MEAD PKWY HENDERSON NV 89015 Clark 702-567-9002 Physicians Family Medicine 880213519SHETE, LATA K 5701 W CHARLESTON BLVD LAS VEGAS NV 89146 Clark 239-277-2940 Physicians Nephrology 880484954

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 176 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDSHETTY, KARTIKA S 102 E LAKE MEAD PKWY HENDERSON NV 89015 Clark 877-297-7507 Physicians Internal Medicine 208753074SHEWAYISH, SARAH K 2040 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-671-6437 Physicians Infectious Diseases 472990144SHEYKHZADEH, PAUL I 655 SIERRA ROSE DR RENO NV 89511 Washoe 775-829-7600 Physicians Gastroenterology 880213397SHI, YANYAN E 5575 S DURANGO DR STE 103 LAS VEGAS NV 89113 Clark 702-435-5437 Physicians Pediatrics 880213519SHIBATA, STEPHANIE A 2435 FIRE MESA ST STE 120 LAS VEGAS NV 89128 Clark 702-586-0202 Physicians Infectious Diseases 260790928SHIELDS III, ANDREW T 653 N TOWN CENTER DR STE 508 LAS VEGAS NV 89144 Clark 702-228-8777 Physicians General Dentist 202382284SHIELDS, SAMUEL S 2375 E PRATER WAY SPARKS NV 89434 Washoe 775-331-7000 Physicians Emergency Medicine 475671561SHIH, GEOFFREY 6161 W CHARLESTON BLVD LAS VEGAS NV 89146 Clark 702-468-8311 Rehabilitation Occupational Therapy 886000022SHIH, JIMMY J 2020 PALOMINO LN LAS VEGAS NV 89106 Clark 702-759-8700 Physicians Radiology/Diagnostic 822135009SHIH, SIMON K 7720 W SAHARA AVE STE 110 LAS VEGAS NV 89117 Clark 702-242-4680 Physicians General Dentist 205673651SHILANDER, AUDREY C 1701 W CHARLESTON BLVD STE 300 LAS VEGAS NV 89102 Clark 702-251-8000 Physicians Psychiatry 886000022SHILL, MARTIN 2481 PROFESSIONAL CT LAS VEGAS NV 89128 Clark 702-382-1599 Physicians Gastroenterology 202595077SHILPA B. THAKER, MD., LTD. 3150 N TENAYA WAY STE 225 LAS VEGAS NV 89128 Clark 702-240-2454 Physicians Internal Medicine 271868851SHIMIZU, KEITH 1300 W SUNSET RD STE 1617 HENDERSON NV 89014 Clark 702-341-7254 Physicians Optometry 886000022SHIN, EUNSOOK 6960 WESTCLIFF DR LAS VEGAS NV 89145 Clark 702-363-0421 Physicians General Dentist 880292749SHIN, KWANG C 9499 W CHARLESTON BLVD STE 150 LAS VEGAS NV 89117 Clark 702-228-5477 Physicians Internal Medicine 880292749SHIODE, DANIEL T 501 S RANCHO DR LAS VEGAS NV 89106 Clark 702-384-4110 Physicians Psychology (Clinical) 880388175SHIRAISHI, RANDOLPH 4180 S RAINBOW BLVD STE 809 LAS VEGAS NV 89103 Clark 702-383-3626 Physicians Internal Medicine 886000436SHIRAISHI, RANDOLPH M 1501 E CALVADA BLVD PAHRUMP NV 89048 Nye 775-727-5500 Physicians Internal Medicine 880213519SHIREY, LEIGHANNE 2874 N CARSON ST STE 200 CARSON CITY NV 89706 Carson City 775-445-7170 Physicians Certified Nurse Practitioner 880502320SHIRKA, ROMINA 2877 PARADISE RD UNIT 2306 LAS VEGAS NV 89109 Clark 615-346-8182 Physicians Neurology 462915641SHIRLEY, RACHEL J 653 N TOWN CENTER DR LAS VEGAS NV 89144 Clark 702-243-7200 Physicians General Surgery 880350180SHIROFF, ROBERT A 3131 LA CANADA ST STE 200 LAS VEGAS NV 89169 Clark 702-731-8224 Physicians Cardiology 880156903SHIVLEY, LEA A 1001 RIO VISTA DR FALLON NV 89406 Churchill 775-423-3634 Physicians Certified Nurse Practitioner 820581689SHOCKLEY, JOEL A 2020 PALOMINO LN STE 100 LAS VEGAS NV 89106 Clark 702-759-8600 Physicians Radiology/Diagnostic 842544520SHOCKLEY, RONALD A 3006 S MARYLAND PKWY STE 400 LAS VEGAS NV 89109 Clark 702-309-2311 Physicians Infectious Diseases 412211089SHOEMAKER, RODNEY S 923 TAHOE BLVD STE 100 INCLINE VILLAGE NV 89451 Washoe 775-831-5544 Physicians Chiropractor 880403824SHOEMAKER, WILLIAM R 2870 S MARYLAND PKWY STE 300 LAS VEGAS NV 89109 Clark 702-735-0258 Physicians Internal Medicine 880106090SHOENBERGER, GEORGE D 245 MOUNT ROSE ST RENO NV 89509 Washoe 775-448-6828 Physicians Psychology (Clinical) 264816223SHOHO, ANGELA R 2629 W HORIZON RIDGE PKWY STE 140 HENDERSON NV 89052 Clark 702-818-3207 Physicians Internal Medicine 900010663SHOLEFF, GREGORY T 635 N TOWN CENTER DR STE 418 LAS VEGAS NV 89114 Clark 702-233-7950 Physicians Family Medicine 462964527SHONNARD, KEITH 973 MICA DR STE 201 CARSON CITY NV 89705 Douglas 775-783-6190 Physicians Radiology/Diagnostic 880279310SHONNARD, PAUL Y 10635 PROFESSIONAL CIR STE A RENO NV 89521 Washoe 775-786-3040 Physicians Orthopedic Surgery 264818362SHOO, ANTHONY E 10001 S EASTERN AVE STE 310 HENDERSON NV 89052 Clark 702-566-2400 Physicians Pediatrics 880330858SHOPNICK, RINAH I 2020 PALOMINO LN STE 110 LAS VEGAS NV 89106 Clark 702-759-8600 Physicians Hematology 880175940SHORT, MARK P 2780 S JONES BLVD STE 108 LAS VEGAS NV 89146 Clark 702-606-3295 Physicians Psychology (Clinical) 264546700SHOW, STEPHEN Y 1020 S BOULDER HWY HENDERSON NV 89015 Clark 702-791-9000 Physicians Psychiatry 886000022SHRAKE, ALEXANDRA D 3708 LAKESIDE DR STE 101 RENO NV 89509 Washoe 775-786-2424 Physicians Professional Counselor 810550989SHRIKI, JESSE 2375 E PRATER WAY SPARKS NV 89434 Washoe 775-331-7000 Physicians Emergency Medicine 208753074SHROFF, SULABH 366 W LAKE MEAD PKWY STE 100 HENDERSON NV 89015 Clark 702-464-3090 Physicians Pediatric Dentist 454612311SHUFF, JAIME H 645 N ARLINGTON AVE STE 120 RENO NV 89503 Washoe 775-770-7410 Physicians Radiation Oncology 880502320SHUJA AND ASSOCIATES INC. 2600 S RAINBOW BLVD STE 108 LAS VEGAS NV 89146 Clark 702-921-6823 Physicians Internal Medicine 203215434SHUJA, AMIR 3540 W SAHARA AVE LAS VEGAS NV 89102 Clark 702-921-6823 Physicians Internal Medicine 880368011SHUJA, REEM M 3540 W SAHARA AVE STE 330 LAS VEGAS NV 89102 Clark 702-921-6823 Physicians Internal Medicine 821095121SHUKLA, SANJAI K 1365 MEDICAL PKWY CARSON CITY NV 89703 Carson City 775-786-3040 Physicians Orthopedic Surgery 941709925SHULL, JONAH D 1240 E 9TH ST RENO NV 89512 Washoe 775-323-0478 Physicians Psychiatry 880300031SHULTIS, LINDIANE R 1397 S LOOP RD PAHRUMP NV 89048 Nye 775-727-5500 Physicians Certified Nurse Practitioner 880213519SHURTLEFF, KRISTINA P 1397 GALLERIA DR HENDERSON NV 89014 Clark 702-436-5800 Physicians Family Medicine 880407695SHYU, ERIC S 545 MARKS ST STE 100 HENDERSON NV 89014 Clark 702-425-3697 Physicians General Dentist 261771124SIBEL, ROMAN A 3175 SAINT ROSE PKWY HENDERSON NV 89052 Clark 702-997-9833 Physicians Orthopedic Surgery 273148970SICAT, ZARINA RAE B 4380 BLUE DIAMOND RD STE 102 LAS VEGAS NV 89139 Clark 702-425-4424 Physicians General Dentist 261748512

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 177 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDSIDDIQI, IRAJ R 1701 W CHARLESTON BLVD STE 160 LAS VEGAS NV 89102 Clark 702-671-5127 Physicians Psychiatry 886000022SIDDIQUI, SEHAM A 1025 ROBERTA LN SPARKS NV 89431 Washoe 775-825-4744 Rehabilitation Speech Pathology 562328617SIDDIQUI, USAMA 2231 W CHARLESTON BLVD FL 1 LAS VEGAS NV 89102 Clark 702-676-3650 Physicians Internal Medicine 813419791SIDERS, AUDREY G 7501 W LAKE MEAD BLVD LAS VEGAS NV 89128 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643SIDES, DOUGLAS M 100 N GREEN VALLEY PKWY HENDERSON NV 89074 Clark 702-366-9700 Physicians Radiology/Diagnostic 880119638SIDHU, AMANDEEP 8955 S PECOS RD STE 2A HENDERSON NV 89074 Clark 702-212-6641 Physicians General Dentist 474054373SIDHU, NATASHA 1800 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-671-2345 Physicians Emergency Medicine 822991358SIDHU, RUPAL S 7537 S RAINBOW BLVD LAS VEGAS NV 89139 Clark 612-703-6936 Physicians Family Medicine 311508482SIEFFERT, GEORGE F 1500 E 2ND ST STE 206 RENO NV 89502 Washoe 775-789-7000 Physicians Vascular Surgery 880179203SIEGEL, FREDRIC A 9280 W SUNSET RD STE 320 LAS VEGAS NV 89148 Clark 702-534-5464 Physicians Cardiology 010751148SIEGEL, WADE J 7455 W WASHINGTON AVE STE 140 LAS VEGAS NV 89128 Clark 702-341-5434 Physicians Chiropractor 202112039SIEGLER, JOHN 2200 S RANCHO DR LAS VEGAS NV 89102 Clark 800-656-7226 Physicians Physical Medicine & Rehabilitation200604902SIEGLER, JOHN B 2510 WIGWAM PKWY STE 201 HENDERSON NV 89074 Clark 702-457-7463 Physicians Physical Medicine & Rehabilitation880461624SIENA HEIGHTS SURGERY CENTER 2865 SIENA HEIGHTS DR HENDERSON NV 89052 Clark 702-586-3211 Ambulatory Facilities 464862415SIENA HENDERSON DIALYSIS CENTER 2865 SIENA HEIGHTS DR STE 141 HENDERSON NV 89052 Clark 702-260-0348 Ambulatory Facilities 204399694SIENA HILLS PRIMARY CARE 10001 S EASTERN AVE STE 101 HENDERSON NV 89052 Clark 702-564-8373 Physicians Internal Medicine 880443995SIENA PEDIATRICS 2847 SAINT ROSE PKWY STE 150 HENDERSON NV 89052 Clark 702-248-7337 Ambulatory Facilities 204800214SIENA SURGERY CENTER 2865 SIENA HEIGHTS DR HENDERSON NV 89052 Clark 702-586-3211 Ambulatory Facilities 464862415SIERRA ACUPUNCTURE 512 N DIVISION ST CARSON CITY NV 89703 Carson City 775-841-3336 Physicians Acupuncturist 261620454SIERRA ANESTHESIA 520 HAMMILL LN RENO NV 89511 Washoe 775-786-9666 Physicians Anesthesiology 880292607SIERRA BIOLOGICS INC 4010 W ALI BABA LN LAS VEGAS NV 89118 Clark 702-483-4230 Ancillary Providers 455311889SIERRA FOOT & ANKLE 1516 VIRGINIA RANCH RD STE 101 GARDNERVILLE NV 89410 Douglas 775-783-8037 Physicians Podiatry 880463851SIERRA HEALTH MART -DOWNTOWN 501 RALSTON ST RENO NV 89503 Washoe 775-329-2000 Ambulatory Facilities 880488359SIERRA INTEGRATIVE MEDICAL CENTER 9333 DOUBLE R BLVD STE 100 RENO NV 89521 Washoe 281-580-1423 Physicians Internal Medicine 542100026SIERRA MOUNTAIN HEALTH 628 LAKE ST RENO NV 89501 Washoe 775-329-1717 Physicians Psychiatry 448742834SIERRA NEUROLOGY LLP 896 W NYE LN STE 203 CARSON CITY NV 89703 Carson City 775-687-8570 Ambulatory Facilities 203764670SIERRA NEUROSURGERY GROUP 1784 BROWNING WAY STE A ELKO NV 89801 Elko 775-323-2080 Physicians Neurological Surgery 880167036SIERRA NEVADA CARDIOLOGY ASSOCIATES 118 E HASKETT ST WINNEMUCCA NV 89445 Humboldt 775-623-5222 Physicians Cardiology 880247743SIERRA NEVADA ENT 1520 VIRGINIA RANCH RD STE 103 GARDNERVILLE NV 89410 Douglas 775-883-7666 Physicians Otolaryngology 680405220SIERRA NEVADA EYE CENTER 3475 GS RICHARDS BLVD CARSON CITY NV 89703 Carson City 775-841-2000 Physicians Ophthalmology 200053544SIERRA NEVADA MEDICAL IMAGING 1107 US HIGHWAY 395 S GARDNERVILLE NV 89410 Douglas 775-782-1500 Physicians Radiology/Diagnostic 680464311SIERRA NEVEDA NEPHROLOGY CONSULTANTS410 FLEISCHMANN WAY STE B CARSON CITY NV 89703 Carson City 775-322-4550 Physicians Nephrology 201405833SIERRA ORTHOPEDICS 645 N ARLINGTON AVE STE 655 RENO NV 89503 Washoe 775-333-5555 Physicians Orthopedic Surgery 860877841SIERRA OXYGEN SERVICE INC. 200 BATH ST STE 2 CARSON CITY NV 89703 Carson City 775-883-8600 Ancillary Providers 680496130Sierra Podiatry Center 1801 N CARSON ST CARSON CITY NV 89701 Carson City 775-882-1441 Ambulatory Facilities 880309955SIERRA PULMONARY & SLEEP DISORDERS 1441 PULLMAN DR SPARKS NV 89434 Washoe 775-351-2600 Physicians Pulmonology 061642331SIERRA REGIONAL SPINE INSTITUTE 325 HANSON ST WINNEMUCCA NV 89445 Humboldt 775-828-2873 Physicians Orthopedic Surgery 880345183SIERRA REHAB & WELLNESS CENTER 6880 S MCCARRAN BLVD STE 12 RENO NV 89509 Washoe 775-324-4800 Rehabilitation 880302345Sierra Ridge Health and Wellness Suites 6225 SHARLANDS AVE RENO NV 89523 Washoe 775-683-4200 Rehabilitation 320456743SIERRA ROSE DIALYSIS CENTER 685 SIERRA ROSE DR RENO NV 89511 Washoe 775-829-6580 Ambulatory Facilities 020614476SIERRA SKIN INSTITUTE 10479 DOUBLE R BLVD RENO NV 89521 Washoe 775-850-8600 Physicians Dermatology 200473884SIERRA SLEEP TECHNOLOGIES 2655 S RAINBOW BLVD STE 310 LAS VEGAS NV 89146 Clark 702-364-2685 Ancillary Providers 460485769SIEVERT, MARK C 670 SIERRA ROSE DR RENO NV 89511 Washoe 775-322-4550 Physicians Nephrology 201405833SIFUENTES, JOHN 5400 S RAINBOW BLVD LAS VEGAS NV 89118 Clark 330-344-6000 Physicians Internal Medicine 472990144SIGAL, TIFFANY A 1800 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-383-2000 Physicians Emergency Medicine 830727297SIJUADE, VICTORIA 7180 CASCADE VALLEY CT STE 180 LAS VEGAS NV 89128 Clark 702-641-2150 Physicians Certified Nurse Practitioner 880334024SIKAND, JAGPAL S 1650 COMMUNITY COLLEGE DR LAS VEGAS NV 89146 Clark 702-486-4400 Physicians Psychology (Clinical) 886000022SIKAND, JENNIFER F 102 E LAKE MEAD PKWY HENDERSON NV 89015 Clark 702-477-0772 Physicians Radiology/Diagnostic 880307447SIKISAM ALI MAGOYAG PC 657 N TOWN CENTER DR LAS VEGAS NV 89144 Clark 702-233-7000 Physicians Internal Medicine 331144526SIKKA, VIKAS 10965 LAVENDER HILL DR STE 120 LAS VEGAS NV 89135 Clark 702-852-2755 Physicians General Dentist 810950476SILBERBERG, JOEL 1707 W CHARLESTON BLVD STE 160 LAS VEGAS NV 89102 Clark 702-671-6448 Physicians Psychiatry 880330858

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 178 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDSILL, JAMES S 4890 E BONANZA RD LAS VEGAS NV 89110 Clark 702-649-6859 Physicians General Dentist 880229750SILVA, JESSICA A 10870 W CHARLESTON BLVD STE 170 LAS VEGAS NV 89135 Clark 702-254-6412 Physicians Periodontist 260160921SILVA, JOSEPH A 2870 S MARYLAND PKWY STE 2 LAS VEGAS NV 89109 Clark 702-380-1060 Rehabilitation Physical Therapy 320197195SILVEIRA, ANJULI 1325 AIRMOTIVE WAY STE 100 RENO NV 89502 Washoe 775-453-4143 Physicians Marriage & Family Therapist 471013467Silver Hills Health Care Center 3450 N BUFFALO DR LAS VEGAS NV 89129 Clark 702-952-2273 Rehabilitation 330747167Silver Ridge Healthcare Center 1151 S TORREY PINES DR LAS VEGAS NV 89146 Clark 702-938-8333 Rehabilitation 330747167SILVER SAGE CENTER FOR FAMILY MEDICINE10467 DOUBLE R BLVD RENO NV 89521 Washoe 775-853-9394 Physicians Family Medicine 201659553SILVER STATE HEARING & BALANCE INC 3735 LAKESIDE DR STE A RENO NV 89509 Washoe 775-682-4000 Rehabilitation Audiology 260139402SILVER STATE SPINECARE FORREST BURKE MD A PROFESSIONAL CORP1055 ROBERTA LN STE 103 SPARKS NV 89431 Washoe 775-331-2600 Physicians Physical Medicine & Rehabilitation880494008SILVER, FRANK P 1900 E DESERT INN RD LAS VEGAS NV 89169 Clark 702-735-1960 Physicians Obstetrics/Gynecology 880478227SILVER, SCOTT A 2010 GOLDRING AVE STE 100 LAS VEGAS NV 89106 Clark 702-588-7373 Physicians Internal Medicine 231352099SILVERMAN, DAVID L 6161 W CHARLESTON BLVD LAS VEGAS NV 89146 Clark 702-486-6000 Physicians Psychiatry 886000022SILVERSTATE HEALTHCARE SERVICES 4425 S PECOS RD LAS VEGAS NV 89121 Clark 702-947-5200 Physicians Certified Nurse Practitioner 472865205SIM JR., TEDDY B 8560 S EASTERN AVE STE 150 LAS VEGAS NV 89123 Clark 702-277-1371 Physicians Chiropractor 465637728SIMANGAN JR, DODDS P 1701 W CHARLESTON BLVD STE 250 LAS VEGAS NV 89102 Clark 702-671-2355 Physicians Pediatrics 880330858SIMEONE, LAURA A 4928 APACHE VALLEY AVE LAS VEGAS NV 89131 Clark 702-292-7931 Rehabilitation Speech Pathology 886000022SIMEONI, JULIE C 6130 PLUMAS ST RENO NV 89519 Washoe 775-329-0873 Physicians Certified Nurse Practitioner 880152239SIMISTER, DOUGLAS K 4306 S EASTERN AVE LAS VEGAS NV 89119 Clark 702-735-4169 Physicians Orthodontist 260735944SIMISTER, RAYMOND K 4610 MEADOWS LN STE B LAS VEGAS NV 89107 Clark 702-878-7700 Physicians General Dentist 880132621SIMMERS-PEARSON, ERIN M 2375 E PRATER WAY SPARKS NV 89434 Washoe 775-331-7000 Physicians Emergency Medicine 475671561SIMMONS, CAROLYN E 1995 ERRECART BLVD STE 102 ELKO NV 89801 Elko 775-738-3111 Physicians Family Medicine 880387970SIMMONS, LAURA A 2030 E FLAMINGO RD STE 130 LAS VEGAS NV 89119 Clark 702-451-2141 Physicians Marriage & Family Therapist 920193400SIMMONS, RICHARD E 6450 MEDICAL CENTER ST STE 100 LAS VEGAS NV 89148 Clark 702-304-9494 Physicians Ophthalmology 310891504SIMMS, PATRICIA C 4333 N RANCHO DR LAS VEGAS NV 89130 Clark 702-383-3630 Physicians Family Medicine 886000436SIMON, IRWIN B 2450 W HORIZON RIDGE PKWY HENDERSON NV 89052 Clark 702-735-2305 Physicians General Surgery 880104685SIMON, IULIA G 1000 S RAINBOW BLVD LAS VEGAS NV 89145 Clark 702-952-9171 Physicians Certified Nurse Practitioner 201419272SIMON, RADHARANI LAKSMI V 6900 PECOS RD NORTH LAS VEGAS NV 89086 Clark 702-791-9000 Rehabilitation Physical Therapy 941179505SIMON, ROGER M 3006 S MARYLAND PKWY STE 710 LAS VEGAS NV 89109 Clark 702-369-0200 Physicians Ophthalmology 860853657SIMON, RONALD D 1995 ERRECART BLVD ELKO NV 89801 Elko 866-777-8008 Physicians Family Medicine 452757085SIMON, SAAN S 2320 PASEO DEL PRADO STE B207 LAS VEGAS NV 89102 Clark 702-873-4567 Physicians Anesthesiology 161679125SIMONCELLI, ALBERT G 9034 W SAHARA AVE LAS VEGAS NV 89117 Clark 702-256-8686 Physicians Chiropractor 880372271SIMONDS, JENNIFER L 6255 SHARLANDS AVE RENO NV 89523 Washoe 775-786-3040 Physicians Certified Nurse Practitioner 880103557SIMONIS, LUKE A 7125 N DURANGO DR LAS VEGAS NV 89149 Clark 702-658-2311 Physicians General Dentist 205339044SIMPAO JR, JOSE R 6850 N DURANGO DR LAS VEGAS NV 89149 Clark 702-944-4028 Physicians Pediatrics 880456336SIMPSON, EVELYN J 3171 PLATTE RIVER DR RENO NV 89503 Washoe 775-527-6071 Rehabilitation Speech Pathology 886000022SIMPSON, JACQUESE M 2000 WELLNESS WAY LAS VEGAS NV 89106 Clark 702-384-5101 Physicians Certified Nurse Practitioner 880329731SIMPSON, LOREN P 1559 WATASHEAMU RD GARDNERVILLE NV 89460 Douglas 775-265-4215 Physicians Family Medicine 952538049SIMPSON, SHELBY 3051 W HORIZON RIDGE PKWY STE 104A HENDERSON NV 89052 Clark 702-251-8000 Physicians Social Worker 043290453SIMS, ANDREA J 8382 LOWER TRAILHEAD AVE LAS VEGAS NV 89113 Clark 717-405-1228 Rehabilitation Speech Pathology 886000022SIMS, LESLIE M 2575 LINDELL RD LAS VEGAS NV 89146 Clark 702-362-3937 Physicians Ophthalmology 880339276SINA, MARYAM 700 E SILVERADO RANCH BLVD STE 110 LAS VEGAS NV 89183 Clark 702-431-6600 Physicians General Dentist 880365605SINCLAIR, DYAN 1955 S CASINO DR STE 118 LAUGHLIN NV 89029 Clark 702-299-7203 Physicians Certified Nurse Practitioner 860993363SINCLARE, DARLENE G 1330 S EASTERN AVE LAS VEGAS NV 89104 Clark 702-382-4546 Physicians Chiropractor 880336979SINGEL, MARCUS J 2920 S RAINBOW BLVD LAS VEGAS NV 89146 Clark 702-367-3617 Physicians Podiatry 880312419SINGER, RICHARD 2450 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-877-8661 Physicians Anesthesiology 204727467SINGER, VIRGINIA 1701 W CHARLESTON BLVD STE 300 LAS VEGAS NV 89102 Clark 702-251-8000 Physicians Certified Nurse Practitioner 043290453SINGH, ADITI 1707 W CHARLESTON BLVD STE 230 LAS VEGAS NV 89102 Clark 702-671-5070 Physicians Internal Medicine 880330858SINGH, AMARJIT K 6857 W CHARLESTON BLVD LAS VEGAS NV 89117 Clark 702-304-2144 Physicians Family Medicine 201026537SINGH, AMINA 9516 W FLAMINGO RD STE 200 LAS VEGAS NV 89147 Clark 702-254-3135 Physicians General Dentist 273147586SINGH, AMITABH 3247 S MARYLAND PKWY LAS VEGAS NV 89109 Clark 702-776-3500 Physicians Radiology/Diagnostic 454953696SINGH, HARBINDER 5380 S RAINBOW BLVD LAS VEGAS NV 89118 Clark 725-333-8465 Physicians Thoracic Surgery 462964527

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 179 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDSINGH, HARNEK 5400 S RAINBOW BLVD LAS VEGAS NV 89118 Clark 406-455-5000 Physicians Internal Medicine 472990144SINGH, KRISHNA R 1707 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-671-2300 Physicians Obstetrics/Gynecology 813419791SINGH, M. P 100 N GREEN VALLEY PKWY STE 110 HENDERSON NV 89074 Clark 702-436-7700 Physicians Internal Medicine 880505906SINGH, NAVJOT 3150 N TENAYA WAY STE 525 LAS VEGAS NV 89128 Clark 702-220-9865 Physicians Gastroenterology 205154617SINGH, RAJ P 500 S RANCHO DR STE 12 LAS VEGAS NV 89106 Clark 702-877-1887 Physicians Nephrology 880136773SINGH, RAM K 2500 PERLITER AVE NORTH LAS VEGAS NV 89030 Clark 702-733-2982 Physicians Cardiology 880407499SINGH, RAUNAK 10965 LAVENDER HILL DR STE 120 LAS VEGAS NV 89135 Clark 702-852-2755 Physicians General Dentist 810950476SINGH, SANDESH K 1550 W CRAIG RD NORTH LAS VEGAS NV 89032 Clark 702-777-3615 Physicians Emergency Medicine 824933457SINGH, SEAN J 170 S GREEN VALLEY PKWY HENDERSON NV 89012 Clark 702-791-1294 Physicians Internal Medicine 474209984SINGH, SUKHJINDER P 1397 S LOOP RD PAHRUMP NV 89048 Nye 702-759-8600 Physicians Radiology/Diagnostic 814824771SINGH, SURJEET 1505 WIGWAM PKWY STE 100 HENDERSON NV 89074 Clark 702-896-6043 Physicians Ophthalmology 880107297SINGH, TEJVIR 6130 PLUMAS ST RENO NV 89519 Washoe 775-329-0222 Physicians Hematology/Oncology 880152239SINGH, UPINDER 874 AMERICAN PACIFIC DR HENDERSON NV 89014 Clark 702-777-4809 Physicians Geriatric Medicine 200363127SINGLE DAY SURGERY CENTER 6950 W DESERT INN RD LAS VEGAS NV 89117 Clark 702-259-5550 Ambulatory Facilities 880504513SINGLETARY, BRAD S 2298 W HORIZON RIDGE PKWY HENDERSON NV 89052 Clark 702-363-7284 Physicians Social Worker 043290453SINGLETERRY, TRINA L 4270 S DECATUR BLVD STE B6 LAS VEGAS NV 89103 Clark 702-485-2100 Physicians Certified Nurse Practitioner 812219401SINGLETON, ISAAC C 2575 LINDELL RD LAS VEGAS NV 89146 Clark 702-362-3937 Physicians Optometry 880339276SINHA, ABHINAV 1409 E LAKE MEAD BLVD NORTH LAS VEGAS NV 89030 Clark 702-868-7777 Physicians Internal Medicine 208073486SINKOV, VLADIMIR A 1627 E WINDMILL LN STE 100 LAS VEGAS NV 89123 Clark 702-710-1010 Physicians Orthopedic Surgery 844354247SINOPOLI, MICHAEL T 7445 PEAK DR LAS VEGAS NV 89128 Clark 702-952-2140 Physicians Radiation Oncology 272223260SIRAN, SANAZ 3150 N TENAYA WAY STE 480 LAS VEGAS NV 89128 Clark 702-562-5831 Physicians Internal Medicine 721597863SIRINTR, NEESHA 7361 W LAKE MEAD BLVD STE 104 LAS VEGAS NV 89128 Clark 702-341-7254 Physicians Optometry 880484278SIRSY, HESHAM A 10950 S EASTERN AVE STE 100 HENDERSON NV 89052 Clark 702-614-2192 Physicians Pediatrics 880397351SIRULNICK, ERIK J 2865 SIENA HEIGHTS DR STE 331 HENDERSON NV 89052 Clark 702-731-8224 Physicians Cardiology 880213519SITAR, CYNTHIA L 2231 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-944-2805 Physicians Certified Nurse Practitioner 880330858SITTLER, RYAN E 5320 S RAINBOW BLVD STE 154 LAS VEGAS NV 89118 Clark 702-853-3853 Physicians Certified Nurse Practitioner 464920174SIVAKUMAR, ARUMUGAM 876 SEVEN HILLS DR HENDERSON NV 89052 Clark 702-914-2028 Physicians Gastroenterology 880230469SIVARAMAN, SUSANTH 8300 W CHEYENNE AVE STE 106 LAS VEGAS NV 89129 Clark 702-656-0911 Physicians Family Medicine 463164188SIZELOVE, SKYE 3700 GRANT DR STE A RENO NV 89509 Washoe 775-829-4700 Rehabilitation Speech Pathology 880291454SIZEWISE RENTALS, LLC 3555 W RENO AVE STE E LAS VEGAS NV 89118 Clark 800-814-9389 Ancillary Providers 742806835SKAFF, CHRISTOPHER K 880 ALDER AVE INCLINE VILLAGE NV 89451 Washoe 775-833-4100 Physicians Emergency Medicine 862775542SKANKEY, GARY R 3006 S MARYLAND PRKW STE 780 LAS VEGAS NV 89109 Clark 702-737-0740 Physicians Infectious Diseases 880188590SKANSGAARD, ERIC P 61 N WILLOW ST STE 4 MESQUITE NV 89027 Clark 702-346-4696 Physicians Professional Counselor 412040765SKARIA, SHIBU D 236 W 6TH ST STE 100 RENO NV 89503 Washoe 775-329-9010 Physicians Pulmonology 880173816SKELTON, JONATHAN M 7250 S DURANGO DR STE 110 LAS VEGAS NV 89113 Clark 702-432-4329 Physicians General Dentist 454807571SKIDMORE, AARON B 10100 W CHARLESTON BLVD LAS VEGAS NV 89135 Clark 702-545-6116 Physicians CRNA 860857176SKIN CANCER & DERMATOLOGY INSTITUTE 801 E WILLIAMS AVE STE 1101 FALLON NV 89406 Churchill 775-867-7706 Physicians Dermatology 880361999SKINNER, GREGORY C 7785 N DURANGO DR STE 140 LAS VEGAS NV 89131 Clark 702-987-8668 Physicians General Dentist 472157924SKINNER, JACOB 1050 W GALLERIA DR HENDERSON NV 89011 Clark 702-963-7000 Physicians Obstetrics/Gynecology 462964527SKIPPER, MEGAN 2012 S JONES BLVD LAS VEGAS NV 89146 Clark 702-360-1137 Rehabilitation Physical Therapy 412129643SKLADANY, LEAH A 1441 PULLMAN DR SPARKS NV 89434 Washoe 775-250-8631 Rehabilitation Speech Pathology 886000024SKOCDOPOLE, VICTORIA C 2385 E PRATER WAY STE 309 SPARKS NV 89434 Washoe 775-331-6400 Physicians Certified Nurse Practitioner 383701638SL CONSULTING LLC 8445 S EASTERN AVE LAS VEGAS NV 89123 Clark 702-463-3784 Ancillary Providers 472424612SLAGLE, DODGE A 100 N GREEN VALLEY PKWY STE 325 HENDERSON NV 89074 Clark 702-454-0201 Physicians Psychiatry 880300607SLATTERY, DAVID 1800 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-385-0890 Physicians Emergency Medicine 274096839SLATTERY, DAVID 1800 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-385-0890 Physicians Emergency Medicine 465145577SLATTERY, JAMES M 1299 BERTHA HOWE AVE MESQUITE NV 89027 Clark 800-277-8151 Physicians CRNA 880212653SLAUGHTER, KEVIN T 8280 W WARM SPRINGS RD LAS VEGAS NV 89113 Clark 510-350-2600 Physicians Emergency Medicine 830711756SLAVIS, SCOTT A 2010 WELLNESS WAY LAS VEGAS NV 89106 Clark 702-877-0814 Physicians Urology 880324542SLEEP CENTERS OF NEVADA 1640 ALTA DR STE 1 LAS VEGAS NV 89106 Clark 775-674-1100 Physicians Sleep Medicine 880500854SLEEP LOGISTIC DIAGNOSTIC CLINIS LTD. 6787 W TROPICANA AVE STE 120 LAS VEGAS NV 89103 Clark 702-893-0020 Ancillary Providers 201175301

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 180 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDSLEEP LOGISTICS DIAGNOSTIC CLINIC 6787 W TROPICANA AVE LAS VEGAS NV 89103 Clark 702-893-0020 Ancillary Providers 201175301SLEEP TELEMEDICINE SERVICES INC. 2920 S RAINBOW BLVD STE 140 LAS VEGAS NV 89146 Clark 800-657-1920 Ancillary Providers 752741119SLEIK, NICHOLAS A 3100 N TENAYA WAY LAS VEGAS NV 89128 Clark 702-878-0070 Physicians CRNA 202428069SLOTHOWER, JONATHAN D 1995 ERRECART BLVD STE 205 ELKO NV 89801 Elko 775-738-7455 Physicians Pediatrics 263632448SLOTS, HENRIK M 5575 KIETZKE LN RENO NV 89511 Washoe 775-851-1505 Physicians Family Medicine 263303591SLOVES, JAMES H 4870 W PINEWILD RD RENO NV 89511 Washoe 952-595-1100 Physicians Radiology/Diagnostic 412007905SLOWIK, PAUL T 341 N BUFFALO DR STE A LAS VEGAS NV 89145 Clark 702-242-3870 Physicians Podiatry 330090519SMA CONVENIENT CARE 300 E LAKE MEAD PKWY HENDERSON NV 89015 Clark 702-560-2915 Physicians Family Medicine 452380022SMALL LAYNE, ALYSSA N 9260 W SUNSET RD LAS VEGAS NV 89148 Clark 702-255-3547 Physicians Obstetrics/Gynecology 880213519SMART, JASON C 2020 WELLNESS WAY STE 402 LAS VEGAS NV 89106 Clark 702-485-5000 Physicians Ophthalmology 262563581SMERDON, JAMES 5030 LAS BRISAS BLVD STE B3 RENO NV 89523 Washoe 775-852-8336 Physicians General Dentist 260611182SMI IMAGING, LLC 6301 MOUNTAIN VISTA ST STE 103 HENDERSON NV 89014 Clark 702-433-7216 Physicians Radiology/Diagnostic 264000683SMILE DENTAL 6775 E LAKE MEAD BLVD STE B9/B10 LAS VEGAS NV 89156 Clark 702-450-7971 Physicians General Dentist 880428063SMITH MGMT. CORP. 2540 S MARYLAND PKWY LAS VEGAS NV 89109 Clark 702-791-0517 Ancillary Providers 870258768SMITH PSYCHIATRY PLLC 6940 SIERRA CENTER PKWY RENO NV 89511 Washoe 775-571-4766 Physicians Psychiatry 843058493SMITH'S PHARMACY 10616 S EASTERN AVE HENDERSON NV 89052 Clark 702-614-8674 Ambulatory Facilities 870258768SMITH'S PHARMACY #318 4965 E SAHARA AVE LAS VEGAS NV 89104 Clark 702-431-9135 Ambulatory Facilities 870258768SMITH'S PHARMACY #332 7130 N DURANGO DR LAS VEGAS NV 89149 Clark 702-647-2799 Ambulatory Facilities 870258768SMITH, AMY M 10587 DOUBLE R BLVD STE 101 RENO NV 89521 Washoe 415-948-6203 Rehabilitation Occupational Therapy 886000022SMITH, ANNA 1032 SECLUDED ACRES CT HENDERSON NV 89002 Clark 702-439-5625 Physicians Certified Nurse Practitioner 263668328SMITH, ASHLEY M 2481 PROFESSIONAL CT LAS VEGAS NV 89128 Clark 702-213-8251 Physicians Certified Nurse Practitioner 202595077SMITH, BENJAMIN A 901 RANCHO LN STE 135 LAS VEGAS NV 89106 Clark 910-617-2739 Physicians Emergency Medicine 561732213SMITH, CADE 8945 W POST RD LAS VEGAS NV 89148 Clark 702-254-1222 Physicians Chiropractor 262605352SMITH, CAMERON E 727 N NELLIS BLVD LAS VEGAS NV 89110 Clark 702-459-4900 Rehabilitation Physical Therapy 880386672SMITH, CARL B 3777 PECOS MCLEOD LAS VEGAS NV 89121 Clark 702-434-2023 Physicians Podiatry 880165950SMITH, CAROLINE R 705 TWIN LAKES DR LAS VEGAS NV 89107 Clark 702-378-2118 Rehabilitation Occupational Therapy 886000022SMITH, CATHERINE M 1155 MILL ST RENO NV 89502 Washoe 775-982-5638 Physicians Radiology/Diagnostic 204962141SMITH, CATHY A 2431 TECH CENTER CT STE 102 LAS VEGAS NV 89128 Clark 702-938-8887 Physicians Professional Counselor 880251199SMITH, COURTNEY M 1409 E LAKE MEAD BLVD NORTH LAS VEGAS NV 89030 Clark 702-649-7711 Physicians Certified Nurse Practitioner 410916626SMITH, DAVE L 5320 W SAHARA AVE STE 4 LAS VEGAS NV 89146 Clark 702-871-1808 Physicians Orthodontist 860858521SMITH, DAVID E 1500 E 2ND ST STE B RENO NV 89502 Washoe 775-982-2400 Physicians Cardiology 880303924SMITH, DAVID P 1485 W WARM SPRINGS RD HENDERSON NV 89014 Clark 702-433-1102 Physicians Optometry 880161297SMITH, DIANE M 10479 DOUBLE R BLVD RENO NV 89521 Washoe 775-850-8600 Physicians Dermatology 813253496SMITH, DONALD M 1701 W CHARLESTON BLVD STE 300 LAS VEGAS NV 89102 Clark 702-251-8000 Physicians Social Worker 886000022SMITH, EMILY A 880 ALDER AVE INCLINE VILLAGE NV 89451 Washoe 775-833-4100 Physicians Family Medicine 862775542SMITH, ERIC S 2600 PASEO VERDE PKWY STE 150 HENDERSON NV 89074 Clark 702-434-5282 Physicians Psychology (Clinical) 880487049SMITH, ETHEL E 1655 W HORIZON RIDGE PKWY HENDERSON NV 89012 Clark 702-476-9999 Physicians Certified Nurse Practitioner 270638220SMITH, HAYDEN R 7455 ARROYO CROSSING PKWY LAS VEGAS NV 89113 Clark 702-761-6468 Physicians Social Worker 570986980SMITH, HINA D 690 EDISON WAY RENO NV 89502 Washoe 775-858-3303 Physicians Psychiatry 640836318SMITH, JAMES E 1590 W SUNSET RD HENDERSON NV 89014 Clark 702-486-6700 Physicians Psychology (Clinical) 886000022SMITH, JAMIE 513 W BRIDGE ST STE A YERINGTON NV 89447 Lyon 775-463-1800 Physicians General Dentist 205213099SMITH, JAMIE R 1950 PINTO LN LAS VEGAS NV 89106 Clark 702-438-2229 Physicians Certified Nurse Practitioner 880477256SMITH, JANET E 865 TAHOE BLVD STE 101 INCLINE VILLAGE NV 89451 Washoe 775-832-5117 Physicians Urology 460438016SMITH, JOEL C 6395 S MCCARRAN BLVD STE B RENO NV 89509 Washoe 775-823-9419 Physicians General Dentist 462690803SMITH, JOHN S 2075 E FLAMINGO RD LAS VEGAS NV 89119 Clark 702-878-0070 Physicians Anesthesiology 822526636SMITH, JUSTIN M 3450 E RUSSELL RD STE 214 LAS VEGAS NV 89120 Clark 702-530-8894 Physicians Marriage & Family Therapist 201427365SMITH, KATHLEEN 5495 S RAINBOW BLVD STE 202 LAS VEGAS NV 89118 Clark 702-353-9777 Physicians Family Medicine 272581323SMITH, KELLI A 2580 S DECATUR BLVD LAS VEGAS NV 89102 Clark 702-876-2020 Physicians Optometry 020549348SMITH, KIMBERLY 7495 W AZURE DR LAS VEGAS NV 89130 Clark 702-515-4015 Physicians Marriage & Family Therapist 202697303SMITH, KIRK S 9127 W RUSSELL RD LAS VEGAS NV 89148 Clark 702-878-0070 Physicians Anesthesiology 731451967SMITH, LANE F 8871 W SAHARA AVE STE D LAS VEGAS NV 89117 Clark 702-838-2455 Physicians Plastic & Reconstructive Surgery 880512075

