OrganizationActive
Passport Health Holdings, LLC
NPI 1821414954 · Public Health & General Preventive Medicine Physician · Las Vegas, NV
Provider details
- NPI number
- 1821414954
- Entity type
- Organization
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Doug Shackell, Director of Finance(480) 646-9024
- License
- 261Q0000X (NV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1771 E Flamingo Rd
#b121
Las Vegas, NV 89119
Phone: (888) 909-6551
Fax: (480) 383-6567
Street-level locationGet directions
Mailing address
8324 E Hartford Dr
Scottsdale, AZ 85255
Other names (DBA / former)
- Doing business as
- Pph Global Services, LLC.
Registry dates
- Enumerated
- 2014-03-13
- Last updated
- 2016-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.