Provider Demographics
NPI:1588790166
Name:POCKEY, MAURICE (MD)
Entity type:Individual
Prefix:
First Name:MAURICE
Middle Name:
Last Name:POCKEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8212 TURTLE CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-0129
Mailing Address - Country:US
Mailing Address - Phone:702-388-8061
Mailing Address - Fax:702-614-6562
Practice Address - Street 1:3059 S MARYLAND PKWY
Practice Address - Street 2:#202
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-2294
Practice Address - Country:US
Practice Address - Phone:702-614-6550
Practice Address - Fax:702-614-6562
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6901208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
33WCGVV09Medicare PIN
NVF69357Medicare UPIN