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 181 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDSMITH, LAWRENCE J 1252 WYOMING ST BOULDER CITY NV 89005 Clark 702-293-4488 Physicians Certified Nurse Practitioner 020698647SMITH, LOGAN 241 N BUFFALO DR STE 100 LAS VEGAS NV 89145 Clark 702-990-2225 Physicians Chiropractor 465010353SMITH, MAGGIE S 897 IRONWOOD DR MINDEN NV 89423 Douglas 775-782-1610 Physicians Certified Nurse Practitioner 261513495SMITH, MARSHALL 7500 W LAKE MEAD BLVD LAS VEGAS NV 89128 Clark 702-822-2444 Physicians Obstetrics/Gynecology 860650698SMITH, MATHEW R 9499 W CHARLESTON BLVD STE 200 LAS VEGAS NV 89117 Clark 702-933-9393 Rehabilitation Physical Therapy 880252372SMITH, PAUL 7751 W FLAMINGO RD STE A LAS VEGAS NV 89147 Clark 702-614-5437 Physicians Chiropractor 680491100SMITH, PAUL R 7111 S VIRGINIA ST STE A7 RENO NV 89511 Washoe 775-851-5700 Physicians Family Medicine 880502320SMITH, RONALD D 657 N TOWN CENTER DR FL PICU LAS VEGAS NV 89144 Clark 702-233-7445 Physicians Pediatrics 880266682SMITH, SADARIE 2801 S VALLEY VIEW BLVD STE 6 LAS VEGAS NV 89102 Clark 702-922-7015 Physicians Social Worker 263198139SMITH, SANDRA J 1280 E CALVADA BLVD PAHRUMP NV 89048 Nye 775-751-3377 Physicians Family Medicine 204043287SMITH, SARA E 600 WHITNEY RANCH DR STE A5BBLDGA HENDERSON NV 89014 Clark 702-435-7272 Physicians Social Worker 255662131SMITH, SHANNON M 7391 W CHARLESTON BLVD STE 140 LAS VEGAS NV 89117 Clark 702-304-2144 Physicians Internal Medicine 421741592SMITH, SUSAN D 458 COURT ST RENO NV 89501 Washoe 775-324-1234 Physicians Psychology (Clinical) 075382813SMITH, SUSAN K 3001 SAINT ROSE PKWY HENDERSON NV 89052 Clark 702-616-6104 Physicians Pediatrics 470379754SMITH, TIFFANY M 2831 SAINT ROSE PKWY STE 221 HENDERSON NV 89052 Clark 702-589-4871 Physicians Certified Nurse Practitioner 823795906SMITH, WALTER D 6940 SIERRA CENTER PKWY RENO NV 89511 Washoe 775-393-2200 Physicians Psychiatry 843058493SMITH, WARREN L 895 ADAMS BLVD BOULDER CITY NV 89005 Clark 702-293-0406 Physicians Family Medicine 880212754SMITH, WHITNEY M 10001 S EASTERN AVE HENDERSON NV 89052 Clark 702-566-2400 Physicians Certified Nurse Practitioner 205204446SMITH, WILLIAM D 3061 S MARYLAND PKWY STE 200 LAS VEGAS NV 89109 Clark 702-737-1948 Physicians Neurological Surgery 464666952SMITH-BROWN, LASHEKIA 1210 E BASIN AVE STE 6 PAHRUMP NV 89060 Nye 775-727-6000 Physicians Professional Counselor 201427365SMITHJR, VERNON C 5320 S RAINBOW BLVD STE 282 LAS VEGAS NV 89118 Clark 702-737-3808 Physicians Thoracic Surgery 880268805SMITHS FOOD & DRUG #388 1740 MOUNTAIN CITY HWY ELKO NV 89801 Elko 775-777-1337 Ancillary Providers 870258768SMITHS FOOD & DRUG CENTERS 9851 W CHARLESTON BLVD LAS VEGAS NV 89117 Clark 702-946-1204 Ancillary Providers 870258768SMITHS FOOD & DRUG CTR 55 S VALLE VERDE DR HENDERSON NV 89012 Clark 702-614-9500 Ancillary Providers 870258768SMITHS FOOD & DRUG CTRS. 4440 N RANCHO DR LAS VEGAS NV 89130 Clark 702-645-6200 Ancillary Providers 870258768SMITHS FOOD KING NO 1 850 S RANCHO DR LAS VEGAS NV 89106 Clark 702-384-6330 Ancillary Providers 870258768SMITHS PHARMACY 2385 E WINDMILL LN LAS VEGAS NV 89123 Clark 702-270-7800 Ancillary Providers 870258768SMITHS PHARMACY #137 750 S MEADOWS PKWY RENO NV 89521 Washoe 775-851-8060 Ancillary Providers 870258768SMITHS PHARMACY #349 10100 W TROPICANA AVE LAS VEGAS NV 89147 Clark 702-220-7911 Ancillary Providers 870258768SMITHS PHARMACY #370 3160 N RAINBOW BLVD LAS VEGAS NV 89108 Clark 702-658-3870 Ancillary Providers 870258768SMITHS PHARMACY #378 750 S MEADOWS PKWY RENO NV 89521 Washoe 775-851-8060 Ancillary Providers 870258768SMOKE RANCH SPECIALISTS LLC 7140 SMOKE RANCH RD # 150 LAS VEGAS NV 89128 Clark 702-839-4825 Physicians Neurology 813867396SMOKE RANCH SURGERY CENTER 7140 SMOKE RANCH RD LAS VEGAS NV 89128 Clark 702-320-8111 Ambulatory Facilities 264832370SMOKEY, JENNY D 1475 MEDICAL PKWY CARSON CITY NV 89703 Carson City 775-885-2229 Physicians Pediatrics 880502320SNAVELY, STEWART C 3006 S MARYLAND PKWY STE 470 LAS VEGAS NV 89109 Clark 702-796-9111 Physicians Pediatrics 880330858SNEAD, BRANDON L 6765 W CHARLESTON BLVD STE 150 LAS VEGAS NV 89146 Clark 702-518-5774 Physicians Sports Medicine 880308865SNELL-KILLAM, AIMEE N 2145 GREEN VISTA DR STE 110 SPARKS NV 89431 Washoe 775-331-9477 Physicians Pediatric Dentist 203707845SNIDOW, JENNIFER R 6940 SIERRA CENTER PKWY RENO NV 89511 Washoe 775-393-2200 Physicians Certified Nurse Practitioner 842050464SNITCHLER, LOWELL L 2055 W CHARLESTON BLVD STE B LAS VEGAS NV 89102 Clark 702-933-6701 Physicians Psychology (Clinical) 770643625SNOOK, BRANDON T 4700 LAS VEGAS BLVD N STE C NELLIS AFB NV 89191 Clark 702-653-3050 Physicians General Surgery 880330858SNOW, EVANGELINA U 3121 S MARYLAND PKWY STE 101 LAS VEGAS NV 89109 Clark 702-320-3627 Physicians Family Medicine 202599358SNOW, SCOTT T 11201 S EASTERN AVE STE 220 HENDERSON NV 89052 Clark 702-614-0324 Rehabilitation Physical Therapy 134222973SNOW, TARAH BADGER 1710 W HORIZON RIDGE PKWY STE 110 HENDERSON NV 89012 Clark 702-489-9217 Rehabilitation Physical Therapy 134222973SNYDER, BRUCE E 1050 W GALLERIA DR HENDERSON NV 89011 Clark 702-894-5706 Physicians Ophthalmology 880367250SNYDER, JAMES W 6040 S FORT APACHE RD STE 100 LAS VEGAS NV 89148 Clark 702-696-7256 Physicians Endocrinology 203216643SNYDER, LIANA G 3595 S TOWN CENTER DR LAS VEGAS NV 89135 Clark 702-808-8538 Physicians Professional Counselor 880503685SNYDER, MATTHEW J 4700 LAS VEGAS BLVD N NELLIS AFB NV 89191 Clark 702-653-2978 Physicians Family Medicine 464680208SNYDER, ORRENZO B 1301 BERTHA HOWE AVE STE 9 MESQUITE NV 89027 Clark 702-346-0550 Physicians Urology 203343374SOAR PHYSICAL THERAPY 415 HWY 95A S # C-302 FERNLEY NV 89408 Lyon 775-575-1818 Rehabilitation 510513345SOARD, ZACHARY 1306 W CRAIG RD STE H NORTH LAS VEGAS NV 89032 Clark 702-633-4333 Physicians General Dentist 472349580SOBAJE, MARGARET H 434 RAINDANCE DR HENDERSON NV 89014 Clark 702-434-6151 Rehabilitation Speech Pathology 886000022

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 182 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDSOBEL, AMY A 75 PRINGLE WAY STE 301 RENO NV 89502 Washoe 775-686-4300 Physicians Pediatrics 880449978SOBIEK, JAMES S 255 GLENDALE AVE STE 12 SPARKS NV 89431 Washoe 775-356-8181 Physicians Orthopedic Surgery 752612924SOBOTA, CAROLINE D 800 SHADOW LN LAS VEGAS NV 89106 Clark 702-366-9700 Physicians Radiology/Diagnostic 330872858SOBREDO, SERGIO A 4855 BLUE DIAMOND RD LAS VEGAS NV 89139 Clark 702-216-7305 Physicians Emergency Medicine 824933457SOCAOCO, ANNABELLE S 7391 W CHARLESTON BLVD STE 140 LAS VEGAS NV 89117 Clark 702-304-2144 Physicians Certified Nurse Practitioner 201975148SOCHOR, VLADIMIR E 9127 W RUSSELL RD STE 110 LAS VEGAS NV 89148 Clark 702-878-0070 Physicians Anesthesiology 860857176SODER, TIMOTHY B 6440 MEDICAL CENTER ST STE 1 LAS VEGAS NV 89148 Clark 702-222-1000 Rehabilitation Physical Therapy 860861354SODERBERG, JOSEPH D 3157 N RAINBOW BLVD LAS VEGAS NV 89108 Clark 702-386-4700 Physicians Anesthesiology 204727467SOHAIL, IRFAN 2420 PROFESSIONAL CT STE 100 LAS VEGAS NV 89128 Clark 702-853-0090 Physicians Nephrology 462812104SOKOLOFF, SHARON 7140 N DURANGO DR STE 110 LAS VEGAS NV 89149 Clark 702-740-5437 Physicians General Dentist 822856088SOLBERG, CYNTHIA A 5420 KIETZKE LN RENO NV 89511 Washoe 775-359-2020 Physicians Optometry 860879921SOLE TO SOULE PODIATRY, LLC 3815 S JONES BLVD STE 6 LAS VEGAS NV 89103 Clark 702-228-1162 Physicians Podiatry 201148649SOLEIMAN, BOBBY 3896 N MARTIN L KING BLVD NORTH LAS VEGAS NV 89032 Clark 702-614-1792 Physicians Periodontist 204714412SOLINGER, MICHAEL R 1385 VISTA LN CARSON CITY NV 89703 Carson City 775-884-4567 Physicians Gastroenterology 860872916SOLIS JR, EDWARD R 9127 W RUSSELL RD LAS VEGAS NV 89148 Clark 702-878-0070 Physicians Anesthesiology 592905984SOLIS VALDEZ, JORGE 216 N LAMB BLVD LAS VEGAS NV 89110 Clark 702-459-2401 Physicians Internal Medicine 463403819SOLIS, KRISTY L 229 N PECOS RD STE 100 HENDERSON NV 89074 Clark 702-605-5750 Physicians Certified Nurse Practitioner 460879454SOLOMON, DEMISSIE H 1000 S RAINBOW BLVD LAS VEGAS NV 89145 Clark 702-464-8866 Physicians Certified Nurse Practitioner 880213519SOLOMON, JARED J 5190 NEIL RD STE 215 RENO NV 89502 Washoe 775-682-8469 Physicians Psychiatry 886000022SOLORZANO, TERESA 2301 E LAKE MEAD BLVD NORTH LAS VEGAS NV 89030 Clark 702-331-8338 Physicians General Dentist 371797092SOLUTIONS RECOVERY 2975 S RAINBOW BLVD STE J LAS VEGAS NV 89146 Clark 702-307-2276 Physicians Social Worker 203454921SOLUTIONS RECOVERY, INC. 2975 S RAINBOW BLVD STE J LAS VEGAS NV 89146 Clark 702-307-2276 Rehabilitation 203454921SOLUTIONS TREATMENT CENTER 2975 S TENAYA WAY LAS VEGAS NV 89117 Clark 702-228-8520 Rehabilitation 810798175SOMAL, JASJEET S 3100 N TENAYA WAY LAS VEGAS NV 89128 Clark 702-731-8460 Physicians Critical Care 331159527SOMBERG, JOELLYN 1161 S VALLEY VIEW BLVD LAS VEGAS NV 89102 Clark 702-486-7670 Rehabilitation Physical Therapy 886000022SOMERS CHIROPRACTIC 2931 N TENAYA WAY STE 106 LAS VEGAS NV 89128 Clark 702-822-1212 Ambulatory Facilities 043821114SOMERVILLE, MATTHEW 4380 W CACTUS AVE STE 100 LAS VEGAS NV 89141 Clark 702-570-0241 Physicians General Dentist 844715776SOMMER, ANTHONY G 2031 N BUFFALO DR LAS VEGAS NV 89128 Clark 702-383-3750 Physicians Family Medicine 886000436SOMMERS, KAREN 2667 ENTERPRISE RD RENO NV 89512 Washoe 775-688-1341 Rehabilitation Occupational Therapy 886000022SOMMERS-DAIN, MELANIE 15445 WILLOW BROOK DR RENO NV 89511 Washoe 775-786-8288 Physicians Social Worker 880502320SOMPHONE, ALAN H 9127 W RUSSELL RD LAS VEGAS NV 89148 Clark 702-878-0070 Physicians Anesthesiology 592905984SON, KARISA K 6870 S RAINBOW BLVD STE 106 LAS VEGAS NV 89118 Clark 702-396-6000 Physicians Certified Nurse Practitioner 262333043SON, MONIVIRIN 10652 S EASTERN AVE HENDERSON NV 89052 Clark 702-476-2800 Physicians Family Medicine 463164188SON, PAUL C 525 MARKS ST HENDERSON NV 89014 Clark 702-383-6210 Physicians Family Medicine 886000436SONANI, RAJESH 10624 S EASTERN AVE STE A955 HENDERSON NV 89052 Clark 702-800-5393 Physicians Internal Medicine 263668328SONDEREGGER, CHARLES B 961 MICA DR EMPIRE NV 89405 Washoe 775-267-4872 Physicians Family Medicine 880225211SONDEREGGER, JUSTIN J 2375 E PRATER WAY SPARKS NV 89434 Washoe 775-331-7000 Physicians Emergency Medicine 475671561SONDRUP, LOGAN C 3100 N TENAYA WAY LAS VEGAS NV 89128 Clark 702-255-5000 Physicians Emergency Medicine 880262438SONG, ALEX Y 7780 S JONES BLVD STE 101 LAS VEGAS NV 89139 Clark 702-450-6060 Physicians General Dentist 710878385SONG, MICHAEL H 10509 PROFESSIONAL CIR STE 101 RENO NV 89521 Washoe 775-323-6100 Physicians Neurological Surgery 204088419SONG, MISTI M 1707 W CHARLESTON BLVD STE 230 LAS VEGAS NV 89102 Clark 702-671-5060 Physicians Internal Medicine 886000436SONG, TERRY 10643 PROFESSIONAL CIR STE 102 RENO NV 89521 Washoe 775-737-4035 Physicians General Dentist 453572392SONG, WALTER J 8205 W WARM SPRINGS RD STE 250 LAS VEGAS NV 89113 Clark 702-263-9082 Physicians Orthopedic Surgery 910858192SONIC IMAGING 6230 MCLEOD DR LAS VEGAS NV 89120 Clark 702-736-2999 Ancillary Providers 205493949SONICO, EMERALD 1700 E DESERT INN RD STE 113 LAS VEGAS NV 89169 Clark 702-862-4774 Physicians Certified Nurse Practitioner 822420344SONPATKI, ANANT K 10624 S EASTERN AVE HENDERSON NV 89052 Clark 702-875-4222 Physicians Family Medicine 274002331SONTGERATH, JOSEPH S 4855 BLUE DIAMOND RD LAS VEGAS NV 89139 Clark 702-216-7305 Physicians Emergency Medicine 824933457SONU R. BHATIA MD PC 2401 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 89052 Clark 702-385-7001 Physicians Internal Medicine 020530969SOOD, RAJAT 2839 SAINT ROSE PKWY HENDERSON NV 89052 Clark 702-558-4027 Physicians Gastroenterology 880485076SOOD, SEEMA B 3201 S MARYLAND PKWY STE 514 LAS VEGAS NV 89109 Clark 702-893-0800 Physicians Internal Medicine 680501770SOOLE, CHRISTINE M 9975 S EASTERN AVE STE 105A LAS VEGAS NV 89183 Clark 702-293-9100 Physicians Chiropractor 263095633

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 183 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDSOONG, DARREN W 3802 MEADOWS LN LAS VEGAS NV 89107 Clark 702-313-8446 Physicians General Surgery 731645266SOPHIA, TRISTAN 480 GALLETTI WAY SPARKS NV 89431 Washoe 775-688-2001 Physicians Psychology (Clinical) 886000022SORALUZ, OSCAR A 2231 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-383-2631 Physicians Critical Care 886000436SORAN, PATRICK D 235 W 6TH ST RENO NV 89503 Washoe 775-770-7640 Physicians Anesthesiology 842697353SORELLE, JONATHAN R 2075 E FLAMINGO RD LAS VEGAS NV 89119 Clark 941-313-3300 Physicians Orthopedic Surgery 030589435SORELLE, NORMA F 3524 MORENO CT LAS VEGAS NV 89129 Clark 508-971-6194 Physicians CRNA 204510328SORENSEN ANNABERDYEV, KATIE L 9127 W RUSSELL RD STE 110 LAS VEGAS NV 89148 Clark 702-878-0070 Physicians CRNA 852385334SORENSEN, ANDREA E 895 ROBERTA LN STE 101A SPARKS NV 89431 Washoe 775-331-6252 Physicians Psychiatry 273412547SORENSEN, AUSTIN L 802 AVENUE E SUITES 1,2,3 ELY NV 89301 White Pine 775-293-1558 Physicians Social Worker 886000022SORENSEN, DANIEL L 2375 E PRATER WAY SPARKS NV 89434 Washoe 775-331-7000 Physicians Anesthesiology 880101307SORENSEN, ERIC 2450 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-877-8661 Physicians Anesthesiology 860857176SORENSEN, JOHN B 330 S LOLA LN STE 200 PAHRUMP NV 89048 Nye 775-751-7100 Physicians General Surgery 261136614SORENSEN, THOMAS C 2575 N 5TH ST STE A ELKO NV 89801 Elko 775-738-9666 Physicians Pediatric Dentist 201340174SORENSEN, THOMAS J 2375 E PRATER WAY SPARKS NV 89434 Washoe 775-331-7000 Physicians Emergency Medicine 475671561SORENSEN, TRAVIS M 640 E DEER SPRINGS WAY STE 180 NORTH LAS VEGAS NV 89086 Clark 702-399-3800 Physicians Oral Surgery 461193475SORENSON, BARRY G 263 SPRING VALLEY PKWY STE A3 SPRING CREEK NV 89815 Elko 775-738-3500 Physicians General Dentist 823192225SORENSON, LEVI 5745 S FORT APACHE RD STE 100 LAS VEGAS NV 89148 Clark 702-586-4347 Physicians Pediatric Dentist 823491272SORIANO JR, SOFRONIO S 501 S RANCHO DR LAS VEGAS NV 89106 Clark 702-750-2837 Physicians Physical Medicine & Rehabilitation562325542SORIANO, SIMONETA S 525 MARKS ST HENDERSON NV 89014 Clark 702-383-6210 Physicians Family Medicine 886000436SORRENSEN, JOHN L 98 E LAKE MEAD PKWY STE 103 HENDERSON NV 89015 Clark 702-765-5780 Physicians Internal Medicine 880125958SOUCHON-SANCHEZ, PATRICIA E 1800 W CHARLESTON BLVD STE 507 LAS VEGAS NV 89102 Clark 702-383-2092 Physicians General Surgery 880330858SOUDBAKHSH, MEHRAN 4325 N RANCHO DR LAS VEGAS NV 89130 Clark 702-658-1681 Physicians Chiropractor 124704349SOUKUP, JESSICA 480 GALLETTI WAY SPARKS NV 89431 Washoe 775-688-2001 Physicians Social Worker 886000022SOUMI, EMAD E 10624 S EASTERN AVE HENDERSON NV 89052 Clark 702-800-5393 Physicians Internal Medicine 201026537SOUND PHYSICIANS EMERGENCY MEDICINE OF NEVADA BESS2375 E PRATER WAY SPARKS NV 89434 Washoe 775-331-7000 Physicians Emergency Medicine 833597814SOUND POINT AUDIOLOGY AND HEARING CENTERS2625 WIGWAM PKWY STE 104 HENDERSON NV 89074 Clark 702-614-7243 Rehabilitation Audiology 204914238SOUNDPOINT AUDIOLOGY & HEARING SERVICES LLC2625 WIGWAM PKWY STE 104 HENDERSON NV 89074 Clark 877-616-4500 Rehabilitation Audiology 203507634SOUNDPOINT AUDIOLOGY AND HEARING 5920 S RAINBOW BLVD STE 9 LAS VEGAS NV 89118 Clark 702-873-1500 Rehabilitation Audiology 204914238SOURCEONE MEDICAL - LAS VEGAS 6280 S VALLEY VIEW BLVD STE 220 LAS VEGAS NV 89118 Clark 702-755-4642 Ancillary Providers 330860765SOUTH HILL GASTROENTEROLOGY 2628 WIGWAM PKWY STE 112 HENDERSON NV 89074 Clark 702-492-1162 Physicians Gastroenterology 262193664SOUTH MEADOWS DIALYSIS CENTER 10085 DOUBLE R BLVD STE 160 RENO NV 89521 Washoe 775-852-4200 Ambulatory Facilities 263558729SOUTH PECOS HOME 6330 S PECOS RD STE 110 LAS VEGAS NV 89120 Clark 702-732-2438 Ambulatory Facilities 931087002SOUTH VIRGINIA MEDICAL CENTER 6580 S VIRGINIA ST RENO NV 89511 Washoe 775-853-9959 Physicians Family Medicine 320175627SOUTHAM, BRANT M 3201 LAKESIDE DR RENO NV 89509 Washoe 775-825-0559 Physicians Optometry 880484278SOUTHERN HILLS PELVIC AND PHYSICAL THERAPY PLLC5775 S FORT APACHE RD STE 120 LAS VEGAS NV 89148 Clark 904-998-0211 Rehabilitation Physical Therapy 043821114SOUTHERN NEVADA ADULT MENTAL HEALTH6161 W CHARLESTON BLVD LAS VEGAS NV 89146 Clark 702-486-6000 Hospitals 886000022SOUTHERN NEVADA ADULT MENTAL HEALTH SERVICES6161 W CHARLESTON BLVD LAS VEGAS NV 89146 Clark 702-486-6045 Ambulatory Facilities 886000022SOUTHERN NEVADA ALLERGY PHYSICIANS 4275 BURNHAM AVE STE 345 LAS VEGAS NV 89119 Clark 702-735-7668 Physicians Allergy/Immunology 204460981Southern Nevada Home Health Care, Inc. 9121 W RUSSELL RD STE 112 LAS VEGAS NV 89148 Clark 702-262-7490 Ancillary Providers 870494757Southern Nevada Oxygen, Inc. 3069 S VALLEY VIEW BLVD LAS VEGAS NV 89102 Clark 702-696-1313 Ancillary Providers 880331550SOUTHERN NEVADA PAIN CENTER 2879 SAINT ROSE PKWY STE 110 HENDERSON NV 89052 Clark 702-563-0255 Physicians Pain Management 880319744Southern Nevada Pain Center - Single Day Surgery Center6950 W DESERT INN RD LAS VEGAS NV 89117 Clark 702-259-5550 Ambulatory Facilities 880319744SOUTHERN NEVADA SLEEP CENTER 2851 N TENAYA WAY STE 206 LAS VEGAS NV 89128 Clark 702-233-1731 Ancillary Providers 205173489SOUTHERN NEVADA SURGERY SPECIALISTS 10001 S EASTERN AVE STE 200 HENDERSON NV 89052 Clark 702-914-2420 Physicians General Surgery 880232840SOUTHWEST EYE INSTITUTE 8981 W SAHARA AVE STE 270 LAS VEGAS NV 89117 Clark 702-362-3900 Physicians Ophthalmology 201361069SOUTHWEST MEDICAL ASSOCIATES 2316 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-877-5199 Ancillary Providers 880201420SOUTHWESTERN CHIROPRACTIC CENTER 4500 E BONANZA RD UNIT D LAS VEGAS NV 89110 Clark 904-998-0211 Physicians Chiropractor 043821114SOUTHWICK, SHANNON K 9280 W SUNSET RD STE 100 LAS VEGAS NV 89148 Clark 702-952-1251 Physicians Certified Nurse Practitioner 880350180SOUZA, KATHERINE Z 991 S C VIRGINIA CITY NV 89440 Storey 775-847-9311 Physicians Marriage & Family Therapist 880266600SOVINSKI, RYAN M 7501 W LAKE MEAD BLVD LAS VEGAS NV 89128 Clark 702-240-0606 Rehabilitation Speech Pathology 412129643SOWERS, KURT 5701 W CHARLESTON BLVD LAS VEGAS NV 89146 Clark 702-877-9514 Physicians Nephrology 621866708

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 184 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDSPACCAVENTO, LEO J 4275 BURNHAM AVE LAS VEGAS NV 89119 Clark 702-796-4278 Physicians Cardiology 880217735SPAIN, ASHLEY A 2490 PASEO VERDE PKWY STE 115 HENDERSON NV 89074 Clark 702-515-4009 Rehabilitation Occupational Therapy 472546455SPANGLER, JOHN S 604 E MUSSER ST CARSON CITY NV 89701 Carson City 775-882-3555 Physicians Chiropractor 880502320SPANHEIMER, JENNIFER J 6440 SKY POINTE DR STE 140-398 LAS VEGAS NV 89131 Clark 702-501-0325 Rehabilitation Physical Therapy 200382573SPANN, CANDACE T 2615 BOX CANYON DR LAS VEGAS NV 89128 Clark 702-998-9001 Physicians Dermatology 880193208SPARKS DIALYSIS CENTER 777 VISTA BLVD SPARKS NV 89434 Washoe 775-356-3978 Ambulatory Facilities 263558729SPARKS FAMILY HOSPITAL INC 2375 E PRATER WAY SPARKS NV 89434 Washoe 775-331-7000 Hospitals Short Term Acute Care Hospital 880159958SPARKS FAMILY MEDICINE INC 10155 W TWAIN AVE LAS VEGAS NV 89147 Clark 702-722-2200 Physicians Family Medicine 880477868SPARKS, AMY R 10155 W TWAIN AVE LAS VEGAS NV 89147 Clark 702-722-2200 Physicians Family Medicine 880477868SPARKUHL, ALEXANDER R 700 SHADOW LN STE 430 LAS VEGAS NV 89106 Clark 702-384-0500 Physicians Urology 880178156SPARLING, ROLAND L 1397 GALLERIA DR HENDERSON NV 89014 Clark 702-436-5800 Physicians Family Medicine 880213519SPARROW, JAMIE R 7391 W CHARLESTON BLVD STE 140 LAS VEGAS NV 89117 Clark 702-304-2144 Physicians Family Medicine 201026537SPECIALTY MEDICAL CENTER 8550 W DESERT INN RD STE 102-105 LAS VEGAS NV 89117 Clark 775-751-3377 Physicians Internal Medicine 880464017SPECIALTY SURGERY CENTER 7250 CATHEDRAL ROCK DR LAS VEGAS NV 89128 Clark 702-933-3999 Ambulatory Facilities 880431977SPEECH LOGIC 7030 SMOKE RANCH RD LAS VEGAS NV 89128 Clark 702-979-4268 Rehabilitation Speech Pathology 264482623SPENCE, ROBERT L 4980 W SAHARA AVE LAS VEGAS NV 89146 Clark 702-216-7365 Physicians Emergency Medicine 824933457SPENCER, ANDREW H 2001 ERRECART BLVD ELKO NV 89801 Elko 800-243-3839 Physicians Obstetrics/Gynecology 454855728SPENCER, BRENDEEN A 3025 YANKEE CLIPPER DR LAS VEGAS NV 89117 Clark 702-906-5550 Physicians Social Worker 263198139SPENGLER, SANDRA C 1351 W SUNSET RD STE 100 HENDERSON NV 89014 Clark 702-835-1100 Physicians General Dentist 200405461SPERO, BRUCE A 480 GALLETTI WAY SPARKS NV 89431 Washoe 775-688-2001 Physicians Psychiatry 880502320SPERRY, CRISTINA 2205 GLENDALE AVE STE 129 SPARKS NV 89431 Washoe 775-284-2984 Rehabilitation Physical Therapy 880329446SPEVAK, MICHAEL J 3594 W PLUMB LN STE B RENO NV 89509 Washoe 775-786-2400 Rehabilitation Physical Therapy 571232107SPICKELMIER, JAMES 5642 S EASTERN AVE STE C LAS VEGAS NV 89119 Clark 702-736-8535 Physicians Chiropractor 860884316SPICKELMIER, JAMES 5642 S EASTERN AVE STE C LAS VEGAS NV 89119 Clark 702-891-8833 Physicians Chiropractor 472549429SPILLERS, CHRISTOPHER T 950 S DURANGO DR STE 140 LAS VEGAS NV 89145 Clark 702-834-7755 Physicians General Dentist 474586156SPINE AND SPORT PHYSICAL THERAPY 7351 PRAIRIE FALCON RD LAS VEGAS NV 89128 Clark 866-389-0211 Rehabilitation 043821114SPINE AND WELLNESS MANAGEMENT GROUP LLC2780 HOMESTEAD RD STE 105 PAHRUMP NV 89048 Nye 904-998-0211 Physicians Physical Medicine & Rehabilitation043821114SPINNER, ALYCIA G 1701 W CHARLESTON BLVD STE 490 LAS VEGAS NV 89102 Clark 702-671-6480 Physicians Pediatric Otolaryngology 813419791SPINOWITZ, HOWARD S 2316 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-877-5319 Physicians Anesthesiology 860857176SPIRTOS, NICOLA M 3131 LA CANADA ST STE 110 LAS VEGAS NV 89169 Clark 702-693-6870 Physicians Obstetrics/Gynecology 880401900SPITALE-EFSTRATIS, KRISTINA J 670 SIERRA ROSE DR RENO NV 89511 Washoe 775-322-4550 Physicians Certified Nurse Practitioner 201405833SPOERKE, NICHOLAS J 75 PRINGLE WAY STE 1002 RENO NV 89502 Washoe 775-323-7500 Physicians General Surgery 880341656SPOLLINO, CHERYL 1707 W CHARLESTON BLVD STE 120 LAS VEGAS NV 89102 Clark 702-671-5140 Physicians Certified Nurse Practitioner 880330858SPOON JR, EDWARD C 401 N BUFFALO DR LAS VEGAS NV 89145 Clark 702-778-4000 Physicians Obstetrics/Gynecology 860877249SPORTS & PERFORMANCE PHYSICAL THERAPY100 W LIBERTY ST STE 170 RENO NV 89501 Washoe 904-998-0211 Rehabilitation 043821114SPORTS AND PERFORMANCE PHYSICAL THERAPY100 W LIBERTY ST STE 170 RENO NV 89501 Washoe 775-470-5881 Rehabilitation 611779287SPORTS LLC 7730 W CHEYENNE AVE LAS VEGAS NV 89129 Clark 702-869-6326 Rehabilitation 134222973SPORTS THERAPY AND REHABILATION 501 N MINNESOTA ST CARSON CITY NV 89703 Carson City 866-389-0211 Rehabilitation 880357457SPORTS THERAPY AND REHABILITATION, INC501 N MINNESOTA ST CARSON CITY NV 89703 Carson City 866-389-0211 Rehabilitation 880357457SPOTTS, JOSETTE E 1485 W WARM SPRINGS RD STE 105 HENDERSON NV 89014 Clark 702-990-6360 Physicians General Surgery 880350180SPPECH THERAPY CENTER OF EXCELLENCE 5516 S FORT APACHE RD LAS VEGAS NV 89148 Clark 702-641-8255 Rehabilitation Speech Pathology 721589409SPRING MOUNTAIN MEDICAL GROUP 3775 SPG MNT RD STE 303 LAS VEGAS NV 89102 Clark 702-873-2261 Physicians Chiropractor 043821114SPRING MOUNTAIN REHAB LLC 2701 N TENAYA WAY STE 290 LAS VEGAS NV 89128 Clark 702-869-4401 Rehabilitation 880459564SPRING MOUNTAIN REHAB. LLC 2701 N TENAYA WAY STE 290 LAS VEGAS NV 89128 Clark 702-869-4401 Rehabilitation 880459564SPRING MOUNTAIN SAHARA 5460 W SAHARA AVE LAS VEGAS NV 89146 Clark 702-216-8900 Hospitals 886000022SPRING MOUNTAIN TREATMENT CENTER 7000 SPRING MOUNTAIN RD LAS VEGAS NV 89117 Clark 702-873-2400 Hospitals 200930346SPRING VALLEY RENAL CENTER 3855 S JONES BLVD STE 101 LAS VEGAS NV 89103 Clark 702-248-0379 Ambulatory Facilities 451857925SPRING VALLEY SURGERY CENTER 3835 S JONES BLVD LAS VEGAS NV 89103 Clark 702-880-4193 Ambulatory Facilities 880512805SPRINGER, KEVIN D 4475 S EASTERN AVE LAS VEGAS NV 89119 Clark 702-737-1880 Physicians Certified Nurse Practitioner 880332635SPRINGER, WILLIAM Y 235 W 6TH ST RENO NV 89503 Washoe 800-737-0610 Physicians Radiology/Diagnostic 412007905SRAN, MANPREET S 9975 S EASTERN AVE STE 110 LAS VEGAS NV 89183 Clark 702-380-2484 Physicians Internal Medicine 880470514

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 185 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDSRINARAYANA, VIVEK 2450 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-877-8660 Physicians Anesthesiology 860857176SRIVASTAVA, PRADYUMN 1664 N VIRGINIA ST RENO NV 89557 Washoe 775-682-7015 Rehabilitation Speech Pathology 886000024SROKA, AARON M 4275 BURNHAM AVE STE 300 LAS VEGAS NV 89119 Clark 702-792-1414 Physicians General Surgery 527742566ST HILL, CHARLES R 1707 W CHARLESTON BLVD STE 290 LAS VEGAS NV 89102 Clark 702-671-6475 Physicians General Surgery 813419791ST JUDE SLEEP SOLUTIONS 6268 S RAINBOW BLVD STE 11 LAS VEGAS NV 89118 Clark 702-818-4008 Ancillary Providers 273269405ST ROSE PEDIATRICS 10911 S EASTERN AVE STE 100 HENDERSON NV 89052 Clark 702-564-8556 Physicians Pediatrics 203416144ST. JOSEPH TRANSITIONAL REHABILITATION CENTER, LLC2035 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-386-7980 Rehabilitation 204974918ST. ROSE WALK-IN CARE 10561 JEFFREYS ST HENDERSON NV 89052 Clark 417-889-2040 Ambulatory Facilities 271413336STACEY, DOUGLAS S 10561 JEFFREYS ST HENDERSON NV 89052 Clark 702-456-3668 Physicians Podiatry 200284598STACEY, MICHELLE L 2845 SIENA H8S DR HENDERSON NV 89052 Clark 702-617-1227 Physicians Family Medicine 880213519STADLER, FRANZ J 640 W MOANA LN RENO NV 89509 Washoe 775-324-0699 Physicians Dermatology 880423605STAFEEVA, KSENIA A 7305 S PECOS RD STE 101 LAS VEGAS NV 89120 Clark 702-384-7770 Physicians Ophthalmology 262563581STAFFORD, JODY L 2625 W HORIZON RIDGE PKWY HENDERSON NV 89052 Clark 702-896-0383 Rehabilitation Physical Therapy 202279187STAGE, DANIELLE J 1055 S WELLS AVE RENO NV 89502 Washoe 775-329-6300 Physicians Pediatrics 391180475STAHL, ALLAN J 653 N TOWN CENTER DR STE 400 LAS VEGAS NV 89144 Clark 702-765-5793 Physicians Cardiology 880125958STAHLMANN, CHARLES G 8280 W WARM SPRINGS RD LAS VEGAS NV 89113 Clark 702-492-8000 Physicians Pulmonology 320502611STAIDLE, JONATHAN P 1020 NEW RIVER PKWY STE 302 FALLON NV 89406 Churchill 775-324-0699 Physicians Dermatology 813253496STALEY, BRET R 1170 N MOAPA VALLEY BLVD STE C OVERTON NV 89040 Clark 702-397-2273 Physicians Chiropractor 880285629STALLINGS, MICHAEL T 5030 LAS BRISAS BLVD STE B3 RENO NV 89523 Washoe 775-852-8336 Physicians General Dentist 260611182STAMM, KATELIN E 235 W 6TH ST RENO NV 89503 Washoe 775-770-3000 Physicians Anesthesiology 430687806STANDERFER, ALEXA 5546 S FORT APACHE RD LAS VEGAS NV 89148 Clark 702-798-4778 Rehabilitation Physical Therapy 200932822STANKO, MICHAEL L 950 RYLAND ST RENO NV 89502 Washoe 775-329-0286 Physicians Ophthalmology 205368967STANLEY, BARRY A 2901 EL CAMINO AVE LAS VEGAS NV 89102 Clark 702-858-1259 Physicians Chiropractor 753094787STANLEY, STACY L 1640 ALTA DR STE 4 LAS VEGAS NV 89106 Clark 702-474-6450 Physicians Professional Counselor 880111970STANTON, CHRISTOPHER D 910 VISTA BLVD SPARKS NV 89434 Washoe 775-982-5000 Physicians Family Medicine 941741654STANTON, SHARI B 101 CONVENTION CENTER DR STE 840 LAS VEGAS NV 89109 Clark 702-245-4683 Physicians Psychology (Clinical) 043290453STAPLES, LARRY O 2345 E CENTENNIAL PKWY STE 110 NORTH LAS VEGAS NV 89081 Clark 702-991-0404 Physicians General Dentist 473346924STAR FAMILY CARE 2645 W HORIZON RIDGE PKWY STE 120 HENDERSON NV 89052 Clark 702-614-1800 Physicians Family Medicine 880429789STARFIELD EMERGENCY PHYSICIANS PLLC 901 ADAMS BLVD BOULDER CITY NV 89005 Clark 469-401-2386 Physicians Emergency Medicine 474980349STARFIELD EMERGENCY PHYSICIANS PPLC 620 SHADOW LN LAS VEGAS NV 89106 Clark 469-401-2386 Physicians Emergency Medicine 474980349STARK, BEATRICE A 1215 S FORT APACHE RD STE 230 LAS VEGAS NV 89117 Clark 702-437-1007 Physicians General Dentist 432102303STARKEY, CASSANDRA L 2012 S JONES BLVD LAS VEGAS NV 89146 Clark 702-360-1137 Rehabilitation Speech Pathology 412129643STARLEY, DENICE 7220 S CIMARRON RD STE 270 LAS VEGAS NV 89113 Clark 702-386-4700 Physicians Pain Management 204727467STARR, EDWIN G 555 W ARLINGTON AVE RENO NV 89503 Washoe 775-786-3040 Physicians Physical Medicine & Rehabilitation880103557STATE MEDICAL EQUIPMENT 3827 E SUNSET RD STE F LAS VEGAS NV 89120 Clark 702-538-9555 Ancillary Providers 460555510STATE OF NEVADA DHHS DIVISION OF CHILD AND FAMILY SERVICES2655 ENTERPRISE RD RENO NV 89512 Washoe 775-688-1600 Ambulatory Facilities 886000022STATEN, DEBORHA L 5475 S FORT APACHE RD STE 100 LAS VEGAS NV 89148 Clark 702-736-7979 Physicians General Dentist 460884417STAUB, JOHN H 311 W WASHINGTON ST STE B CARSON CITY NV 89703 Carson City 775-883-4664 Physicians Optometry 275139769STAUFFER, ADRIENNE K 8400 FARM RD LAS VEGAS NV 89131 Clark 702-209-2722 Physicians Chiropractor 472875247STCLAIR, PAMELA L 3061 S MARYLAND PKWY STE 101 LAS VEGAS NV 89109 Clark 702-254-5437 Physicians Pediatrics 680640053STEADMAN, MATHEW R 1025 ROBERTA LN SPARKS NV 89431 Washoe 775-825-4744 Rehabilitation Occupational Therapy 562328617STECKLER, THERESA L 653 N TOWN CENTER DR LAS VEGAS NV 89144 Clark 702-243-7483 Physicians Internal Medicine 880252300STEED, CORY T 9435 W RUSSELL RD LAS VEGAS NV 89148 Clark 702-207-2222 Physicians Optometry 050565207STEEVER, ETHAN E 5865 TYRONE RD STE 201 RENO NV 89502 Washoe 775-786-2828 Physicians Psychology (Clinical) 548416450STEFAN, ANGELA 1905 MCDANIEL ST NORTH LAS VEGAS NV 89030 Clark 702-649-1980 Physicians Pediatrics 455170498STEFANKO, ROBERT J 4791 SUMMIT RIDGE DR RENO NV 89523 Washoe 775-624-2200 Physicians Emergency Medicine 880303924STEFANOVA, NINA 3277 E WARM SPRINGS RD LAS VEGAS NV 89120 Clark 702-910-2800 Physicians Family Medicine 815094291STEIGER, DAVID 3100 N TENAYA WAY STE 140 LAS VEGAS NV 89128 Clark 702-255-5000 Physicians Critical Care 916068143STEIN, EMIL A 2090 E FLAMINGO RD STE 200 LAS VEGAS NV 89119 Clark 702-733-9271 Physicians Ophthalmology 880163960STEIN, JEFFREY S 25 MCCABE DR RENO NV 89511 Washoe 775-826-8100 Physicians Family Medicine 886000106STEIN, SHELDON J 900 W OWENS AVE LAS VEGAS NV 89106 Clark 702-636-6380 Physicians Family Medicine 880368011

