DR. HIDENOBU SHIGEMITSU, (NPI# 1033164009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033164009 |
| Entity Type | Individual |
| Full Name | DR. HIDENOBU SHIGEMITSU, |
| Credential | M.D. |
| Practice Address |
1707 W. Charleston Blvd #220 Las Vegas NV 89102 |
| Mailing Address |
1707 W. Charleston Blvd #220 Las Vegas NV 89126-4506 |
| Practice Telephone | 7026715070 |
| Practice Fax Number | 7026715072 |
| Mailing Telephone | 7026715070 |
| Mailing Fax Number | 7026715072 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2013-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
14661 | NV | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
14661 | NV | Allopathic & Osteopathic Physicians |
| Street Address |
1707 W. CHARLESTON BLVD #220 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194302 | Ehab N Fadhel | Student in an Organized Health Care Education/Training Program | 1707 W. Charleston Blvd, Suite 100, Las Vegas, NV 89102 | 2020-05-05 |
| 1699087395 | Kasaiah Makam | Internal Medicine | 1707 W. Charleston Blvd, #230, Las Vegas, NV 89102 | 2010-07-09 |
| 1679897284 | Ramesh Keerhi Gadam | Internal Medicine | 1707 W. Charleston Blvd, #230, Las Vegas, NV 89102 | 2010-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
| 1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
| 1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
| 1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
| 1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
| 1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
| 1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
| 1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
| 1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
| 1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
| Find all providers in zip 89102 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487929006 | Edward Judson Miller | Internal Medicine | 1096 Pinehurst Dr, Las Vegas, NV 89109-1522 | 2012-03-14 |
| 1053643080 | Joram S Seggev Md Chartered | Internal Medicine | 7500 W Lake Mead Blvd # C9-292, Las Vegas, NV 89128-0297 | 2010-02-01 |
| 1619139813 | Sapna Bhatia | Internal Medicine | 3150 N Tenaya Way Ste 125, Las Vegas, NV 89128 | 2008-06-28 |
| 1073689048 | Michael Dean Schlachter | Internal Medicine | 6600 W Charleston Blvd Ste 130, Las Vegas, NV 89146 | 2006-11-28 |
| 1265476774 | Joel D Orevillo | Internal Medicine | 7200 Cathedral Rock Dr Ste 170, Las Vegas, NV 89128-0466 | 2006-06-15 |
| 1508807918 | Christopher C Breeden | Internal Medicine | 2000 Wellness Way, Las Vegas, NV 89106-4113 | 2006-06-09 |
| 1093763112 | Nawaz Qureshi | Internal Medicine | 150 E Harmon Ave, Ste. 202, Las Vegas, NV 89109-4533 | 2006-05-04 |
| 1164798591 | Joseph David Nagan | Internal Medicine | 1707 W Charleston Blvd Ste 230, Las Vegas, NV 89102-2353 | 2012-03-29 |
| 1578840724 | Caremore Medical Group of Nevada Worku PC | Internal Medicine | 3121 S Maryland Pkwy, Suite 204, Las Vegas, NV 89109-2307 | 2011-11-15 |
| 1316226665 | Rajany Vidallon Dy | Internal Medicine | 1707 W Charleston Blvd Ste 230, Las Vegas, NV 89102-2353 | 2011-08-04 |
| 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.