Justin Puopolo
Medical Specialty
Professional ID
- NPI: 1154556314
- PECOS ID: 8224275672
- Enrollment ID: I20150702002265
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2009
Hospital Service
- Hospital CCN1: 290045
- Business Name (LBN)1: St Rose Dominican Hospitals - Siena Campus
- Hospital CCN2: 290053
- Business Name (LBN)2: St Rose Dominican Hospitals - San Martin Campus
- Hospital CCN3: 290012
- Business Name (LBN)3: St Rose Dominican Hospitals - Rose De Lima Campus
- Hospital CCN4: 290005
- Business Name (LBN)4: North Vista Hospital
Medical Practices
- Organization Name: Pueblo Medical Imaging, Llc
- Group Practice ID assigned by PECOS: 2264328319
- Number of Group Practice member: 19
Location
- Address1: 10561 Jeffreys St
- Address2: Suite 111
- City: Henderson
- State: Nevada
- Zip Code: 89052
- Phone Number: (702)228-0031
Location
- Address1: 5495 S Rainbow Blvd
- Address2: Suite 101
- City: Las Vegas
- State: Nevada
- Zip Code: 89118
- Phone Number: (702)228-0031
Location
- Address1: 8551 W Lake Mead Blvd
- Address2: Suite 150
- City: Las Vegas
- State: Nevada
- Zip Code: 89128
- Phone Number: (702)228-0031
Medical Practices
- Organization Name: J Paul Wiesner And Associates Chartered
- Group Practice ID assigned by PECOS: 4880679976
- Number of Group Practice member: 24
Location
- Address1: 102 E Lake Mead Pkwy
- Address2:
- City: Henderson
- State: Nevada
- Zip Code: 89015
- Phone Number: (702)616-4585
Location
- Address1: 1409 E Lake Mead Blvd
- Address2:
- City: North Las Vegas
- State: Nevada
- Zip Code: 89030
- Phone Number: (702)657-5507
Location
- Address1: 3001 Saint Rose Pkwy
- Address2:
- City: Henderson
- State: Nevada
- Zip Code: 89052
- Phone Number: (702)616-5585
Location
- Address1: 600 S Rancho Dr
- Address2: Suite 102
- City: Las Vegas
- State: Nevada
- Zip Code: 89106
- Phone Number: (702)938-1102
Location
- Address1: 8280 W Warm Springs Rd
- Address2:
- City: Las Vegas
- State: Nevada
- Zip Code: 89113
- Phone Number: (702)616-5000
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):