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 186 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDSTEINAGEL, GERALDINE M 80 CONTINENTAL DR STE 200 RENO NV 89509 Washoe 775-329-4284 Physicians Psychiatry 886004349STEINBERG DIAGNOSTIC MEDICAL IMAGING2767 N TENAYA WAY LAS VEGAS NV 89128 Clark 702-732-6000 Physicians Radiology/Diagnostic 752480818STEINBERG DIAGNOSTIC MEDICAL IMAGING (LAS VEGAS 2)2767 N TENAYA WAY LAS VEGAS NV 89128 Clark 702-732-6000 Physicians Radiology/Diagnostic 760429755Steinberg Diagnostic Medical Imaging - Northwest4 SUNSET WAY STE D HENDERSON NV 89014 Clark 702-732-6000 Physicians Radiology/Diagnostic 880232199STEINBERG, DAVID L 800 SHADOW LN LAS VEGAS NV 89106 Clark 702-732-6000 Physicians Radiology/Diagnostic 880232199STEINBERG, TODD A 2020 PALOMINO LN STE 100 LAS VEGAS NV 89106 Clark 888-727-1074 Physicians Radiology/Diagnostic 845116186STEINHAUER, MARK H 3186 S MARYLAND PKWY LAS VEGAS NV 89109 Clark 915-595-9055 Physicians Physical Medicine & Rehabilitation752743358STEINKAMP, KATY H 11145 S EASTERN AVE STE 130A HENDERSON NV 89052 Clark 702-498-4688 Physicians Marriage & Family Therapist 267668547STEINKOHL, WILLIAM B 7200 CATHEDRAL ROCK DR STE 180 LAS VEGAS NV 89128 Clark 702-341-9000 Physicians Urology 880305756STELJES CARDIOLOGY 2839 SAINT ROSE PKWY STE 160 HENDERSON NV 89052 Clark 702-492-1450 Physicians Cardiology 200654573STELJES, ALAN D 7455 W WASHINGTON AVE STE 420 LAS VEGAS NV 89128 Clark 702-240-6482 Physicians Cardiology 200562668STELLA, DAVID 4195 S GRAND CANYON DR STE 106 LAS VEGAS NV 89147 Clark 941-313-3300 Physicians Chiropractor 201871646STELLAR PHYSICAL THERAPY 1650 US HIGHWAY 395 N MINDEN NV 89423 Douglas 866-389-0211 Rehabilitation 043821114STEMPIEN, THERESA L 7251 W FAKE MEAD BLVD LAS VEGAS NV 89128 Clark 702-234-8922 Rehabilitation Speech Pathology 260227913STENDELLJR, ERIC R 1155 MILL ST RENO NV 89502 Washoe 775-324-4040 Physicians Emergency Medicine 943223279STENSBY, HAROLD F 1530 E 6TH ST RENO NV 89512 Washoe 888-997-2669 Physicians Emergency Medicine 710403278STEPHANOFF, TATIANA 5380 S RAINBOW BLVD STE 314 LAS VEGAS NV 89118 Clark 702-463-4444 Physicians Pediatrics 841719561STEPHEN, ALPHONSA M 10950 S EASTERN AVE STE 100 HENDERSON NV 89052 Clark 702-614-2192 Physicians Pediatrics 880397351STEPHENS, ANTHONY M 2450 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-724-8780 Physicians Anesthesiology 860857176STEPHENS, JULIE N 1161 S VALLEY VIEW BLVD LAS VEGAS NV 89102 Clark 702-486-7670 Rehabilitation Speech Pathology 886000022STEPHENSON, LENDELL R 2874 N CARSON ST STE 100 CARSON CITY NV 89706 Carson City 775-883-4161 Rehabilitation Physical Therapy 880329446STERBAN CHIROPRACTIC 375 N STEPHANIE ST STE 1213 HENDERSON NV 89014 Clark 702-932-1798 Physicians Chiropractor 043821114STERETT, RICHARD R 2160 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-383-2420 Physicians Pediatric Critical Care 880313664STERNER, CHRISTINE K 7361 PRAIRIE FALCON RD STE 130 LAS VEGAS NV 89128 Clark 702-804-1511 Rehabilitation Speech Pathology 886000022STEVE GIRISGEN,OD, PC 3614 S MARYLAND PKWY LAS VEGAS NV 89169 Clark 702-737-5243 Physicians Optometry 880429060STEVENS, CHRISTY D 480 GALLETTI WAY SPARKS NV 89431 Washoe 775-688-2001 Physicians Certified Nurse Practitioner 886000022STEVENS, LISA M 10085 DOUBLE R BLVD STE 310 RENO NV 89521 Washoe 775-324-2234 Rehabilitation Occupational Therapy 880103557STEVENS, MARK C 3603 GRAND TETON CT RENO NV 89509 Washoe 775-997-6722 Physicians Certified Nurse Practitioner 455557052STEVENS, RICHARD M 8995 W FLAMINGO RD STE 100 LAS VEGAS NV 89147 Clark 702-838-5437 Physicians Orthodontist 510639482STEVENS, RITCHIE N 624 S TONOPAH DR LAS VEGAS NV 89106 Clark 702-463-9100 Physicians Radiation Oncology 351754711STEVENS, SEAN M 500 N RAINBOW BLVD STE 203 LAS VEGAS NV 89107 Clark 208-867-2102 Physicians Emergency Medicine 474980349STEVENSON, ABBIE L 85 KIRMAN AVE STE 403 RENO NV 89502 Washoe 775-322-4589 Rehabilitation Audiology 886000022STEVENSON, JOSEPH P 645 N ARLINGTON AVE STE 460 RENO NV 89503 Washoe 775-770-7622 Physicians Cardiology 455557052STEVENSON, KEISHA N 3131 LA CANADA ST STE 241 LAS VEGAS NV 89169 Clark 702-693-6870 Physicians Certified Nurse Practitioner 880401900STEVENSON, MICHAEL W 9070 W POST RD LAS VEGAS NV 89148 Clark 702-732-6000 Physicians Radiology/Diagnostic 880232199STEVENSON, TODD R 241 RIDGE ST STE 101 RENO NV 89501 Washoe 775-786-7325 Physicians Chiropractor 208069555STEWART CHIROPRACTIC 5514 CAMINO AL NORTE STE A2 NORTH LAS VEGAS NV 89031 Clark 702-531-3400 Physicians Chiropractor 201424676STEWART JR, DAVID G 9050 W CHEYENNE AVE LAS VEGAS NV 89129 Clark 702-998-5200 Physicians Orthopedic Surgery 205292952STEWART, BRAD C 9100 W POST RD LAS VEGAS NV 89148 Clark 702-731-2088 Physicians Optometry 880107297STEWART, JEFFREY L 1301 BERTHA HOWE AVE STE 10 MESQUITE NV 89027 Clark 702-346-0203 Physicians Podiatry 462934384STEWART, JOSEPH D 5514 CAMINO AL NORTE STE A2 STE A-2 NORTH LAS VEGAS NV 89031 Clark 702-531-3400 Physicians Chiropractor 201424676STEWART, MICHELE S 1101 W MOANA LN STE 2 RENO NV 89509 Washoe 775-337-2394 Physicians Certified Nurse Practitioner 886000022STEWART, PAUL A 2000 WELLNESS WAY LAS VEGAS NV 89106 Clark 702-384-5101 Physicians Pulmonology 880298339STEWART, ROD C 875 RAILROAD ST ELKO NV 89801 Elko 775-777-7722 Physicians General Dentist 911456113STEWART, WILLIE 4079 BLUE MANOR LN NORTH LAS VEGAS NV 89032 Clark 702-787-0166 Physicians Social Worker 886000022STEYN, LORI D 2874 N CARSON ST STE 210 CARSON CITY NV 89706 Carson City 775-887-8866 Physicians Optometry 953703868STIBOR, DAVID G 2701 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-870-5165 Physicians General Dentist 461244513STILL, JONATHAN G 3016 W CHARLESTON BLVD STE 150 LAS VEGAS NV 89102 Clark 702-790-2701 Physicians Psychiatry 043290453STILLEY, LYNNETTE J 6166 S SANDHILL RD STE 104 LAS VEGAS NV 89120 Clark 702-960-7589 Physicians Marriage & Family Therapist 271419806STILLWELL, RAYMOND L 1107 US HIGHWAY 395 S GARDNERVILLE NV 89410 Douglas 775-782-1600 Physicians Emergency Medicine 261513495STILSON JR, CARL B 3001 SAINT ROSE PKWY HENDERSON NV 89052 Clark 702-616-6137 Physicians Emergency Medicine 362604009

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 187 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDSTITES, RYAN 880 RYLAND ST RENO NV 89502 Washoe 775-329-4600 Physicians Anesthesiology 880101307STITSER, CHRISTINE M 10587 DOUBLE R BLVD RENO NV 89521 Washoe 866-389-0211 Rehabilitation Physical Therapy 886000022STITT, ROBERT N 1524 PINTO LN LAS VEGAS NV 89106 Clark 702-383-3642 Physicians Obstetrics/Gynecology 886000436STOCKING, BARBARA J 2035 VILLAGE CENTER CIR LAS VEGAS NV 89134 Clark 702-228-7117 Physicians Internal Medicine 880213519STOCKTON, JAMES H 5190 NEIL RD STE 215 RENO NV 89502 Washoe 775-790-2186 Physicians Psychiatry 886000022STOCKWELL, ERICA L 9260 W SUNSET RD LAS VEGAS NV 89148 Clark 702-255-3547 Physicians Obstetrics/Gynecology 460766041STODDARD, AMIE 1664 N VIRGINIA ST RENO NV 89503 Washoe 775-784-1999 Rehabilitation Physical Therapy 880297530STOEBLING, DAVID P 4000 E CHARLESTON BLVD STE 230 LAS VEGAS NV 89104 Clark 702-968-5000 Physicians Social Worker 813419791STOEL, AMY 2012 S JONES BLVD LAS VEGAS NV 89146 Clark 702-360-1137 Rehabilitation Speech Pathology 412129643STOERMER, CHRISTIAN H 2110 E FLAMINGO RD LAS VEGAS NV 89119 Clark 702-796-6551 Physicians Internal Medicine 880351116STOFFERAHN, JANE 2975 S RAINBOW BLVD STE E3 LAS VEGAS NV 89146 Clark 702-221-2929 Physicians Marriage & Family Therapist 232881955STOFFERAHN, MATTHEW E 5400 S RAINBOW BLVD LAS VEGAS NV 89118 Clark 702-853-3000 Physicians Emergency Medicine 472990144STOKER, NICOLE M 3701 BAKER LN STE 1 RENO NV 89509 Washoe 775-825-1000 Physicians Pediatric Dentist 203707845STOKES, JEFFREY 53 E LAKE MEAD PKWY HENDERSON NV 89015 Clark 702-566-4133 Physicians General Dentist 880313783STOKES, JOEL 8965 S EASTERN AVE STE 100 LAS VEGAS NV 89123 Clark 702-387-6453 Physicians General Dentist 830987180STOKES, ROSS F 9285 S CIMARRON RD STE 125 LAS VEGAS NV 89178 Clark 702-433-5355 Physicians General Dentist 262260433STOLAR, TIMOTHY 2202 W CRAIG RD NORTH LAS VEGAS NV 89032 Clark 702-383-6270 Physicians Family Medicine 886000436STOLL, KATHLEEN A 6151 LAKESIDE DR STE 2001 RENO NV 89511 Washoe 775-329-4284 Physicians Psychiatry 886000022STOLOFF, STUART W 1200 MOUNTAIN ST STE 220 CARSON CITY NV 89703 Carson City 775-883-6888 Physicians Family Medicine 880152654STOLTZNER, PAULINE C 6630 S MCCARRAN BLVD RENO NV 89509 Washoe 775-683-8239 Physicians Certified Nurse Practitioner 880502320STONE, CHRISTIAN D 8530 W SUNSET RD LAS VEGAS NV 89113 Clark 702-483-4483 Physicians Gastroenterology 880485076STONE, KELLIE M 9005 S PECOS RD HENDERSON NV 89074 Clark 702-982-6402 Rehabilitation Physical Therapy 463437639STONE, SCOTT A 118 E HASKELL ST WINNEMUCCA NV 89445 Humboldt 305-223-3000 Physicians Emergency Medicine 202319275STONECREEK SURGERY CENTER 5915 S RAINBOW BLVD LAS VEGAS NV 89118 Clark 702-227-7959 Ambulatory Facilities 412275749STOUT, ADAM L 4450 N TENAYA WAY STE 240 LAS VEGAS NV 89129 Clark 702-463-5000 Physicians General Dentist 272190374STOVAK, MARK L 123 17TH STREET MAIL STOP 316 RENO NV 89557 Washoe 775-784-1533 Physicians Sports Medicine 860881749STOVER, KAREN M 13945 S VIRGINIA ST STE 632 RENO NV 89511 Washoe 775-982-5000 Physicians Family Medicine 270028866STOYTCHEV, HRISTO V 2250 E FLAMINGO RD LAS VEGAS NV 89119 Clark 702-784-4300 Physicians Internal Medicine 201026537STRADLING, MARK A 1505 WIGWAM PKWY STE 100 HENDERSON NV 89074 Clark 702-896-6043 Physicians Ophthalmology 880107297STRANGE, MAYA P 1240 E 9TH ST RENO NV 89512 Washoe 775-323-0478 Physicians Psychiatry 880300031STRATTON, AMY N 10619 PROFESSIONAL CIR RENO NV 89521 Washoe 775-329-4600 Physicians Gastroenterology 880182841STRATTON, TRAVIS C 301 W LAKE MEAD PKWY HENDERSON NV 89015 Clark 702-565-5900 Physicians General Dentist 261677880STRAUSS DIPAOLO, BEVERLY D 9010 W CHEYENNE AVE LAS VEGAS NV 89129 Clark 702-240-8646 Physicians Certified Nurse Practitioner 472865205STREBEL, KORD T 1950 PINTO LN LAS VEGAS NV 89106 Clark 702-438-2229 Physicians Obstetrics/Gynecology 204816025STREET, NELLADEE 1301 BERTHA HOWE AVE STE 1 MESQUITE NV 89027 Clark 702-346-0800 Physicians Family Medicine 880424585STREIFEL, DANIEL A 5001 E BONANZA RD STE 160 LAS VEGAS NV 89110 Clark 702-307-2273 Physicians General Dentist 821394606STREIFEL, NORMAN D 1180 E LAKE MEAD PKWY HENDERSON NV 89015 Clark 888-840-3032 Physicians Optometry 455470477STREIFF, BRANDON J 3896 N MARTIN L KING BLVD NORTH LAS VEGAS NV 89032 Clark 702-614-1792 Physicians General Dentist 204714412STREIT, STEPHANIE M 1707 W CHARLESTON BLVD STE 230 LAS VEGAS NV 89102 Clark 702-671-2201 Physicians Critical Care 813419791STRICKLAND, JOHN C 8965 S PECOS RD HENDERSON NV 89074 Clark 702-735-4094 Physicians Chiropractor 880185521STRIDER-BARRAZA, SHERONDA M 640 E DEER SPRINGS WAY STE 180 NORTH LAS VEGAS NV 89086 Clark 702-399-3800 Physicians General Dentist 461193475STRIMLING, ROBERT B 10105 BANBURRY CROSS DR STE 350 LAS VEGAS NV 89144 Clark 702-243-6400 Physicians Dermatology 880384013STRINGHAM, CHARLES A 130 E HASKELL ST STE B WINNEMUCCA NV 89445 Humboldt 775-623-0550 Physicians Internal Medicine 880201578STROBEHN, PATRICIA K 1800 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-385-0890 Physicians Certified Nurse Practitioner 202977358STROBEL, MARLA W 5320 S RAINBOW BLVD LAS VEGAS NV 89118 Clark 702-255-3547 Physicians Certified Nurse Practitioner 880213519STROHM, MAUREEN 3150 N TENAYA WAY LAS VEGAS NV 89128 Clark 702-256-5619 Physicians Family Medicine 331159527STROSHINE, JENNIFER L 780 VISTA BLVD STE 100 SPARKS NV 89434 Washoe 775-348-8800 Physicians Certified Nurse Practitioner 270028866STROUP, LAURA N 1200 MOUNTAIN ST CARSON CITY NV 89703 Carson City 775-882-1324 Physicians Family Medicine 880502320STRUBY, BRIAN D 513 W BRIDGE ST STE A YERINGTON NV 89447 Lyon 775-463-1800 Physicians General Dentist 205213099STRULL, DAVID J 1600 MEDICAL PKWY CARSON CITY NV 89703 Carson City 775-445-8000 Physicians Emergency Medicine 880135776STRUMILLO, CLEMENT J 2685 S RAINBOW BLVD STE 101 LAS VEGAS NV 89146 Clark 702-315-4600 Physicians Family Medicine 680554485

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 188 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDSTRUNK, RHONDA L 640 W MOANA LN STE 2 RENO NV 89509 Washoe 775-324-0699 Physicians Certified Nurse Practitioner 880361999STUART WEICHERS MD PC 3153 E WARM SPRINGS RD STE 300 LAS VEGAS NV 89120 Clark 702-487-6510 Physicians Anesthesiology 262892441STUCKE, SHERI A 3131 LA CANADA ST STE 217 LAS VEGAS NV 89169 Clark 702-369-7152 Physicians Certified Nurse Practitioner 271152943STUMPF, PAUL G 1524 PINTO LN LAS VEGAS NV 89106 Clark 702-383-3642 Physicians Obstetrics/Gynecology 886000436STUMPF, PAUL M 1500 E 2ND ST STE 206 RENO NV 89502 Washoe 775-789-7000 Physicians General Surgery 880179203STUTELBERG, KARL 2851 N TENAYA WAY STE 205 LAS VEGAS NV 89128 Clark 702-655-9456 Rehabilitation Physical Therapy 200042642STUTES, DAMON L 5915 TYRONE RD RENO NV 89502 Washoe 775-827-0616 Physicians Obstetrics/Gynecology 880502320STUTZ, AARON M 9880 W FLAMINGO RD LAS VEGAS NV 89147 Clark 702-383-2085 Physicians Emergency Medicine 465145577STUTZ, ANDREW 410 S RAMPART BLVD STE 360 LAS VEGAS NV 89145 Clark 702-228-2218 Physicians General Dentist 830987180SU, ALLEN I 3775 SPG MNT RD STE 303 LAS VEGAS NV 89102 Clark 702-873-2261 Physicians Chiropractor 300365518SU, KEVIN 366 W LAKE MEAD PKWY STE 100 HENDERSON NV 89015 Clark 702-464-3090 Physicians General Dentist 454612311SU, PETER S 3835 S JONES BLVD LAS VEGAS NV 89103 Clark 702-880-4193 Physicians Pain Management 880404982SU, SEAN P 2451 PROFESSIONAL CT STE 110 LAS VEGAS NV 89128 Clark 702-240-4242 Physicians Family Medicine 880201420SU, TENGFEI 169 N NELLIS BLVD LAS VEGAS NV 89110 Clark 702-384-1010 Physicians General Dentist 371797092SUAREZ, EDWIN 6930 S CIMARRON RD STE 160 LAS VEGAS NV 89113 Clark 702-368-6778 Rehabilitation Physical Therapy 830375934SUBA, FAISAL A 1707 W CHARLESTON BLVD STE 190 LAS VEGAS NV 89102 Clark 702-671-5110 Physicians Psychiatry 880330858SUBIN, BILL 3153 E WARM SPRINGS RD LAS VEGAS NV 89120 Clark 702-487-6510 Physicians Anesthesiology 300283542SUBRAMANYAM, KERALAPURA P 4331 N RANCHO DR LAS VEGAS NV 89130 Clark 702-383-3800 Physicians Family Medicine 886000436SUBRAMANYAM, NANJUNDA S 8551 W LAKE MEAD BLVD STE 250 LAS VEGAS NV 89128 Clark 702-255-8785 Physicians Family Medicine 429634211SUCHY, ANNA M 10416 COLE YOUNGER CT LAS VEGAS NV 89129 Clark 479-531-7668 Rehabilitation Occupational Therapy 201277351SUCKOW, JULIE A 6040 S FORT APACHE RD STE 100 LAS VEGAS NV 89148 Clark 702-475-4007 Physicians Dietitian 462520735SUGAY, ROSANNE M 701 SHADOW LN STE 200 LAS VEGAS NV 89106 Clark 702-383-2691 Physicians Internal Medicine 886000436SUGUITAN, AMORSOLO JR 400 SHADOW LN LAS VEGAS NV 89106 Clark 702-382-7760 Physicians Internal Medicine 880213519SUHANY, MARK V 6161 W CHARLESTON BLVD LAS VEGAS NV 89146 Clark 702-486-6045 Physicians Psychiatry 886000022SUITER, PHYLLIS A 2410 FIRE MESA ST LAS VEGAS NV 89128 Clark 702-992-6888 Physicians Certified Nurse Practitioner 880330858SULLIVAN, JAMES 10624 S EASTERN AVE HENDERSON NV 89052 Clark 702-800-5393 Physicians Internal Medicine 800249057SULLIVAN, JAMES H 896 W NYE LN STE 203 CARSON CITY NV 89703 Carson City 775-783-6190 Physicians Anesthesiology 880502320SULLIVAN, KEVIN J 880 RYLAND ST RENO NV 89502 Washoe 775-329-4600 Physicians CRNA 202428069SULLIVAN, LELAND T 2375 E PRATER WAY SPARKS NV 89434 Washoe 775-331-7000 Physicians Emergency Medicine 475671561SULLIVANIII, JAMES E 670 SIERRA ROSE DR RENO NV 89511 Washoe 775-322-4550 Physicians Nephrology 880201578SUMMA, JAMES A 645 N ARLINGTON AVE STE 250A RENO NV 89503 Washoe 855-896-8446 Physicians Radiology/Diagnostic 880145500SUMMERLIN PELVIC AND PHYSICAL THERAPY9414 DEL WEBB BLVD LAS VEGAS NV 89134 Clark 702-331-1654 Rehabilitation Physical Therapy 832410010SUMMERLIN PELVIC AND PHYSICAL THERAPY LLC9414 DEL WEBB BLVD LAS VEGAS NV 89134 Clark 904-998-0211 Rehabilitation Physical Therapy 043821114SUMMERLIN SURGICAL ASSOC. 653 N TOWN CENTER DR LAS VEGAS NV 89144 Clark 702-233-7000 Physicians General Surgery 880489093SUMMERLIN VISION CENTER INC. 7664 W LAKE MEAD BLVD STE 107 LAS VEGAS NV 89128 Clark 702-656-6144 Physicians Optometry 880322065SUMMIT CHIROPRACTIC LLC 9333 DOUBLE R BLVD STE 1600 RENO NV 89521 Washoe 775-971-8244 Physicians Chiropractor 471443501SUMMIT MEDICAL GROUP AND HEALTHCARE PARTNERS OF NEVADA700 E WARM SPRINGS RD STE 300 LAS VEGAS NV 89119 Clark 702-507-2430 Physicians Internal Medicine 880213519SUMMIT RIDGE MEDICAL CENTER 4791 SUMMIT RIDGE DR RENO NV 89523 Washoe 775-624-2200 Ambulatory Facilities 205599219SUMMIT SURGERY CENTER 18653 WEDGE PKWY STE 170 RENO NV 89511 Washoe 775-674-5234 Ambulatory Facilities 264094998Summit Surgery Center at St Marys Galena 18653 WEDGE PKWY RENO NV 89511 Washoe 775-674-5200 Ambulatory Facilities 264094998SUMRALL, AMANDA J 634 PYRAMID WAY SPARKS NV 89431 Washoe 775-336-0211 Rehabilitation Speech Pathology 860881749SUMWALT, TODD 9505 HILLWOOD DR STE 100 LAS VEGAS NV 89134 Clark 702-303-4220 Rehabilitation Physical Therapy 851479761SUN CITY FOOT CARE 653 N TOWN CENTER DR STE 203 LAS VEGAS NV 89144 Clark 702-256-8454 Physicians Podiatry 880424803SUN, JEN C 8550 W CHARLESTON BLVD LAS VEGAS NV 89117 Clark 206-948-2468 Physicians Anesthesiology 264655980SUNDANCE CHIROPRACTIC LLC 4925 W CRAIG RD LAS VEGAS NV 89130 Clark 702-656-7460 Physicians Chiropractor 043821114SUNDANCE MEDICAL 500 E WINDMILL LN STE 125 LAS VEGAS NV 89123 Clark 702-263-4795 Physicians Internal Medicine 880498894SUNDARARAJAN, SRINATH 1701 W CHARLESTON BLVD STE 215 LAS VEGAS NV 89102 Clark 702-671-2355 Physicians Hematology/Oncology 880330858SUNDERLAND, LILEO T 1191 HIGH SCHOOL ST GARDNERVILLE NV 89410 Douglas 775-783-1136 Physicians Marriage & Family Therapist 551506657SUNDQUIST, HEIDI I 1565 VIRGINIA RANCH RD GARDNERVILLE NV 89410 Douglas 775-782-3100 Rehabilitation Occupational Therapy 232446104SUNDSTROM, STEVEN M 975 RYLAND ST STE 100 RENO NV 89502 Washoe 775-982-5000 Physicians Internal Medicine 880291454SUNSHINE VALLEY HEALTH CARE CENTER 653 N TOWN CENTER DR STE 104 LAS VEGAS NV 89144 Clark 702-363-3000 Physicians Pediatrics 880341682

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 189 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDSUO, CHAO 640 E DEER SPRINGS WAY STE 180 NORTH LAS VEGAS NV 89086 Clark 702-399-3800 Physicians General Dentist 461193475SUPERCARE HEALTH 3625 W TECO AVE STE 8 LAS VEGAS NV 89118 Clark 800-206-4880 Ancillary Providers 954021787SUPERIOR BIOLOGICS NV 4010 W ALI BABA LN STE F LAS VEGAS NV 89118 Clark 702-483-4230 Ancillary Providers 455311889SURANI, ALEEM 2385 E PRATER WAY STE 302 SPARKS NV 89434 Washoe 775-387-1616 Physicians Pulmonology 263303591SURAPANENI, TEJA V 3001 STREET ROSE PKWY HENDERSON NV 89052 Clark 702-616-5000 Physicians Internal Medicine 472990144SURGERY CENTER OF RENO LLC 343 ELM ST RENO NV 89503 Washoe 775-336-6900 Ambulatory Facilities 203707845SURGERY CENTER OF RENO, LLC 343 ELM ST RENO NV 89503 Washoe 775-336-6900 Ambulatory Facilities 203370784SURGICAL ANESTHESIA SERVICES 7312 W CHEYENNE AVE STE 4 LAS VEGAS NV 89129 Clark 702-395-1070 Physicians Anesthesiology 201467972Surgical Arts Center Las Vegas 9499 W CHARLESTON BLVD LAS VEGAS NV 89117 Clark 702-933-3600 Ambulatory Facilities 880503205SUSSMAN, DANIEL 6161 W CHARLESTON BLVD LAS VEGAS NV 89146 Clark 702-486-6045 Physicians Psychiatry 886000022SUSSMAN, ERNEST M 8550 W DESERT INN RD LAS VEGAS NV 89117 Clark 702-293-0176 Physicians Urology 880311128SUSTAITA, ANTONIO 914 E SAHARA AVE LAS VEGAS NV 89104 Clark 702-794-0304 Physicians General Dentist 954706138SUTHERLAND, JOHN 645 N ARLINGTON AVE STE 250A RENO NV 89503 Washoe 855-896-8446 Physicians Radiology/Diagnostic 880145500SUTHERLAND, TIMOTHY B 8402 CENTENNIAL PKWY STE 100 LAS VEGAS NV 89149 Clark 702-869-3486 Physicians Orthopedic Surgery 382589025SUTHERLAND, VERONICA M 18653 WEDGE PKWY STE 120 RENO NV 89511 Washoe 775-770-7695 Physicians Family Medicine 201939943SUTTON, JENNIFER B 1155 MILL ST RENO NV 89502 Washoe 775-982-5638 Physicians Radiation Oncology 880507472SUTTON, JESSICA 2012 S JONES BLVD LAS VEGAS NV 89146 Clark 702-360-1137 Rehabilitation Speech Pathology 412129643SUTTON, JOHN H 1703 LAKESIDE DR RENO NV 89509 Washoe 775-323-1680 Physicians Optometry 880224263SUTTON, JOHN R 1177 N DIVISION ST STE 3 CARSON CITY NV 89703 Carson City 775-841-6333 Physicians Endocrinology 680561697SUTTON-PADO, CELIA W 880 ALDER AVE FL 2 INCLINE VILLAGE NV 89451 Washoe 775-831-6200 Physicians Family Medicine 941439787SVOBODAJR, BELA L 50 E HASKELL ST STE A WINNEMUCCA NV 89445 Humboldt 775-623-5211 Physicians Optometry 880412790SWACKHAMER, ROBERT D 1500 E 2ND ST RENO NV 89502 Washoe 775-982-2400 Physicians Cardiology 880303924SWAINE, JEAN-MARIE 10217 NIGHTOWL CREEK PL LAS VEGAS NV 89144 Clark 702-612-5628 Physicians Certified Nurse Practitioner 880423070SWAINE, KENT A 999 ADAMS BLVD STE 102 BOULDER CITY NV 89005 Clark 702-361-2273 Physicians Internal Medicine 880470514SWAINSTON, DARIN 2050 MARINER DR STE 120 LAS VEGAS NV 89128 Clark 702-255-2022 Physicians Obstetrics/Gynecology 880331464SWALLOW, WARD K 5440 W SAHARA AVE STE 202 LAS VEGAS NV 89146 Clark 702-380-8200 Physicians Psychology (Clinical) 043290453SWANGER, RONALD S 896 W NYE LN STE 102 CARSON CITY NV 89703 Carson City 775-323-5083 Physicians Radiology/Diagnostic 880511493SWANK, MEGAN H 3735 LAKESIDE DR STE A RENO NV 89509 Washoe 775-682-4000 Rehabilitation Audiology 260139402SWANSON, ANDREW J 1959 E PRATER WAY SPARKS NV 89434 Washoe 775-331-5200 Physicians Family Medicine 205946727SWANSON, DAVID C 555 W ARLINGTON AVE RENO NV 89503 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557SWANSON, DAWN J 475 W HASKELL ST WINNEMUCCA NV 89445 Humboldt 775-623-6580 Physicians Social Worker 886000022SWANSON, ERIC D 1775 VILLAGE CENTER CIR LAS VEGAS NV 89134 Clark 702-507-5555 Physicians Oral Surgery 880315086SWANSON, GARRETT 175 BRINKBY AVE RENO NV 89509 Washoe 775-825-9225 Physicians General Dentist 474681842SWANSON, JOHN M 1155 MILL ST RENO NV 89502 Washoe 775-324-4040 Physicians Emergency Medicine 943223279SWANSON, KEITH R 212 ELKS POINT RD STE 200 ZEPHYR COVE NV 89448 Douglas 775-589-8950 Physicians Orthopedic Surgery 880382265SWANSON, KYLE E 935 MICA DR BLDG C STE 15 CARSON CITY NV 89705 Douglas 775-783-3065 Physicians Orthopedic Surgery 271039017SWAR, TAPOSHI 1485 E FLAMINGO RD LAS VEGAS NV 89119 Clark 702-835-5866 Physicians Certified Nurse Practitioner 870806688SWARBRICK, JORDAN 10870 W CHARLESTON BLVD STE 170 LAS VEGAS NV 89135 Clark 702-254-6412 Physicians Oral Surgery 260160921SWARTS, RAYMOND L 555 W ARLINGTON AVE RENO NV 89503 Washoe 775-359-7340 Physicians Infectious Diseases 880195402SWARTZ, CAROL A 925 IRONWOOD DR STE 2108 MINDEN NV 89423 Douglas 775-782-3933 Physicians Pediatrics 452684760SWEAT, RAQUEL 4567 MISSION MEADOW CIR LAS VEGAS NV 89139 Clark 702-883-9528 Rehabilitation Occupational Therapy 886000022SWEENEY, LAURI S 2642 W HORIZON RIDGE PKWY HENDERSON NV 89052 Clark 702-933-9102 Rehabilitation Audiology 464865267SWEENEY, MARGARET E 1000 S RAINBOW BLVD LAS VEGAS NV 89145 Clark 702-464-8866 Physicians Family Medicine 880213519SWENSON, DARREN R 7391 W CHARLESTON BLVD STE 140 LAS VEGAS NV 89117 Clark 702-304-2144 Physicians Internal Medicine 880404402SWENSON, GRANT R 5380 S RAINBOW BLVD LAS VEGAS NV 89118 Clark 702-873-3556 Physicians Podiatry 472116233SWENSON, JENNIFER L 100 N GRN VALLEY PKWY STE 210 HENDERSON NV 89074 Clark 702-269-9995 Physicians Family Medicine 880286471SWENSON, NANCY A 1930 VILLAGE CENTER CIR STE 11 LAS VEGAS NV 89134 Clark 702-363-3111 Physicians Chiropractor 463676110SWISSMAN, NEIL 9127 W RUSSELL RD STE 110 LAS VEGAS NV 89148 Clark 702-878-0070 Physicians Anesthesiology 852385334SWOGGER, EMILY Z 1500 W SUNSET RD HENDERSON NV 89014 Clark 702-515-4009 Rehabilitation Speech Pathology 472546455SWOLENSKY, DARRELL C 858 S BOULDER HWY HENDERSON NV 89015 Clark 702-565-7474 Physicians Chiropractor 145746110SY, FRIDOLIN T 3131 LA CANADA ST STE 140 LAS VEGAS NV 89169 Clark 702-731-5510 Physicians Cardiology 260199135

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 190 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDSYED, MUHAMMAD A 3247 S MARYLAND PKWY LAS VEGAS NV 89109 Clark 702-776-3500 Physicians Internal Medicine 274185968SYED, ZEESHAN F 2420 PROFESSIONAL CT STE 150 LAS VEGAS NV 89128 Clark 702-853-0090 Physicians Nephrology 462812104SYLVAIN, GERALD R 3150 N TENAYA WAY STE 140 LAS VEGAS NV 89128 Clark 702-258-2020 Physicians Ophthalmology 880919506SYME, JAMES 10120 S EASTERN AVE HENDERSON NV 89052 Clark 702-487-6880 Physicians Anesthesiology 262281625SYNDERGAARD, BENJAMIN D 1675 VISTA LN CARSON CITY NV 89703 Carson City 775-882-3033 Physicians Periodontist 880502320SYNERGY LABORATORIES INC. 4550 E CHARLESTON BLVD LAS VEGAS NV 89104 Clark 702-459-5500 Ancillary Providers 800171174SYNERGY LABORATORIES, INC. 4550 E CHARLESTON BLVD LAS VEGAS NV 89104 Clark 702-643-5227 Ancillary Providers 800171174SYRES, KIMBERLY M 1800 W CHARLESTON BLVD STE 507 LAS VEGAS NV 89102 Clark 702-383-2092 Physicians Critical Care 880330858SYSKA, BRIAN 3100 N TENAYA WAY LAS VEGAS NV 89128 Clark 702-255-5000 Physicians Emergency Medicine 880262438SZOT, CHRISTINA A 236 W 6TH ST STE 100 RENO NV 89503 Washoe 775-329-9010 Physicians Pulmonology 061642331T. A.L.K.S. 9310 SUN CITY BLVD STE 105 LAS VEGAS NV 89134 Clark 702-341-8352 Rehabilitation Speech Pathology 043611712TA, EMILY S 1845 VILLAGE CENTER CIR LAS VEGAS NV 89134 Clark 702-723-9006 Rehabilitation Physical Therapy 814633462TA, JOSEPH Q 3150 N TENAYA WAY STE 112 LAS VEGAS NV 89128 Clark 702-671-6480 Physicians Otolaryngology 880330858TABANO, MEGAN 1625 E PRATER WAY STE 107 SPARKS NV 89434 Washoe 775-825-4744 Rehabilitation Occupational Therapy 562328617TABASSI, GUITA 6970 S CIMARRON RD STE 230 LAS VEGAS NV 89113 Clark 702-330-3102 Physicians Obstetrics/Gynecology 205873908TABOR, ANTHONY R 3820 S JONES BLVD LAS VEGAS NV 89103 Clark 702-731-0831 Rehabilitation Physical Therapy 880349542TABORA JR, CAMILO B 3301 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-968-0100 Physicians Internal Medicine 880488270TABORA, MARIA D 3301 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-968-0100 Physicians Pediatrics 880488270TABREEZ S ALI DO PC 3157 N RAINBOW BLVD # 488 LAS VEGAS NV 89108 Clark 702-858-7376 Physicians Internal Medicine 274241126TABRIZI, ARTHUR 1210 E BASIN AVE STE 6 PAHRUMP NV 89060 Nye 775-727-6000 Physicians Social Worker 201427365TACK, DAVID A 1100 S CARSON ST CARSON CITY NV 89701 Carson City 775-883-7811 Physicians Dermatology 880175775TACK, DINA K 1535 MEDICAL PKWY STE B CARSON CITY NV 89703 Carson City 775-445-7960 Physicians Oncology 020566741TACVORIAN, ANOUSH H 5400 S RAINBOW BLVD LAS VEGAS NV 89118 Clark 702-853-3757 Physicians Internal Medicine 208753074TACVORIAN, ARPINE 3150 N TENAYA WAY LAS VEGAS NV 89128 Clark 702-870-2099 Physicians Pediatrics 880213519TAFOYA, BONNIE V 6850 N DURANGO DR LAS VEGAS NV 89149 Clark 702-897-6000 Physicians Certified Nurse Practitioner 204898177TAFRESHI, MEHRDAD A 4500 MEADOWS LN LAS VEGAS NV 89107 Clark 702-258-8100 Physicians Internal Medicine 880404402TAGATAC, MARELLA J 7140 N DURANGO DR STE 110 LAS VEGAS NV 89149 Clark 702-740-5437 Physicians General Dentist 822856088TAGHIPOUR KHIABANI, KAYVAN 1707 W CHARLESTON BLVD STE 190 LAS VEGAS NV 89102 Clark 702-671-5110 Physicians Plastic & Reconstructive Surgery 880330858TAGUBA, EMMANUEL V 2031 MCDANIEL ST NORTH LAS VEGAS NV 89030 Clark 702-642-1409 Physicians Pediatrics 880339436TAHERIAN, ELHAM 1800 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-383-2000 Physicians Rheumatology 880330858TAHIR, IRFAN 4880 WYNN RD LAS VEGAS NV 89103 Clark 702-871-5005 Physicians Internal Medicine 880213519TAHIR, NAUMAN 500 S RANCHO DR STE 12 LAS VEGAS NV 89106 Clark 702-877-1887 Physicians Nephrology 160743310TAHIR, OSMAN M 2020 PALOMINO LN STE 100 LAS VEGAS NV 89106 Clark 702-759-8600 Physicians Radiology/Diagnostic 451649781TAHOE CARSON RADIOLOGY LTD 1600 MEDICAL PKWY CARSON CITY NV 89703 Carson City 775-445-8795 Physicians Radiology/Diagnostic 880279310TAHOE FOREST HOSPITAL DISTRICT 880 ALDER AVE INCLINE VILLAGE NV 89451 Washoe 775-833-4100 Hospitals Critical Access Hospital 830713827TAHOE FRACTURE AND ORTHOPEDIC 306 SURPRISE AVE YERINGTON NV 89447 Lyon 775-463-2301 Physicians Orthopedic Surgery 941709925TAHOE PACFIC HOSPITALS - WEST 235 W 6TH ST RENO NV 89503 Washoe 775-770-3000 Hospitals 880360990TAHOE PACIFIC HOSPITAL 10101 DOUBLE R BLVD RENO NV 89521 Washoe 775-331-1044 Hospitals 462334534TAHOE PACIFIC HOSPITALS - MEADOWS 2375 E PRATER WAY FL 7 SPARKS NV 89434 Washoe 775-355-5600 Hospitals 462334534TAI, ELIZABETH 2375 E PRATER WAY SPARKS NV 89434 Washoe 775-331-7000 Physicians Emergency Medicine 833597814TAI, TING 151 W BROOKS AVE NORTH LAS VEGAS NV 89030 Clark 702-399-6545 Physicians Occupational Medicine 752014828TAIT, ROBERT J 10561 JEFFREYS ST STE 230 HENDERSON NV 89052 Clark 702-565-6565 Physicians Orthopedic Surgery 880302415TAITANO, JOHNATHAN R 102 E LAKE MEAN PKWY HENDERSON NV 89015 Clark 702-564-2622 Physicians Internal Medicine 472990144TAKARA, CHELSEA M 3150 N TENAYA WAY STE 240 LAS VEGAS NV 89128 Clark 702-445-7770 Physicians Certified Nurse Practitioner 270480752TAKE CARE HEALTH TEXAS, P.C. 1445 W CRAIG RD NORTH LAS VEGAS NV 89032 Clark 866-825-3227 Physicians Certified Nurse Practitioner 208558546TAKHER, JASPRIT S 3150 N TENAYA WAY LAS VEGAS NV 89128 Clark 702-962-9550 Physicians Internal Medicine 800756169TAKIEDDINE, MARWAN A 6970 W PATRICK LN STE 140 LAS VEGAS NV 89113 Clark 702-588-7077 Physicians Nephrology 462812104TALANCON, F J 630 PYRAMID WAY SPARKS NV 89431 Washoe 775-356-8251 Physicians General Dentist 880195123TALBOT, CAROLINE E 10105 BANBURRY CROSS DR STE 170 LAS VEGAS NV 89144 Clark 702-765-5437 Physicians Pediatrics 204529593TALBOTT, LADAWN M 601 RALSTON ST STE 200 RENO NV 89503 Washoe 775-348-4790 Physicians Plastic & Reconstructive Surgery 203707845TALLEY, JEANIENE A 6850 N DURANGO DR STE 400 LAS VEGAS NV 89149 Clark 702-474-4110 Physicians Family Medicine 260638939

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 191 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDTALUSAN HOME HEALTH CARE 6845 W CHARLESTON BLVD LAS VEGAS NV 89117 Clark 702-474-9007 Ancillary Providers 261906427TAM, BENJAMIN S 6320 BLOWING SKY ST UNIT 101 NORTH LAS VEGAS NV 89081 Clark 702-371-3310 Physicians Social Worker 870430116TAM, BYRON H 6870 S RAINBOW BLVD STE 112 LAS VEGAS NV 89118 Clark 702-909-2900 Physicians Orthodontist 823159181TAM, CALVIN 6545 S FORT APACHE RD STE 110 LAS VEGAS NV 89148 Clark 702-331-4444 Physicians General Dentist 262473394TAM, KENNETH 4141 SWENSON ST LAS VEGAS NV 89119 Clark 702-733-0320 Physicians Certified Nurse Practitioner 205220791TAM, STEPHEN L 7842 W SAHARA AVE LAS VEGAS NV 89117 Clark 702-224-2524 Physicians Internal Medicine 880423070TAMASABY, MOHSEN 2385 E PRATER WAY STE 309 SPARKS NV 89434 Washoe 775-331-6400 Physicians Family Medicine 383701638TAMAYO, RAOUL I 102 E LAKE MEAD PKWY HENDERSON NV 89015 Clark 702-564-2622 Physicians Internal Medicine 208753074TAMBI, BIH B 6850 N DURANGO DR STE 302 LAS VEGAS NV 89149 Clark 702-750-2438 Physicians Psychiatry 461486704TAN, AILEEN S 2704 N TENAYA WAY LAS VEGAS NV 89128 Clark 702-877-5199 Physicians Internal Medicine 391696443TAN, EVITA K 1930 VILLAGE CENTER CIR STE 3-717 LAS VEGAS NV 89134 Clark 702-432-2233 Physicians Certified Nurse Practitioner 471182996TAN, FARA MAE K 7751 W FLAMINGO RD STE A100 LAS VEGAS NV 89147 Clark 702-804-6555 Physicians Certified Nurse Practitioner 810973046TAN, FERDINAND L 11860 SOUTHERN HIGHLANDS PKWY STE 102 LAS VEGAS NV 89141 Clark 702-383-6270 Physicians Internal Medicine 886000436TAN, FRANCIS R 7391 W CHARLESTON BLVD STE 140 LAS VEGAS NV 89117 Clark 702-304-2144 Physicians Family Medicine 208545882TAN, KEVIN B 7175 W LAKE MEAD BLVD STE 110 LAS VEGAS NV 89128 Clark 702-228-9911 Physicians General Dentist 205338830TAN, RHIGEL A 1701 W CHARLESTON BLVD STE 300 LAS VEGAS NV 89102 Clark 702-251-8000 Physicians Certified Nurse Practitioner 043290453TANDON, TEENA 6970 W PATRICK LN STE 140 LAS VEGAS NV 89113 Clark 702-588-7077 Physicians Nephrology 462812104TANENGGEE, FREDERICK L 2501 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-247-9994 Physicians Internal Medicine 880479559TANG, ANDREW H 155 HIGHWAY 50 STATELINE NV 89449 Douglas 775-589-8987 Physicians Internal Medicine 942693002TANG, CHENG 2570 WIGWAM PKWY STE 110 HENDERSON NV 89074 Clark 702-757-3399 Physicians General Dentist 475334172TANG, DEVIN 9127 W RUSSELL RD LAS VEGAS NV 89148 Clark 702-878-0070 Physicians Anesthesiology 822526636TANG, KOCHY M 12300 LAS VEGAS BLVD S HENDERSON NV 89044 Clark 702-837-1265 Physicians Family Medicine 880506175TANG, MICHAEL 102 E LAKE MEAD PKWY HENDERSON NV 89015 Clark 702-856-0633 Physicians Emergency Medicine 880262438TANG, THIEN T 1450 W HORIZON RIDGE PKWY STE B311 HENDERSON NV 89012 Clark 702-565-0795 Physicians General Dentist 651173469TANII, JOHN L 480 GALLETTI WAY SPARKS NV 89431 Washoe 775-688-2001 Physicians Psychiatry 886000022TANN, STEPHEN M 6880 S MCCARRAN BLVD STE 4 RENO NV 89509 Washoe 775-445-7650 Physicians Cardiology 273686996TANNER, SUSAN 4700 LAS VEGAS BLVD N NELLIS AFB NV 89191 Clark 702-653-3067 Physicians Certified Nurse Practitioner 451497384TANNOURY, GEORGES Y 2001 S RAINBOW BLVD LAS VEGAS NV 89146 Clark 702-315-4600 Physicians Internal Medicine 800712787TANPOCO II, ANTONIO R 2231 W CHARLESTON BLVD FL 2 LAS VEGAS NV 89102 Clark 702-944-2805 Physicians Obstetrics/Gynecology 880330858TANVEER AKBAR MD INC. 10620 S HILAND PKWY STE 110-507 LAS VEGAS NV 89141 Clark 702-921-6829 Physicians Internal Medicine 113811105TANVEER, AISHA 1815 E LAKE MEAD BLVD NORTH LAS VEGAS NV 89030 Clark 702-657-6365 Physicians Internal Medicine 880368011TAPPER, EDWARD M 1ST AND A STS HAWTHORNE NV 89415 Mineral 775-945-2461 Physicians Orthopedic Surgery 209283919TARANTINO-FERNANDEZ, CYNTHIA S 1296 BRAY WAY GARDNERVILLE NV 89410 Douglas 775-887-1313 Physicians Social Worker 320396737TARANTOLO, MARK A 336 W LIBERTY ST RENO NV 89501 Washoe 775-338-3260 Physicians Chiropractor 338404359TARATUTA, BEATA A 9811 W CHARLESTON BLVD LAS VEGAS NV 89117 Clark 702-450-1717 Physicians Internal Medicine 604562042TARBET, SKYLAR L 2219 N 5TH ST ELKO NV 89801 Elko 941-313-3300 Rehabilitation Physical Therapy 462226311TARIQ & ASSOCIATES P C. 2600 S RAINBOW BLVD STE 108 LAS VEGAS NV 89146 Clark 702-921-6823 Physicians Internal Medicine 261912225TARIQ, ABDUL 2445 FIRE MESA ST LAS VEGAS NV 89128 Clark 702-998-5800 Physicians Neurology 812583313TARIQ, NADEEM 2600 S RAINBOW BLVD LAS VEGAS NV 89146 Clark 702-921-6823 Physicians Internal Medicine 880368011TARQUINO, MARIO F 9333 W SUNSET RD STE A LAS VEGAS NV 89148 Clark 702-968-6259 Physicians Anesthesiology 860857176TATEM, STEWART A 645 N ARLINGTON AVE STE 620 RENO NV 89503 Washoe 775-329-2525 Physicians Pediatrics 880459167TATRO, ANDREA M 1055 ROBERTA LN STE 103 SPARKS NV 89431 Washoe 775-331-2600 Physicians Physical Medicine & Rehabilitation880201578TATUM, KIM M 4500 W OAKEY BLVD LAS VEGAS NV 89102 Clark 702-873-5110 Physicians Certified Nurse Practitioner 880213519TAUSCH, GILBERT S 1691 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 89012 Clark 702-804-1212 Physicians Neurology 010726093TAUTH, JEFFERY G 1701 N GREEN VALLEY PKWY STE 5C HENDERSON NV 89074 Clark 702-614-6550 Physicians Cardiology 880297044TAVARES, JOAQUIM S 5701 W CHARLESTON BLVD STE 207 LAS VEGAS NV 89146 Clark 702-877-9514 Physicians Critical Care 264825303TAVENER, MICHELLE D 855 RAILROAD ST ELKO NV 89801 Elko 775-784-3319 Physicians Certified Nurse Practitioner 201405833TAWNEY, ARUNI 1785 E SAHARA AVE LAS VEGAS NV 89104 Clark 702-486-6400 Physicians Psychiatry 886000022TAWNEY, SURESH K 1524 PINTO LN LAS VEGAS NV 89106 Clark 702-383-3642 Physicians Pulmonology 886000436TAY, JONATHAN S 645 N ARLINGTON AVE STE 120 RENO NV 89503 Washoe 775-770-7410 Physicians Radiation Oncology 990240109TAY, MICHAEL K 10001 S EASTERN AVE STE 108 HENDERSON NV 89052 Clark 702-952-3444 Physicians Radiation Oncology 880350180

