INTEGRATED PAIN RELIEF, LLC (NPI# 1023219508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023219508 |
Entity Type | Organization |
Organization Name | INTEGRATED PAIN RELIEF, LLC |
Other Organization Name | INTEGRATED PAIN RELIEF |
Practice Address |
4161 S Eastern Ave Ste A9 Las Vegas NV 89119-5425 |
Practice Telephone | 7029482520 |
Practice Fax Number | 7029482523 |
Mailing Telephone | 7029482520 |
Mailing Fax Number | 7029482523 |
Enumeration Date | 2007-05-30 |
Last Update Date | 2008-02-02 |
Authorized Official Name | JON PETRICK (PRESIDENT & CEO) |
Authorized Official Telephone | 7029482520 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Integrated Pain Relief | Doing Business As Name - Organization |
Street Address |
4161 S EASTERN AVE STE A9 |
City | LAS VEGAS |
State | NV |
Zip Code | 89119-5425 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669089298 | Jennifer Chavon Cruse | Technician | [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 | 2020-09-28 |
1063024214 | Rosa Isela Martinez Gonzalez | Technician | 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 | 2020-08-19 |
1720697980 | Christian Scott | Social Worker | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
1245867159 | Starfruit Holdings, LLC | Skilled Nursing Facility | 4375 S Eastern Ave, Paradise, NV 89119 | 2020-03-23 |
1215562376 | Phyllis Eberechukwu Hunt | Adult Companion | 5160 Tamarus St Appt 17, Las Vegas, NV 89119 | 2020-03-10 |
1841832581 | Legna Carrillo | Adult Companion | 4325 South Bruce St Appt 63, Las Vegas, NV 89119 | 2019-10-15 |
1104468339 | Alma Leticia Salazar | Home Health Aide | Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 | 2019-10-09 |
1083260046 | Araceli Rosas Vargas | Technician | 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 | 2019-08-15 |
1376197707 | Bristure Clayton | Technician | Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 | 2019-07-24 |
1457904534 | Carmen Laura Gonzalez Valenzuela | Chore Provider | 6725-1 S. Eastern Ave, Las Vegas, NV 89119 | 2019-07-18 |
Find all providers in zip 89119 |
Taxonomy Code | 2081P2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Pain Medicine |
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164721627 | Peter Shao You Su | Physical Medicine & Rehabilitation | 6950 W Desert Inn Rd Ste 110, Las Vegas, NV 89117-3171 | 2011-03-23 |
1578508065 | Mountain Rehabilitation Services Poindexter & Associates Ltd | Physical Medicine & Rehabilitation | 2641 Box Canyon Dr, Suite B, Las Vegas, NV 89128-0419 | 2006-06-18 |
1477504157 | Steven A Holper | Physical Medicine & Rehabilitation | 3233 W Charleston Blvd Ste 202, Las Vegas, NV 89102-1999 | 2006-05-15 |
1558369181 | Minh H Nguyen | Physical Medicine & Rehabilitation | 6955 N Durango Dr, Suite 1115-361, Las Vegas, NV 89149-4411 | 2005-07-08 |
1346868387 | Telehealth Clinical Evals, LLC | Physical Medicine & Rehabilitation | 9505 Hillwood Dr, Las Vegas, NV 89134-0506 | 2020-07-07 |
1952829764 | Physical Medicine and Pain Management of Nevada, LLC | Physical Medicine & Rehabilitation | 2004 Glenview Dr, Las Vegas, NV 89134 | 2017-08-31 |
1124462056 | Grant Miki Karno | Physical Medicine & Rehabilitation | 1569 E Flamingo Rd, Las Vegas, NV 89119-5321 | 2013-04-22 |
1417100918 | Andrew Kim | Physical Medicine & Rehabilitation | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2008-10-28 |
1356467831 | Katherine Travnicek | Physical Medicine & Rehabilitation | 7435 W Azure Dr, Ste 190, Las Vegas, NV 89130-4427 | 2007-03-22 |
1639231954 | Restorative Medicine LLC | Physical Medicine & Rehabilitation | 6955 N Durango Dr, Suite 1115-361, Las Vegas, NV 89149-4411 | 2006-12-14 |
Find all providers in LAS VEGAS |
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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.