TIMOTHY VANDUZER (NPI# 1023051760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023051760 |
| Entity Type | Individual |
| Full Name | TIMOTHY VANDUZER |
| Credential | MD |
| Practice Address |
500 N Rainbow Blvd Suite 203 Las Vegas NV 89107-1082 |
| Mailing Address |
316 Dazzling Ter Henderson NV 89012-3226 |
| Practice Telephone | 7022591228 |
| Practice Fax Number | 7022591272 |
| Mailing Telephone | 8019213545 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
204739 | NY | Allopathic & Osteopathic Physicians |
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
8687 | NV | Allopathic & Osteopathic Physicians |
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
5710391205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
500 N RAINBOW BLVD SUITE 203 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89107-1082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447224431 | Emmanuel K Onwutuebe | Internal Medicine | 500 N Rainbow Blvd, Suite 300, Las Vegas, NV 89107-1082 | 2006-02-15 |
| 1821635103 | Yariv Sponko | Technician | 500 N Rainbow Blvd, Ste 300, Las Vegas, NV 89107 | 2019-12-05 |
| 1225675861 | Shorelines | Nurse Practitioner | 500 N Rainbow Blvd, Las Vegas, NV 89107-1082 | 2019-12-02 |
| 1083270193 | National Youth Advocate Program, Inc | Community/Behavioral Health | 500 N Rainbow Blvd, Las Vegas, NV 89107-1082 | 2019-05-14 |
| 1881188688 | Dora Ashley Marroquin | Technician | 500 N Rainbow Blvd, Las Vegas, NV 89107-1082 | 2018-06-15 |
| 1669919577 | Natalie Rae Bohn | Physician Assistant | 500 N Rainbow Blvd, Las Vegas, NV 89107-1082 | 2017-01-30 |
| 1235676610 | Kyle Martineau | Physician Assistant | 500 N Rainbow Blvd, 303, Las Vegas, NV 89107-1082 | 2017-01-24 |
| 1053856179 | Idealstaffing Inc | Home Health | 500 N Rainbow Blvd, Suite 300, Las Vegas, NV 89107-1082 | 2016-12-28 |
| 1740722461 | Gregory Allan Barnes | Physician Assistant | 500 N Rainbow Blvd, Ste. 203, Las Vegas, NV 89107-1082 | 2016-11-11 |
| 1578012670 | Oganes Shilgevorkyan Md Pllc | Family Medicine | 500 N Rainbow Blvd, Suite 300, Las Vegas, NV 89107-1082 | 2016-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942837620 | Dominica Marie Lemay | Technician | Ideal Staffing Inc 500 N Rainbow Blvd Ste 300 Las Vegas, Las Vegas, NV 89107 | 2020-03-24 |
| 1417589854 | Ciro Zuniga | Technician | 5020 Alta Dr Suit-b, Las Vegas, NV 89107 | 2020-02-04 |
| 1730729252 | Natalie Rochelle Ross | Technician | Ideal Staffing Inc N Rainbow Blvd Ste 300 Las Vegas, Nv, Las Vegas, NV 89107 | 2020-01-13 |
| 1679112148 | Cynthia Mayen | Technician | 2050 Alta Dr. Suit - B, Las Vegas, NV 89107 | 2020-01-02 |
| 1427695543 | Aaa Physical Therapy LLC | Clinic/Center | 633 N. Decatur Blvd., Suite E, Las Vegas, NV 89107 | 2019-12-09 |
| 1063061018 | Guaoalupe Pena | Technician | 5020 Alta Dr. Suit - B, Las Vegas, NV 89107 | 2019-09-11 |
| 1275180234 | Roman Bautista Ortiz | Technician | 5020 Alta Dr. Suit-b, Las Vegas, NV 89107 | 2019-08-23 |
| 1518513357 | Michele Renee Black | Chore Provider | 500 North Rainbow Boulevard, Suite 300, Las Vegas, NV 89107 | 2019-08-16 |
| 1124674312 | Helena Alma Ferron-zepeda | Technician | 5020 Alta Dr., Suite-b, Las Vegas, NV 89107 | 2019-08-13 |
| 1386299246 | Felecia Ann Goodwin | Technician | 500 N Rainbow Blvd Ste 300, Ideal Staffing Inc, Las Vegas, NV 89107 | 2019-08-07 |
| Find all providers in zip 89107 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326693623 | Lisa M Wolfley | Emergency Medicine | 8960 W Post Rd Unit 1007, Las Vegas, NV 89148-2452 | 2019-08-05 |
| 1275090722 | Tyler Davis | Emergency Medicine | 620 Shadow Ln, Las Vegas, NV 89106-4194 | 2019-02-20 |
| 1598134702 | Kerry Dean | Emergency Medicine | 624 S Tonopah Dr, Las Vegas, NV 89106-4029 | 2015-09-17 |
| 1104087287 | Patrick Henry Flores | Emergency Medicine | 3100 N Tenaya Way, Pob 1569, Las Vegas, NV 89128-0436 | 2008-06-20 |
| 1063462364 | Aaron Vincent Lovinger | Emergency Medicine | 3100 N Tenaya Way, Las Vegas, NV 89128-0436 | 2006-05-10 |
| 1932162583 | William Z Harrington | Emergency Medicine | 3100 N Tenaya Way, Las Vegas, NV 89128-0436 | 2006-04-06 |
| 1972505675 | Clarence Michael Dunagan Iv | Emergency Medicine | 3100 N Tenaya Way, Las Vegas, NV 89128-0436 | 2005-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023651023 | Steven Matthew Savage | Emergency Medicine | 1250 American Pacific Dr Apt 1624, Henderson, NV 89074-7859 | 2019-10-22 |
| 1376198028 | Henderson Hospital | Emergency Medicine | 2581 Saint Rose Pkwy, Henderson, NV 89074-7777 | 2019-08-08 |
| 1861842064 | Daniel Honneyman | Emergency Medicine | Northeastern Regional Hospital, 2001 Errecart Blvd, Elko, NV 89801 | 2016-06-17 |
| 1124147327 | Joseph Mario Romano | Emergency Medicine | 561 Keystone Ave # 492, Reno, NV 89503-4304 | 2007-03-28 |
| 1427027077 | Michael B Macquarrie Md Inc | Emergency Medicine | 880 Alder Ave, Incline Village, NV 89451-8335 | 2006-03-16 |
| 1801446760 | Gregory K Burnett | Emergency Medicine | 975 Ryland St Ste 100, Reno, NV 89502-1669 | 2019-09-12 |
| 1598089112 | Joshua Ef Pascoe | Emergency Medicine | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2010-03-25 |
| 1295902559 | Thomas Emery Brodie | Emergency Medicine | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2008-05-14 |
| 1720281009 | Marianna Catarina Coggins | Emergency Medicine | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2007-06-06 |
| 1396822821 | Carson Tahoe Emergency Physicians | Emergency Medicine | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2006-11-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.