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 192 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDTAYENGCO, ARTHUR S 3515 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-382-1033 Physicians Obstetrics/Gynecology 886000436TAYLOR III, ROBERT B 2100 N RAMPART BLVD LAS VEGAS NV 89128 Clark 702-731-2088 Physicians Ophthalmology 880107297TAYLOR SANDERSON, LEORA 1397 S LOOP RD PAHRUMP NV 89048 Nye 775-727-5500 Physicians Certified Nurse Practitioner 204727467TAYLOR, ALAN N 975 RYLAND ST RENO NV 89502 Washoe 775-982-4754 Physicians Occupational Medicine 263239286TAYLOR, ANDREA D 171 N GIBSON RD HENDERSON NV 89014 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643TAYLOR, ARTHUR J 7455 W WASHINGTON AVE STE 160 LAS VEGAS NV 89128 Clark 702-878-0393 Physicians Orthopedic Surgery 860879954TAYLOR, ASIA M 2012 S JONES BLVD LAS VEGAS NV 89146 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643TAYLOR, BART D 100 N GREEN VALLEY PKWY # 100 HENDERSON NV 89074 Clark 702-818-4442 Rehabilitation Physical Therapy 010676323TAYLOR, CHARLOTTE A 2835 S JONES BLVD LAS VEGAS NV 89146 Clark 702-951-2243 Rehabilitation Physical Therapy 880512175TAYLOR, CHRISTINA M 9480 DOUBLE DIAMOND PKWY SUTIE 100 RENO NV 89521 Washoe 775-786-1600 Rehabilitation Physical Therapy 880107997TAYLOR, CORINNE G 15 MCCABE DR RENO NV 89511 Washoe 775-982-2862 Physicians Social Worker 886000022TAYLOR, GEORGE H 2901 N TENAYA WAY STE 200 LAS VEGAS NV 89128 Clark 702-944-2225 Physicians Emergency Medicine 113362663TAYLOR, JASON L 1299 BERTHA HOWE AVE MESQUITE NV 89027 Clark 702-346-8040 Physicians Emergency Medicine 204311300TAYLOR, JOSEPH N 3975 S DURANGO DR STE 102 LAS VEGAS NV 89147 Clark 702-254-1444 Physicians General Dentist 264222951TAYLOR, KYLE N 1550 N GRN VALLEY PKWY STE 350 HENDERSON NV 89074 Clark 702-567-1887 Physicians General Dentist 463220338TAYLOR, LAURA 7425 W AZURE DR STE 140 LAS VEGAS NV 89130 Clark 702-515-4009 Rehabilitation Physical Therapy 472546455TAYLOR, MARK 700 SHADOW LN STE 240 LAS VEGAS NV 89106 Clark 702-384-0022 Physicians Cardiology 880161856TAYLOR, MICHAEL R 2201 POSTAL DR STE 9 PAHRUMP NV 89048 Nye 775-727-8900 Physicians Chiropractor 880342912TAYLOR, MISTY G 12020 SOUTHERN HIGHLANDS PKWY APT 1112 LAS VEGAS NV 89141 Clark 630-917-7755 Rehabilitation Speech Pathology 412129643TAYLOR, RACHEL A 7842 W SAHARA AVE LAS VEGAS NV 89117 Clark 702-636-0200 Physicians Certified Nurse Practitioner 880423070TAYLOR, RENDLE R 1573 MULLER PKWY GARDNERVILLE NV 89410 Douglas 775-782-6620 Rehabilitation Physical Therapy 880103557TAYLOR, RONALD B 4331 N RANCHO DR LAS VEGAS NV 89130 Clark 702-383-3800 Physicians Family Medicine 886000436TAYLOR, RONALD R 3505 E HARMON AVE STE A LAS VEGAS NV 89121 Clark 702-796-9924 Physicians General Dentist 823529096TAYLOR, SABRINA 4855 BLUE DIAMOND RD STE 100 LAS VEGAS NV 89139 Clark 702-216-7305 Physicians Emergency Medicine 862775542TAYLOR, SHANE T 3896 N MARTIN L KING BLVD NORTH LAS VEGAS NV 89032 Clark 702-614-1792 Physicians General Dentist 204714412TAYLOR, SHOOK-MING 4855 BLUE DIAMOND RD LAS VEGAS NV 89139 Clark 702-216-7305 Physicians Emergency Medicine 824933457TAYLOR, WADE A 2715 ARGENT AVE STE 4 ELKO NV 89801 Elko 775-753-7387 Physicians Chiropractor 200382768TCHEN, CHRISTINA K 8352 W WARM SPRINGS RD STE 210 LAS VEGAS NV 89113 Clark 702-944-4028 Physicians Pediatrics 880456336TE, JOSEPH D 330 FALCON RIDGE PKWY MESQUITE NV 89027 Clark 435-628-9298 Physicians Hematology/Oncology 203000871TEACHOUT, MARY 1107 US HIGHWAY 395 S GARDNERVILLE NV 89410 Douglas 775-782-1599 Physicians Professional Counselor 880405927TEARE, EDWARD R 2435 FIRE MESA ST LAS VEGAS NV 89128 Clark 702-362-7246 Physicians Certified Nurse Practitioner 330850879TEARNAN, BLAKE H 4790 CAUGHLIN PKWY STE 160 RENO NV 89519 Washoe 775-827-8883 Physicians Psychology (Clinical) 880497156TEDDY, DARLENE T 9285 S CIMARRON RD STE 125 LAS VEGAS NV 89178 Clark 702-433-5355 Physicians General Dentist 262260433TEER, GEORGE S 20 N WEST ST FERNLEY NV 89408 Lyon 775-575-5508 Rehabilitation Physical Therapy 880145347TEGLIA, CINTIA E 1130 N HILLS BLVD RENO NV 89506 Washoe 775-852-6164 Physicians General Dentist 455079229TEH, RICHARD S 2440 PROFESSIONAL CT STE 110 LAS VEGAS NV 89128 Clark 702-240-8155 Physicians Internal Medicine 880386657TEHRANCHI, ELAHEH N 975 KIRMAN AVE RENO NV 89502 Washoe 775-786-7200 Physicians Internal Medicine 352182577TEICHGRAEBER, JOSEPH J 5070 ION DR STE 200 SPARKS NV 89436 Washoe 775-352-5300 Physicians Internal Medicine 880276686TEIJEIRO, ANNETTE 174 ULTRA DR HENDERSON NV 89074 Clark 702-837-3538 Physicians Anesthesiology 880400218TEISCH, LAURA F 2350 W HORIZON RIDGE PKWY HENDERSON NV 89052 Clark 702-564-8556 Physicians Pediatrics 203416144TEIXEIRA-SMITH, ASHLIE D 5590 KIETZKE LN RENO NV 89511 Washoe 775-323-2080 Physicians Certified Nurse Practitioner 263303591TEJADA-JITSUYA, ROXANA 650 N NELLIS BLVD LAS VEGAS NV 89110 Clark 702-459-7424 Physicians Internal Medicine 201026537TEKDOGAN, ALI I 2660 WINDMILL PKWY HENDERSON NV 89074 Clark 702-990-2960 Physicians General Dentist 851416453TEMKIN, HEATHER 1025 ROBERTA LN SPARKS NV 89431 Washoe 775-825-4744 Rehabilitation Physical Therapy 562328617TEMPLE, ISRAEL 3006 S MARYLAND PKWY STE 315 LAS VEGAS NV 89109 Clark 702-992-6868 Physicians Pediatric Critical Care 880330858TEMPLIN, AMY M 3005 W HORIZON RIDGE PKWY STE 101 HENDERSON NV 89052 Clark 702-739-8722 Physicians Social Worker 043290453TENAYA FAMILY PRACTICE 2481 PROFESSIONAL CT LAS VEGAS NV 89128 Clark 702-382-1599 Physicians Family Medicine 880384419TENAYA SURGICAL CENTER 2800 N TENAYA WAY LAS VEGAS NV 89128 Clark 702-838-7755 Ambulatory Facilities 880423641TENBY, MICHAEL C 6850 N DURANGO DR STE 306 LAS VEGAS NV 89149 Clark 702-897-6000 Physicians Pediatrics 880341682TENDERCARE PEDIATRICS 2810 S JONES BLVD STE 1 LAS VEGAS NV 89146 Clark 702-873-1899 Physicians Pediatrics 201786317TENG C. ONG MD 5300 SPRING MOUNTAIN RD STE 112 LAS VEGAS NV 89146 Clark 702-362-6373 Physicians Family Medicine 273064168

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 193 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDTENG, VITUS S 2635 BOX CANYON DR LAS VEGAS NV 89128 Clark 702-386-4700 Physicians Anesthesiology 204727467TENNANT, JEFFREY S 7135 W SAHARA AVE STE 100 LAS VEGAS NV 89117 Clark 702-362-3900 Physicians Ophthalmology 201361069TENNENT, MEGAN 4221 MCLEOD DR LAS VEGAS NV 89121 Clark 702-474-6450 Physicians Marriage & Family Therapist 880111970TENNEY, TAD N 860 BUCHANAN BLVD STE 109 BOULDER CITY NV 89005 Clark 702-293-0041 Physicians Chiropractor 880428237TEODORO, BRETT J 8280 W WARM SPRINGS RD LAS VEGAS NV 89113 Clark 702-878-0070 Physicians CRNA 200420553TERHAR, MARGARET A 3006 S MARYLAND PKWY STE 270 LAS VEGAS NV 89109 Clark 702-369-6161 Physicians General Surgery 880350180TERRY, JUSTIN W 2450 W HORIZON RIDGE PKWY HENDERSON NV 89052 Clark 702-990-0622 Physicians Internal Medicine 880291454TERRY, RILEY M 9430 W LAKE MEAD BLVD STE 11 LAS VEGAS NV 89134 Clark 800-598-5300 Rehabilitation Audiology 810966997TETZLAFF, THOMAS R 657 N TOWN CENTER DR LAS VEGAS NV 89144 Clark 702-233-7000 Physicians Pediatric Critical Care 880266682TEW, JOEL 1285 FINANCIAL BLVD RENO NV 89502 Washoe 855-386-0188 Physicians Radiology/Diagnostic 880113741THACH, ALLEN B 653 N TOWN CENTER DR LAS VEGAS NV 89144 Clark 702-369-0200 Physicians Ophthalmology 260076062THAI, WARREN P 1107 US HIGHWAY 395 S GARDNERVILLE NV 89410 Douglas 775-782-1500 Physicians Internal Medicine 263303591THAKER, REUBEN I 9420 W SAHARA AVE STE 105 LAS VEGAS NV 89117 Clark 702-545-0660 Physicians Family Medicine 831631786THAKER, SHILPA B 3150 N TENAYA WAY STE 225 LAS VEGAS NV 89128 Clark 702-558-2111 Physicians Internal Medicine 271868851THALGOTT, JOHN S 600 S RANCHO DR STE 107 LAS VEGAS NV 89106 Clark 702-878-8370 Physicians Orthopedic Surgery 880340195THALGOTT, ROBERT H 1945 VILLAGE CENTER CIR STE 110 LAS VEGAS NV 89134 Clark 702-364-5100 Physicians Orthodontist 880108251THANEPOHN, HEATHER 3602 E SUNSET RD STE 100 LAS VEGAS NV 89120 Clark 702-932-4308 Physicians Social Worker 886000022THAO, CHOUA 1155 MILL ST RENO NV 89502 Washoe 775-982-7878 Physicians Critical Care 264192437THAO, JOHN 2501 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-247-9994 Rehabilitation Respiratory Therapy 880468046THARIN, BAXTER D 2020 PALOMINO LN STE 100 LAS VEGAS NV 89106 Clark 702-759-8600 Physicians Radiology/Diagnostic 811379728THATCHER, RICHARD W 2100 N RAMPART BLVD LAS VEGAS NV 89128 Clark 702-870-2020 Physicians Ophthalmology 880107297THE BONE AND JOINT INSTITUTE 2779 W HORIZON RIDGE PKWY STE 200 HENDERSON NV 89052 Clark 702-990-2290 Physicians Orthopedic Surgery 880454760THE CENTER FOR SURGICAL ARTS 600 S RANCHO DR LAS VEGAS NV 89106 Clark 702-878-8370 Physicians Oral Surgery 201379449THE CONTINUUM 3700 GRANT DR STE A RENO NV 89509 Washoe 775-829-4700 Ambulatory Facilities 880291454The District Dialysis 2300 CORPORATE CIR STE 100 HENDERSON NV 89074 Clark 702-487-5576 Ambulatory Facilities 822163743THE ELKO CLINIC 1995 ERRECART BLVD ELKO NV 89801 Elko 775-738-3111 Ambulatory Facilities 880387970THE EMPOWERMENT CENTRE, LLC 2501 N GREEN VALLEY PKWY STE D116 HENDERSON NV 89014 Clark 702-605-2766 Physicians Marriage & Family Therapist 471751350THE EYESITE OF ANTHEM 2505 ANTHEM VILLAGE DR STE 1A HENDERSON NV 89052 Clark 702-476-2225 Physicians Optometry 272543730THE FINLEY CENTER 6490 S MCCARRAN BLVD STE B16 RENO NV 89509 Washoe 775-337-1334 Rehabilitation 202778303THE FOOT DOCTOR 2441 TECH CENTER CT STE 103 LAS VEGAS NV 89128 Clark 702-642-4405 Physicians Podiatry 880310711THE HEIGHTS OF SUMMERLIN, LLC 10550 PARK RUN DR LAS VEGAS NV 89144 Clark 702-515-6200 Rehabilitation 201380043THE IMAGING CENTER 4880 WYNN RD LAS VEGAS NV 89103 Clark 702-759-8600 Ancillary Providers 260508983THE LASIK VISION INST, LLC 7521 W LAKE MEAD BLVD LAS VEGAS NV 89128 Clark 702-804-5556 Physicians Optometry 650927564THE LASIK VISION INSTITUTE 7521 W LAKE MEAD BLVD LAS VEGAS NV 89128 Clark 702-804-5556 Physicians Optometry 650927564THE NEVADA MEDICAL GROUP 2200 W HRZN RG PKWY STE F HENDERSON NV 89052 Clark 702-914-7155 Physicians Nephrology 880360366The Northern NV Endoscopy ASC, LLC 5250 KIETZKE LN RENO NV 89511 Washoe 775-473-6949 Ambulatory Facilities 200470103THE OB/GYN CENTER 7130 SMOKE RANCH RD LAS VEGAS NV 89128 Clark 800-656-7226 Physicians Obstetrics/Gynecology 880400613THE OBGYN CENTER 7160 SMOKE RANCH RD LAS VEGAS NV 89128 Clark 702-254-8900 Physicians Obstetrics/Gynecology 880400613THE PEDIATRIC CENTER 2050 MARINER DR STE 150 LAS VEGAS NV 89128 Clark 702-228-9066 Physicians Pediatrics 880447548THE PEDS 5235 S DURANGO DR STE 103 LAS VEGAS NV 89113 Clark 702-588-5180 Physicians Pediatric Endocrinology 208208877THE PILL BOX 568 SPRING VALLEY CT SPRING CREEK NV 89815 Elko 775-778-3784 Ambulatory Facilities 208825796THE SIERRA SPEECH AND LANGUAGE GROUP155 COUNTRY ESTATES CIR STE 200 RENO NV 89511 Washoe 775-852-6323 Rehabilitation Speech Pathology 562572878THE SURGICAL CENTER AT TENAYA 2650 N TENAYA WAY LAS VEGAS NV 89128 Clark 702-954-8800 Ambulatory Facilities 631184215THEOBALD, ROGER 2461 W HORIZON RIDGE PKWY STE 130 HENDERSON NV 89052 Clark 702-896-0031 Rehabilitation Audiology 270637668THEODOSIS, RAYMOND B 3575 PECOS MCLEOD LAS VEGAS NV 89121 Clark 702-731-2088 Physicians Ophthalmology 880107297THEONNES, GILBERTA A 845 RAILROAD ST ELKO NV 89801 Elko 775-753-3770 Physicians Certified Nurse Practitioner 454973092THERAPROS 4850 W FLAMINGO RD STE 25B LAS VEGAS NV 89103 Clark 702-871-9917 Rehabilitation 812822003THERAPROS LLC 4850 W FLAMINGO RD STE 25 LAS VEGAS NV 89103 Clark 904-998-0211 Rehabilitation 043821114THERASPORT PHYSICAL THERAPY 1561 S VIRGINIA ST RENO NV 89502 Washoe 775-322-4555 Rehabilitation 043821114THI OF NEVADA AT DESERT VALLEY THERAPY1701 N GREEN VALLEY PKWY HENDERSON NV 89074 Clark 702-914-2790 Rehabilitation 200042642THIBAULT, TRISTAN E 3127 E WARM SPRINGS RD STE 300 LAS VEGAS NV 89120 Clark 702-850-8700 Physicians Marriage & Family Therapist 886000022

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 194 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDTHIELE, KAREN A 123 17TH ST BRIGHAM BLDG MS316 RENO NV 89557 Washoe 775-784-1533 Physicians Family Medicine 880502320THIENHAUS, OLE J 401 W 2ND ST STE 216 RENO NV 89503 Washoe 775-784-6388 Physicians Psychiatry 886000022THINAKKAL, RAM K 6900 PECOS RD NORTH LAS VEGAS NV 89086 Clark 702-791-9000 Physicians Allergy/Immunology 371424563THIRIOT, RICK B 1001 SHADOW LN LAS VEGAS NV 89106 Clark 702-774-2655 Physicians General Dentist 886000024THOLE, ROBERT T 897 IRONWOOD DR MINDEN NV 89423 Douglas 775-782-1610 Physicians Family Medicine 880405927THOM, SHENDRY A 55 DAMONTE RANCH PKWY RENO NV 89521 Washoe 775-852-9300 Physicians Certified Nurse Practitioner 455557052THOMAS JR, HARRY M 110 E LAKE MEAD PKWY STE 206 HENDERSON NV 89015 Clark 702-731-8224 Physicians Cardiology 880156903THOMAS JR, JAMES C 4454 N DECATUR BLVD LAS VEGAS NV 89130 Clark 702-507-0996 Physicians Orthopedic Surgery 880345128THOMAS MCMEEKIN DPM 10463 DOUBLE R BLVD STE 100 RENO NV 89521 Washoe 775-358-2542 Physicians Podiatry 201302264THOMAS R CONKLIN MD PC 294 E MOANA LN STE 22 RENO NV 89502 Washoe 775-329-2020 Physicians Ophthalmology 880272685THOMAS T CHEN, MD, LTD. 653 N TOWN CENTER DR STE 300 LAS VEGAS NV 89144 Clark 702-456-7255 Physicians Internal Medicine 203097266THOMAS, BLAIR M 669 N STEPHANIE ST HENDERSON NV 89014 Clark 702-435-3827 Physicians General Dentist 454797322THOMAS, CRISTY M 1800 W CHARLESTON BLVD STE 507 LAS VEGAS NV 89102 Clark 702-383-2092 Physicians Certified Nurse Practitioner 880330858THOMAS, DIANE M 4868 SPARKS BLVD STE 102 SPARKS NV 89436 Washoe 775-331-5023 Physicians Family Medicine 562295484THOMAS, DOUGLAS A 866 SEVEN HILLS DR STE 201 HENDERSON NV 89052 Clark 702-430-5333 Physicians Dermatology 880240387THOMAS, ERIN L 2012 S JONES BLVD LAS VEGAS NV 89146 Clark 702-360-1137 Rehabilitation Speech Pathology 412129643THOMAS, FELICIA 2360 W HORIZON RIDGE PKWY STE 120 HENDERSON NV 89052 Clark 702-294-0433 Physicians Professional Counselor 454429023THOMAS, HEATHER L 1475 MEDICAL PKWY CARSON CITY NV 89703 Carson City 775-883-3636 Physicians Obstetrics/Gynecology 880502320THOMAS, JERRY E 235 W 6TH ST RENO NV 89503 Washoe 775-770-3000 Physicians Family Medicine 412007905THOMAS, JESSIE D 679 SIERRA ROSE DR STE A RENO NV 89511 Washoe 775-324-4800 Rehabilitation Physical Therapy 880302345THOMAS, KARMELLA T 2874 N CARSON ST STE 200 CARSON CITY NV 89706 Carson City 775-348-8800 Physicians Dietitian 020566741THOMAS, KATHERINE S 401 W 2ND ST STE 216 RENO NV 89503 Washoe 775-682-8469 Physicians Psychiatry 886000022THOMAS, MARY A 2510 WIGWAM PKWY STE 201 HENDERSON NV 89074 Clark 702-457-7463 Physicians Physical Medicine & Rehabilitation562493978THOMAS, MATTHEW 9975 S EASTERN AVE STE 110 LAS VEGAS NV 89183 Clark 702-617-4598 Rehabilitation Physical Therapy 860856285THOMAS, MICHAEL D 1505 WIGWAM PKWY STE 330 HENDERSON NV 89074 Clark 702-878-0393 Physicians Pediatric Orthopedic Surgery 880313907THOMAS, MICHAEL S 75 PRINGLE WAY STE 1002 RENO NV 89502 Washoe 775-323-7500 Physicians General Surgery 880341656THOMAS, QUINTON 9710 S MCCARRAN BLVD RENO NV 89523 Washoe 775-624-6000 Physicians Family Medicine 383701638THOMAS, STEVEN C 9499 W CHARLESTON BLVD LAS VEGAS NV 89117 Clark 702-933-9393 Physicians Orthopedic Surgery 880252372THOMAS, VINCENT C 3006 S MARYLAND PKWY STE 690 LAS VEGAS NV 89109 Clark 702-732-1290 Physicians Pediatric Cardiology 880176637THOMAS, WILLIAM H 1375 VISTA LN CARSON CITY NV 89703 Carson City 775-882-2067 Physicians General Surgery 880106584THOMPSON MASTERS, AMANDA E 7541 TULE SPRINGS RD LAS VEGAS NV 89131 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643THOMPSON, AMANDA 7501 W LAKE MEAD BLVD LAS VEGAS NV 89128 Clark 702-240-0606 Rehabilitation Physical Therapy 412129643THOMPSON, ANDREA 5575 KIETZKE LN RENO NV 89511 Washoe 775-851-1505 Physicians Certified Nurse Practitioner 263303591THOMPSON, BRADLEY J 3650 S EASTERN AVE LAS VEGAS NV 89169 Clark 702-796-8036 Physicians Internal Medicine 880206363THOMPSON, DANIEL M 5650 W FLAMINGO RD STE A LAS VEGAS NV 89103 Clark 702-221-0991 Physicians Chiropractor 391886617THOMPSON, JAN M 480 GALLETTI WAY SPARKS NV 89431 Washoe 775-688-2001 Physicians Psychiatry 886000022THOMPSON, KIMBERLY D 3030 S JONES BLVD STE 105 LAS VEGAS NV 89146 Clark 702-360-1137 Rehabilitation Speech Pathology 412129643THOMPSON, LAURA B 645 N ARLINGTON AVE STE 340 RENO NV 89503 Washoe 775-827-0777 Physicians Obstetrics/Gynecology 880228641THOMPSON, LEE H 9127 W RUSSELL RD STE 110 LAS VEGAS NV 89148 Clark 702-878-0070 Physicians CRNA 880212653THOMPSON, LEONARD J 1001 JONES ST RENO NV 89503 Washoe 775-322-1880 Physicians Pediatrics 880260603THOMPSON, MYRA 2715 E RUSSELL RD LAS VEGAS NV 89120 Clark 702-483-5919 Physicians Psychology (Clinical) 043290453THOMPSON, PATRICK D 175 N STEPHANIE ST STE 170 HENDERSON NV 89074 Clark 702-997-5958 Physicians General Dentist 208863082THOMPSON, PAUL J 4505 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-822-2202 Physicians Optometry 010580015THOMPSON, SANDRA M 653 N TOWN CENTER DR STE 104 LAS VEGAS NV 89144 Clark 702-838-9013 Physicians Pediatric Dentist 453667181THOMPSON, SARAH M 3692 E SUNSET RD LAS VEGAS NV 89120 Clark 702-735-7668 Rehabilitation Audiology 232789253THOMPSON, SCOTT L 1771 E FLAMINGO RD STE 106A LAS VEGAS NV 89119 Clark 702-510-3352 Physicians Social Worker 820892321THOMPSON, STANLEY 896 W NYE LN STE 203 CARSON CITY NV 89703 Carson City 775-687-8570 Physicians Internal Medicine 880303924THOMPSON, STEPHEN C 2375 E PRATER WAY SPARKS NV 89434 Washoe 775-331-7000 Physicians Emergency Medicine 475671561THORNTON, JOSEPH P 1707 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-781-5150 Physicians Colorectal Surgery 813419791THORP, DARIAN B 6548 S MCCARRAN BLVD STE A RENO NV 89509 Washoe 775-825-5437 Physicians Certified Nurse Practitioner 271193044THORP, GLENN R 1520 VIRGINIA RANCH RD GARDNERVILLE NV 89410 Douglas 775-782-1550 Physicians Geriatric Medicine 261513495

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 195 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDTHORP, SARA E 118 E HASKELL ST WINNEMUCCA NV 89445 Humboldt 775-623-5222 Physicians Family Medicine 886000088THORP, THEODORE M 500 S RANCHO DR STE 12 LAS VEGAS NV 89106 Clark 702-385-1818 Physicians General Practice 880347188THRESHER, ALFRED A 9500 W FLAMINGO RD STE 102 LAS VEGAS NV 89147 Clark 702-254-4335 Physicians Orthodontist 880438055THRIVE VETERANS WELLNESS 911 N BUFFALO DR STE 107 LAS VEGAS NV 89128 Clark 904-998-0211 Rehabilitation Physical Therapy 043821114THUMMALA, ANURADHA R 7445 PEAK DR LAS VEGAS NV 89128 Clark 702-952-2140 Physicians Hematology/Oncology 880350180THUNYALUKUL, VORAPAS 5691 RICKENBACKER RD LAS VEGAS NV 89191 Clark 702-644-6671 Physicians Optometry 880337354THURBER, SAMANTHA B 1640 ALTA DR STE 4 LAS VEGAS NV 89106 Clark 702-474-6450 Physicians Professional Counselor 880111970THURMAN, GLEN P 3233 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-258-9381 Rehabilitation Physical Therapy 561120277THURMAN, LAURENCE G 975 KIRMAN AVE RENO NV 89502 Washoe 775-786-7200 Physicians Internal Medicine 880502320THURNER, MICHAEL S 848 N RAINBOW BLVD STE 357 LAS VEGAS NV 89107 Clark 702-804-0026 Rehabilitation Physical Therapy 880386672TIAN, SISI 3201 S MARYLAND PKWY LAS VEGAS NV 89109 Clark 702-732-4491 Physicians Otolaryngology 880383349TIBALDI, LAURINE 6330 W FLAMINGO RD LAS VEGAS NV 89103 Clark 702-877-8600 Physicians Internal Medicine 340875691TIBAYAN, RESTITUTO T 3730 S EASTERN AVE LAS VEGAS NV 89169 Clark 702-952-3400 Physicians Hematology/Oncology 880350180TIBURCIO, DON M 7785 N DURANGO DR STE 140 LAS VEGAS NV 89131 Clark 702-987-8668 Physicians General Dentist 472157924TICE, DONALD W 401 N BUFFALO DR STE 100 LAS VEGAS NV 89145 Clark 702-853-5681 Physicians Family Medicine 821357714TICE, SUNNY J 2360 W HORIZON RIDGE PKWY STE 120 HENDERSON NV 89052 Clark 702-294-0433 Physicians Social Worker 454429023TICKEL FAMILY CHIROPRACTIC 2115 GREEN VISTA DR STE 102 SPARKS NV 89431 Washoe 775-337-0184 Physicians Chiropractor 043821114TIDWELL III, JAMES E 1707 W CHARLESTON BLVD STE 190 LAS VEGAS NV 89102 Clark 702-671-5110 Physicians Plastic & Reconstructive Surgery 742791419TIDWELL, AUSTIN 9800 W SKYE CANYON PARK DR STE 120 LAS VEGAS NV 89166 Clark 702-852-1444 Physicians General Dentist 822856088TIGEL, PHILLIP D 6161 W CHARLESTON BLVD LAS VEGAS NV 89146 Clark 702-486-6045 Physicians Professional Counselor 886000022TILLEY, PHYLLIS D 2012 S JONES BLVD LAS VEGAS NV 89146 Clark 702-360-1137 Rehabilitation Speech Pathology 412129643TILLITT, DAVID H 1600 MEDICAL PKWY CARSON CITY NV 89703 Carson City 775-445-8000 Physicians Emergency Medicine 880502320TILLMAN, LAURA M 2012 S JONES BLVD LAS VEGAS NV 89146 Clark 702-360-1137 Rehabilitation Speech Pathology 412129643TING, DAVID D 7250 S DURANGO DR STE 110 LAS VEGAS NV 89113 Clark 702-432-4329 Physicians General Dentist 454807571TINGEY, CRAIG T 8205 W WARM SPRINGS RD STE 250 LAS VEGAS NV 89113 Clark 702-227-2152 Physicians Orthopedic Surgery 910858192TIO, MICHELLE O 3835 S JONES BLVD STE 104 LAS VEGAS NV 89103 Clark 702-880-4193 Physicians Certified Nurse Practitioner 880404982TIO, ROLAND 7250 PEAK DR STE 100 LAS VEGAS NV 89128 Clark 702-386-4700 Physicians Anesthesiology 204727467TIPPITT, REBECCA J 171 N GIBSON RD HENDERSON NV 89014 Clark 702-360-1137 Rehabilitation Speech Pathology 412129643TIRAO, JESUS F 3585 S EASTERN AVE LAS VEGAS NV 89169 Clark 702-733-9000 Physicians Family Medicine 886000436TIRAO, LYNDA O 3585 S EASTERN AVE LAS VEGAS NV 89169 Clark 702-733-9300 Physicians Cardiology 880450943TIREY, TIERNEY L 1825 CIVIC CENTER DR NORTH LAS VEGAS NV 89030 Clark 702-642-8313 Physicians General Practice 880355819TIRUMALASETTY, NAGA NALINI 9280 W SUNSET RD STE 426 LAS VEGAS NV 89148 Clark 702-688-8110 Physicians Endocrinology 880213519TISBE, CARLOS T 7326 W CHEYENNE AVE LAS VEGAS NV 89129 Clark 702-386-4700 Physicians Anesthesiology 010662128TISCHLER, HOWARD A 2020 PALOMINO LN LAS VEGAS NV 89106 Clark 888-727-1074 Physicians Radiology/Diagnostic 842544520TISMINEZKY, BERNARDO 9260 W SUNSET RD STE 200 LAS VEGAS NV 89148 Clark 702-629-1421 Physicians Anesthesiology 260427581TIU, FAYNELLA MARIE S 2651 CRIMSON CANYON DR STE 120 LAS VEGAS NV 89128 Clark 314-629-2150 Rehabilitation Physical Therapy 471248077TIU, JOSE G 7455 W WASHINGTON AVE STE 185 LAS VEGAS NV 89128 Clark 702-722-6408 Rehabilitation Physical Therapy 320197195TIWARI, SUBHIKSHYA 10624 S EASTERN AVE STE A955 HENDERSON NV 89052 Clark 702-800-5393 Physicians Internal Medicine 263668328TLC CARE CENTER 1500 W WARM SPRINGS RD HENDERSON NV 89014 Clark 702-547-6700 Rehabilitation 860858150TLC HEALTH CARE SERVICES 4535 W SAHARA AVE LAS VEGAS NV 89102 Clark 702-382-8335 Ancillary Providers 880374303TO, ANNA 3896 N MARTIN L KING BLVD NORTH LAS VEGAS NV 89032 Clark 702-614-1792 Physicians General Dentist 204714412TOBIAS, VICTORIA J 2904 W HORIZON RIDGE PKWY STE 101 HENDERSON NV 89052 Clark 702-292-3774 Physicians Social Worker 043290453TOE-TAL FAMILY FOOTCARE ASSOCIATES 2701 N TENAYA WAY STE 240 LAS VEGAS NV 89128 Clark 702-821-6763 Physicians Podiatry 880305911TOLAN, TIMOTHY M 8379 W SUNSET RD STE 200 LAS VEGAS NV 89113 Clark 702-921-6829 Physicians Otolaryngology 880269037TOLBERT, CANDIA A 895 ROBERTA LN STE 101 SPARKS NV 89431 Washoe 775-331-6252 Physicians Social Worker 273412547TOLBERT, LESLIE C 1888 RIZZO DR SPARKS NV 89434 Washoe 775-302-6219 Rehabilitation Speech Pathology 886000022TOLBERT, MARSHALL E 5590 KIETZKE LN RENO NV 89511 Washoe 775-323-2080 Physicians Neurological Surgery 880167036TOLEDO, ROBERT 1552 W WARM SPRINGS RD STE 100 HENDERSON NV 89014 Clark 702-933-5544 Physicians Obstetrics/Gynecology 203448747TOLENTINO, DIANA G 8670 W CHEYENNE AVE STE 230 LAS VEGAS NV 89129 Clark 702-341-1004 Physicians General Dentist 450498781TOLENTINO, JEANETTE G 3001 SAINT ROSE PKWY HENDERSON NV 89052 Clark 702-616-5600 Physicians Emergency Medicine 273869305TOLIVER, RAMONE A 1800 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-383-2000 Physicians Emergency Medicine 943293742

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 196 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDTOLLESTRUP, TIMOTHY W 3035 W HORIZON RIDGE PKWY HENDERSON NV 89052 Clark 702-666-0463 Physicians Hand Surgery 270756267TOLOYAN-RAHIMI, SORAHI 3150 N TENAYA WAY STE 340 LAS VEGAS NV 89128 Clark 702-962-5900 Physicians Family Medicine 331159527TOLSTOY, STEPHANIE 2831 SAINT ROSE PKWY STE 221 HENDERSON NV 89052 Clark 702-589-4871 Physicians Social Worker 823795906TOLZMANN, RACQUEL D 280 S DECATUR BLVD LAS VEGAS NV 89107 Clark 702-759-1000 Physicians Family Medicine 880151573TOM BROOKS PHYSICAL THERAPY AND SPORTS MEDICINE1915 W CRAIG RD NORTH LAS VEGAS NV 89032 Clark 866-530-3940 Rehabilitation 880120025TOM, ANCY 2725 S JONES BLVD LAS VEGAS NV 89146 Clark 702-384-2238 Physicians Certified Nurse Practitioner 471575922TOM, ELIZABETH 1995 ERRECART BLVD STE 102 ELKO NV 89801 Elko 775-738-3111 Physicians General Surgery 880387970TOMARO, ARTHUR A 2095 VILLAGE CENTER CIR STE 120 LAS VEGAS NV 89134 Clark 702-331-4700 Physicians General Dentist 382236849TOMASIC, PAUL V 9260 W SUNSET RD LAS VEGAS NV 89148 Clark 702-304-5756 Physicians Endocrinology 460766041TOMBLIN, DUSTIN 2780 S JONES BLVD LAS VEGAS NV 89146 Clark 702-820-3061 Physicians Professional Counselor 820870653TOMBURO, TODD A 2501 E CHEYENNE AVE NORTH LAS VEGAS NV 89030 Clark 702-642-9672 Physicians Chiropractor 880317948TOMIC, DRAGANA 5380 S RAINBOW BLVD STE 110 LAS VEGAS NV 89118 Clark 725-333-8465 Physicians Certified Nurse Practitioner 462964527TOMITA, ROBIN Y 973 MICA DR STE 201STE CARSON CITY NV 89705 Douglas 775-783-6190 Physicians Physical Medicine & Rehabilitation470866504TOMITA, RUTH S 1475 MEDICAL PKWY CARSON CITY NV 89703 Carson City 775-883-3636 Physicians Obstetrics/Gynecology 880502320TOMLIN, ALLISON 4380 BLUE DIAMOND RD STE 102 LAS VEGAS NV 89139 Clark 702-425-4424 Physicians Orthodontist 261748512TOMLIN, KEATON 3600 N BUFFALO DR LAS VEGAS NV 89129 Clark 702-254-8858 Physicians General Dentist 264484707TOMLINSON, AMY L 3001 SAINT ROSE PKWY HENDERSON NV 89052 Clark 864-908-3530 Physicians Obstetrics/Gynecology 942693002TOMLINSON, ANDREW R 900 RYLAND ST RENO NV 89502 Washoe 775-323-2157 Physicians Otolaryngology 472079650TOMPKINS, DAVID C 555 W ARLINGTON AVE RENO NV 89503 Washoe 775-786-1358 Rehabilitation Physical Therapy 880103557TON, DUONG D 75 MOUNT ROSE ST STE A RENO NV 89509 Washoe 775-827-6868 Physicians General Dentist 205033376TONG, DAVID P 3650 S DECATUR BLVD STE 33 LAS VEGAS NV 89103 Clark 702-367-7587 Physicians General Dentist 710895664TONGSIRI, AMY S 3073 W CRAIG RD STE 1 NORTH LAS VEGAS NV 89032 Clark 702-636-8760 Physicians General Dentist 900894850TONINI, TIMOTHY D 3919 CARTER WAY WELLINGTON NV 89444 Lyon 775-783-3096 Physicians Emergency Medicine 880405927TOOP, JAMIE A 8975 W CHARLESTON BLVD LAS VEGAS NV 89117 Clark 702-290-4212 Physicians General Dentist 474624729TOPAZ RANCH MEDICAL CLINIC 3919 CARTER WAY WELLINGTON NV 89444 Lyon 775-783-3096 Ambulatory Facilities 261513495TOPHAM, STEVEN L 2020 PALOMINO LN LAS VEGAS NV 89106 Clark 702-759-8600 Physicians Radiology/Diagnostic 310745303TOPLENSZKY, TIBOR J 897 IRONWOOD DR MINDEN NV 89423 Douglas 775-782-1610 Physicians Internal Medicine 261513495TOPPER, BRUCE M 2020 PALOMINO LN LAS VEGAS NV 89106 Clark 888-727-1074 Physicians Radiology/Diagnostic 831984436TOPPO, FRANK R 1470 E CALVADA BLVD STE 300 PAHRUMP NV 89048 Nye 775-727-1555 Physicians General Practice 262507638TORBARINA, MILKA C 1707 W CHARLESTON BLVD STE 120 LAS VEGAS NV 89102 Clark 702-671-5140 Physicians Obstetrics/Gynecology 880330858TORCH, WILLIAM C 75 PRINGLE WAY STE 701 RENO NV 89502 Washoe 775-334-3585 Physicians Psychiatry 880200884TORDILLA, JEFFREY J 10120 S EASTERN AVE HENDERSON NV 89052 Clark 702-487-6880 Physicians Anesthesiology 262460167TORGESEN, GERALD W 10561 JEFFREYS ST STE 110 HENDERSON NV 89052 Clark 702-456-3668 Physicians Podiatry 200284598TORKILDSON, JOSEPH C 5301 RENO CORPORATE DR RENO NV 89511 Washoe 510-428-3372 Physicians Pediatric Hematology 942424410TORRES, ANNA M 1200 MOUNTAIN ST CARSON CITY NV 89703 Carson City 775-882-1324 Physicians Family Medicine 880502320TORRES, FRANCIS 870 SEVEN HILLS DR STE 102 HENDERSON NV 89052 Clark 702-384-5101 Physicians Certified Nurse Practitioner 880329731TORRES, GUIDO A 100 N GREEN VALLEY PKWY STE 345 HENDERSON NV 89074 Clark 702-260-0600 Physicians Obstetrics/Gynecology 880384150TORRES, JAVIER M 7220 S CIMARRON RD STE 270 LAS VEGAS NV 89113 Clark 702-380-3210 Physicians Physical Medicine & Rehabilitation880250024TORRES, LYNDA 3896 N MARTIN L KING BLVD NORTH LAS VEGAS NV 89032 Clark 702-614-1792 Physicians General Dentist 204714412TORRES, MELISSA 2831 SAINT ROSE PKWY SUTIE 200 HENDERSON NV 89052 Clark 800-249-1266 Physicians Professional Counselor 452748445TORRES, WILFREDO A 1475 MEDICAL PKWY CARSON CITY NV 89703 Carson City 775-883-3636 Physicians Obstetrics/Gynecology 880330858TORREY PINES CARE CENTER 1701 S TORREY PINES DR LAS VEGAS NV 89146 Clark 702-871-0005 Rehabilitation 522085559TORVINEN, MOLLY M 5975 S LOS ALTOS PKWY STE 100 SPARKS NV 89436 Washoe 775-352-3080 Physicians Family Medicine 263303591TOSTE, CHARINA 2300 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-724-8787 Physicians Certified Nurse Practitioner 880370553TOSTENSON, WHITNEY 3700 GRANT DR STE A RENO NV 89509 Washoe 775-829-4700 Rehabilitation Occupational Therapy 880291454TOTAL HOME CARE OF NEVADA INCORPORATED6720 PLACID ST LAS VEGAS NV 89119 Clark 702-796-1016 Ancillary Providers 880385705TOTAL WELLNESS FAMILY MEDICINE 9640 W TROPICANA AVE STE 1 LAS VEGAS NV 89147 Clark 702-217-3252 Physicians Family Medicine 273039807TOTH, BELA B 1559 WATASHEAMU RD GARDNERVILLE NV 89460 Douglas 775-265-8622 Physicians Family Medicine 880120754TOTH, JOSEPH K 1475 MEDICAL PKWY CARSON CITY NV 89703 Carson City 775-883-3636 Physicians Pediatrics 880502320TOTTORI ALLERGY AND 4000 E CHARLESTON BLVD LAS VEGAS NV 89104 Clark 702-968-4000 Physicians Allergy/Immunology 205120836TOULOUSE, LESLIE H 1400 BARING BLVD SPARKS NV 89434 Washoe 775-750-9735 Physicians Physical Medicine & Rehabilitation880388398

