ZHULIETA KRASIMIROVA GOSPODINOVA


Address: 280 S Decatur Blvd, Las Vegas, NV 89107
Phone: 7027591000

ZHULIETA KRASIMIROVA GOSPODINOVA (NPI# 1023589504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023589504
Entity Type Individual
Full Name ZHULIETA KRASIMIROVA GOSPODINOVA
Credential MPAS, PA-C
Practice Address 280 S Decatur Blvd
Las Vegas
NV 89107
Mailing Address 280 S Decatur Blvd
Las Vegas
NV 89107-2936
Practice Telephone 7027591000
Mailing Telephone 7027591000
Enumeration Date 2018-12-10
Last Update Date 2019-01-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA2064 NV Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
7206 Magic Moment Ln, Las Vegas, NV 891194594 7028824101

Office Location

Street Address 280 S DECATUR BLVD
City LAS VEGAS
State NV
Zip Code 89107

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740330711 Fermin Leguen Internal Medicine 280 S Decatur Blvd, Las Vegas, NV 89107 2007-01-11
1578171500 Catherine Lopez Dominguez Dietitian, Registered 280 S Decatur Blvd, Las Vegas, NV 89107-2936 2020-07-15
1932745668 Southern Nevada Health District Clinic/Center 280 S Decatur Blvd, Las Vegas, NV 89107-2936 2019-11-18
1780234328 Adrienne Alana Davis Nurse Practitioner 280 S Decatur Blvd, Las Vegas, NV 89107-2936 2019-09-16
1902360159 Racquel Dyguazo Tolzmann Family Medicine 280 S Decatur Blvd, Las Vegas, NV 89107-2936 2019-01-22
1164993655 Rosanna Ardel Woods Registered Nurse 280 S Decatur Blvd, Las Vegas, NV 89107-2936 2018-12-10
1548731003 Karin Dinda Registered Nurse 280 S Decatur Blvd, Las Vegas, NV 89107-2936 2018-12-10
1992208581 Cassandra Sue Adler Nurse Practitioner 280 S Decatur Blvd, Las Vegas, NV 89107-2936 2018-03-09
1053863605 Southern Nevada Health District Pharmacy 280 S Decatur Blvd, Las Vegas, NV 89107-2936 2016-10-31
1841649738 Southern Nevada Health District Clinical Laboratory Clinical Medical Laboratory 280 S Decatur Blvd, Las Vegas, NV 89107-2936 2016-06-10
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376165985 Vanessa E R Pulido Artienda Physician Assistant 7829 Strong Water Ct, Las Vegas, NV 89131-8247 2020-05-18
1427697952 Fabiola Capano Physician Assistant 6930 S Cimarron Rd Ste 260, Las Vegas, NV 89113-2135 2020-01-01
1588200521 Kimberly Hunt Physician Assistant 2250 E Flamingo Rd Ste 100, Las Vegas, NV 89119-5170 2019-11-25
1104461433 Jacqueline Emilia Lindine Physician Assistant 7720 W Sahara Ave Ste 103, Las Vegas, NV 89117-2754 2019-11-11
1255973285 Kirstey Langston Physician Assistant 4475 S Eastern Ave Ste 1500, Las Vegas, NV 89119-7826 2019-10-10
1740834050 Zi Wang Physician Assistant 5300 Spring Mountain Rd Ste 112, Las Vegas, NV 89146 2019-07-25
1548825094 Victoria Ashlyn James Hinton Physician Assistant 5775 S Fort Apache Rd Ste 120, Las Vegas, NV 89148-5627 2019-05-09
1275007205 Kathy Ann Tran Physician Assistant 401 N Buffalo Dr Ste 200, Las Vegas, NV 89145-0397 2019-01-12
1144717067 Lynne Barbara Ulevich Physician Assistant 9310 S Eastern Ave Ste 122, Las Vegas, NV 89123-6844 2018-04-16
1104326727 Amanda Howe Parker Bartlett Physician Assistant 7170 Smoke Ranch Rd Ste 110, Las Vegas, NV 89128-3208 2018-02-20
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Competitor

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City LAS VEGAS
Zip Code 89107

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Dataset Information

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.

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