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 197 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDTOUNIAN, ARVIN 9210 S EASTERN AVE STE 130 LAS VEGAS NV 89123 Clark 702-492-1564 Physicians General Dentist 472096676TOUPS, JEFFREY B 801 E WILLIAMS AVE STE 2209 FALLON NV 89406 Churchill 775-423-3151 Physicians CRNA 842010869TOURO UNIVERSITY NEVADA 874 AMERICAN PACIFIC DR STE 100 HENDERSON NV 89014 Clark 702-777-4794 Physicians Rheumatology 200363127TOUROUTOGLOU, NIKOLAOS 2851 N TENAYA WAY STE 101 LAS VEGAS NV 89128 Clark 702-735-7154 Physicians Hematology/Oncology 880133767TOUSIF M PASHA MD LTD 7150 SMOKE RANCH RD STE 110 LAS VEGAS NV 89128 Clark 702-948-9480 Physicians Family Medicine 470922673TOVALINJR, TEODORO 1640 ALTA DR STE 4 LAS VEGAS NV 89106 Clark 702-474-6450 Physicians Psychology (Clinical) 880111970TOWNSEND, BRITTNEY 2012 S JONES BLVD LAS VEGAS NV 89146 Clark 702-360-1137 Rehabilitation Physical Therapy 412129643TOWNSEND, RYAN G 2874 N CARSON ST STE 200 CARSON CITY NV 89706 Carson City 775-445-7170 Physicians Internal Medicine 880502320TOY, BEAU JAMES W 3980 S EASTERN AVE LAS VEGAS NV 89119 Clark 702-463-9100 Physicians Radiation Oncology 880384403TOZZI, MICHAELA 366 W LAKE MEAD PKWY STE 100 HENDERSON NV 89015 Clark 702-464-3090 Physicians General Dentist 454612311TRACE, BOBBETTE L 2529 LENA CT MINDEN NV 89423 Douglas 814-795-1635 Rehabilitation Speech Pathology 880502320TRACY, JESSICA A 604 W WASHINGTON ST CARSON CITY NV 89703 Carson City 775-885-6777 Rehabilitation Physical Therapy 271868235TRADUP, NICOLE A 1559 WATASHEAMU RD GARDNERVILLE NV 89460 Douglas 775-265-8622 Physicians Optometry 880120754TRAEGER, CRYSTAL 1811 S RAINBOW BLVD STE 101 LAS VEGAS NV 89146 Clark 702-805-4200 Physicians General Dentist 831061667TRAINOR, MICHAEL A 6850 N DURANGO DR STE 218 LAS VEGAS NV 89149 Clark 702-947-7790 Physicians Orthopedic Surgery 331125527TRAINOR, TIMOTHY J 7195 ADVANCE WAY LAS VEGAS NV 89113 Clark 702-740-5327 Physicians Orthopedic Surgery 202523414TRAIVAI, FLORIDA T 7312 W CHEYENNE AVE STE 3 LAS VEGAS NV 89129 Clark 702-396-9924 Physicians General Dentist 880456583TRAN IV, PETER A 1776 W HORIZON RIDGE PKWY HENDERSON NV 89012 Clark 702-363-3288 Physicians Geriatric Medicine 204089623TRAN, BINH N 1302 W CRAIG RD NORTH LAS VEGAS NV 89032 Clark 702-657-9555 Physicians Family Medicine 880213519TRAN, CHAU Q 901 RANCHO LN LAS VEGAS NV 89106 Clark 702-383-7885 Physicians Emergency Medicine 464467849TRAN, DAVID 10540 SOUTHERN HIGHLANDS PKWY STE 100 LAS VEGAS NV 89141 Clark 702-870-8726 Physicians General Dentist 200567658TRAN, DZUNG V 2381 E WINDMILL LN STE 15 LAS VEGAS NV 89123 Clark 702-676-2000 Physicians Internal Medicine 880364217TRAN, HALAN T 9210 S EASTERN AVE STE 130 LAS VEGAS NV 89123 Clark 702-492-1564 Physicians General Dentist 472096676TRAN, HOAN V 10619 PROFESSIONAL CIR RENO NV 89521 Washoe 775-852-4848 Physicians Internal Medicine 880182841TRAN, HUY 640 E DEER SPRINGS WAY STE 180 NORTH LAS VEGAS NV 89086 Clark 702-399-3800 Physicians General Dentist 461193475TRAN, JANET N 8826 S EASTERN AVE STE 112 LAS VEGAS NV 89123 Clark 702-942-6301 Physicians Optometry 582616455TRAN, KAREN T 2291 S FORT APACHE RD STE 104 LAS VEGAS NV 89117 Clark 702-869-0001 Physicians General Dentist 141850354TRAN, KIET 3960 W CRAIG RD STE 110 NORTH LAS VEGAS NV 89032 Clark 702-464-3000 Physicians General Dentist 330962467TRAN, LOUIS 5075 E BONANZA RD LAS VEGAS NV 89110 Clark 702-871-8888 Physicians Orthodontist 510489979TRAN, LUAN 7326 W CHEYENNE AVE LAS VEGAS NV 89129 Clark 702-386-4700 Physicians Anesthesiology 204727467TRAN, MASON T 60 N 25TH ST LAS VEGAS NV 89101 Clark 702-386-8811 Physicians General Dentist 261753329TRAN, MY G 3073 W CRAIG RD STE 1 NORTH LAS VEGAS NV 89032 Clark 702-636-8760 Physicians General Dentist 900894850TRAN, MY LINH J 7326 W CHEYENNE AVE LAS VEGAS NV 89129 Clark 702-386-4700 Physicians Anesthesiology 204727467TRAN, SANG D 2208 S NELLIS BLVD LAS VEGAS NV 89104 Clark 702-475-9000 Physicians Family Medicine 262333043TRAN, TAN Q 737 N NELLIS BLVD LAS VEGAS NV 89110 Clark 702-453-2337 Physicians General Dentist 880494035TRAN, TAN T 525 MARKS ST HENDERSON NV 89014 Clark 702-383-6210 Physicians Family Medicine 886000436TRAN, THANH 445 W CRAIG RD STE 121 NORTH LAS VEGAS NV 89032 Clark 702-399-9118 Physicians General Dentist 261591087TRAN, VAN 4300 MEADOWS LN STE 104 LAS VEGAS NV 89107 Clark 702-822-6848 Physicians Optometry 331026936TRAN, VAN C 1000 S RAINBOW BLVD LAS VEGAS NV 89145 Clark 702-952-9171 Physicians Internal Medicine 954526112TRAN, VIET Q 2055 E SAHARA AVE LAS VEGAS NV 89104 Clark 702-735-1760 Rehabilitation Occupational Therapy 200042642TRANCHELL, NATHAN L 102 E LAKE MEAD PKWY HENDERSON NV 89015 Clark 702-856-0633 Physicians Emergency Medicine 880262438TRAUTWEIN, JOHNN G 1800 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-383-2000 Physicians Pediatrics 273288810TRAVERS, JENNIFER C 2012 S JONES BLVD LAS VEGAS NV 89146 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643TRAVIS, CHASITY 2110 E FLAMINGO RD STE 213 LAS VEGAS NV 89119 Clark 702-971-3400 Physicians Certified Nurse Practitioner 814193738TRAVNICEK, KATHERINE D 7435 W AZURE DR LAS VEGAS NV 89130 Clark 702-878-8252 Physicians Pain Management 880245302TREADWELL, PAUL K 52 N PECOS RD HENDERSON NV 89074 Clark 702-990-4767 Physicians Radiation Oncology 880335047TREASE, DENISE A 345 CHENEY ST RENO NV 89502 Washoe 775-348-5855 Physicians Social Worker 880370602TREHAN, MANJU M 653 N TOWN CENTER DR LAS VEGAS NV 89144 Clark 702-343-3522 Physicians Dermatology 710986824TREMBLAY, LAURIER J 6900 PECOS RD NORTH LAS VEGAS NV 89086 Clark 702-791-9000 Physicians General Surgery 330592708TRENHOLM, CORINNE 542 HAUNTS WALK AVE LAS VEGAS NV 89178 Clark 702-526-5550 Rehabilitation Occupational Therapy 886000022TRENTINIIII, JOHN F 3100 N TENAYA WAY LAS VEGAS NV 89128 Clark 702-962-5000 Physicians Emergency Medicine 880262438

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 198 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDTRETTON, JACQUELYN L 550 W WASHINGTON ST STE 2 CARSON CITY NV 89703 Carson City 775-783-3494 Physicians Certified Nurse Practitioner 880502320TREVISANO, JUDITH L 1000 S RAINBOW BLVD LAS VEGAS NV 89145 Clark 702-479-4881 Physicians Certified Nurse Practitioner 880213519TRI CITY 2365 REYNOLDS AVE NORTH LAS VEGAS NV 89030 Clark 702-399-1287 Physicians Internal Medicine 204883392TRIANGLE FAMILY MEDICINE 2385 E PRATER WAY STE 300 SPARKS NV 89434 Washoe 775-331-6400 Physicians Family Medicine 383701638TRIEU, ALICE H 7171 W CRAIG RD STE 102 LAS VEGAS NV 89129 Clark 702-655-0331 Physicians Pediatric Dentist 452993092TRIGGS, ANDREW 10965 LAVENDER HILL DR STE 120 LAS VEGAS NV 89135 Clark 702-852-2755 Physicians General Dentist 810950476TRIMMER, BRIAN M 2375 E PRATER WAY SPARKS NV 89434 Washoe 775-331-7000 Physicians Emergency Medicine 475671561TRINH, BICH N 501 ROSE ST STE 150 LAS VEGAS NV 89106 Clark 702-384-7770 Physicians Optometry 680111503TRINH, CHRISTOPHER N 4210 W CRAIG RD STE 104 NORTH LAS VEGAS NV 89032 Clark 702-436-5222 Physicians General Dentist 460496618TRINH, HUY KEVIN MOC 9127 W RUSSELL RD LAS VEGAS NV 89148 Clark 702-878-0070 Physicians Anesthesiology 860916679TRINH, HUY KEVIN MOC M 9127 W RUSSELL RD STE 110 LAS VEGAS NV 89148 Clark 702-878-0070 Physicians Anesthesiology 852385334TRINH, THOMAS N 235 N EASTERN AVE STE 107 LAS VEGAS NV 89101 Clark 702-452-5751 Physicians General Dentist 202707631TRIPOLI, LOUIS C 1510 MEADOW WOOD LN RENO NV 89502 Washoe 775-770-9242 Physicians Internal Medicine 383495136TRIPPI, DANA L 4855 BLUE DIAMOND RD LAS VEGAS NV 89139 Clark 702-216-7305 Physicians Emergency Medicine 824933457TROBOUGH, TROY J 8440 W LAKE MEAD BLVD STE 207 LAS VEGAS NV 89128 Clark 702-888-1266 Physicians General Dentist 822345907TROELL, ROBERT J 7975 W SAHARA AVE LAS VEGAS NV 89117 Clark 702-242-6488 Physicians Otolaryngology 880508777TROMBLEY, JENNIFER C 1528 US HIGHWAY 395 N STE 100 GARDNERVILLE NV 89410 Douglas 775-782-3671 Physicians Social Worker 886000022TROPEA, DENISE M 6955 N DURANGO DR # 1115-278 LAS VEGAS NV 89149 Clark 702-228-5018 Physicians Podiatry 145683631TROPICANA MEDICAL SUPPLY 3228 N RANCHO DR LAS VEGAS NV 89130 Clark 702-658-1210 Ancillary Providers 880359541TROPICANA MEDICAL SUPPLY INC 5020 E TROPICANA AVE STE 5B LAS VEGAS NV 89122 Clark 702-547-6017 Ancillary Providers 800559011Trotter, Lee 410 FLEISCHMANN WAY CARSON CITY NV 89703 Carson City 775-887-8885 Physicians General Surgery 460360899TRUAX, GREGORY F 9880 W FLAMINGO RD LAS VEGAS NV 89147 Clark 702-216-7335 Physicians Emergency Medicine 824933457TRUC, CLARICE B 1000 S RAINBOW BLVD # A LAS VEGAS NV 89145 Clark 702-952-9171 Physicians Internal Medicine 880213519TRUC, TEDDY T 1000 S RAINBOW BLVD # A LAS VEGAS NV 89145 Clark 702-952-9171 Physicians Internal Medicine 880213519TRUELSEN, KENDALL S 9127 W RUSSELL RD LAS VEGAS NV 89148 Clark 702-878-0070 Physicians Anesthesiology 200420553TRUJILLO, DAVID J 1532 US HIGHWAY 395 N STE 3 GARDNERVILLE NV 89410 Douglas 775-782-2910 Physicians Chiropractor 880271703TRUJILLO, ELIZABETH 2012 S JONES BLVD LAS VEGAS NV 89146 Clark 702-360-1137 Rehabilitation Physical Therapy 412129643TRUJILLO, GILBERT A 517 HAMMILL LN RENO NV 89511 Washoe 775-824-2323 Physicians Pediatric Dentist 831553405TRUJILLO, JULIAN J 9516 W FLAMINGO RD STE 200 LAS VEGAS NV 89147 Clark 702-254-3135 Physicians General Dentist 273147586TRUMAN, LANE D 820 N SPRING ST STE C CALIENTE NV 89008 Lincoln 775-726-3117 Rehabilitation Physical Therapy 460464353TRUMAN, MARK E 10000 W SAHARA AVE STE 110 LAS VEGAS NV 89117 Clark 702-360-9000 Physicians Orthodontist 860891858TRUMBO, TYLER B 6048 S DURANGO DR STE 100 LAS VEGAS NV 89113 Clark 702-260-6238 Rehabilitation Physical Therapy 702263653TRUMBULL, KATHY A 3121 S MARYLAND PKWY STE 206 LAS VEGAS NV 89109 Clark 702-794-0073 Physicians Obstetrics/Gynecology 203976526TRUONG, BIANCA 5380 S RAINBOW BLVD STE 318 LAS VEGAS NV 89118 Clark 702-873-3556 Physicians Family Medicine 043689696TRUONG, BRADLEY 725 S GREEN VALLEY PKWY STE 100 HENDERSON NV 89052 Clark 702-560-5231 Physicians General Dentist 463544011TRUONG, HANH D 2831 SAINT ROSE PKWY STE 200 HENDERSON NV 89052 Clark 800-249-1266 Physicians Marriage & Family Therapist 452748445TRUONG, HIEU T 5876 S PECOS RD BLDG B LAS VEGAS NV 89120 Clark 702-733-0744 Physicians Certified Nurse Practitioner 461446286TRUONG, SYDNEE K 8526 DEL WEBB BLVD LAS VEGAS NV 89134 Clark 702-877-5199 Physicians Certified Nurse Practitioner 880213519TRUONG, THIEN D 1350 S DECATUR BLVD LAS VEGAS NV 89102 Clark 702-870-1350 Physicians Orthodontist 205059281TRUONG, THOMAS N 2385 E PRATER WAY STE 302 SPARKS NV 89434 Washoe 775-352-5300 Physicians Cardiology 263303591TRUONG, TRI M 525 MARKS ST HENDERSON NV 89014 Clark 702-383-6210 Physicians Internal Medicine 271611732TRUONG, VANNA 375 N STEPHANIE ST BLDG 6 HENDERSON NV 89014 Clark 702-990-7336 Physicians General Dentist 464115275TSAI, ANNA X 4700 LAS VEGAS BLVD N NELLIS AFB NV 89191 Clark 702-653-3051 Physicians Otolaryngology 813419791TSAI, EDWARD K 7377 S JONES BLVD STE 107 LAS VEGAS NV 89139 Clark 702-896-4433 Physicians Family Medicine 203714804TSAI, GUANG J 9127 W RUSSELL RD LAS VEGAS NV 89148 Clark 702-878-0070 Physicians Anesthesiology 202428069TSAI, JEFFREY 2020 PALOMINO LN LAS VEGAS NV 89106 Clark 702-759-8600 Physicians Radiology/Diagnostic 842544520TSAI, THOMAS T 2231 W CHARLESTON BLVD FL 1 LAS VEGAS NV 89102 Clark 702-676-3650 Physicians Internal Medicine 880330858TSANG, STEVEN 9499 W CHARLESTON BLVD STE 150 LAS VEGAS NV 89117 Clark 702-228-5477 Physicians Internal Medicine 880213519TSELIKIS, NICHOLAS 7455 W WASHINGTON AVE STE 300 LAS VEGAS NV 89128 Clark 702-240-6482 Physicians Cardiology 880388771TSELIKIS, SOFIA M 2251 N RAMPART BLVD LAS VEGAS NV 89128 Clark 702-945-0702 Physicians Internal Medicine 891287640TSENG, AMY J 1281 BARING BLVD SPARKS NV 89434 Washoe 775-359-1009 Physicians Internal Medicine 880332660

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 199 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDTSIOURIS, NIKOLAOS J 700 SHADOW LN STE 240 LAS VEGAS NV 89106 Clark 702-384-0022 Physicians Cardiology 880161856TSUDA, RYAN Y 9280 W SUNSET RD STE 320 LAS VEGAS NV 89148 Clark 702-641-8500 Physicians Cardiology 880213519TSUDA, SHAWN T 3175 STREET ROSE PKWY STE 200 HENDERSON NV 89052 Clark 702-676-3600 Physicians General Surgery 880330858TSUI, HARPREET 2779 W HORIZON RIDGE PKWY STE 207 HENDERSON NV 89052 Clark 702-666-8645 Physicians Internal Medicine 300688549TSUNG, KEMIN 9127 W RUSSELL RD LAS VEGAS NV 89148 Clark 702-878-0070 Physicians Anesthesiology 461237632TU, FUN CHI 821 N NELLIS BLVD STE 100 LAS VEGAS NV 89110 Clark 702-438-4003 Physicians Internal Medicine 880213519TU, GEORGE S 3150 N TENAYA WAY STE 125 LAS VEGAS NV 89128 Clark 702-869-0855 Physicians Pulmonology 880350180TUBBS, JOCELYN C 9430 W LAKE MEAD BLVD STE 11 LAS VEGAS NV 89134 Clark 800-598-5300 Rehabilitation Audiology 810966997TUFAIL & ASSOCIATES 3574 BRYSON CT LAS VEGAS NV 89135 Clark 702-921-6829 Physicians Internal Medicine 010868234TUFAIL, MUHAMMAD N 4333 LAS VEGAS BLVD N LAS VEGAS NV 89115 Clark 702-644-4484 Physicians Internal Medicine 880368011TUFTELAND, MEGAN 7500 W LAKE MEAD BLVD STE 11 LAS VEGAS NV 89128 Clark 702-735-5066 Physicians General Dentist 270865739TULADHAR, PREETI 2020 PALOMINO LN STE 100 LAS VEGAS NV 89106 Clark 888-727-1074 Physicians Radiology/Diagnostic 834325292TULIMERO, GINA M 2800 E DESERT INN RD STE 200 LAS VEGAS NV 89121 Clark 702-892-9077 Rehabilitation Physical Therapy 752984052TULPPO, TIMOTHY J 555 W ARLINGTON AVE RENO NV 89503 Washoe 775-786-1358 Rehabilitation Physical Therapy 880103557TUNG, CANDICE H 7395 S PECOS RD LAS VEGAS NV 89120 Clark 702-737-8657 Physicians Internal Medicine 880288009TUNNEY, KELSEY M 2385 E PRATER WAY STE 204 SPARKS NV 89434 Washoe 775-284-8650 Rehabilitation Physical Therapy 264664305TUPAC, LUIS A 3006 S MARYLAND PKWY STE 520 LAS VEGAS NV 89109 Clark 702-733-2998 Physicians Gastroenterology 880147712TURBIN, VITALIY V 9029 S PECOS RD STE 2800 HENDERSON NV 89074 Clark 702-739-8323 Physicians Certified Nurse Practitioner 203516398TURKSON, KOFI B 3535 LAS VEGAS BLVD S FL 8 LAS VEGAS NV 89109 Clark 702-309-5144 Physicians Internal Medicine 010780844TURLEY, TANYA M 7501 W LAKE MEAD BLVD LAS VEGAS NV 89128 Clark 702-240-0606 Rehabilitation Occupational Therapy 412129643TURNER, CARLA A 861 CORONADO CENTER DR HENDERSON NV 89052 Clark 725-777-0414 Physicians Obstetrics/Gynecology 203080081TURNER, CAROL 6655 W SAHARA AVE STE B200 LAS VEGAS NV 89146 Clark 702-275-1972 Physicians Professional Counselor 530320593TURNER, CATHERINE 9070 W CHEYENNE AVE LAS VEGAS NV 89129 Clark 702-655-8535 Rehabilitation Physical Therapy 134222973TURNER, GARY E 2874 N CARSON ST STE 215 CARSON CITY NV 89706 Carson City 775-445-5500 Physicians Radiology/Diagnostic 811470804TURNER, JADE 9850 S MARYLAND PKWY LAS VEGAS NV 89183 Clark 716-352-4442 Physicians Anesthesiology 452862919TURNER, LAUREL L 4221 MCLEOD DR LAS VEGAS NV 89121 Clark 702-474-6450 Physicians Professional Counselor 880111970TURNER, ROBIN 4221 MCLEOD DR LAS VEGAS NV 89121 Clark 702-474-6450 Physicians Psychology (Clinical) 880111970TURNER, SHANNON A 2121 E FLAMINGO RD STE 110 LAS VEGAS NV 89119 Clark 702-382-8841 Physicians Dietitian 880436341TURNER, STACEY N 3700 GRANT DR RENO NV 89509 Washoe 775-829-4700 Rehabilitation Physical Therapy 880291454TURNEY, ERIC J 1800 W CHARLESTON BLVD STE 507 LAS VEGAS NV 89102 Clark 702-383-2092 Physicians Vascular Surgery 880330858TURNEY, GENE 556 N EASTERN AVE STE I LAS VEGAS NV 89101 Clark 702-960-4484 Physicians General Dentist 821732242TURRI, JOHN P 555 W ARLINGTON AVE RENO NV 89503 Washoe 775-786-1358 Rehabilitation Physical Therapy 880103557TUTTLE, ERIN K 1573 MULLER PKWY GARDNERVILLE NV 89410 Douglas 775-222-0044 Physicians Certified Nurse Practitioner 260755054TUVELLE, MARK 2605 E FLAMINGO RD LAS VEGAS NV 89121 Clark 702-703-1950 Physicians Certified Nurse Practitioner 825302492TWEITO, TIMOTHY H 3006 S MARYLAND PKWY LAS VEGAS NV 89109 Clark 702-732-4500 Physicians Ophthalmology 454434737TWELLS, KELLY Y 2425 N LAMB BLVD STE 120 LAS VEGAS NV 89115 Clark 702-851-7766 Physicians Certified Nurse Practitioner 462812104TWESME, A T 4544 S PECOS RD LAS VEGAS NV 89121 Clark 702-436-0900 Physicians Oral Surgery 880165931TWIN VALLEY EMERGENCY PHYSICIANS 1299 BERTHA HOWE AVE MESQUITE NV 89027 Clark 702-346-8040 Physicians Emergency Medicine 201102029TWITE, ANTHONY 975 KIRMAN AVE RENO NV 89502 Washoe 775-328-1242 Physicians Orthopedic Surgery 880502320TWOMBLY, CHRISTOPHER D 255 GLENDALE AVE STE 12 SPARKS NV 89431 Washoe 800-232-3550 Physicians Physical Medicine & Rehabilitation752612924TYABJI, ALIFIYA A 10105 BANBRY CROSS DR STE 250 LAS VEGAS NV 89144 Clark 702-765-5437 Physicians Pediatrics 880213519TYBURCZY, JOHN A 1995 ERRECART BLVD STE 102 ELKO NV 89801 Elko 775-738-3111 Physicians General Surgery 880387970TYLER, LAMARR B 9260 W SUNSET RD LAS VEGAS NV 89148 Clark 702-255-3547 Physicians Obstetrics/Gynecology 460766041TYLKA, LINDA M 8300 W CHEYENNE AVE STE 106 LAS VEGAS NV 89129 Clark 702-656-0911 Physicians Certified Nurse Practitioner 463164188TYRE, REBECCA J 100 N GREEN VALLEY PKWY STE 345 HENDERSON NV 89074 Clark 702-260-0600 Physicians Obstetrics/Gynecology 880384150UCCELLI, JOSEPH R 75 PRINGLE WAY RENO NV 89502 Washoe 775-323-7500 Physicians General Surgery 880341656UCHE, CHUKWUDUM 6088 S DURANGO DR STE 100 LAS VEGAS NV 89113 Clark 702-671-6850 Physicians Infectious Diseases 880368011UCHE, FOLUKE A 1000 S RAINBOW BLVD LAS VEGAS NV 89145 Clark 702-259-0088 Physicians Internal Medicine 880213519UDELL, ALEXANDER R 7391 W CHARLESTON BLVD STE 140 LAS VEGAS NV 89117 Clark 702-304-2144 Physicians Internal Medicine 954715965UGOCHUKWU, EUNICE 3110 S DURANGO DR LAS VEGAS NV 89117 Clark 702-629-2986 Physicians Certified Nurse Practitioner 812731164UH, ANDY H 7260 S RAINBOW BLVD STE 104 LAS VEGAS NV 89118 Clark 702-896-7211 Physicians General Dentist 205337268

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 200 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDUHALDE, MARJORIE L 7111 S VIRGINIA ST RENO NV 89511 Washoe 775-851-5700 Physicians Family Medicine 880390429UHLER, JACOB A 9127 W RUSSELL RD LAS VEGAS NV 89148 Clark 702-878-0070 Physicians Anesthesiology 860916679UM, JONG 5001 E BONANZA RD STE 160 LAS VEGAS NV 89110 Clark 702-307-2273 Physicians General Dentist 821394606UMAKANTHAN, BRANAVAN 3150 N TENAYA WAY LAS VEGAS NV 89128 Clark 702-240-6482 Physicians Cardiology 200562668UMALI, GLENDA F 2805 MOUNTAIN ST CARSON CITY NV 89703 Carson City 844-958-2054 Physicians Anesthesiology 910885149UMBACH, THOMAS W 3235 E WARM SPRINGS RD LAS VEGAS NV 89120 Clark 702-463-3300 Physicians General Surgery 262840754UNISA, MARLENE T 5320 S RAINBOW BLVD LAS VEGAS NV 89118 Clark 702-566-2400 Physicians Certified Nurse Practitioner 205204446UNITE, FAITH MARIE NEPOMUCE M 2820 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-880-1558 Physicians Certified Nurse Practitioner 113794290UNITED CRITICAL CARE 6040 S FORT APACHE RD STE 100 LAS VEGAS NV 89148 Clark 702-696-7256 Physicians Critical Care 272374581UNITED MEDICAL SUPPLIES CORP. 3111 S VALLEY VIEW BLVD LAS VEGAS NV 89102 Clark 702-368-3003 Ancillary Providers 352162857UNITED SEATING AND MOBILITY LLC 3230 W DESERT INN RD STE 150 LAS VEGAS NV 89102 Clark 702-431-1610 Ancillary Providers 431922598United Seating and Mobility, LLC 2651 CRIMSON CANYON DR STE 110 LAS VEGAS NV 89128 Clark 702-431-1610 Ancillary Providers 431922598UNITED SLEEP CENTERS INC 5745 S FORT APACHE RD STE 110 LAS VEGAS NV 89148 Clark 702-489-8600 Ancillary Providers 270729601UNIVERSAL MOBILITY 5225 SIVALLEY VW STE 10 LAS VEGAS NV 89118 Clark 702-367-0737 Ancillary Providers 203695909UNIVERSITY MEDICAL CENTER 2601 W CHARLESTON BLVD STE A LAS VEGAS NV 89102 Clark 702-878-9444 Physicians Orthopedic Surgery 880154029UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA4231 N RANCHO DR LAS VEGAS NV 89130 Clark 702-383-3800 Ancillary Providers 886000436UNIVERSITY OF NEVADA SCHOOL OF MEDICINE MULTI SPEC6130 PLUMAS ST RENO NV 89519 Washoe 775-327-5000 Physicians General Practice 860881749UNIVERSITY WOMENS CENTER / TOTAL LIFE CARE2231 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-944-2805 Physicians Internal Medicine 886000436UNLV ACKERMAN CENTER FOR AUTISM AND NEURODEVELOMENT SOLUTIONS630 S RANCHO DR STE A LAS VEGAS NV 89106 Clark 702-998-9505 Physicians Pediatrics 886000024UNNIKRISHNAN, NAVNEETHA 3196 S MARYLAND PKWY LAS VEGAS NV 89109 Clark 702-791-0477 Physicians Pediatric Gastroenterology 880339868UNRUH, JENNIFER A 118 E HASKELL ST STE E WINNEMUCCA NV 89445 Humboldt 775-623-3554 Physicians Certified Nurse Practitioner 880201578UPPAL, RENNY 18653 WEDGE PKWY RENO NV 89511 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557UPPU, AMBIKA 7111 S VIRGINIA ST STE A7 RENO NV 89511 Washoe 775-851-5700 Physicians Family Medicine 880502320UR FIRST 8760 S MARYLAND PKWY LAS VEGAS NV 89123 Clark 702-354-2617 Ancillary Providers 263071821URATA, KIEL F 2375 E PRATER WAY SPARKS NV 89434 Washoe 775-331-7000 Physicians Emergency Medicine 833597814URBAN, AMY E 1800 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-385-0890 Physicians Emergency Medicine 274752989URBAN, MICHAEL 7171 W CRAIG RD STE 102 LAS VEGAS NV 89129 Clark 702-655-0331 Physicians General Dentist 452993092URGENT CARE CENTERS OF NEVADA 2285 E FLAMINGO RD STE 104 LAS VEGAS NV 89119 Clark 702-862-8226 Physicians Family Medicine 261185425URGENT CARE NEVADA, LLC 4075 S DURANGO DR STE 108 LAS VEGAS NV 89147 Clark 702-701-9509 Ambulatory Facilities 463164188UROLOGIC SURGEONS 1500 E 2ND ST STE 300 RENO NV 89502 Washoe 775-689-3737 Physicians Urology 880105576UROLOGY ASSOCIATES 700 SHADOW LN STE 430 LAS VEGAS NV 89106 Clark 702-384-0500 Ambulatory Facilities 880178156UROLOGY NEVADA 699 SIERRA ROSE DR STE A RENO NV 89511 Washoe 775-689-3737 Ancillary Providers 208628418UROMED (PA) 500 N RAINBOW BLVD STE 115 LAS VEGAS NV 89107 Clark 702-256-8080 Ancillary Providers 582215607UROMED INC 500 N RAINBOW BLVD STE 300 LAS VEGAS NV 89107 Clark 800-841-1233 Ancillary Providers 582215607URRUNAGA, JULIE 1800 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 330-493-4443 Physicians Emergency Medicine 943293742USEFI-MORIDANI, SHADI 1905 CIVIC CENTER DR FL 2 NORTH LAS VEGAS NV 89030 Clark 702-649-3736 Physicians Certified Nurse Practitioner 161238821UTLEY, JOHN D 8551 W LAKE MEAD BLVD STE 230 LAS VEGAS NV 89128 Clark 702-243-7333 Physicians Podiatry 880375772UY, KATHLEEN 640 E DEER SPRINGS WAY STE 180 NORTH LAS VEGAS NV 89086 Clark 702-399-3800 Physicians General Dentist 461193475UZMA ZAFAR MD PC 9811 W CHARLSTN BLVD STE 2861 LAS VEGAS NV 89117 Clark 702-301-1115 Physicians Psychiatry 300498968UZMANN, MICHAEL G 8352 W WARM SPRINGS RD STE 300 LAS VEGAS NV 89113 Clark 702-979-9910 Physicians Endocrinology 465010353VACCA, DANTE F 5590 KIETZKE LN RENO NV 89511 Washoe 775-323-2080 Physicians Neurological Surgery 880167036VACEK, DOUGLAS 850 6TH ST LOVELOCK NV 89419 Pershing 775-273-2918 Physicians Family Medicine 880201578VACHAROTHONE, RACHOT K 1501 LAMOILLE HWY ELKO NV 89801 Elko 801-501-0500 Physicians Internal Medicine 870639098VADOVIC, ROBERT J 4275 BURNHAM AVE STE 105 LAS VEGAS NV 89119 Clark 702-734-6363 Physicians Certified Nurse Practitioner 880213519VAGUJHELYI, GEORGE 5250 KIETZKE LN RENO NV 89511 Washoe 775-829-8855 Physicians Gastroenterology 880201578VAHEY, JAMES W 8585 S EASTERN AVE LAS VEGAS NV 89123 Clark 702-798-8585 Physicians Orthopedic Surgery 880347109VAHID, BOBBAK 1707 W CHARLESTON BLVD STE 220 LAS VEGAS NV 89102 Clark 702-671-5070 Physicians Critical Care 880330858VAIL VALLEY CHIROPRACTIC 8665 S EASTERN AVE STE 103 LAS VEGAS NV 89123 Clark 702-492-1776 Physicians Chiropractor 043821114VAISBORT, VICTOR 3186 S MARYLAND PKWY LAS VEGAS NV 89109 Clark 702-731-8211 Physicians Anesthesiology 880375544VAISBORT, VICTOR R 7326 W CHEYENNE AVE LAS VEGAS NV 89129 Clark 702-386-4700 Physicians Anesthesiology 204727467VAISMAN, ALEX 1651 NEVADA HWY BOULDER CITY NV 89005 Clark 702-997-9661 Physicians Emergency Medicine 471540486

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 201 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDVAISMAN, ALEX 360 S LOLA LN PAHRUMP NV 89048 Nye 775-751-7500 Physicians Emergency Medicine 352653380VAKIL, MIRA A 5233 S EASTERN AVE LAS VEGAS NV 89119 Clark 702-878-9500 Physicians Internal Medicine 880343210VALDES, ZIDRIECK P 1019 S DECATUR BLVD LAS VEGAS NV 89107 Clark 702-877-8828 Physicians Internal Medicine 880390033VALDEZ, KATHRYN L 2012 S JONES BLVD LAS VEGAS NV 89146 Clark 702-360-1137 Rehabilitation Physical Therapy 412129643VALENCIA, ARLYN M 653 N TOWN CENTER DR STE 602 LAS VEGAS NV 89144 Clark 702-242-3223 Physicians Neurology 860881749VALENCIA, RAFAEL 500 E WINDMILL LN STE 140 LAS VEGAS NV 89123 Clark 702-240-6482 Physicians Cardiology 956000750VALENCIA-LOPEZ, GLAEE G 235 N EASTERN AVE STE 119 LAS VEGAS NV 89101 Clark 702-307-4004 Physicians Chiropractor 800138307VALENZUELA, LLUVIA 366 W LAKE MEAD PKWY STE 100 HENDERSON NV 89015 Clark 702-464-3090 Physicians General Dentist 454612311VALENZUELA, TIRZA 2345 E CENTENNIAL PKWY STE 110 NORTH LAS VEGAS NV 89081 Clark 702-991-0404 Physicians General Dentist 473346924VALERA, AMIT 620 SHADOW LN LAS VEGAS NV 89106 Clark 702-388-4000 Physicians Internal Medicine 263668328VALIENTE, MILCAH F 3544 LONG DR MINDEN NV 89423 Douglas 720-532-2128 Physicians Social Worker 880120754VALINA, ANISA M 3001 SAINT ROSE PKWY HENDERSON NV 89052 Clark 702-616-5925 Physicians Internal Medicine 472990144VALIVETI, PRAKASH 2020 PALOMINO LN STE 100 LAS VEGAS NV 89106 Clark 702-759-8600 Physicians Radiology/Diagnostic 451649781VALLE, RONNIE M 10624 S EASTERN AVE STE A955 HENDERSON NV 89052 Clark 702-407-7700 Physicians Certified Nurse Practitioner 263668328VALLEJO, JAMIE R 8440 W LAKE MEAD BLVD LAS VEGAS NV 89128 Clark 702-838-2225 Physicians Chiropractor 521929955VALLES, JOHN P 9653 MESA RIDGE CT LAS VEGAS NV 89129 Clark 702-232-4210 Physicians Psychiatry 954845526VALLEY ANESTHESIOLOGY CONSULTANTS BECKETT PLLC3001 SAINT ROSE PKWY HENDERSON NV 89052 Clark 702-616-5000 Physicians Anesthesiology 262460167VALLEY HOSPITAL MEDICAL CENTER 620 SHADOW LN LAS VEGAS NV 89106 Clark 702-388-4000 Hospitals Short Term Acute Care Hospital 886000022VALLEY OXGEN 3040 W POST RD LAS VEGAS NV 89118 Clark 702-638-8046 Ancillary Providers 562481962VALLEY OXYGEN 6261 DEAN MARTIN DR LAS VEGAS NV 89118 Clark 702-638-8046 Ancillary Providers 562481962VALLEY PRIMARY CARE CENTER 5400 S RAINBOW BLVD LAS VEGAS NV 89118 Clark 702-562-8592 Ambulatory Facilities 770633115VALLEY VIEW HOME HEALTH CARE, INC 6767 W CHARLESTON BLVD LAS VEGAS NV 89146 Clark 702-463-1100 Ancillary Providers 260616892VALLIAPPAN, SARAVANAN 5495 S RAINBOW BLVD LAS VEGAS NV 89118 Clark 702-477-0772 Physicians Radiology/Diagnostic 752514106VALPIANI, MICHAEL G 6725 S EASTERN AVE LAS VEGAS NV 89119 Clark 702-474-0200 Physicians Pain Management 880375950VAN DE VOORT, RICHARD L 9402 W LAKE MEAD BLVD LAS VEGAS NV 89134 Clark 702-878-0554 Physicians Marriage & Family Therapist 880317828VAN GILS, CARL C 340 FALCON RIDGE PKWY STE 300A MESQUITE NV 89027 Clark 702-346-7678 Physicians Podiatry 870414618VAN GUILDER, KAMIN B 855 6TH ST LOVELOCK NV 89419 Pershing 775-273-2918 Physicians Family Medicine 880502320VAN VOOREN, EDWARD C 2020 PALOMINO LN STE 100 LAS VEGAS NV 89106 Clark 702-759-8600 Physicians Radiology/Diagnostic 880119638VAN WAGNER, KELLY E 5230 BOULDER HWY STE 110 LAS VEGAS NV 89122 Clark 702-940-1560 Physicians Internal Medicine 880213519VAN-ANTWERP, JAMES F 1 E LIBERTY ST RENO NV 89501 Washoe 775-348-1900 Physicians Anesthesiology 880101307VANBEUGE, SUSAN S 3006 S MARYLAND PRKW STE 205 LAS VEGAS NV 89109 Clark 702-734-3606 Physicians Certified Nurse Practitioner 880330858VANCE II, ROBERT B 3150 N TENAYA WAY STE 540 LAS VEGAS NV 89128 Clark 702-256-0121 Physicians Internal Medicine 260320117VANCISE, SIMI S 8689 W CHARLESTON BLVD LAS VEGAS NV 89117 Clark 702-304-5900 Physicians Internal Medicine 880213519VANDE VOORT, ROBERTA 9418 W LAKE MEAD BLVD LAS VEGAS NV 89134 Clark 702-878-0554 Physicians Marriage & Family Therapist 880317828VANDENBOSCH, MARK J 2450 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-877-8660 Physicians Anesthesiology 860857176VANDENMOOTER, SYNDA M 2020 PALOMINO LN STE 100 LAS VEGAS NV 89106 Clark 702-759-8600 Physicians Radiology/Diagnostic 842544520VANDER VELDT, DAVID M 3335 W CRAIG RD STE A NORTH LAS VEGAS NV 89032 Clark 702-647-4798 Physicians Optometry 880282189VANDERBILT, TIMOTHY P 1707 W CHARLESTON BLVD STE 230 LAS VEGAS NV 89102 Clark 702-671-2201 Physicians Orthopedic Surgery 813419791VANDERCLAY, AMANDA C 1500 E 2ND ST STE 206 RENO NV 89502 Washoe 775-789-7000 Physicians General Surgery 880179203VANDERGON, DIRK D 1995 ERRECART BLVD STE 204 ELKO NV 89801 Elko 775-748-0704 Physicians Cardiology 880303924VANDERHEIDEN, MONICA 1107 US HIGHWAY 395 S GARDNERVILLE NV 89410 Douglas 775-782-1599 Physicians Professional Counselor 261513495VANDERLIST, CRAIG 5411 KIETZKE LN RENO NV 89511 Washoe 775-954-0600 Physicians Anesthesiology 880101307VANDERMEER, EMILE G 975 RYLAND ST RENO NV 89502 Washoe 775-982-5000 Physicians Occupational Medicine 920166824VANDIEN DRUCKER, LAURA N 225 KIRMAN AVE CHILD & FAMILY CENTER RENO NV 89502 Washoe 775-982-5756 Physicians Psychology (Clinical) 273412547VANDYKE, TAMARA L 3950G GS RICHARDS BLVD CARSON CITY NV 89703 Carson City 775-882-8777 Physicians Dermatology 880361999VANEPPS, LEE A 604 W WASHINGTON ST STE D CARSON CITY NV 89703 Carson City 775-883-9003 Physicians Internal Medicine 020566741VANGUILDER, WARD L 255 GLENDALE AVE STE 12 SPARKS NV 89431 Washoe 775-356-8181 Rehabilitation Physical Therapy 752014828VANHISE, BARBARA F 604 E MUSSER ST CARSON CITY NV 89701 Carson City 775-315-1795 Physicians Chiropractor 880502320VANLUE, JASON T 4380 BLUE DIAMOND RD STE 102 LAS VEGAS NV 89139 Clark 702-425-4424 Physicians Orthodontist 261748512VANMIERLO, PAMELA A 897 IRONWOOD DR MINDEN NV 89423 Douglas 775-782-1610 Physicians Occupational Medicine 880405927VANN, STEPHEN 2381 E WINDMILL LN STE 11 LAS VEGAS NV 89123 Clark 702-522-2888 Physicians General Dentist 460699913

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 202 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDVANN, STEPHEN 3830 E FLAMINGO RD STE E2 LAS VEGAS NV 89121 Clark 702-435-3888 Physicians General Dentist 371797092VANREKEN, CALVIN 55 FOOTHILL RD STE 1 RENO NV 89511 Washoe 775-358-1717 Physicians Geriatric Medicine 880201578VARBLE, CYNTHIA D 1538 US HIGHWAY 395 N GARDNERVILLE NV 89410 Douglas 775-782-3671 Physicians Social Worker 886000022VARGAS, JASON E 1800 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-383-2420 Physicians Pediatric Critical Care 880313664VARGAS, MAURICE 1631 W CRAIG RD STE 10 NORTH LAS VEGAS NV 89032 Clark 702-649-6644 Physicians General Dentist 261815514VARGAS-LAGUNAS, MIGUEL A 2465 REYNOLDS AVE STE 101 NORTH LAS VEGAS NV 89030 Clark 702-476-9600 Physicians Internal Medicine 880213519VARGO, STEPHEN T 3150 N TENAYA WAY STE 550 LAS VEGAS NV 89128 Clark 702-240-6482 Physicians General Surgery 205306310VARICK BERNSTEIN MD LTD. 1510 W HRZN RIDGE PKWY STE 150 HENDERSON NV 89012 Clark 702-878-8346 Physicians Thoracic Surgery 341623095VARRAS, JOHN A 1707 W CHARLESTON BLVD STE 230 LAS VEGAS NV 89102 Clark 702-671-5060 Physicians Internal Medicine 886000436VARSANYI, GYORGY 9127 W RUSSELL RD LAS VEGAS NV 89148 Clark 702-878-0070 Physicians Anesthesiology 592905984VASQUEZ, JOSEPHINE S 2775 S JONES BLVD LAS VEGAS NV 89146 Clark 702-685-3300 Physicians Certified Nurse Practitioner 261837240VATER, THOMAS L 7455 W WASHINGTON AVE STE 160 LAS VEGAS NV 89128 Clark 702-258-3721 Physicians Orthopedic Surgery 880313907VATERSPINE 7200 W CATHERDRAL ROCK STE 210 LAS VEGAS NV 89129 Clark 702-430-5000 Physicians Orthopedic Surgery 880477256VAUGHN JR, THOMAS R 2545 S BRUCE ST STE 5 LAS VEGAS NV 89169 Clark 702-369-7222 Physicians Chiropractor 200491534VAUGHN, ANDREW J 2551 N GREEN VALLEY PKWY STE 400A HENDERSON NV 89014 Clark 702-458-6684 Physicians Pediatric Dentist 880365605VAUGHN, NICOLE R 222 S RAINBOW BLVD STE 114 LAS VEGAS NV 89145 Clark 702-405-8088 Physicians Certified Nurse Practitioner 814850117VAZ, APOLLO H 2345 E PRATER WAY STE 107 SPARKS NV 89434 Washoe 775-352-5300 Physicians Family Medicine 263303591VAZEEN, ASHLEY H 1375 VISTA LN CARSON CITY NV 89703 Carson City 775-882-2067 Physicians Certified Nurse Practitioner 880106584VAZEEN, MEHDI 412 W JOHN ST CARSON CITY NV 89703 Carson City 775-882-9123 Physicians Ophthalmology 880271703VAZEEN, MEHDI 1104 N DIVISION ST CARSON CITY NV 89703 Carson City 775-882-9123 Physicians Ophthalmology 880422211VAZQUEZ CORREA, BERALDO A 7391 W CHARLESTON BLVD LAS VEGAS NV 89117 Clark 702-304-2144 Physicians Internal Medicine 201026537VEAL, CYNTHIA L 410 FLEISCHMANN WAY STE B CARSON CITY NV 89703 Carson City 775-322-4550 Physicians Certified Nurse Practitioner 880502320VEERAMACHANENI, KRANTHI 5580 W FLAMINGO RD LAS VEGAS NV 89103 Clark 702-876-4449 Physicians Pediatrics 880456336VEERAPPAN, VENKATACHALAM 3025 S MARYLAND PKWY LAS VEGAS NV 89109 Clark 702-732-2600 Physicians Neurology 113796628VEERASWAMY, ARATHI 10085 DOUBLE R BLVD RENO NV 89521 Washoe 775-982-5000 Physicians Obstetrics/Gynecology 821756034VEGA JR, JORGE A 1701 W CHARLESTON BLVD STE 490 LAS VEGAS NV 89102 Clark 702-671-2273 Physicians General Surgery 813419791VEGA, DAVID R 3773 BAKER LN STE 6 RENO NV 89509 Washoe 775-799-6700 Physicians Certified Nurse Practitioner 854279620VEGA, PAUL 1815 E LAKE MEAD BLVD STE 100 NORTH LAS VEGAS NV 89030 Clark 702-657-1506 Physicians Internal Medicine 880436313VEGAS MD 11201 S EASTERN AVE STE 110 HENDERSON NV 89052 Clark 702-344-0000 Ambulatory Facilities 273064168VEGAS MEDICAL SUPPLIES CORP. 3111 S VALLEY VIEW BLVD STE A105 LAS VEGAS NV 89102 Clark 702-638-7900 Ancillary Providers 711012548VEGAS VALLEY CHIROPRACTIC 8665 S EASTERN AVE STE 103 LAS VEGAS NV 89123 Clark 702-492-1776 Physicians Chiropractor 043821114VEGAS VALLEY PRIMARY CARE 5380 S RAINBOW BLVD STE 110 LAS VEGAS NV 89118 Clark 702-838-8004 Physicians Internal Medicine 880423070VEGAS VOICE INSTITUTE 105 N PECOS RD STE 116 HENDERSON NV 89074 Clark 702-558-9900 Rehabilitation Speech Pathology 200365059VELASCO, DAVID 3163 N RAINBOW BLVD LAS VEGAS NV 89108 Clark 702-805-1178 Physicians General Dentist 844668645VELASCO, GRENDALE M 3835 S JONES BLVD LAS VEGAS NV 89103 Clark 702-880-4193 Rehabilitation Physical Therapy 880404982VELASCO, VIVIENNE M 9484 W FLAMINGO RD STE 280 LAS VEGAS NV 89147 Clark 702-473-5660 Physicians Optometry 205530953VELAYO, BIANCA 9771 S EASTERN AVE STE 100 LAS VEGAS NV 89183 Clark 702-616-9655 Physicians General Dentist 208899851VELAYUDHAN, NALINI 1297 NEVADA HWY STE A BOULDER CITY NV 89005 Clark 702-294-1919 Physicians Family Medicine 880312440VELAZQUEZ, RICARDO J 2020 WELLNESS WAY STE 203 LAS VEGAS NV 89106 Clark 702-399-8808 Physicians Internal Medicine 886000436VELLINGA, LISA C 1299 BERTHA HOWE AVE MESQUITE NV 89027 Clark 775-336-7438 Physicians CRNA 272749054VENA, WILLIAM H 727 N NELLIS BLVD LAS VEGAS NV 89110 Clark 725-726-7847 Rehabilitation Physical Therapy 850572937VENCER YOUTH SERVICES 9402 W LAKE MEAD BLVD LAS VEGAS NV 89134 Clark 702-267-6277 Rehabilitation 473962554VENDEIRO, ANDREA K 5631 S PECOS RD LAS VEGAS NV 89120 Clark 702-685-0877 Physicians Social Worker 383889285VENDITTO, IRISHANNE 5701 W CHARLESTON BLVD STE 100 LAS VEGAS NV 89146 Clark 702-877-9514 Physicians Certified Nurse Practitioner 880168054VENEGONI-TAYLOR, KATANIA 10415 DOUBLE R BLVD RENO NV 89521 Washoe 775-829-2277 Physicians Acupuncturist 204834432VENKATESAN, SRINIVASAN 1000 S RAINBOW BLVD LAS VEGAS NV 89145 Clark 702-464-8866 Physicians Internal Medicine 880213519VENKATESH, YEDATORE S 1707 W CHARLESTON BLVD STE 230 LAS VEGAS NV 89102 Clark 702-671-5060 Physicians Neurology 880330858VENNER, ALLISON W 1385 VISTA LN CARSON CITY NV 89703 Carson City 775-884-4567 Physicians Gastroenterology 880182841VERA, ADA I 3000 W CHARLESTON BLVD STE 6 LAS VEGAS NV 89102 Clark 702-878-5252 Physicians Podiatry 880281448VERA, CRISTINA D 2012 S JONES BLVD LAS VEGAS NV 89146 Clark 702-360-1137 Rehabilitation Speech Pathology 412129643VERCHICK, ALISHA R 8168 LONE BOULDER ST LAS VEGAS NV 89113 Clark 702-300-5068 Rehabilitation Speech Pathology 886000022

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 203 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDVERGARA, CLEOFEMARIE S 2410 FIRE MESA ST LAS VEGAS NV 89128 Clark 702-636-6320 Physicians Internal Medicine 201026537VERGARA, GASTON R 700 SHADOW LN STE 240 LAS VEGAS NV 89106 Clark 702-384-0022 Physicians Cardiology 880161856VERMA, MARIANNE N 10530 SOUTHERN HIGHLANDS PKWY STE 150 LAS VEGAS NV 89141 Clark 725-777-3350 Physicians Family Medicine 463164188VERMA, SURAJ P 7111 S VIRGINIA ST RENO NV 89511 Washoe 775-851-5700 Physicians Family Medicine 880390423VERMA, VISHAL 645 N ARLINGTON AVE STE 250A RENO NV 89503 Washoe 855-896-8446 Physicians Radiology/Diagnostic 880145500VERMA, VISHAL K 10155 W TWAIN AVE LAS VEGAS NV 89147 Clark 702-838-8004 Physicians Chiropractor 880477868VERNER, DENNIS P 504 E 2ND ST WINNEMUCCA NV 89445 Humboldt 775-623-3938 Physicians Chiropractor 880502320VERNON, JORGE A 945 S RAINBOW BLVD LAS VEGAS NV 89145 Clark 702-331-8585 Physicians General Dentist 371797092VERREES, JAMES F 3196 S MARYLAND PKWY STE 209 LAS VEGAS NV 89109 Clark 702-944-2888 Physicians Obstetrics/Gynecology 880330858VERT, JOSHUA C 1750 WHEELER PEAK DR LAS VEGAS NV 89106 Clark 702-272-1100 Physicians General Dentist 880510609VERWYS, CORNELIUS J 1524 PINTO LN LAS VEGAS NV 89106 Clark 702-383-3642 Physicians Pediatrics 886000436VESNA JAMBORCIC, MD, A PROFESSIONAL CORP.8285 W ARBY AVE STE 390 LAS VEGAS NV 89113 Clark 702-798-3008 Physicians Family Medicine 205747058VIAL, MATTHEW 513 W BRIDGE ST STE A YERINGTON NV 89447 Lyon 775-463-1800 Physicians General Dentist 205213099VICERAL, CRISTINA M 2705 W HORIZON RIDGE PKWY HENDERSON NV 89052 Clark 702-880-4193 Physicians Certified Nurse Practitioner 880404982VICK, KRISTI 3186 S MARYLAND PKWY LAS VEGAS NV 89109 Clark 702-878-0070 Physicians CRNA 731714968VICKERS, AROUCHA 2010 WELLNESS WAY STE 306 LAS VEGAS NV 89106 Clark 702-432-2233 Physicians Neurology 471182996VICKERS, TRAVIS L 6950 S CIMARRON RD STE 200 LAS VEGAS NV 89113 Clark 702-796-0231 Physicians Gastroenterology 880212653VICTOR A ESTRADA MD CHTD 4445 S EASTERN AVE STE A LAS VEGAS NV 89119 Clark 702-735-1556 Physicians Allergy/Immunology 465082098VICTORIA, EDWARD S 2250 E FLAMINGO RD LAS VEGAS NV 89119 Clark 702-784-4300 Physicians Family Medicine 201026537VICTORIA, PAMELA L 1025 ROBERTA LN SPARKS NV 89431 Washoe 775-825-4744 Rehabilitation Speech Pathology 562328617VICUNA, BRIAN D 7445 PEAK DR LAS VEGAS NV 89128 Clark 702-952-2140 Physicians Oncology 880350180VICUNA, JOSELO A 2365 REYNOLDS AVE STE 211 NORTH LAS VEGAS NV 89030 Clark 702-649-3135 Physicians General Practice 880213519VIDANA, KARMIN K 3100 N TENAYA WAY STE 130 LAS VEGAS NV 89128 Clark 702-255-5018 Rehabilitation Physical Therapy 931054024VIET, HO H 5250 S PECOS RD STE 102 LAS VEGAS NV 89120 Clark 702-454-5200 Physicians General Dentist 475631022VIGIL, DEBRA C 1664 N VIRGINIA ST RENO NV 89557 Washoe 775-682-8500 Rehabilitation Speech Pathology 886000024VIGUE, MICHAEL J 2250 E FLAMINGO RD LAS VEGAS NV 89119 Clark 702-784-4300 Physicians Internal Medicine 320502611VIJAY, SANDEEP 657 N TOWN CENTER DR LAS VEGAS NV 89144 Clark 702-233-7000 Physicians Internal Medicine 200555958VILLAFLOR, CHRISTIAN J 1800 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-383-1958 Physicians Emergency Medicine 202977358VILLAFLOR, FLORENCE M 8526 DEL WEBB BLVD LAS VEGAS NV 89134 Clark 702-254-9192 Physicians Family Medicine 880213519VILLAGRA-DIAZ, MIGUEL A 1001 MOUNTAIN ST CARSON CITY NV 89703 Carson City 775-222-0044 Physicians Internal Medicine 260755054VILLAGRACIA, SHEERY MARIE J 670 SIERRA ROSE DR RENO NV 89511 Washoe 775-322-4550 Physicians Certified Nurse Practitioner 201405833VILLALOBOS, ELSA I 2110 E FLAMINGO RD STE 205 LAS VEGAS NV 89119 Clark 702-620-5105 Physicians Social Worker 832362194VILLALUZ, ZEPHYRENE C 1825 CIVIC CENTER DR NORTH LAS VEGAS NV 89030 Clark 702-642-8313 Physicians Family Medicine 880355819VILLAMARIA, CAROLE MAJAL Y 1707 W CHARLESTON BLVD STE 190 LAS VEGAS NV 89102 Clark 702-671-5110 Physicians Plastic & Reconstructive Surgery 813419791VILLAREAL, GILDA A 1524 PINTO LN FL 3 LAS VEGAS NV 89106 Clark 702-383-3642 Physicians Certified Nurse Practitioner 886000436VILLASENOR, ISRAEL 200 E HORIZON DR STE A HENDERSON NV 89015 Clark 702-568-8450 Physicians Chiropractor 452652426VILLEGAS, LORENZO B 1201 SOUTH CARSON STREET CARSON CITY NV 89701 Carson City 775-445-7340 Physicians Certified Nurse Practitioner 880502320VILT, JAMES J 3021 W HORIZON RIDGE PKWY HENDERSON NV 89052 Clark 702-646-5000 Physicians Psychiatry 510578850VINCENT NALBONE MD LTD 9111 W RUSSELL RD STE A LAS VEGAS NV 89148 Clark 702-312-3333 Physicians Otolaryngology 880394893VINCENT, SUSAN L 6161 W CHARLESTON BLVD LAS VEGAS NV 89146 Clark 702-486-6000 Physicians Psychology (Clinical) 886000022VINER, MARK W 145 ISIDOR CT STE A SPARKS NV 89441 Washoe 775-772-6015 Physicians Psychiatry 886000022VINEYARD PHYSICAL THERAPY INC 5255 LONGLEY LN STE 140 RENO NV 89511 Washoe 775-322-1200 Rehabilitation 043821114VINSANT, ALEC B 412 W JOHN ST STE B CARSON CITY NV 89703 Carson City 775-445-7476 Physicians Certified Nurse Practitioner 880502320VIP PRIMARY CARE 4903 VEGAS DR STE 102 LAS VEGAS NV 89108 Clark 702-998-1200 Ambulatory Facilities 452105545VIRAVONGSA, CHRISTOPHER 7101 W CRAIG RD STE 102 LAS VEGAS NV 89129 Clark 702-515-0553 Physicians General Dentist 472117453VIRAY, AARON J 2385 E PRATER WAY STE 302 SPARKS NV 89434 Washoe 484-913-7434 Physicians Pulmonology 263303591VIRGIN VALLEY PHYSICAL THERAPY 114 N SANDHILL BLVD STE B MESQUITE NV 89027 Clark 702-346-3105 Rehabilitation 870574632VIRK, SAVINDER K 861 CORONADO CENTER DR STE 220 HENDERSON NV 89052 Clark 702-933-1485 Physicians Certified Nurse Practitioner 822624347VIRTUAL RADIOLOGIC PROFESSIONALS 235 W 6TH ST RENO NV 89503 Washoe 775-770-3000 Physicians Radiology/Diagnostic 412007905VIRTUOSO, ARMAND G 2202 W CHARLESTON BLVD STE 10 LAS VEGAS NV 89102 Clark 702-889-1381 Physicians General Dentist 454788434VISHAL GANDOTRA MD INC. 5701 W CHARLESTON BLVD STE 102 LAS VEGAS NV 89146 Clark 702-528-3557 Physicians Gastroenterology 262964031

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 204 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDVISHNEPOLSKY, MARK 500 S RANCHO DR STE 12 LAS VEGAS NV 89106 Clark 702-877-1887 Physicians Nephrology 880136773VISION MEDICAL IMAGING, LLC 3634 N RANCHO DR LAS VEGAS NV 89130 Clark 702-939-6559 Ancillary Providers 880401518VISION QUEST ORTHOCARE INCORPORATED5250 S RAINBOW BLVD STE 1033 LAS VEGAS NV 89118 Clark 800-266-6969 Ancillary Providers 330351072VISS, CRYSTAL 7140 N DURANGO DR STE 110 LAS VEGAS NV 89149 Clark 702-740-5437 Physicians General Dentist 822856088VISTA HOSPICE CARE INC 5345 RENO CORPORATE DR RENO NV 89511 Washoe 775-825-5008 Ancillary Providers 860194505Vista Hospice Care, LLC 710 W WASHINGTON ST CARSON CITY NV 89703 Carson City 775-882-2106 Ancillary Providers 860808230VITAL CARE INCORPORATED 1360 GREG ST SPARKS NV 89431 Washoe 775-829-2224 Ancillary Providers 593143938VITALCARE 820 N SPRING ST STE B CALIENTE NV 89008 Lincoln 775-726-3980 Ancillary Providers 593387513VITALCARE HEALTH SERVCIES 1360 GREG ST SPARKS NV 89431 Washoe 775-829-2224 Ancillary Providers 591450889VITALCARE HEALTH SERVICES 1360 GREG ST SPARKS NV 89431 Washoe 775-829-2224 Ancillary Providers 591450889VITALITY MEDICAL & WELLNESS CENTER 5735 S FORT APACHE RD LAS VEGAS NV 89148 Clark 902-421-4268 Physicians Certified Nurse Practitioner 943490943VITKOVITSKY, IRENA V 3001 SAINT ROSE PKWY HENDERSON NV 89052 Clark 510-350-2600 Physicians Emergency Medicine 862775542VITO, MICHAEL J 10965 LAVENDER HILL DR STE 120 LAS VEGAS NV 89135 Clark 702-852-2755 Physicians General Dentist 810950476VITONE, NORA M 1161 S VALLEY VIEW BLVD LAS VEGAS NV 89102 Clark 702-486-7670 Rehabilitation Physical Therapy 886000022VITUITY - NEVADA KOURY & PARTNERS PLLC3001 SAINT ROSE PKWY HENDERSON NV 89052 Clark 855-993-1423 Physicians Emergency Medicine 830713827VIVA QUICK CARE FAMILY CLINIC 568 N EASTERN AVE # B DYER NV 89010 Esmeralda 702-522-7275 Physicians Certified Nurse Practitioner 465122580VLASEK, CHRISTOPHER R 412 W JOHN ST STE B CARSON CITY NV 89703 Carson City 775-445-7476 Physicians Family Medicine 880502320VO, DAISY 5440 W SAHARA AVE STE 302 LAS VEGAS NV 89146 Clark 702-633-0207 Physicians Certified Nurse Practitioner 262321457VO, DANA L 6935 ALIANTE PKWY NORTH LAS VEGAS NV 89084 Clark 702-685-4320 Physicians Optometry 271192356VOGEL, BRUCE G 171 CAMPBELL LN YERINGTON NV 89447 Lyon 775-463-3335 Physicians General Practice 880502320VOGEL, CLAUDIA K 10561 JEFFREYS ST STE 211 HENDERSON NV 89052 Clark 702-990-4530 Physicians Endocrinology 203260229VOGEL, NATALIE W 580 W 5TH ST STE 12C RENO NV 89503 Washoe 775-786-4673 Physicians Pediatrics 860285857VOGEL, RAINER S 10561 JEFFREYS ST HENDERSON NV 89052 Clark 702-990-4590 Physicians Anesthesiology 452888626VOGELZANG, NICHOLAS J 3730 S EASTERN AVE LAS VEGAS NV 89169 Clark 702-952-3415 Physicians Hematology/Oncology 880350180VOGT, JENNIFER E 1343 NEWLANDS DR W FERNLEY NV 89408 Lyon 775-982-5000 Physicians Internal Medicine 880201578VOGUE RECOVERY CENTER-LAS VEGAS IOP SERVICES6655 W SAHARA AVE STE D208 LAS VEGAS NV 89146 Clark 702-275-3126 Rehabilitation 814712246VOHRA, MEENA P 1800 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-383-2420 Physicians Pediatric Critical Care 880313664VOHRA, SANJAY 7010 SMOKE RANCH RD STE 120 LAS VEGAS NV 89128 Clark 702-477-7044 Physicians Cardiology 880366564VOIGT, CRYSTAL L 1955 S CASINO DR STE 118 LAUGHLIN NV 89029 Clark 702-299-7203 Physicians Certified Nurse Practitioner 550490878VOLKER, KENNETH W 1 BREAKTHROUGH WAY LAS VEGAS NV 89135 Clark 702-255-3547 Physicians Obstetrics/Gynecology 270024561VOLKMANN, JACQUELINE A 1825 PINION RD ELKO NV 89801 Elko 775-738-8021 Physicians Social Worker 886000022VOLLERS, AGATA J 2450 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-877-8661 Physicians Anesthesiology 161679125VOLSHTEYN, BORIS 9436 DOUBLE R BLVD STE A RENO NV 89521 Washoe 775-284-0911 Physicians Plastic & Reconstructive Surgery 510548314VOLZ, VICTORIA N 280 S DECATUR BLVD LAS VEGAS NV 89107 Clark 702-759-1000 Physicians Certified Nurse Practitioner 880151573VON HARTLEBEN, KURT M 8689 W CHARLESTON BLVD LAS VEGAS NV 89117 Clark 702-304-5900 Physicians Internal Medicine 455557052VON SCHULENBURG, ELSA H 4800 ALPINE PL STE 10 LAS VEGAS NV 89107 Clark 702-851-3572 Physicians Pediatrics 880436313VONBERGEN, NICHOLAS H 3006 S MARYLAND PKWY STE 690 LAS VEGAS NV 89109 Clark 702-732-1290 Physicians Cardiology 880176637VONDIPPE, CHRISTOPHER J 825 S MAIN ST TONOPAH NV 89049 Nye 775-482-6233 Physicians Obstetrics/Gynecology 311658282VONDRA FAMILY CHIROPRACTIC 4994 VISTA BLVD SPARKS NV 89436 Washoe 775-470-5224 Ambulatory Facilities 262755886VONRAVENSBERG, RUDOLPH 1325 AIRMOTIVE WAY STE 100 RENO NV 89502 Washoe 775-453-4143 Physicians Marriage & Family Therapist 471013467VONTOBEL, WILLIAM 3121 S MARYLAND PKWY STE 101 LAS VEGAS NV 89109 Clark 702-838-8004 Physicians Family Medicine 860852466VOO, IRENE 3006 S MARYLAND PKWY STE 710 LAS VEGAS NV 89109 Clark 702-369-0200 Physicians Ophthalmology 260076062VORNICU, MARIA D 2425 N LAMB BLVD STE 120 LAS VEGAS NV 89115 Clark 702-851-7766 Physicians Nephrology 462812104VOTT, SUBHA J 2450 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-877-8661 Physicians Anesthesiology 822526636VOVAN, BRIAN T 657 N TOWN CENTER DR LAS VEGAS NV 89144 Clark 702-233-7445 Physicians Pediatric Critical Care 880266682VQ ORTHO CARE 3035 E POST RD LAS VEGAS NV 89120 Clark 702-939-0160 Ancillary Providers 330350172VREELAND, THOMAS H 1397 S LOOP RD PAHRUMP NV 89048 Nye 702-759-8600 Physicians Radiology/Diagnostic 821793574VRIJENDRA KUMAR HOON MD PC 6945 TARA AVE LAS VEGAS NV 89117 Clark 702-336-8204 Physicians Internal Medicine 311786417VU, HUAN M 1800 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-383-2000 Physicians Family Medicine 886000436VU, HUYNH-TRUONG 2510 W HORIZON RIDGE PKWY STE 130 HENDERSON NV 89052 Clark 702-263-7800 Physicians Pediatrics 204974376VU, JOHN 1125 N MCCARRAN BLVD STE 109 SPARKS NV 89431 Washoe 775-331-8400 Physicians General Dentist 320479852

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 205 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDVU, LEIM T 4975 S FORT APACHE RD STE 107 LAS VEGAS NV 89148 Clark 702-248-2748 Physicians General Dentist 100008134VU, TIM 500 N RAINBOW BLVD STE 300 LAS VEGAS NV 89107 Clark 702-259-1228 Physicians Emergency Medicine 204311300VU, TONY A 101 S RAINBOW BLVD STE B32 LAS VEGAS NV 89145 Clark 702-877-1200 Physicians Chiropractor 880220089VU, TRUNG 5032 S VIRGINIA ST RENO NV 89502 Washoe 775-787-8900 Physicians General Dentist 320479852VUONG, DON V 7445 S DURANGO DR STE 105 LAS VEGAS NV 89113 Clark 702-453-5000 Physicians Chiropractor 651244886VUPPALAPATI, DWARAKANATH 1500 PASS DR RENO NV 89509 Washoe 877-828-4949 Physicians Psychiatry 201286555VUTHOORI, SRINIVAS B 2610 W HORIZON RIDGE PKWY STE 200 HENDERSON NV 89052 Clark 702-407-8241 Physicians Internal Medicine 205142223VYAS, RAJASHREE 2020 PALOMINO LN LAS VEGAS NV 89106 Clark 888-727-1074 Physicians Radiology/Diagnostic 752296947VYAS, RAJASHREE C 2020 PALOMINO LN STE 100 LAS VEGAS NV 89106 Clark 702-759-8600 Physicians Radiology/Diagnostic 880119638W S AND S LAS VEGAS 2470 N DECATUR BLVD STE 115 LAS VEGAS NV 89108 Clark 702-869-8300 Ancillary Providers 861089021WACHS, JEFFREY A 18124 WEDGE PKWY # 404 RENO NV 89511 Washoe 775-770-7210 Physicians Family Medicine 352160780WADHWA, MUKESH N 6900 N DURANGO DR LAS VEGAS NV 89149 Clark 702-255-3547 Physicians Anesthesiology 460766041WADHWA, VANDHANA 2601 N TENAYA WAY LAS VEGAS NV 89128 Clark 702-233-4950 Physicians Internal Medicine 201557240WAGGONER, PERRY M 650 SIERRA ROSE DR RENO NV 89511 Washoe 775-322-3311 Physicians Ophthalmology 203707845WAGNER, ARMINAS S 3900 W CHARLESTON BLVD STE 140 LAS VEGAS NV 89102 Clark 702-310-5528 Physicians Chiropractor 880425997WAGNER, KATHLEEN T 4920 W LONE MOUNTAIN RD LAS VEGAS NV 89130 Clark 702-655-0550 Physicians Family Medicine 880213519WAGNER, KERI D 2360 W HORIZON RIDGE PKWY HENDERSON NV 89052 Clark 702-294-0433 Physicians Professional Counselor 454429023WAGNER, KIMBERLY N 750 CORONADO CENTER DR HENDERSON NV 89052 Clark 702-564-4116 Rehabilitation Physical Therapy 412129643WAGNER, PATRICK 8751 W CHARLESTON BLVD STE 270 LAS VEGAS NV 89117 Clark 702-982-2232 Rehabilitation Physical Therapy 204635517WAGNER, RICHARD O 1397 S LOOP RD PAHRUMP NV 89048 Nye 702-759-8600 Physicians Radiology/Diagnostic 050589923WAGNER, SANGEETA S 910 VISTA BLVD SPARKS NV 89434 Washoe 775-982-5000 Physicians Family Medicine 880405927WAGNER, WADE W 4618 MEADOWS LN LAS VEGAS NV 89107 Clark 702-877-2222 Physicians General Dentist 880445393WAGNER, WAYNE W 4618 MEADOWS LN LAS VEGAS NV 89107 Clark 702-877-2222 Physicians General Dentist 880445394WAGONER, CATHERINE Y 2375 E PRATER WAY SPARKS NV 89434 Washoe 775-331-7000 Physicians Pediatrics 475671561WAHAB, NAZ A 10120 S EASTERN AVE STE 150 HENDERSON NV 89052 Clark 702-871-7004 Physicians Family Medicine 202096335WAHI GURURAJ, SANDHYA 1707 W CHARLESTON BLVD STE 230 LAS VEGAS NV 89102 Clark 702-388-1300 Physicians Internal Medicine 813419791WAHID, SHAHID 2231 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-383-2631 Physicians Gastroenterology 886000436WAIRIMU, KATHLEEN 2810 W CHARLESTON BLVD BLDG E LAS VEGAS NV 89102 Clark 702-343-7610 Physicians Infectious Diseases 886000436WAITE, GLENN R 10509 PROFESSIONAL CIR STE 101 RENO NV 89521 Washoe 801-478-2526 Physicians Physical Medicine & Rehabilitation273832038WAITE, JOHN G 6161 W CHARLESTON BLVD LAS VEGAS NV 89146 Clark 702-486-6045 Physicians Psychiatry 886000022WAKEFIELD, TRACY J 9077 S PECOS RD STE 3800 HENDERSON NV 89074 Clark 702-947-1949 Physicians Internal Medicine 880213519WAKEFIELD, TRAVIS L 1301 BERTHA HOWE AVE STE 7 MESQUITE NV 89027 Clark 702-346-1899 Rehabilitation Physical Therapy 201621111WAKEFIELD, TY 1301 BERTHA HOWE AVE STE 7BOX757 MESQUITE NV 89027 Clark 702-346-1899 Rehabilitation Physical Therapy 201621111WAKEFIELD, WILLIAM M 4075 S DURANGO DR STE 108 LAS VEGAS NV 89147 Clark 702-701-9509 Physicians Family Medicine 463164188WAKUZAWA, KELSEY 8035 S RAINBOW BLVD LAS VEGAS NV 89139 Clark 702-896-7211 Physicians General Dentist 205337268WALBURN, DANA J 1665 OLD HOT SPRINGS RD CARSON CITY NV 89706 Carson City 775-687-0873 Physicians Social Worker 886000022WALDEN, ALEXIS 1449 MUINOS ST LAS VEGAS NV 89117 Clark 832-289-8812 Rehabilitation Speech Pathology 886000022WALDEN, RACHAEL M 3700 GRANT DR STE A RENO NV 89509 Washoe 775-829-4700 Rehabilitation Speech Pathology 880291454WALDMAN, SHAUN M 1525 W WARM SPRINGS RD STE 300 HENDERSON NV 89014 Clark 702-566-3552 Physicians Chiropractor 203378250WALDORF JR, VERNON T 6135 LAKESIDE DR STE 119 RENO NV 89511 Washoe 775-842-0065 Physicians Chiropractor 553595068WALDRON, ANN M 5595 KIETZKE LN RENO NV 89511 Washoe 775-636-7313 Physicians Psychiatry 886000022WALDRON, GLEN N 1775 BROWNING WAY STE 203 ELKO NV 89801 Elko 775-738-4494 Rehabilitation Physical Therapy 264238069WALGREENS 4895 BOULDER HWY LAS VEGAS NV 89121 Clark 702-435-1411 Ambulatory Facilities 432103482WALIA, CHANDAN S 169 N NELLIS BLVD LAS VEGAS NV 89110 Clark 702-384-1010 Physicians Periodontist 300889342WALKER, ASHLEY C 555 W ARLINGTON AVE RENO NV 89503 Washoe 775-786-3040 Physicians Certified Nurse Practitioner 880103557WALKER, BROOKE L 3915 NEIL RD RENO NV 89502 Washoe 775-770-3780 Physicians Certified Nurse Practitioner 113763590WALKER, CISSIE L 6950 S CIMARRON RD STE 200 LAS VEGAS NV 89113 Clark 702-796-0231 Physicians CRNA 880212653WALKER, DIANE M 3201 S MARYLAND PKWY STE 218 LAS VEGAS NV 89109 Clark 702-862-8075 Physicians Certified Nurse Practitioner 954112121WALKER, JAMES 8670 W CHEYENNE AVE STE 120 LAS VEGAS NV 89129 Clark 702-576-9608 Physicians Emergency Medicine 880262438WALKER, JARED A 2811 N GREEN VALLEY PKWY HENDERSON NV 89014 Clark 702-434-2219 Physicians General Dentist 680614740WALKER, JUSTIN A 555 W ARLINGTON AVE RENO NV 89503 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 206 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDWALKER, MCKENNA R 8840 W SUNSET RD STE A LAS VEGAS NV 89148 Clark 800-598-5300 Rehabilitation Audiology 810966997WALKER, TANYA Y 11860 SOUTHERN HIGHLANDS PKWY STE 102 LAS VEGAS NV 89141 Clark 702-383-2273 Physicians Certified Nurse Practitioner 886000436WALKER, THERESA M 600 WHITNEY RANCH DR HENDERSON NV 89014 Clark 702-547-0088 Physicians Certified Nurse Practitioner 880213519WALL, MONICA J 2779 W HORIZON RIDGE PKWY HENDERSON NV 89052 Clark 702-614-4476 Physicians Internal Medicine 880423733WALL, WENDIE 2831 SAINT ROSE PKWY SUTIE 200 HENDERSON NV 89052 Clark 800-249-1266 Rehabilitation Speech Pathology 452748445WALLACE, BRUCE J 1500 E 2ND ST STE 300 RENO NV 89502 Washoe 775-689-3737 Physicians Urology 208628418WALLACE, RICHARD L 8550 W DESERT INN RD STE 102-105 LAS VEGAS NV 89117 Clark 775-751-3377 Physicians Psychiatry 886000022WALLACE, SCOTT M 8960 W CHEYENNE AVE LAS VEGAS NV 89129 Clark 702-474-6996 Physicians Chiropractor 880273667WALLIS, CARL B 10561 JEFFREYS ST HENDERSON NV 89052 Clark 702-565-6565 Physicians Orthopedic Surgery 880365656WALLS, JOSEPH P 755 N ROOP ST CARSON CITY NV 89701 Carson City 775-888-9197 Physicians Orthopedic Surgery 880342559WALSH, ALAN J 620 SHADOW LN LAS VEGAS NV 89106 Clark 702-388-8436 Physicians Internal Medicine 880329731WALSH, JENNIFER A 2020 WELLNESS WAY STE 300 LAS VEGAS NV 89106 Clark 702-432-2233 Physicians Certified Nurse Practitioner 471182996WALSH, KELLY F 8975 W CHARLESTON BLVD LAS VEGAS NV 89117 Clark 702-290-4212 Physicians General Dentist 474624729WALSH, LAWRENCE G 9127 W RUSSELL RD LAS VEGAS NV 89148 Clark 702-878-0070 Physicians Anesthesiology 592905984WALSH, LEAH 1385 VISTA LN CARSON CITY NV 89703 Carson City 775-884-4567 Physicians Certified Nurse Practitioner 942693002WALTER, KRISTI A 1601 E BASIN AVE PAHRUMP NV 89060 Nye 775-751-1349 Physicians Psychology (Clinical) 770625880WALTERS, ALTON J 10410 S EASTERN AVE HENDERSON NV 89052 Clark 702-733-2982 Physicians Internal Medicine 880407499WALTHER, NOLAN D 2805 MOUNTAIN ST CARSON CITY NV 89703 Carson City 702-878-0070 Physicians Anesthesiology 200420553WALTON, CHARLES B 10001 S EASTERN AVE STE 200 HENDERSON NV 89052 Clark 702-914-2420 Physicians General Surgery 880232840WALTRIP, JULIE K 9061 W POST RD LAS VEGAS NV 89148 Clark 702-434-4800 Physicians General Dentist 900009740WALTZ, ROSS E 850 MILL ST STE 100 RENO NV 89502 Washoe 775-982-5000 Rehabilitation Physical Therapy 710887251WANG, BRUCE S 5380 S RAINBOW BLVD STE 236 LAS VEGAS NV 89118 Clark 702-220-5557 Physicians Obstetrics/Gynecology 680582103WANG, CALVIN L 2779 W HORIZON RIDGE PKWY HENDERSON NV 89052 Clark 702-897-1222 Rehabilitation Physical Therapy 860861354WANG, EVA K 6375 W CHARLESTON BLVD LAS VEGAS NV 89146 Clark 702-880-6262 Physicians Psychiatry 810550989WANG, HENRY H 1346 S DECATUR BLVD LAS VEGAS NV 89102 Clark 702-889-8355 Physicians Internal Medicine 880336097WANG, JEFFREY 7175 W LAKE MEAD BLVD STE 110 LAS VEGAS NV 89128 Clark 702-228-9911 Physicians Periodontist 205338830WANG, JIM Y 2210 E CALVADA BLVD PAHRUMP NV 89048 Nye 775-727-6400 Physicians Family Medicine 880345631WANG, JIMMY C 2020 PALOMINO LN LAS VEGAS NV 89106 Clark 888-727-1074 Physicians Radiology/Diagnostic 814824771WANG, LYNN 9127 W RUSSELL RD LAS VEGAS NV 89148 Clark 702-878-0070 Physicians Anesthesiology 822526636WANG, NEIL P 1155 MILL ST RENO NV 89502 Washoe 775-324-4040 Physicians Emergency Medicine 752562784WANG, OLIVIA J 10135 W TWAIN AVE STE 100 LAS VEGAS NV 89147 Clark 702-458-4263 Physicians Orthopedic Surgery 463148658WANG, RITA L 1475 MEDICAL PKWY CARSON CITY NV 89703 Carson City 775-885-2229 Physicians Pediatrics 942693002WANG, ROBERT C 3150 N TENAYA WAY LAS VEGAS NV 89128 Clark 702-671-6480 Physicians Otolaryngology 330118424WANG, SHYH-JEUN 7391 W CHARLESTON BLVD STE 140 LAS VEGAS NV 89117 Clark 702-823-4255 Physicians Internal Medicine 815094291WANG, SHYH-JEUN 3540 W SAHARA AVE LAS VEGAS NV 89102 Clark 702-921-6823 Physicians Internal Medicine 201026537WANG, TIEN C 3100 N TENAYA WAY LAS VEGAS NV 89128 Clark 702-255-5000 Physicians Emergency Medicine 880262438WANG, VALERIE M 9260 W SUNSET RD LAS VEGAS NV 89148 Clark 702-255-3547 Physicians Obstetrics/Gynecology 880213519WANG, WEI GANG A 9280 W SUNSET RD STE 100 LAS VEGAS NV 89148 Clark 702-952-1251 Physicians Radiation Oncology 880350180WANGSUWANA, MIRACLE 1707 W CHARLESTON BLVD STE 220 LAS VEGAS NV 89102 Clark 702-671-5070 Physicians Neurology 203764670WANTIG AZCARRAGA, JUAN E 8352 W WARM SPRINGS RD STE 210 LAS VEGAS NV 89113 Clark 702-944-4028 Physicians Pediatrics 880456336WARD, BRIAN C 1707 W CHARLESTON BLVD STE 160 LAS VEGAS NV 89102 Clark 702-671-5150 Physicians General Surgery 813419791WARD, CHRISTOPHER H 1995 ERRECART BLVD STE 102 ELKO NV 89801 Elko 775-738-3111 Physicians General Surgery 880387970WARD, CORI L 8719 SPANISH RIDGE AVE LAS VEGAS NV 89148 Clark 435-862-3137 Physicians Certified Nurse Practitioner 870427767WARD, DEAN E 7912 W CHEYENNE RD LAS VEGAS NV 89129 Clark 702-656-4343 Physicians Chiropractor 680127011WARD, LINDA 7530 W SAHARA AVE LAS VEGAS NV 89117 Clark 702-630-5112 Physicians Social Worker 264546700WARD, MEGHAN L 10085 DOUBLE R BLVD STE 220 RENO NV 89521 Washoe 775-982-5000 Physicians Family Medicine 880291454WARD, SUSAN J 1285 FINANCIAL BLVD RENO NV 89502 Washoe 855-386-0188 Physicians Radiology/Diagnostic 880113741WARDLE, MARY E 2650 N TENAYA WAY STE 302 LAS VEGAS NV 89128 Clark 702-240-0088 Physicians Certified Nurse Practitioner 880213519WARK, JOHN A 5420 KIETZKE LN STE 106 RENO NV 89511 Washoe 775-851-2444 Physicians Anesthesiology 880101307WARNER, JAMIE 9975 S EASTERN AVE STE 110B LAS VEGAS NV 89183 Clark 702-617-4598 Physicians Chiropractor 860856285WARNER, KYLE A 2475 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 89052 Clark 702-463-3501 Rehabilitation Physical Therapy 204635517

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 207 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDWARNER, NAOMIE J 1505 WIGWAM PKWY HENDERSON NV 89074 Clark 702-896-6043 Physicians Ophthalmology 364620877WARNICK, GRANT L 880 RYLAND ST RENO NV 89502 Washoe 775-329-4600 Physicians CRNA 880182841WARNOCK, KAY A 7501 W LAKE MEAD BLVD LAS VEGAS NV 89128 Clark 702-360-1137 Rehabilitation Speech Pathology 412129643WARPINSKI, JOSEPH 7326 W CHEYENNE AVE LAS VEGAS NV 89129 Clark 702-386-4700 Physicians Anesthesiology 880375544WARREN L. SMITH MD LLC 895 ADAMS BLVD BOULDER CITY NV 89005 Clark 702-293-0406 Physicians Family Medicine 880212754WARREN, GARY L 3045 LAKESIDE DR RENO NV 89509 Washoe 775-828-3456 Physicians Chiropractor 880361556WARREN, STANLEY J 9127 W RUSSELL RD LAS VEGAS NV 89148 Clark 702-878-0070 Physicians Anesthesiology 461237632WARREN-DORT, DEBORAH L 6900 PECOS RD NORTH LAS VEGAS NV 89086 Clark 702-791-9000 Physicians Radiology/Diagnostic 880235537WASHINGTON JR, SHERMAN 1550 W CRAIG RD NORTH LAS VEGAS NV 89032 Clark 702-383-2085 Physicians Emergency Medicine 843376866WASHINGTON JR, SHERMAN 1550 W CRAIG RD NORTH LAS VEGAS NV 89032 Clark 702-383-2085 Physicians Emergency Medicine 203260231WASHINGTON, IDA 1000 S RAINBOW BLVD # A LAS VEGAS NV 89145 Clark 702-259-0088 Physicians Internal Medicine 364337320WASHINGTON, VANCE M 595 W LAKE MEAD PKWY HENDERSON NV 89015 Clark 702-565-1007 Physicians Family Medicine 880213519WASHINSKY, RICHARD D 2851 N TENAYA WAY STE 103 LAS VEGAS NV 89128 Clark 702-649-4297 Physicians Internal Medicine 824839823WASHOE TRIBE HEALTH CLINIC 1559 WATASHEAMU RD GARDNERVILLE NV 89460 Douglas 775-265-5001 Ambulatory Facilities 880120754WASLEY-RETZER, COURTNEY 2200 S RANCHO DR LAS VEGAS NV 89102 Clark 702-677-3544 Rehabilitation Occupational Therapy 752014828WASSEL, NAHAD 3662 E SUNSET RD STE 115 LAS VEGAS NV 89120 Clark 702-708-2436 Physicians Podiatry 852187390WASSERMAN, RICHARD M 3131 LA CANADA ST LAS VEGAS NV 89169 Clark 702-693-6870 Physicians Obstetrics/Gynecology 880401900WATANABE, LYNDA C 9771 S EASTERN AVE STE 100 LAS VEGAS NV 89183 Clark 702-616-9655 Physicians General Dentist 208899851WATANABE, WILSON T 8550 S EASTERN AVE LAS VEGAS NV 89123 Clark 702-382-3155 Physicians Critical Care 320502611WATER AND SPORTS PHYSICAL THERAPY 7351 PRAIRIE FALCON RD LAS VEGAS NV 89128 Clark 866-389-0211 Rehabilitation 043821114WATRY, MARTHA M 10085 DOUBLE R BLVD STE 200 RENO NV 89521 Washoe 775-786-3040 Rehabilitation Physical Therapy 880103557WATSON, DAVID G 555 W ARLINGTON AVE RENO NV 89503 Washoe 775-786-3040 Physicians Emergency Medicine 880103557WATSON, DAVID L 360 S LOLA LN PAHRUMP NV 89048 Nye 775-751-7500 Physicians Emergency Medicine 352653380WATSON, DAVID W 738 PRATER WAY SPARKS NV 89431 Washoe 775-423-3151 Physicians Anesthesiology 880321712WATSON, GILBERT J 9260 W SUNSET RD STE 200 LAS VEGAS NV 89148 Clark 702-255-3547 Physicians CRNA 880213519WATSON, JOHN M 6630 S MCCARRAN BLVD STE C202 RENO NV 89509 Washoe 775-851-1505 Physicians Internal Medicine 880341656WATSON, JOSEPH A 6990 SMOKE RANCH RD LAS VEGAS NV 89128 Clark 702-255-3547 Physicians Obstetrics/Gynecology 880247950WATSON, KRISTEN U 2800 E DESERT INN RD STE 200 LAS VEGAS NV 89121 Clark 702-892-9077 Rehabilitation Physical Therapy 752984052WATSON, ROBERT W 15 MCCABE DR STE 200 RENO NV 89511 Washoe 775-352-5011 Physicians General Surgery 880341656WATSON, ROMELIA M 1240 N MARTIN L KING BLVD LAS VEGAS NV 89106 Clark 702-848-8454 Physicians Certified Nurse Practitioner 760600966WATSON, TROY S 8402 CENTENNIAL PKWY LAS VEGAS NV 89149 Clark 702-869-3486 Physicians Orthopedic Surgery 910858192WATT, CHARLES G 3022 S DURANGO DR STE 100 LAS VEGAS NV 89117 Clark 702-363-0232 Physicians Internal Medicine 204311300WATTERSON, THOMAS L 1664 N VIRGINIA ST RENO NV 89557 Washoe 775-784-4887 Rehabilitation Speech Pathology 886000024WATTOO, DOST M 1815 E LAKE MEAD BLVD NORTH LAS VEGAS NV 89030 Clark 702-642-9010 Physicians Cardiology 880161856WATTS, CHAD D 2874 N CARSON ST CARSON CITY NV 89706 Carson City 775-786-3040 Physicians Orthopedic Surgery 880103557WAX, ARNOLD 3730 S EASTERN AVE LAS VEGAS NV 89169 Clark 702-952-3400 Physicians Hematology/Oncology 205681165WAYMENT, DON 2020 PALOMINO LN STE 100 LAS VEGAS NV 89106 Clark 888-727-1074 Physicians Radiology/Diagnostic 844522008WAYMENT, DON M 2020 PALOMINO LN STE 100 LAS VEGAS NV 89106 Clark 702-759-8600 Physicians Radiology/Diagnostic 880119638WE CARE HOME HEALTH SERVICES 2770 S MARYLAND PKWY LAS VEGAS NV 89109 Clark 702-312-7000 Ancillary Providers 900099798WEAVER, MATTHEW S 53 E LAKE MEAD PKWY HENDERSON NV 89015 Clark 702-564-3444 Physicians General Dentist 471658146WEAVER, OLUWATOYIN S 1500 E 2ND ST STE B RENO NV 89502 Washoe 775-982-4268 Physicians Family Medicine 141348692WEAVER, SCOTT M 53 E LAKE MEAD PKWY HENDERSON NV 89015 Clark 702-564-3444 Physicians General Dentist 471658146WEBB, DAVID M 311 N BUFFALO DR STE A LAS VEGAS NV 89145 Clark 702-476-9700 Physicians Anesthesiology 473384897WEBB, JEFFREY L 8828 MOHAWK ST LAS VEGAS NV 89139 Clark 702-880-4193 Physicians Chiropractor 880404982WEBB, MELISSA F 6402 MCLEOD DR LAS VEGAS NV 89120 Clark 702-290-2625 Physicians Social Worker 743067299WEBBER, TARRIS 3001 SAINT ROSE PKWY HENDERSON NV 89052 Clark 702-616-5000 Physicians Internal Medicine 472990144WEBER, KATHLEEN A 653 N TOWN CENTER DR LAS VEGAS NV 89144 Clark 702-614-5437 Physicians Pediatrics 880512540WEBSTER, JEFFREY D 555 W ARLINGTON AVE RENO NV 89503 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557WEBSTER, MAXINE M 2851 N TENAYA WAY LAS VEGAS NV 89128 Clark 702-735-7154 Physicians Certified Nurse Practitioner 880213519WEBSTER, RICHARD 6525 N DECATUR BLVD STE 150 LAS VEGAS NV 89131 Clark 702-577-1941 Physicians Orthodontist 208862814WEDERTZ, ELAYNE H 3700 GRANT DR STE A RENO NV 89509 Washoe 775-829-4700 Rehabilitation Physical Therapy 880291454

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 208 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDWEDLOW, CAMILLE E 2300 CORPORATE CIR STE 190 HENDERSON NV 89074 Clark 702-369-0142 Physicians Family Medicine 880213519WEE CARE PEDIATRICS 4785 S DURANGO DR STE 101 LAS VEGAS NV 89147 Clark 702-889-8444 Physicians Pediatrics 481267451WEE, TIEN AHN 715 MALL RING CIR STE 100 HENDERSON NV 89014 Clark 702-891-9729 Physicians Radiology/Diagnostic 880408863WEED, ANDREA K 1007 N CURRY ST STE 300 CARSON CITY NV 89703 Carson City 775-841-2100 Physicians Internal Medicine 880502320WEEKS, MARK S 408 N ROOP ST CARSON CITY NV 89701 Carson City 775-885-9888 Rehabilitation Audiology 232789253WEENIG, JOSHUA 242 LOS ALTOS PKWY SPARKS NV 89436 Washoe 775-354-1785 Physicians General Dentist 464871811WEHBEH, AMMAR 5701 W CHARLESTON BLVD STE 100 LAS VEGAS NV 89146 Clark 702-877-9514 Physicians Obstetrics/Gynecology 880168054WEHRMAN, AMY M 801 E WILLIAMS AVE STE 2209 FALLON NV 89406 Churchill 775-423-3151 Physicians CRNA 842010869WEI, PEILIN 2425 N LAMB BLVD STE 120 LAS VEGAS NV 89115 Clark 702-851-7766 Physicians Nephrology 462812104WEICHERS, STUART A 2501 N GREEN VALLEY PKWY HENDERSON NV 89014 Clark 702-487-6510 Physicians Anesthesiology 272809247WEIDENFELD, LAURA H 653 N TOWN CENTER DR LAS VEGAS NV 89144 Clark 702-363-3000 Physicians Pediatrics 880341682WEIDENFELD, PETER L 3100 N TENAYA WAY LAS VEGAS NV 89128 Clark 702-962-5000 Physicians Interventional Radiology 844522008WEILAND, STEPHEN W 3860 S HUALAPAI WAY LAS VEGAS NV 89147 Clark 702-254-0500 Physicians Plastic & Reconstructive Surgery 371291389WEINER, IRA 9260 W SUNSET RD LAS VEGAS NV 89148 Clark 702-389-5360 Physicians Podiatry 860864650WEINER, RICHARD F 2150 S EASTERN AVE LAS VEGAS NV 89104 Clark 702-641-2150 Physicians Pediatrics 880334024WEINGARTEN, ROSLYN B 8550 W DESERT INN RD STE 102-105 LAS VEGAS NV 89117 Clark 775-751-3377 Physicians Family Medicine 880464017WEINGROW, CRAIG M 7200 SMOKE RANCH RD LAS VEGAS NV 89128 Clark 702-570-6611 Physicians Family Medicine 461913795WEIS, ADINA 2020 PALOMINO LN STE 100 LAS VEGAS NV 89106 Clark 702-759-8600 Physicians Radiology/Diagnostic 880119638WEIS, ASHTON B 2012 S JONES BLVD LAS VEGAS NV 89146 Clark 702-360-1137 Rehabilitation Physical Therapy 412129643WEIS, STEFANI S 9842 SILVER CHIMES CT LAS VEGAS NV 89183 Clark 270-293-6185 Rehabilitation Speech Pathology 886000022WEISMILLER, DAVID G 2410 FIRE MESA ST STE 180 LAS VEGAS NV 89128 Clark 702-992-6888 Physicians Family Medicine 813419791WEISS, ALAN M 1325 AIRMOTIVE WAY STE 175-0 RENO NV 89502 Washoe 775-786-2333 Physicians Marriage & Family Therapist 557609727WEISS, AVI C 2010 WELLNESS WAY LAS VEGAS NV 89106 Clark 702-877-0814 Physicians Urology 880310956WEISS, KARL 7901 W TROPICAL PKWY STE 120 LAS VEGAS NV 89149 Clark 702-839-5030 Physicians Orthodontist 680614740WEISS, LAURA A 585 COLLEGE DR STE C HENDERSON NV 89015 Clark 725-777-3200 Physicians Certified Nurse Practitioner 463164188WEISSENSEE, JENNIFER 3700 GRANT DR RENO NV 89509 Washoe 775-829-4700 Rehabilitation Occupational Therapy 880291454WEISSMAN, ALAN F 2020 PALOMINO LN LAS VEGAS NV 89106 Clark 702-759-8600 Physicians Radiology/Diagnostic 341090399WEISZ, NICOLAE 7150 SMOKE RANCH RD STE 110 LAS VEGAS NV 89128 Clark 702-804-1818 Physicians Gastroenterology 262359171WELBORN, DARA J 100 N GRN VALLEY PKWY STE 210 HENDERSON NV 89074 Clark 702-269-9995 Physicians Family Medicine 203249411WELCH, ANDREW J 2055 E SAHARA AVE LAS VEGAS NV 89104 Clark 702-735-1760 Physicians Orthopedic Surgery 880180205WELCH, BRADLEY P 4121 W SAHARA AVE LAS VEGAS NV 89102 Clark 702-257-9090 Physicians General Dentist 200442106WELCH, FENN 8551 W LAKE MEAD BLVD STE 261 LAS VEGAS NV 89128 Clark 702-240-2300 Physicians Orthodontist 200726035WELCH, GREG 4121 W SAHARA AVE LAS VEGAS NV 89102 Clark 702-257-9090 Physicians General Dentist 200442106WELCH, JAMES M 1285 FINANCIAL BLVD RENO NV 89502 Washoe 855-386-0188 Physicians Radiology/Diagnostic 880113741WELCH, MARY K 7501 W LAKE MEAD BLVD LAS VEGAS NV 89128 Clark 702-240-0606 Rehabilitation Speech Pathology 412129643WELCH, MICHAEL W 10085 DOUBLE R BLVD STE 220 RENO NV 89521 Washoe 775-786-3040 Rehabilitation Occupational Therapy 880163557WELCH, ROBERT M 610 SIERRA ROSE DR RENO NV 89511 Washoe 775-356-7272 Physicians Certified Nurse Practitioner 880502320WELCH, THOMAS W 9127 W RUSSELL RD STE 110 LAS VEGAS NV 89148 Clark 702-878-0070 Physicians CRNA 852385334WELCOME, RICHARD M 645 N ARLINGTON AVE STE 250A RENO NV 89503 Washoe 775-329-7707 Physicians Radiology/Diagnostic 455557052WELDIN, ELIZABETH M 555 W ARLINGTON AVE RENO NV 89503 Washoe 702-786-3040 Physicians Orthopedic Surgery 880103557WELEBIR, MATTHEW 410 S RAMPART BLVD STE 360 LAS VEGAS NV 89145 Clark 702-228-2218 Physicians General Dentist 273666550WELL CARE DISCOUNT PHARMACY LLC 3430 E TROPICANA AVE LAS VEGAS NV 89121 Clark 702-553-2575 Ancillary Providers 455402195WELLER, TY S 9127 W RUSSELL RD STE 110 LAS VEGAS NV 89148 Clark 702-878-0070 Physicians Anesthesiology 852385334WELLHEALTH MEDICAL GROUP PC 653 N TOWN CENTER DR STE 602 LAS VEGAS NV 89144 Clark 702-255-3547 Physicians Obstetrics/Gynecology 460766041WELLHONER, MARY F 645 SIERRA ROSE DR STE 204 RENO NV 89511 Washoe 775-352-9355 Physicians Obstetrics/Gynecology 880415474WELLINGTON, ROBIN D 8300 W CHEYENNE AVE STE 106 LAS VEGAS NV 89129 Clark 702-701-9501 Physicians Certified Nurse Practitioner 463164188WELLISH VISION INSTITUTE 2110 E FLAMINGO RD STE 210 LAS VEGAS NV 89119 Clark 702-733-2020 Physicians Ophthalmology 880331757WELLISH, KENT L 2110 E FLAMINGO RD LAS VEGAS NV 89119 Clark 702-733-2020 Physicians Ophthalmology 880331757WELLS, ELIZABETH C 2667 ENTERPRISE RD RENO NV 89512 Washoe 775-688-1341 Rehabilitation Occupational Therapy 886000022WELLS, IZABELLA 1274 E PLUMB LN STE C RENO NV 89502 Washoe 775-683-9306 Physicians General Dentist 821391321WELLS, JACK R 1457 S CARSON ST STE 101 CARSON CITY NV 89701 Carson City 775-372-9898 Physicians General Dentist 822154965

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 209 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDWELLS, JOCELYN K 2100 HOMEVIEW CT LAS VEGAS NV 89117 Clark 702-767-2122 Rehabilitation Speech Pathology 886000022WELLS, ORLANDIS L 2649 WIGWAM PKWY STE 101 HENDERSON NV 89074 Clark 702-568-6108 Physicians Obstetrics/Gynecology 472045670WELLS, TASCHA D 8145 W SAHARA AVE STE 510 LAS VEGAS NV 89117 Clark 702-360-0106 Physicians Optometry 880484278WELSH, NICOLE C 15 MCCABE DR STE 200 RENO NV 89511 Washoe 775-982-5000 Physicians Psychiatry 470376606WELSH, SARAH L 2375 E PRATER WAY SPARKS NV 89434 Washoe 775-331-7000 Physicians Emergency Medicine 475671561WELTMAN, JAMES 500 S RANCHO DR STE 12 LAS VEGAS NV 89106 Clark 702-877-1887 Physicians Internal Medicine 880136773WENCK, PATIENCE B 973 MICA DR STE 200 CARSON CITY NV 89705 Douglas 775-267-6700 Physicians Certified Nurse Practitioner 880502320WENDELBOE, MICHAEL R 7260 W AZURE DR STE 110 LAS VEGAS NV 89130 Clark 702-821-1688 Physicians General Dentist 800541747Wendt, Frederick 1397 S LOOP RD PAHRUMP NV 89048 Nye 702-759-8600 Physicians Radiology/Diagnostic 451649781WENNER, LARA C 3960 W CRAIG RD STE 101 NORTH LAS VEGAS NV 89032 Clark 702-259-0088 Physicians Family Medicine 880213519WENZEL, BRUCE A 600 S RANCHO DR STE 113 LAS VEGAS NV 89106 Clark 702-878-1065 Physicians Podiatry 141888043WERNER INSTITUTE OF BALANCE AND DIZZINESS INC7660 W CHEYENNE AVE STE 114 LAS VEGAS NV 89129 Clark 702-880-1515 Rehabilitation Audiology 201353026WERNER, BRIAN K 9080 W CHEYENNE AVE LAS VEGAS NV 89129 Clark 702-880-1515 Rehabilitation Physical Therapy 201353026WERNER, THOMAS P 889 ALDER AVE STE 105 INCLINE VILLAGE NV 89451 Washoe 775-831-6600 Rehabilitation Physical Therapy 880379830WERT, BRYAN P 9127 W RUSSELL RD LAS VEGAS NV 89148 Clark 702-878-0070 Physicians Anesthesiology 860916679WERTH, HEATHER J 9260 W SUNSET RD LAS VEGAS NV 89148 Clark 702-255-3547 Physicians Anesthesiology 880213519WESLEY JR, ROBERT C 3150 N TENAYA WAY STE 550 LAS VEGAS NV 89128 Clark 702-240-6482 Physicians Cardiology 880388771WESSELS ANDERSON, DELIA A 1200 MOUNTAIN ST STE 230 CARSON CITY NV 89703 Carson City 775-883-3636 Physicians Pediatrics 880502320WEST HILLS HOSPITAL 1240 E 9TH ST RENO NV 89512 Washoe 775-353-0478 Hospitals 880300031WEST VALLEY CHIROPRACTIC CTR 7670 W SAHARA AVE STE 2 LAS VEGAS NV 89117 Clark 702-212-3333 Physicians Chiropractor 043821114WEST VALLEY IMAGING 3025 S RAINBOW BLVD LAS VEGAS NV 89146 Clark 702-222-3544 Physicians Radiology/Diagnostic 880403616WEST, COLIN A 2375 E PRATER WAY SPARKS NV 89434 Washoe 775-331-7000 Physicians Emergency Medicine 833597814WEST, DANIELLE F 1161 S VALLEY VIEW BLVD LAS VEGAS NV 89102 Clark 702-486-7670 Rehabilitation Speech Pathology 886000022WEST, KC J 8685 S EASTERN AVE LAS VEGAS NV 89123 Clark 702-467-7256 Physicians Social Worker 473961348WEST, KELSEY D 123 17TH ST RENO NV 89557 Washoe 775-784-1533 Physicians Family Medicine 860881749WESTCLIFF MEDICAL AND DENTAL CENTER 3150 N TENAYA WAY STE 690 LAS VEGAS NV 89128 Clark 702-363-0232 Physicians Internal Medicine 880292749WESTERGARD, WENDY J 3710 GRANT DR STE L RENO NV 89509 Washoe 775-232-1281 Physicians Marriage & Family Therapist 530981309WESTERMAN, GEORGE G 8689 W SAHARA AVE STE 280 LAS VEGAS NV 89117 Clark 702-341-6411 Physicians Professional Counselor 743157104Western Nevada Surgical Center 1299 MOUNTAIN ST CARSON CITY NV 89703 Carson City 775-882-4477 Ambulatory Facilities 202230217WESTERN PATHOLOGY CONSULTANTS 1350 STARDUST ST STE D RENO NV 89503 Washoe 775-746-3400 Ancillary Providers 880228641WESTERN SURGICAL GROUP 75 PRINGLE WAY RENO NV 89502 Washoe 800-894-4674 Physicians General Surgery 880341656WESTFIELD EYE CENTER 4475 S EASTERN AVE LAS VEGAS NV 89119 Clark 702-362-3937 Physicians Ophthalmology 880339276WESTFIELD NEVADA EYE AND EAR 2575 LINDELL RD LAS VEGAS NV 89146 Clark 702-362-3937 Physicians Ophthalmology 454018658WESTIN, MEGHAN M 1625 E PRATER WAY STE 107 SPARKS NV 89434 Washoe 775-825-4744 Rehabilitation Speech Pathology 562328617WESTLAKE PHYSICAL THERAPY, INC. 85 KIRMAN AVE RENO NV 89502 Washoe 866-389-0211 Rehabilitation 043821114WESTLING, CHESTER R 100 N GREEN VALLEY PKWY STE 110 HENDERSON NV 89074 Clark 702-944-3627 Physicians Family Medicine 880115812WESTSIDE CHIROPRACTIC LLC 595 MOUNT ROSE ST RENO NV 89509 Washoe 775-323-3286 Physicians Chiropractor 043821114WESTWOOD, JULIE 1600 MEDICAL PKWY CARSON CITY NV 89703 Carson City 240-686-2310 Physicians Certified Nurse Practitioner 471394308WESTWOOD, JULIE 1600 MEDICAL PKWY CARSON CITY NV 89703 Carson City 775-445-8795 Physicians Certified Nurse Practitioner 261932485WETSELAAR, HENRI 840 N DECATUR BLVD STE J LAS VEGAS NV 89107 Clark 702-384-1110 Physicians General Practice 880371504WETZEL, CRAIG H 2780 S JONES BLVD STE 135 LAS VEGAS NV 89146 Clark 702-247-1399 Physicians Marriage & Family Therapist 387566331WEYHENMEYER, AMY L 10509 PROFESSIONAL CIR STE 101 RENO NV 89521 Washoe 801-478-2526 Rehabilitation Physical Therapy 273832038WHARTON-ALI, OMER H 1703 CIVIC CENTER DR NORTH LAS VEGAS NV 89030 Clark 702-399-3404 Physicians General Practice 880177483WHEATLEY, WARREN J 1701 W CHARLESTON BLVD STE 300 LAS VEGAS NV 89102 Clark 702-251-8000 Physicians Social Worker 043290453WHEELCHAIR SALES & SERVICES, INC. -- LAS VEGAS2470 N DECATUR BLVD LAS VEGAS NV 89108 Clark 815-462-6337 Ancillary Providers 364179172WHEELER, DANIEL R 4855 BLUE DIAMOND RD LAS VEGAS NV 89139 Clark 702-216-7305 Physicians Emergency Medicine 824933457WHETSELL, WILLIAM M 2020 PALOMINO LN LAS VEGAS NV 89106 Clark 702-759-8600 Physicians Radiology/Diagnostic 752296947WHETTEN, JOSHUA L 4540 S PECOS RD LAS VEGAS NV 89121 Clark 702-436-0999 Physicians Orthodontist 203509480WHETTEN, LANCE L 4540 S PECOS RD LAS VEGAS NV 89121 Clark 702-436-0999 Physicians Orthodontist 843786394WHIMPLE, PATON G 1995 ERRECART BLVD STE 107 ELKO NV 89801 Elko 775-777-1895 Physicians Internal Medicine 030543598WHIPPLE, EMILY A 10455 DOUBLE R BLVD RENO NV 89521 Washoe 775-823-9797 Physicians Pediatric Dentist 880390900

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 210 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDWHIPPLE, ROBERT A 201 N BUFFALO DR LAS VEGAS NV 89145 Clark 702-242-2737 Physicians Internal Medicine 880329986WHISTLER, EMILY A 10565 FRENCH MEADOWS WAY RENO NV 89521 Washoe 775-223-2127 Rehabilitation Speech Pathology 886000022WHITE PINE CARE CENTER 1500 AVENUE G ELY NV 89301 White Pine 775-289-8801 Rehabilitation 912020966WHITE, DAVID 900 S MEADOWS PKWY APT 411 RENO NV 89521 Washoe 775-287-7960 Physicians General Dentist 880502320WHITE, JEANNE 2121 LAS VEGAS BLVD S LAS VEGAS NV 89104 Clark 702-486-5750 Physicians Psychology (Clinical) 886000022WHITE, JENNA L 2012 S JONES BLVD LAS VEGAS NV 89146 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643WHITE, JOHNATHAN R 8084 W SAHARA AVE STE G LAS VEGAS NV 89117 Clark 702-823-3000 Physicians General Dentist 711046342WHITE, KIMBERLY 3835 S JONES BLVD LAS VEGAS NV 89103 Clark 702-880-4193 Physicians Certified Nurse Practitioner 411310335WHITE, LINDSEY 2012 S JONES BLVD LAS VEGAS NV 89146 Clark 702-360-1137 Rehabilitation Occupational Therapy 412129643WHITE, ROBERT K 8463 W LAKE MEAD BLVD LAS VEGAS NV 89128 Clark 702-304-0854 Physicians Internal Medicine 203119253WHITE, SANFORD F 5771 S FORT APACHE RD STE 100 LAS VEGAS NV 89148 Clark 702-951-3400 Physicians Family Medicine 043685832WHITE, SUE A 2000 WELLNESS WAY LAS VEGAS NV 89106 Clark 702-384-5101 Physicians Certified Nurse Practitioner 880329731WHITE, TYHESIA E 975 RYLAND ST STE 100 RENO NV 89502 Washoe 775-982-4754 Physicians Certified Nurse Practitioner 261513495WHITLEY, WARREN J 2285 GREEN VISTA DR SPARKS NV 89431 Washoe 775-674-1100 Physicians Optometry 880275507WHITLOCK, ALEISE J 975 RYLAND ST STE 100 RENO NV 89502 Washoe 775-982-5000 Physicians Certified Nurse Practitioner 261513495WHITLOW, SCOTT R 350 W 6TH ST STE E RENO NV 89503 Washoe 775-786-3040 Physicians Orthopedic Surgery 841415470WHITMAN, MARIA E 7271 W SAHARA AVE STE 100 LAS VEGAS NV 89117 Clark 702-240-4090 Rehabilitation Speech Pathology 800083132WHITTAKER, ANGELA D 1855 PLUMAS ST STE 2 RENO NV 89509 Washoe 775-825-6006 Rehabilitation Audiology 880247222WHITTEN, SCOTT J 645 SIERRA ROSE DR STE 204 RENO NV 89511 Washoe 775-828-1200 Physicians Obstetrics/Gynecology 630649108WHITTINGTON, REED P 880 RYLAND ST RENO NV 89502 Washoe 775-329-4600 Physicians CRNA 880182841WHOLEY, RYAN 555 W ARLINGTON AVE RENO NV 89503 Washoe 775-786-3040 Rehabilitation Physical Therapy 880103557WICHMAN, DAVID R 5785 CENTENNIAL CENTER BLVD STE 230 LAS VEGAS NV 89149 Clark 702-383-2273 Physicians Internal Medicine 886000436WICHNER, MONICA H 1495 MILL ST RENO NV 89502 Washoe 775-982-5000 Physicians Physical Medicine & Rehabilitation880502320WICKENS, JASON C 710 CORONADO CENTER DR STE 201 HENDERSON NV 89052 Clark 702-369-0200 Physicians Ophthalmology 260076062WICKS CHIROPRACTIC PC 9455 W RUSSELL RD STE C LAS VEGAS NV 89148 Clark 702-220-7646 Physicians Chiropractor 043821114WICKS, FUSAE M 2842 E LAKE MEAD BLVD NORTH LAS VEGAS NV 89030 Clark 702-994-7267 Physicians Certified Nurse Practitioner 811396759WIDDISON, GARY E 6375 W CHARLESTON BLVD STE A500 LAS VEGAS NV 89146 Clark 702-651-5510 Physicians General Dentist 886000024WIEBERS, ROBERT J 5586 S FORT APACHE RD STE 100 LAS VEGAS NV 89148 Clark 702-384-8099 Physicians Certified Nurse Practitioner 880249971WIEDENBECK, TROY L 1500 E 2ND ST STE B RENO NV 89502 Washoe 775-982-2400 Physicians Cardiology 880303924WIENCEK JR, ROBERT G 1090 E DESERT INN RD STE 200 LAS VEGAS NV 89109 Clark 702-732-1493 Physicians Thoracic Surgery 880133088WIERMAN, ANN M 3150 N TENAYA WAY STE 200 LAS VEGAS NV 89128 Clark 702-749-3700 Physicians Hematology/Oncology 880133767WIESNER, J. P 6900 N DURANGO DR LAS VEGAS NV 89149 Clark 702-835-9700 Physicians Radiology/Diagnostic 330872858WIESNER, KYLIE C 1200 LAREDO CT RENO NV 89503 Washoe 530-306-2547 Rehabilitation Speech Pathology 562328617WIGGINS, TRINA R 1240 N MARTIN L KING BLVD LAS VEGAS NV 89106 Clark 702-967-0530 Physicians Pediatrics 880153894WIJESINGHE, CARRIE G 2441 W HORIZON RIDGE PKWY HENDERSON NV 89052 Clark 702-248-7337 Physicians Pediatrics 880351343WIKLER, ABRAHAM 8985 S PECOS RD HENDERSON NV 89074 Clark 702-433-1332 Physicians Family Medicine 880310275WILD, JOHN M 653 N TOWN CENTER DR STE 408 LAS VEGAS NV 89144 Clark 702-360-2800 Physicians Social Worker 886000022Wildcreek Surgery Center 2285 GREEN VISTA DR SPARKS NV 89431 Washoe 775-825-2737 Ambulatory Facilities 471884235WILDE, BLAKE K 10455 DOUBLE R BLVD STE 100 RENO NV 89521 Washoe 775-823-9797 Physicians Pediatric Dentist 880390900WILDE, LAURA E 3030 S JONES BLVD STE 105 LAS VEGAS NV 89146 Clark 702-360-1137 Rehabilitation Speech Pathology 412129643WILDE, RACHEL 1025 ROBERTA LN SPARKS NV 89431 Washoe 775-825-4744 Rehabilitation Physical Therapy 562328617WILDMAN II, ROBERT W 100 N ARLINGTON AVE STE 240 RENO NV 89501 Washoe 775-544-2191 Physicians Psychology (Clinical) 260682877WILDMAN, PAYDEN T 925 IRONWOOD DR STE 1103 MINDEN NV 89423 Douglas 775-782-0022 Physicians General Dentist 471101337WILKE, ERIN M 679 SIERRA ROSE DR STE A RENO NV 89511 Washoe 775-324-4800 Rehabilitation Occupational Therapy 880302345WILKERSON, J J 10455 DOUBLE R BLVD RENO NV 89521 Washoe 775-823-9797 Physicians Pediatric Dentist 880390900WILKES, ELIZABETH C 10001 S EASTERN AVE HENDERSON NV 89052 Clark 702-566-2400 Physicians Certified Nurse Practitioner 205204446WILKES, PAUL T 5761 S FORT APACHE RD LAS VEGAS NV 89148 Clark 702-341-6610 Physicians Obstetrics/Gynecology 522406330WILKINS, MELANIE 491 COURT ST RENO NV 89501 Washoe 775-525-8103 Physicians Social Worker 825259010WILLANS, SHARON M 745 W MOANA LN STE 100 RENO NV 89509 Washoe 775-334-3033 Physicians Social Worker 880296734WILLARDSEN, JOSEPH G 9061 W POST RD LAS VEGAS NV 89148 Clark 702-434-4800 Physicians General Dentist 900009740WILLENBRECHT, JEFFREY R 7195 ADVANCE WAY LAS VEGAS NV 89113 Clark 702-260-6238 Rehabilitation Physical Therapy 823481322

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 211 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDWILLES, RICHARD J 3006 S MARYLAND PKWY STE 690 LAS VEGAS NV 89109 Clark 702-990-4819 Physicians Pediatric Cardiology 880176637WILLEY, ERIN K 657 N TOWN CENTER DR LAS VEGAS NV 89144 Clark 702-233-7000 Physicians Pediatrics 880367250William Bee Ririe Clinic 6 STEPTOE CIR ELY NV 89301 White Pine 775-289-3612 Physicians Family Medicine 880115812WILLIAM BEE RIRIE HOSPITAL 1500 AVENUE G ELY NV 89301 White Pine 775-289-3001 Hospitals Critical Access Hospital 880115812WILLIAM C. BAUER MD LTD. 6000 W ROCHELLE AVE STE 600 LAS VEGAS NV 89103 Clark 702-685-0674 Physicians Psychiatry 900055580WILLIAM F HARVEY OD LTD. 815 S 7TH ST LAS VEGAS NV 89101 Clark 702-384-1630 Physicians Optometry 880158192WILLIAM SLAGLE, PH.D LTD. 1090 WIGWAM PKWY STE 100 HENDERSON NV 89074 Clark 702-454-0201 Physicians Psychology (Clinical) 260063005WILLIAM V CRAIG MD LLC 1360 E HIGHWAY 372 STE 5 PAHRUMP NV 89048 Nye 775-877-9500 Physicians Internal Medicine 821646179WILLIAMS JR, CARL N 600 S RANCHO DR LAS VEGAS NV 89106 Clark 000-000-0000 Physicians Plastic & Reconstructive Surgery 880210448WILLIAMS JR, DANIEL A 200 S A ST HAWTHORNE NV 89415 Mineral 775-945-2461 Physicians Family Medicine 611496658WILLIAMS, ALECIA Y 7125 GRAND MONTECITO PKWY STE 110 LAS VEGAS NV 89149 Clark 702-839-2010 Physicians Podiatry 113483180WILLIAMS, BLAIR K 2012 S JONES BLVD LAS VEGAS NV 89146 Clark 702-360-1137 Rehabilitation Speech Pathology 412129643WILLIAMS, CARL D 6900 PECOS RD NORTH LAS VEGAS NV 89086 Clark 702-791-9000 Physicians Psychology (Clinical) 043290453WILLIAMS, CAROLINE K 2637 W HORIZON RIDGE PKWY STE 110 HENDERSON NV 89052 Clark 702-938-0199 Physicians Chiropractor 880495249WILLIAMS, DAVID H 8751 W CHARLESTON BLVD LAS VEGAS NV 89117 Clark 702-222-9066 Physicians Chiropractor 880292024WILLIAMS, DENESE A 3211 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-871-3730 Physicians Certified Nurse Practitioner 201901401WILLIAMS, JACQUELINE R 2831 SAINT ROSE PKWY STE 222 HENDERSON NV 89052 Clark 702-589-4871 Physicians Certified Nurse Practitioner 823795906WILLIAMS, KIMBERLY 9140 W POST RD STE A LAS VEGAS NV 89148 Clark 702-405-2210 Physicians Social Worker 043290453WILLIAMS, LINDA L 4771 W CRAIG RD NORTH LAS VEGAS NV 89032 Clark 866-825-3227 Physicians Certified Nurse Practitioner 570427724WILLIAMS, ROBERT 3650 S EASTERN AVE STE 100 LAS VEGAS NV 89169 Clark 866-389-0211 Rehabilitation Physical Therapy 880348546WILLIAMS, ROBERT J 9005 S PECOS RD HENDERSON NV 89074 Clark 702-982-6402 Rehabilitation Physical Therapy 463437639WILLIAMS, SEAN E 1800 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-383-2085 Physicians Emergency Medicine 830727297WILLIAMS, THORNTON G 1495 MILL ST RENO NV 89502 Washoe 775-982-5000 Physicians Physical Medicine & Rehabilitation941179505WILLIAMS, ZULMA B 3041 W HORIZON RIDGE PKWY STE 140A HENDERSON NV 89052 Clark 702-251-8000 Physicians Social Worker 043290453WILLIAMSON, JOHN S 10085 DOUBLE R BLVD STE 310 RENO NV 89521 Washoe 775-982-2400 Physicians Cardiology 880303924WILLIAMSON, LARRY D 10530 SOUTHERN HIGHLANDS PKWY STE 150 LAS VEGAS NV 89141 Clark 725-777-3350 Physicians Family Medicine 463164188WILLIS, JOYCE D 5400 S RAINBOW BLVD LAS VEGAS NV 89118 Clark 702-853-3000 Rehabilitation Occupational Therapy 412129643WILLOUGHBY JR, WALTER J 10105 BANBURRY CROSS DR LAS VEGAS NV 89144 Clark 702-998-1400 Physicians Pulmonology 880170236WILLOUGHBY, JANET C 3030 S JONES BLVD LAS VEGAS NV 89146 Clark 702-360-1137 Rehabilitation Occupational Therapy 593404588WILLS, MICHAEL J 7545 W SAHARA AVE STE 200 LAS VEGAS NV 89117 Clark 702-838-0707 Physicians General Dentist 262312733WILMOT, JEANNINE T 5552 S FORT APACHE RD STE 120 LAS VEGAS NV 89148 Clark 702-641-8255 Rehabilitation Speech Pathology 886000022WILSON, ALEXANDRA C 1815 E LAKE MEAD BLVD STE 200 NORTH LAS VEGAS NV 89030 Clark 702-685-0440 Rehabilitation Physical Therapy 880284110WILSON, GRAHAM M 100 N GREEN VALLEY PKWY STE 239 HENDERSON NV 89074 Clark 702-933-1485 Physicians General Practice 202335171WILSON, JEREMY T 556 N EASTERN AVE STE I LAS VEGAS NV 89101 Clark 702-365-6800 Physicians General Dentist 371797092WILSON, LISA A 7250 PEAK DR STE 100 LAS VEGAS NV 89128 Clark 702-386-4700 Physicians Pediatric Anesthesiology 204727467WILSON, MATTHEW 2095 VILLAGE CENTER CIR STE 120 LAS VEGAS NV 89134 Clark 702-331-4700 Physicians General Dentist 822565543WILSON, MICHAEL 8300 W CHEYENNE AVE STE 106 LAS VEGAS NV 89129 Clark 702-656-0911 Physicians Family Medicine 463164188WILSON, MICHAEL D 12231 S EASTERN AVE STE 110 HENDERSON NV 89052 Clark 702-791-3100 Physicians General Dentist 472429161WILSON, NEVIN W 3006 S MARYLAND PKWY STE 400 LAS VEGAS NV 89109 Clark 702-992-6868 Physicians Allergy/Immunology 880330858WILSON, PAUL D 620 SIERRA ROSE DR RENO NV 89511 Washoe 775-689-4519 Physicians Optometry 202330909WILSON, ROGER 3100 N TENAYA WAY LAS VEGAS NV 89128 Clark 702-255-5000 Physicians Radiology/Diagnostic 880119638WILSON, SANDRA 3700 GRANT DR STE A RENO NV 89509 Washoe 775-829-4700 Rehabilitation Physical Therapy 880291454WILSON, SCOTT P 2585 S JONES BLVD STE 1B LAS VEGAS NV 89146 Clark 702-476-6767 Physicians General Dentist 833323855WILSON, STEVEN T 8910 W TROPICANA AVE STE 5 LAS VEGAS NV 89147 Clark 702-257-9444 Physicians General Dentist 880494700WILSON, TIMOTHY A 6440 W FLAMINGO RD STE A LAS VEGAS NV 89103 Clark 702-270-3047 Physicians General Dentist 383364961WILSONV, JAMES M 901 E 2ND ST STE 307 RENO NV 89502 Washoe 775-784-6522 Physicians Pediatrics 840428757WILTON, LISA L 4221 MCLEOD DR LAS VEGAS NV 89121 Clark 702-474-6450 Physicians Professional Counselor 880111970WILTSIE, RYAN 6525 N DECATUR BLVD STE 150 LAS VEGAS NV 89131 Clark 702-577-1941 Physicians General Dentist 208862814WINBERY, KIM E 9140 W POST RD STE 100 LAS VEGAS NV 89148 Clark 702-251-8000 Physicians Professional Counselor 204836541WINCHELL, LORI J 1524 PINTO LN LAS VEGAS NV 89106 Clark 702-383-3642 Physicians Certified Nurse Practitioner 886000436WINDER, RICHARD P 8402 CENTENNIAL PKWY STE 100 LAS VEGAS NV 89149 Clark 702-731-1616 Physicians Orthopedic Surgery 910858192

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 212 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDWINDISCH, ANTHONY J 407 W ROBINSON ST CARSON CITY NV 89703 Carson City 775-882-4200 Physicians Chiropractor 880502320WINDISCH, KIMBERLEY M 6512 S MCCARRAN BLVD STE E RENO NV 89509 Washoe 775-788-7600 Physicians Certified Nurse Practitioner 880502320WINEMAN, JOSEPH A 1701 N GREEN VALLEY PKWY STE 4D HENDERSON NV 89074 Clark 702-270-4800 Physicians General Dentist 680519907WING, LAUREN 1721 SNYDER AVE CARSON CITY NV 89701 Carson City 775-887-9338 Physicians Professional Counselor 886000022WING, RONNIE J 1775 BROWNING WAY STE 102 ELKO NV 89801 Elko 775-299-4555 Physicians Certified Nurse Practitioner 850106941WINGARD, DONALD P 2825 SIENA HEIGHTS DR HENDERSON NV 89052 Clark 702-255-3547 Physicians Family Medicine 880213519WINKLER, MARK L 2950 S MARYLAND PKWY LAS VEGAS NV 89109 Clark 702-732-6000 Physicians Radiology/Diagnostic 880232199WINKLER, STEVEN P 10001 S EASTERN AVE STE 402 HENDERSON NV 89052 Clark 702-617-8684 Physicians Internal Medicine 880448029WINN, PAMELA J 7391 W CHARLESTON BLVD LAS VEGAS NV 89117 Clark 702-304-2144 Physicians Certified Nurse Practitioner 880504460WINNEMUCCA DIALYSIS 830 FAIRGROUNDS RD WINNEMUCCA NV 89445 Humboldt 775-623-3234 Ambulatory Facilities 953372911WINNEMUCCA MENTAL HEALTH CENTER 3140 TRADERS WAY WINNEMUCCA NV 89445 Humboldt 775-623-6580 Ambulatory Facilities 886000022WINTER, ANSLEY K 10415 DOUBLE R BLVD RENO NV 89521 Washoe 775-770-6715 Physicians Certified Nurse Practitioner 880502320WINTER, SAMUEL C 9499 W CHARLESTON BLVD LAS VEGAS NV 89117 Clark 702-228-5477 Physicians Family Medicine 880213519WINTHROP, BRETT E 1155 MILL ST BLDG 55 RENO NV 89502 Washoe 775-982-4100 Physicians Anesthesiology 880101307WIRIG, MATTHEW 375 N STEPHANIE ST STE 211 HENDERSON NV 89014 Clark 702-454-1008 Physicians Orthodontist 832897319WIRIG, SPENCER 375 N STEPHANIE ST STE 211 HENDERSON NV 89014 Clark 702-454-1008 Physicians General Dentist 832897319WIRJO, JONATHAN 3016 W CHARLESTON BLVD STE 150 LAS VEGAS NV 89102 Clark 702-790-2701 Physicians Psychiatry 461203260WIRSKI, DANICA 801 E WILLIAMS AVE STE 2209 FALLON NV 89406 Churchill 775-423-3151 Physicians CRNA 842010869WIRTZ, DARREN E 2010 WELLNESS WAY STE 100 LAS VEGAS NV 89106 Clark 702-588-7373 Physicians Internal Medicine 270645201WISE, BRIGHAM J 2410 FIRE MESA ST LAS VEGAS NV 89128 Clark 702-992-6888 Physicians Family Medicine 880330858WISE, JERI L 1701 N GREEN VALLEY PKWY STE B HENDERSON NV 89074 Clark 702-998-3333 Rehabilitation Physical Therapy 200042642WISE, SAMUEL A 3201 S MARYLAND PKWY STE 514 LAS VEGAS NV 89109 Clark 702-893-0800 Physicians Physical Medicine & Rehabilitation880328040WISE, WILLIAM R 8915 S PECOS RD STE 19A HENDERSON NV 89074 Clark 702-341-9000 Physicians Urology 880366609WISHNEV, STEPHANIE A 6020 S JONES BLVD LAS VEGAS NV 89118 Clark 702-739-6467 Physicians Colorectal Surgery 753022401WISKERCHENJR, JACOB R 418 CHENEY ST RENO NV 89502 Washoe 775-354-1017 Physicians Marriage & Family Therapist 473622602WISNIEWSKI, JASON R 500 N RAINBOW BLVD STE 300-307 LAS VEGAS NV 89107 Clark 888-495-4489 Physicians Podiatry 391678306WITHERS, WARREN T 1107 US HIGHWAY 395 S GARDNERVILLE NV 89410 Douglas 775-782-1600 Physicians Emergency Medicine 942693002WITMER, BRUCE E 10085 DOUBLE R BLVD STE 220 RENO NV 89521 Washoe 775-786-3040 Physicians Physical Medicine & Rehabilitation880103557Witt, Christopher 3900 PARADISE RD STE V LAS VEGAS NV 89169 Clark 702-369-0560 Rehabilitation Physical Therapy 752014828WITT, MARK. W 3960 W CRAIG RD STE 102 NORTH LAS VEGAS NV 89032 Clark 702-473-8380 Physicians Family Medicine 463164188WITTENBERG, LEE A 4840 S FORT APACHE RD LAS VEGAS NV 89147 Clark 702-362-2622 Physicians Podiatry 205797028WLODEK, ROBERT M 9895 S MARYLAND PKWY LAS VEGAS NV 89183 Clark 702-435-3937 Physicians Optometry 450518876WOHLE, SUSAN S 755 N ROOP ST STE 101 CARSON CITY NV 89701 Carson City 775-841-6050 Physicians Social Worker 880120723WOJCIK, JOHN J 9280 W SUNSET RD STE 312 LAS VEGAS NV 89148 Clark 702-737-5864 Physicians Pulmonology 880170236WOLD, STEPHEN M 2011 PINTO LN STE 200 LAS VEGAS NV 89106 Clark 702-382-3200 Physicians Obstetrics/Gynecology 880479581WOLF, MEREDITH A 7175 W LAKE MEAD BLVD STE 110 LAS VEGAS NV 89128 Clark 702-228-9911 Physicians General Dentist 205338830WOLFE, LINDA E 2470 SAINT ROSE PKWY HENDERSON NV 89074 Clark 702-578-8623 Physicians Marriage & Family Therapist 472780873WOLFE, LINDA L 2874 N CARSON ST STE 100 CARSON CITY NV 89706 Carson City 775-883-4161 Rehabilitation Physical Therapy 880329446WOLFF, ROBERT S 9468 DOUBLE R BLVD STE B RENO NV 89521 Washoe 775-322-3333 Physicians Ophthalmology 880275507WOLFROM, PAUL J 2450 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-877-8661 Physicians Anesthesiology 860857176WOLFSON, ERIC M 2655 BOX CANYON DR LAS VEGAS NV 89128 Clark 702-363-9900 Physicians Internal Medicine 202488618WOLTKAMP, DARCHELLE A 2874 N CARSON ST STE 200 CARSON CITY NV 89706 Carson City 775-445-7170 Physicians Certified Nurse Practitioner 880502320WOMENS CANCER CENTER OF NV 9030 W SAHARA AVE LAS VEGAS NV 89117 Clark 702-249-0197 Physicians Obstetrics/Gynecology 880401900WOMENS HEALTH ASSOCIATES OF SOUTH NEVADA PC2050 MARINER DR STE 120 LAS VEGAS NV 89128 Clark 702-255-2022 Physicians Obstetrics/Gynecology 880400613WOMENS SPECIALTY CARE 653 N TOWN CENTER DR STE 602 LAS VEGAS NV 89144 Clark 702-255-3547 Physicians Obstetrics/Gynecology 270024561WOMENS SPECIALTY CARE LLP 6990 SMOKE RANCH RD LAS VEGAS NV 89128 Clark 702-242-5155 Physicians Obstetrics/Gynecology 460766041WOMENS WELLNESS 10170 S EASTERN AVE STE 1 HENDERSON NV 89052 Clark 702-914-7050 Physicians Obstetrics/Gynecology 161659642WOMENS WELLNESS CENTER 645 SIERRA ROSE DR STE 202 RENO NV 89511 Washoe 775-825-9990 Physicians Obstetrics/Gynecology 880415474WOMENS WELLNESS OBG 10170 S EASTERN AVE STE 160 HENDERSON NV 89052 Clark 702-255-3547 Physicians Obstetrics/Gynecology 201780157WON, EUGENE 2020 PALOMINO LN STE 100 LAS VEGAS NV 89106 Clark 702-759-8600 Physicians Radiology/Diagnostic 834325292WON, LUCY Y 2040 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 734-645-9679 Physicians Psychiatry 886000022

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 213 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDWONDEL, STEVE W 8945 W POST RD LAS VEGAS NV 89148 Clark 702-251-7147 Rehabilitation Physical Therapy 880386672WONG, ALAN L 343 ELM ST STE 100 RENO NV 89503 Washoe 775-789-6500 Physicians Anesthesiology 880101307WONG, BENJAMIN H 1524 PINTO LN FL 3 LAS VEGAS NV 89106 Clark 702-383-3642 Physicians Pediatrics 880330858WONG, CATHERINE K 2847 SAINT ROSE PKWY HENDERSON NV 89052 Clark 702-213-4848 Physicians Certified Nurse Practitioner 202335171WONG, LISA K 2020 PALOMINO LN STE 100 LAS VEGAS NV 89106 Clark 888-727-1074 Physicians Radiology/Diagnostic 834325292WONG, MANKEI 9285 S CIMARRON RD STE 125 LAS VEGAS NV 89178 Clark 702-433-5355 Physicians General Dentist 262260433WONG, STEVE C 7250 PEAK DR LAS VEGAS NV 89128 Clark 702-386-4700 Physicians Anesthesiology 204727467WONG, TERRY L 2950 S RAINBOW BLVD LAS VEGAS NV 89146 Clark 702-871-5556 Physicians Chiropractor 880511884WOOD, JEFFREY C 555 CALIFORNIA AVE BOULDER CITY NV 89005 Clark 702-293-2231 Physicians Psychology (Clinical) 813117109WOOD, JEREMY W 4580 S EASTERN AVE LAS VEGAS NV 89119 Clark 702-731-3338 Physicians Podiatry 451169248WOOD, JOSHUA H 5265 VISTA BLVD BLDG B SPARKS NV 89436 Washoe 775-352-5335 Physicians Family Medicine 263303591WOOD, MICHAEL G 3150 N TENAYA WAY STE 240 LAS VEGAS NV 89128 Clark 702-445-7770 Physicians Thoracic Surgery 880133088WOOD, SARAH L 2011 PINTO LN LAS VEGAS NV 89106 Clark 702-382-3200 Physicians Obstetrics/Gynecology 630649108Wood, Victoria 1640 ALTA DR STE 4 LAS VEGAS NV 89106 Clark 702-474-6450 Physicians Professional Counselor 880111970WOODALL, WENDY S 1001 SHADOW LN LAS VEGAS NV 89106 Clark 702-774-2400 Physicians General Dentist 886000024WOODARD, LYNLEE W 3075 E FLAMINGO RD STE 108 LAS VEGAS NV 89121 Clark 702-486-7593 Physicians Professional Counselor 886000022WOODARD, STEPHANIE A 1665 OLD HOT SPRINGS RD STE 157 CARSON CITY NV 89706 Carson City 209-747-2486 Physicians Psychology (Clinical) 886000022WOODS, COLMCILLE 6161 W CHARLESTON BLVD LAS VEGAS NV 89146 Clark 702-486-6045 Physicians Psychology (Clinical) 886000022WOODS, JAMES J 3186 S MARYLAND PKWY LAS VEGAS NV 89109 Clark 702-731-8240 Physicians Pediatrics 880367250WOODS, KELLEY J 3815 S JONES BLVD LAS VEGAS NV 89103 Clark 702-354-2452 Physicians Podiatry 201148649WOODS, KORINA M 2780 W HORIZON RIDGE PKWY HENDERSON NV 89052 Clark 702-564-4116 Rehabilitation Physical Therapy 886000022WOODSON DERMATOLOGY 2800 N TENAYA WAY STE 203 LAS VEGAS NV 89128 Clark 702-367-6370 Physicians Dermatology 880333016WOODSON, LINDA S 305 N PECOS RD STE F HENDERSON NV 89074 Clark 702-202-2700 Physicians Dermatology 880333016WOODWORTH, RICHARD 8205 W WARM SPRINGS RD STE 250 LAS VEGAS NV 89113 Clark 702-227-2152 Physicians Orthopedic Surgery 910858192WOODY, KRISTEN B 874 AMERICAN PACIFIC DR HENDERSON NV 89014 Clark 702-777-4809 Physicians Family Medicine 200363127WOOLRIDGE OFORI, THERESA R 1301 BERTHA HOWE AVE STE 5 MESQUITE NV 89027 Clark 702-345-2299 Physicians General Dentist 113738949WORKMAN, FREDERICK M 10624 S EASTERN AVE # A263 HENDERSON NV 89052 Clark 719-238-8429 Physicians Internal Medicine 464680208WORKMAN, JASON N 9127 W RUSSELL RD LAS VEGAS NV 89148 Clark 702-878-0070 Physicians Anesthesiology 860916679WORTHEN, MEGAN 10381 DOUBLE R BLVD RENO NV 89521 Washoe 775-348-8800 Rehabilitation Physical Therapy 270028866WORTHINGTON CHIROPRACTIC CENTER 4500 E BONANZA RD UNIT D LAS VEGAS NV 89110 Clark 702-388-0599 Physicians Chiropractor 043821114WRIGHT, ADAM 555 W ARLINGTON AVE RENO NV 89503 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557WRIGHT, ALLISON 10120 W FLAMINGO RD LAS VEGAS NV 89147 Clark 702-538-5299 Physicians Psychology (Clinical) 454429023WRIGHT, BROOKS E 4855 BLUE DIAMOND RD STE 100 LAS VEGAS NV 89139 Clark 702-216-7305 Physicians Emergency Medicine 862775542WRIGHT, CLARE T 8352 W WARM SPRINGS RD STE 210 LAS VEGAS NV 89113 Clark 702-944-4028 Physicians Certified Nurse Practitioner 880456336WRIGHT, DIANA E 4600 KIETZKE LN STE C124 RENO NV 89502 Washoe 775-826-4400 Physicians Psychology (Clinical) 880291454WRIGHT, GARY D 1775 BROWNING WAY STE 104 ELKO NV 89801 Elko 775-777-1046 Physicians Obstetrics/Gynecology 203022539WRIGHT, LOREN W 6430 SKY POINTE DR STE 150 LAS VEGAS NV 89131 Clark 702-318-4774 Physicians Chiropractor 811719440WRIGHT, ROCKFORD S 9127 W RUSSELL RD LAS VEGAS NV 89148 Clark 702-878-0070 Physicians Anesthesiology 731451967WRIGHT, SAMUEL B 9300 W SUNSET RD LAS VEGAS NV 89148 Clark 702-880-2100 Physicians Emergency Medicine 462449055WRIGHT, TIFFANY L 8280 W WARM SPRINGS RD LAS VEGAS NV 89113 Clark 510-350-2600 Physicians Certified Nurse Practitioner 862775542WRIGHTSON, JEFFREY A 10105 BANBURRY CROSS DR LAS VEGAS NV 89144 Clark 702-255-3547 Physicians Obstetrics/Gynecology 880246827WRYE, SCOTT 635 SIERRA ROSE DR STE A RENO NV 89511 Washoe 775-284-8296 Physicians Plastic & Reconstructive Surgery 880473899WU, CHI 6592 N DECATUR BLVD STE 115 LAS VEGAS NV 89131 Clark 702-396-4993 Physicians Chiropractor 463084124WU, CLAYTON 4855 BLUE DIAMOND RD LAS VEGAS NV 89139 Clark 702-216-7305 Physicians Emergency Medicine 824933457WU, JENNIFER T 740 N EASTERN AVE STE 120 LAS VEGAS NV 89101 Clark 702-678-6218 Physicians General Dentist 271396155WU, JESSICA K 366 W LAKE MEAD PKWY STE 100 HENDERSON NV 89015 Clark 702-464-3090 Physicians General Dentist 454612311WU, JULIE U 3750 S JONES BLVD STE 120 LAS VEGAS NV 89103 Clark 702-434-8880 Physicians Internal Medicine 204477738WU, MING-WEI D 3750 S JONES BLVD LAS VEGAS NV 89103 Clark 702-434-8880 Physicians General Surgery 204199225WU, RICHARD Y 740 N EASTERN AVE STE 120 LAS VEGAS NV 89101 Clark 702-678-6218 Physicians General Dentist 880470391WU, ROGER Y 3186 S MARYLAND PKWY LAS VEGAS NV 89109 Clark 702-731-8000 Physicians Emergency Medicine 880262438WU, WILLIS Y 6850 N DURANGO DR STE 214 LAS VEGAS NV 89149 Clark 702-791-3668 Physicians Anesthesiology 201898649

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 214 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDWU, XIANTUO 8285 W ARBY AVE STE 100B LAS VEGAS NV 89113 Clark 702-735-7154 Physicians Hematology/Oncology 891132228WU, ZIQIANG W 1104 N DIVISION ST CARSON CITY NV 89703 Carson City 775-882-9123 Physicians Ophthalmology 880422211WULFF, RICHARD N 3233 W CHARLESTON BLVD STE 101 LAS VEGAS NV 89102 Clark 702-410-8450 Physicians Orthopedic Surgery 880218251WYANT, JILL 3201 S MARYLAND PKWY STE 500 LAS VEGAS NV 89109 Clark 702-369-3066 Rehabilitation Audiology 880175954WYATT, TRACY D 2285 E FLAMINGO RD STE 101 LAS VEGAS NV 89119 Clark 702-522-9192 Physicians Orthodontist 472572779WYMA, JOHN G 975 KIRMAN AVE RENO NV 89502 Washoe 775-326-2920 Physicians Psychology (Clinical) 860756002WYN, BRIAN A 2450 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-877-8661 Physicians Anesthesiology 860857176WYS, KENNETH G 620 SHADOW LN LAS VEGAS NV 89106 Clark 788-342-8000 Physicians Critical Care 273068347XA, HAI Q 893 S RAINBOW BLVD LAS VEGAS NV 89145 Clark 702-456-0034 Physicians General Dentist 562496639XA, TRUNG Q 6720 N DURANGO DR STE 260 LAS VEGAS NV 89149 Clark 702-893-2288 Physicians General Dentist 201943535XANTHOPOULOS, ERIC P 975 KIRMAN AVE STE 111 RENO NV 89502 Washoe 775-328-1429 Physicians Radiation Oncology 391028081XIE, KEVIN C 5115 S DURANGO DR STE 100 LAS VEGAS NV 89113 Clark 320-333-0789 Physicians Neurology 852053016XU, HE 9260 W SUNSET RD STE 201 LAS VEGAS NV 89148 Clark 702-389-5360 Physicians Interventional Radiology 463758279XU, JIASHOU J 8930 W SUNSET RD STE 300 LAS VEGAS NV 89148 Clark 702-258-7788 Physicians General Surgery 270868595XU, TINA 4100 BLUE DIAMOND RD LAS VEGAS NV 89139 Clark 702-407-0601 Physicians Optometry 201704287YACOUB, MAIS 1800 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-383-2420 Physicians Pediatric Critical Care 880313664YAGER, GREGORY E 4100 W FLAMINGO RD LAS VEGAS NV 89103 Clark 702-822-5000 Physicians Family Medicine 341682240YAGHMAI, BEHNAM 8420 W LAKE MEAD BLVD STE 100 LAS VEGAS NV 89128 Clark 702-804-5154 Physicians General Dentist 510521228YAGHOOBIAN, JONATHAN 10624 S EASTERN AVE STE A955 HENDERSON NV 89052 Clark 702-800-5393 Physicians Internal Medicine 263668328YAKAITIS, BASIA P 3131 LA CANADA ST STE 110 LAS VEGAS NV 89169 Clark 702-693-6870 Physicians Obstetrics/Gynecology 880401900YAKAITIS, STEPHEN A 9127 W RUSSELL RD LAS VEGAS NV 89148 Clark 702-878-0070 Physicians Anesthesiology 461237632YAMAMOTO, CARRIE L 2385 E PRATER WAY STE 302 SPARKS NV 89434 Washoe 775-387-1616 Physicians Certified Nurse Practitioner 263303591YAMAMOTO, DENNIS T 655 SIERRA ROSE DR RENO NV 89511 Washoe 775-829-7600 Physicians Gastroenterology 880502320YAMAMOTO, KYLE T 540 W PLUMB LN STE 1B RENO NV 89509 Washoe 775-223-9493 Physicians Otolaryngology 582091280YAMAMOTO, RICHARD I 2874 N CARSON ST STE 200 CARSON CITY NV 89706 Carson City 775-445-7170 Physicians Internal Medicine 880449978YAMANE, IAN K 7660 W CHEYENNE AVE STE 112 LAS VEGAS NV 89129 Clark 702-656-6608 Physicians Chiropractor 300085975YAMASHITA, BRENT 7140 SMOKE RANCH RD LAS VEGAS NV 89128 Clark 702-320-8111 Rehabilitation Physical Therapy 880366031YANG, HOWARD M 6900 PECOS RD NORTH LAS VEGAS NV 89086 Clark 702-791-9000 Physicians Emergency Medicine 273869424YANG, JACK M 9320 W SAHARA AVE LAS VEGAS NV 89117 Clark 702-383-3850 Physicians Family Medicine 886000436YANG, JI WON 5001 E BONANZA RD STE 160 LAS VEGAS NV 89110 Clark 702-307-2273 Physicians General Dentist 821394606YANG, KIMBERLY W 55 S VALLE VERDE DR STE 250 HENDERSON NV 89012 Clark 702-260-1890 Physicians General Dentist 264222951YANG, NANCY D 9127 W RUSSELL RD LAS VEGAS NV 89148 Clark 702-878-0070 Physicians CRNA 860916679YANG, REX T 6410 S VIRGINIA ST RENO NV 89511 Washoe 775-322-5757 Physicians Occupational Medicine 263239286YANG, SCOTT 2874 N CARSON ST STE 100 CARSON CITY NV 89706 Carson City 775-883-4161 Rehabilitation Physical Therapy 880502320YANG, VINCENT 500 S RANCHO DR LAS VEGAS NV 89106 Clark 702-877-1887 Physicians Nephrology 880136773YANG, ZONGQI 6771 W CHARLESTON BLVD LAS VEGAS NV 89146 Clark 702-450-1717 Physicians Internal Medicine 721597863YANGA, JENNIFER G 9285 S CIMARRON RD STE 125 LAS VEGAS NV 89178 Clark 702-433-5355 Physicians General Dentist 262260433YAO, BETTY H 5185 S DURANGO DR STE 1 LAS VEGAS NV 89113 Clark 702-933-6530 Physicians Internal Medicine 043642130YAO, CONNIE 9163 W FLAMINGO RD LAS VEGAS NV 89147 Clark 702-220-5776 Physicians Social Worker 886000022YAO, SARAH A 6900 PECOS RD NORTH LAS VEGAS NV 89086 Clark 702-791-9000 Physicians Certified Nurse Practitioner 043290453YARBROJR, DONALD D 2559 WIGWAM PKWY HENDERSON NV 89074 Clark 702-982-3659 Physicians Radiology/Diagnostic 201902211YASAR, AYSE S 540 W PLUMB LN STE 1A RENO NV 89509 Washoe 775-322-4666 Physicians Psychiatry 886000022YATES, JAMES D 2375 E PRATER WAY SPARKS NV 89434 Washoe 775-331-7000 Physicians Emergency Medicine 833597814YATES, ROBERT C 1701 W CHARLESTON BLVD STE 290 LAS VEGAS NV 89102 Clark 702-671-5127 Physicians Psychiatry 886000022YEAM, INYOUNG C 640 E DEER SPRINGS WAY STE 180 NORTH LAS VEGAS NV 89086 Clark 702-399-3800 Physicians General Dentist 461193475YEE, CHIHUANG E 2575 LINDELL RD LAS VEGAS NV 89146 Clark 702-362-3937 Physicians Ophthalmology 880339276YEE, ELAINE M 75 PRINGLE WAY STE 705 RENO NV 89502 Washoe 775-329-0333 Physicians Infectious Diseases 880502320YEE, KANDRA T 3919 CARTER WAY WELLINGTON NV 89444 Lyon 775-783-3096 Physicians Emergency Medicine 880405927YEE, LARRY 653 N TOWN CENTER DR STE 604 LAS VEGAS NV 89144 Clark 702-240-5456 Physicians Family Medicine 880368011YEE, RANDALL E 2451 W HORIZON RIDGE PKWY STE 130 HENDERSON NV 89052 Clark 702-740-5327 Physicians Orthopedic Surgery 202523414YEE, THOMAS C 5741 S FORT APACHE RD STE 120 LAS VEGAS NV 89148 Clark 702-798-0111 Physicians Anesthesiology 760841215

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 215 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDYEH, PAI-HAN A 4270 S DECATUR BLVD STE B6 LAS VEGAS NV 89103 Clark 702-485-2100 Physicians Certified Nurse Practitioner 812219401YEH, ROBERT M 259 N PECOS RD HENDERSON NV 89074 Clark 702-309-0888 Physicians Gastroenterology 760758536YEH, SZU NIEN 9127 W RUSSELL RD LAS VEGAS NV 89148 Clark 702-878-0070 Physicians Anesthesiology 592905984YEH, SZU NIEN N 9127 W RUSSELL RD STE 110 LAS VEGAS NV 89148 Clark 702-878-0070 Physicians Anesthesiology 852385334YEH-TO, CHIA C 2650 N TENAYA WAY STE 208 LAS VEGAS NV 89128 Clark 702-360-2100 Physicians Dermatology 941294954YELTON, DERREK A 2625 S RAINBOW BLVD STE D103 LAS VEGAS NV 89146 Clark 702-365-1743 Physicians General Dentist 880263662YEN, DANIEL 4528 W CRAIG RD STE 190 NORTH LAS VEGAS NV 89032 Clark 941-313-3300 Physicians Chiropractor 201871646YEN, JENNIFER 314 W 5TH ST CARSON CITY NV 89703 Carson City 775-882-1111 Physicians General Dentist 364544173YEPREMYAN, MEHER 3006 S MARYLAND PKWY STE 710 LAS VEGAS NV 89109 Clark 702-369-0200 Physicians Ophthalmology 260076062YERINGTON MENTAL HEALTH CENTER 215 W BRIDGE ST STE 5 YERINGTON NV 89447 Lyon 775-463-3191 Ambulatory Facilities 886000022YERINGTON PAIUTE TRIBAL CLINIC 171 CAMPBELL LN YERINGTON NV 89447 Lyon 775-463-3335 Ambulatory Facilities 886005135YESNICK, DAVID P 4675 W FLAMINGO RD LAS VEGAS NV 89103 Clark 702-364-1252 Physicians Optometry 342058737YESNICK, SANDY Y 9191 W FLAMINGO RD LAS VEGAS NV 89147 Clark 702-966-2020 Rehabilitation Occupational Therapy 270069385YEUNG, JUSTIN 9320 W SAHARA AVE LAS VEGAS NV 89117 Clark 702-383-3850 Physicians Family Medicine 886000436YILEK, AMY K 1409 E LAKE MEAD BLVD NORTH LAS VEGAS NV 89030 Clark 702-649-7711 Physicians Certified Nurse Practitioner 410916626YIM, SEAN S 1017 E BASIN AVE STE 1 PAHRUMP NV 89060 Nye 775-751-2184 Physicians General Dentist 272309902YIP, CANDICE 3692 E SUNSET RD LAS VEGAS NV 89120 Clark 702-735-7668 Physicians Otolaryngology 453178823YIP, MANDY M 366 W LAKE MEAD PKWY STE 100 HENDERSON NV 89015 Clark 702-464-3090 Physicians General Dentist 454612311YIP, SANDY K 4445 S EASTERN AVE STE A LAS VEGAS NV 89119 Clark 702-735-1556 Physicians Allergy/Immunology 465082098YIP, VIVIAN 8975 W CHARLESTON BLVD LAS VEGAS NV 89117 Clark 702-290-4212 Physicians General Dentist 474624729YOKOI, GARNET M 2115 GREEN VISTA DR STE 101 SPARKS NV 89431 Washoe 775-359-2111 Physicians Optometry 886004349YOO, JI W 1707 W CHARLESTON BLVD STE 160 LAS VEGAS NV 89102 Clark 702-671-5060 Physicians Geriatric Medicine 880330858YOON, JOSEPH 5850 POLARIS AVE STE 100 LAS VEGAS NV 89118 Clark 702-739-9957 Rehabilitation Physical Therapy 752014828YOON, JUNG TAEK 1299 BERTHA HOWE AVE MESQUITE NV 89027 Clark 702-346-8040 Physicians Emergency Medicine 204311300YORK, ADAM B 5050 VISTA BLVD UNIT 107 SPARKS NV 89436 Washoe 775-626-6556 Physicians General Dentist 270194151YORKS, RANGAL 480 GALLETTI WAY SPARKS NV 89431 Washoe 775-688-2001 Physicians Social Worker 886000022YOST, CHRISTIAN C 3001 SAINT ROSE PKWY HENDERSON NV 89052 Clark 702-616-5000 Physicians Pediatrics 880367250YOST, PATRICIA A 6120 MAE ANNE AVE STE 1 RENO NV 89523 Washoe 775-238-3348 Physicians Obstetrics/Gynecology 880502320YOUNG, ABBY L 4700 LAS VEGAS BLVD N STE C NELLIS AFB NV 89191 Clark 307-653-2344 Physicians Emergency Medicine 204311300YOUNG, BRIAN J 8785 W WARM SPRINGS RD LAS VEGAS NV 89148 Clark 702-263-4795 Physicians Family Medicine 880498894YOUNG, CHARLES J 3125 E TROPICANA AVE STE C LAS VEGAS NV 89121 Clark 702-641-2300 Physicians General Dentist 471515507YOUNG, CHEN K 8880 W CHARLESTON BLVD LAS VEGAS NV 89117 Clark 702-938-2020 Physicians Optometry 880362739YOUNG, CHRISTIAN 1800 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-385-0890 Physicians Emergency Medicine 843376866YOUNG, COLBY P 4530 S EASTERN AVE LAS VEGAS NV 89119 Clark 702-562-3039 Physicians Orthopedic Surgery 752612924YOUNG, CORTNEY A 1525 E WINDMILL LN STE 202 LAS VEGAS NV 89123 Clark 702-202-1280 Rehabilitation Physical Therapy 880386672YOUNG, DANNY 6655 W SAHARA AVE STE B200 LAS VEGAS NV 89146 Clark 702-222-3238 Physicians Anesthesiology 551293670YOUNG, JEFFREY M 360 S LOLA LN PAHRUMP NV 89048 Nye 775-751-7561 Physicians Emergency Medicine 204311300YOUNG, JUDY S 13825 VIRGINIA FOOTHILLS DR RENO NV 89521 Washoe 775-852-1110 Rehabilitation Speech Pathology 886000022YOUNG, MARC C 1422 MISSION ST GARDNERVILLE NV 89410 Douglas 775-783-1122 Physicians Podiatry 200975892YOUNG, MON HAN 4555 S FORT APACHE RD STE 136 LAS VEGAS NV 89147 Clark 702-388-8979 Physicians General Dentist 760758941YOUNG, NORMAN B 555 W ARLINGTON AVE RENO NV 89503 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557YOUNG, RYAN A 1707 W CHARLESTON BLVD STE 230 LAS VEGAS NV 89102 Clark 702-671-5060 Physicians Obstetrics/Gynecology 880330858YOUNG, SCOTT V 7250 PEAK DR LAS VEGAS NV 89128 Clark 702-386-4700 Physicians Anesthesiology 204727467YOUNG, ZORA O 628 LAKE ST RENO NV 89501 Washoe 775-322-8900 Physicians Psychiatry 463306249YOUNGBLOOD, MELISSA N 3030 S JONES BLVD STE 105 LAS VEGAS NV 89146 Clark 702-360-1137 Rehabilitation Speech Pathology 412129643YOUSSEF, AMEL Y 10777 W TWAIN AVE STE 150 LAS VEGAS NV 89135 Clark 702-948-2010 Physicians Optometry 451262038YOUSUFZAI, OSMAN K 1524 PINTO LN FL 3 LAS VEGAS NV 89106 Clark 702-944-2828 Physicians Pediatrics 813419791YU, HARIS 6525 N DECATUR BLVD STE 150 LAS VEGAS NV 89131 Clark 702-577-1941 Physicians General Dentist 208862814YU, JEFF 1524 PINTO LN FL 3 LAS VEGAS NV 89106 Clark 702-992-6868 Physicians Pediatrics 813419791YU, JEFFERSON C 8280 W WARM SPRINGS RD LAS VEGAS NV 89113 Clark 702-564-2622 Physicians Internal Medicine 208753074YU, JOSEPH G 10105 BANBRY CROSS DR STE 445 LAS VEGAS NV 89144 Clark 702-475-4390 Physicians Orthopedic Surgery 270531464

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 216 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDYU, KEVIN A 500 S RANCHO DR STE 12 LAS VEGAS NV 89106 Clark 702-877-1887 Physicians Internal Medicine 880136773YU, SANDRA H 1351 W SUNSET RD STE 100 HENDERSON NV 89014 Clark 702-835-1100 Physicians General Dentist 200405461YU, SANTOS H 2430 W HORIZON RIDGE PKWY HENDERSON NV 89052 Clark 702-247-9994 Physicians Neurology 202778309YU, WEN YUAN 5230 BOULDER HWY STE 110 LAS VEGAS NV 89122 Clark 702-940-1560 Physicians Internal Medicine 880213519YUNG, CHRISTIANNE M 2482 W HORIZON RIDGE PKWY HENDERSON NV 89052 Clark 702-614-6868 Physicians Rheumatology 880418235YUNIQUE COUNSELING 2435 PYRAMID WAY STE B SPARKS NV 89431 Washoe 775-432-2742 Physicians Professional Counselor 452506491YUP, CATHERINE M 1200 PRISON RD LOVELOCK NV 89419 Pershing 775-273-4291 Physicians General Dentist 880201578YUP, GARY L 1155 MILL ST RENO NV 89502 Washoe 775-982-5463 Physicians Pediatrics 880367250YURTINUS, JESSICA L 973 MICA DR STE 201 CARSON CITY NV 89705 Douglas 775-392-3689 Rehabilitation Physical Therapy 880103557YUSI, DIANNE JOYCE C 3061 S MARYLAND PKWY STE 200 LAS VEGAS NV 89109 Clark 702-254-5437 Physicians Pediatrics 680640053YUSON, OLIVIA O 10001 S EASTERN AVE HENDERSON NV 89052 Clark 702-616-5801 Physicians Pediatrics 880334024ZABEK, ANNA 1389 GALLERIA DR HENDERSON NV 89014 Clark 725-333-8400 Physicians Certified Nurse Practitioner 462964527ZACHARIAS SIMPSON, JULIE A 874 AMERICAN PACIFIC DR HENDERSON NV 89014 Clark 702-777-4809 Physicians Geriatric Medicine 200363127ZAFAR, NAYAB M 700 SHADOW LN LAS VEGAS NV 89106 Clark 702-384-0022 Physicians Cardiology 880161856ZAFAR, UZMA 1090 WIGWAM PKWY HENDERSON NV 89074 Clark 702-454-0201 Physicians Psychiatry 300498968ZAFRA, JOCELYN 1640 ALTA DR STE 4 LAS VEGAS NV 89106 Clark 702-474-6450 Physicians Professional Counselor 880111970ZAGALA, MARIA TERESITA M 129 W LAKE MEAD PKWY STE 8 HENDERSON NV 89015 Clark 702-489-5748 Physicians Pediatrics 891478167ZAHEER, NAIMA 6827 W TROPICANA AVE LAS VEGAS NV 89103 Clark 702-508-9128 Physicians Infectious Diseases 815017703ZAIDI, SYED T 8530 W SUNSET RD STE 10 LAS VEGAS NV 89113 Clark 702-489-9000 Physicians Cardiology 201848828ZAK, LESLIE L 2851 N TENAYA WAY STE 208 LAS VEGAS NV 89128 Clark 702-228-0319 Physicians Obstetrics/Gynecology 880246826ZAKY DAWOUD, DALIA M 670 SIERRA ROSE DR RENO NV 89511 Washoe 775-322-4550 Physicians Nephrology 260755054ZALIN CHIROPRACTIC 6945 ALIANTE PKWY STE 103 NORTH LAS VEGAS NV 89084 Clark 702-639-9100 Physicians Chiropractor 043821114Zamanian, Roya 151 W BROOKS AVE NORTH LAS VEGAS NV 89030 Clark 702-399-6545 Physicians Certified Nurse Practitioner 752014828ZAMBONI, ANTHONY C 9770 S MCCARRAN BLVD RENO NV 89523 Washoe 775-322-4589 Physicians Otolaryngology 203707845ZAMBONI, SHANNON L 601 RALSTON ST STE 100 RENO NV 89503 Washoe 775-786-1110 Physicians Family Medicine 880459017ZAMBONI, WILLIAM A 1707 W CHARLESTON BLVD STE 190 LAS VEGAS NV 89102 Clark 702-671-5110 Physicians Plastic & Reconstructive Surgery 880330858ZAMORA II, JOSE U 1707 W CHARLESTON BLVD STE 160 LAS VEGAS NV 89102 Clark 702-671-5150 Physicians General Surgery 880330858ZAMORA, JONATHAN 2850 E DESERT INN RD LAS VEGAS NV 89121 Clark 702-454-0858 Physicians General Dentist 272417688ZAMORA, RENE L 2020 GOLDRING AVE LAS VEGAS NV 89106 Clark 702-868-2796 Physicians Ophthalmology 460497142ZAND, KEVIN A 3186 S MARYLAND PKWY LAS VEGAS NV 89109 Clark 702-961-5000 Physicians Radiology/Diagnostic 275233957ZAND, SAM 2040 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-671-5127 Physicians Psychiatry 886000022ZANE, KELSEY 7425 W AZURE DR STE 140 LAS VEGAS NV 89130 Clark 702-515-4009 Rehabilitation Physical Therapy 472546455ZANG, TODD J 7910 W TROPICAL PKWY STE 140 LAS VEGAS NV 89149 Clark 702-839-2010 Physicians Podiatry 880439111ZAPINSKY, JEFFREY M 8915 S PECOS RD STE 19A HENDERSON NV 89074 Clark 702-341-9000 Physicians Urology 880366609ZARATIEGUI, DAWN M 3692 E SUNSET RD LAS VEGAS NV 89120 Clark 702-799-9760 Physicians Certified Nurse Practitioner 453178823ZARKESH, NASIM 3519 SAINT ROSE PKWY STE 110 HENDERSON NV 89052 Clark 702-529-0321 Physicians General Dentist 842583004ZARKOS, NICK 620 SHADOW LN LAS VEGAS NV 89106 Clark 788-342-8000 Physicians Anesthesiology 880375544ZARLINGO, MONTE F 1397 S LOOP RD PAHRUMP NV 89048 Nye 702-759-8600 Physicians Radiology/Diagnostic 208846496ZARNDT, JESSICA R 1701 W CHARLESTON BLVD STE 250 LAS VEGAS NV 89102 Clark 702-671-2395 Physicians Sports Medicine 880330858ZAUGG, GARET J 2020 WELLNESS WAY STE 300 LAS VEGAS NV 89106 Clark 702-432-2233 Physicians Neurology 471182996ZAVALA, DAMON C 1600 MEDICAL PKWY CARSON CITY NV 89703 Carson City 775-445-8795 Physicians Internal Medicine 260755054ZEBRACK, JOHN E 555 W ARLINGTON AVE RENO NV 89503 Washoe 775-786-3040 Physicians Orthopedic Surgery 880103557ZEDEK, YARON 6889 S EASTERN AVE LAS VEGAS NV 89119 Clark 702-434-1200 Physicians Psychiatry 201427365ZEEDOC,LLC 7150 SMOKE RANCH RD STE 110 LAS VEGAS NV 89128 Clark 702-485-4869 Physicians Anesthesiology 263316308ZEFF, RASIKA N 65 FOOTHILL RD STE 1 RENO NV 89511 Washoe 775-851-1770 Physicians General Dentist 472089660ZEIDENWEBER, CARLO M 3006 S MARYLAND PKWY STE 315 LAS VEGAS NV 89109 Clark 702-992-6868 Physicians Pediatric Cardiology 880176637ZEIZEL, JASON G 3001 SAINT ROSE PKWY HENDERSON NV 89052 Clark 702-616-5925 Hospitals Short Term Acute Care Hospital 472990144ZELLER, RYAN P 2205 GLENDALE AVE STE 131 SPARKS NV 89431 Washoe 775-331-3361 Physicians Family Medicine 880502320ZELLERS, MORGAN W 8352 W WARM SPRINGS RD FL 3 LAS VEGAS NV 89113 Clark 702-851-7287 Physicians Podiatry 465010353ZENITH HOSPITALISTS 4275 BURNHAM AVE STE 362 LAS VEGAS NV 89119 Clark 702-732-3299 Physicians Internal Medicine 202662761ZENITH HOSPITALISTS BILLAKANTI AND JANAPATI LLP2401 W HORIZON RIDGE PKWY STE 100 HENDERSON NV 89052 Clark 702-385-7001 Physicians Internal Medicine 202662761

© 2021 - Prime Health Services 9/29/2021

This document is certified by Teresit Avila, Sr. Claims Examiner. Nevada Certificate #3529776

Athens Administrators Page 217 of 217

Provider Name Address City State Zip County Main Phone Type Specialization Tax IDZENKIN, ELENA I 1701 W CHARLESTON BLVD STE 215 LAS VEGAS NV 89102 Clark 702-671-2355 Physicians Obstetrics/Gynecology 880330858ZENTENO, RAFAEL A 2150 S EASTERN AVE LAS VEGAS NV 89104 Clark 702-641-2150 Physicians Pediatrics 880334024ZHANG, MICHAEL A 280 S DECATUR BLVD LAS VEGAS NV 89107 Clark 702-759-1000 Physicians Internal Medicine 880151573ZHANG, REN YU 6020 S JONES BLVD LAS VEGAS NV 89118 Clark 702-739-6467 Physicians Colorectal Surgery 753022401ZHAO, BAILEY 9880 W FLAMINGO RD LAS VEGAS NV 89147 Clark 702-216-7335 Physicians Emergency Medicine 815135046ZHAO, BAILEY 9880 W FLAMINGO RD LAS VEGAS NV 89147 Clark 702-383-2085 Physicians Emergency Medicine 463477565ZHENG K LIU MD PROFESSIONAL CORP. 1210 S VALLEY VIEW BLVD STE 210 LAS VEGAS NV 89102 Clark 702-921-6823 Physicians Internal Medicine 205168253ZHOU, RIXIN 2851 N TENAYA WAY LAS VEGAS NV 89128 Clark 702-735-7154 Physicians Hematology/Oncology 880133767ZIAEI, POUPAK 1556 FOOTHILLS VILLAGE DR HENDERSON NV 89012 Clark 702-731-8211 Physicians Internal Medicine 880252300ZIARKO, JEROME 9975 S EASTERN AVE STE 110 LAS VEGAS NV 89183 Clark 702-361-2273 Physicians Family Medicine 203502995ZIBU INNOVATIONS, INC. 2980 SAINT ROSE PKWY STE 140 HENDERSON NV 89052 Clark 702-456-7546 Physicians Family Medicine 711014453ZIEGLER, JEFFREY W 62 N PECOS RD HENDERSON NV 89074 Clark 702-433-3355 Physicians Family Medicine 880337851ZILBERMAN, HAROLD 3201 S MARYLAND PKWY STE 414 LAS VEGAS NV 89109 Clark 702-457-5437 Physicians Pediatrics 710953164ZIMMERMAN, ANTHONY T 3641 GS RICHARDS BLVD CARSON CITY NV 89703 Carson City 775-982-5000 Physicians Family Medicine 880201578ZINATI, SARAH 4700 LAS VEGAS BLVD N NELLIS AFB NV 89191 Clark 702-653-2695 Physicians Family Medicine 310920004ZINNI, DOUGLAS J 999 ADAMS BLVD BOULDER CITY NV 89005 Clark 702-430-5000 Physicians General Surgery 880462126ZINSER, JAMES R 210 N SANDHILL BLVD MESQUITE NV 89027 Clark 702-345-5000 Physicians Family Medicine 880213519ZIOLKOWSKI, JILL E 1151 S NEVADA HIGHWAY 160 PAHRUMP NV 89048 Nye 775-727-8900 Physicians Certified Nurse Practitioner 832127215ZIPF, DAVID R 6970 W PATRICK LN STE 140 LAS VEGAS NV 89113 Clark 702-450-1717 Physicians Internal Medicine 205210517ZITEK, ANTON J 1800 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-383-8200 Physicians Emergency Medicine 452755789ZOLLINGER, JEFFREY 343 ELM ST STE 202 RENO NV 89503 Washoe 775-870-1480 Physicians Pain Management 264664305ZORITY, JOZSEF M 653 N TOWN CENTER DR LAS VEGAS NV 89144 Clark 702-967-3510 Physicians Obstetrics/Gynecology 880383633ZUAR, LYNSEY R 1524 PINTO LN FL 3 LAS VEGAS NV 89106 Clark 702-944-2828 Physicians Pediatric Gastroenterology 880330858ZUBER, DANIELLE A 1050 S RAINBOW BLVD LAS VEGAS NV 89145 Clark 702-258-5855 Physicians Social Worker 743067299ZUBILLAGA, DOMINICA N 2667 ENTERPRISE RD RENO NV 89512 Washoe 530-688-1341 Rehabilitation Speech Pathology 886000022ZUCCARINI, TERA L 975 RYLAND ST RENO NV 89502 Washoe 775-982-5000 Physicians Certified Nurse Practitioner 261513495ZUCHOWSKI, TAMARA S 605 SIERRA ROSE DR STE 4 RENO NV 89511 Washoe 775-348-1313 Physicians Certified Nurse Practitioner 560946196ZUCKER, DAVID A 645 N ARLINGTON AVE STE 620 RENO NV 89503 Washoe 775-329-2525 Physicians Pediatrics 880459167ZUCKER, IRENE 4955 S DURANGO DR STE 221 LAS VEGAS NV 89113 Clark 702-641-2422 Physicians Psychology (Clinical) 472985118ZUCKER, JONATHAN R 2450 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-877-8661 Physicians Anesthesiology 860857176ZULICH, RONDA A 2050 MARINER DR STE 150 LAS VEGAS NV 89128 Clark 702-850-5437 Physicians Pediatrics 831974699ZUPAN, BRETT W 1170 N MOAPA VALLEY BLVD STE C OVERTON NV 89040 Clark 702-605-2766 Physicians Marriage & Family Therapist 471751350ZURCHER, DANIEL C 800 SHADOW LN STE 110 LAS VEGAS NV 89106 Clark 702-732-6000 Physicians Radiology/Diagnostic 880232199ZWERDLINGER, STEVEN C 800 SHADOW LN LAS VEGAS NV 89106 Clark 702-366-9700 Physicians Radiology/Diagnostic 880375920ZYNIEWICZ II, THOMAS J 1800 W CHARLESTON BLVD LAS VEGAS NV 89102 Clark 702-383-3736 Physicians Emergency Medicine 475221200

© 2021 - Prime Health Services 9/29/2021