DR. DAEJOON ANH (NPI# 1033218839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033218839 |
| Entity Type | Individual |
| Full Name | DR. DAEJOON ANH |
| Credential | M.D. |
| Practice Address |
3131 La Canada St Ste 200 Las Vegas NV 89109-2578 |
| Mailing Address |
Po Box 98978 Las Vegas NV 89193-8978 |
| Practice Telephone | 7029339400 |
| Practice Fax Number | 7029339444 |
| Mailing Telephone | 7022163346 |
| Mailing Fax Number | 7026716883 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2013-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
12309 | NV | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
12309 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1033218839 | 05 |
| Street Address |
3131 LA CANADA ST STE 200 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89109-2578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245216605 | Jayram Krishnan | Urology | 3131 La Canada St, Suite 217, Las Vegas, NV 89169-2578 | 2005-12-19 |
| 1609292416 | Keisha Stevenson | Nurse Practitioner | 3131 La Canada St, 241, Las Vegas, NV 89169-2578 | 2014-03-17 |
| 1316212806 | Jaclyn Grace Rykal | Audiologist | 3131 La Canada St, Las Vegas, NV 89169-2578 | 2012-03-15 |
| 1114222551 | Amy Martine Pfeiffer | Nurse Practitioner | 3131 La Canada St, Suite 200, Las Vegas, NV 89169-2578 | 2011-01-16 |
| 1851625958 | Urvi H Patel | Pharmacist | 3131 La Canada St, Las Vegas, NV 89109 | 2009-09-23 |
| 1730321100 | Jacob L Snow | Pediatrics | 3131 La Canada St, Suite 244, Las Vegas, NV 89169-2578 | 2009-04-01 |
| 1275772006 | Carolyn Laurice Jefferson Cornelius | Obstetrics & Gynecology | 3131 La Canada St, Suite 241, Las Vegas, NV 89169-2578 | 2009-02-18 |
| 1922245281 | Tiffany Wan | Dietitian, Registered | 3131 La Canada St, Las Vegas, NV 89169-2578 | 2009-01-08 |
| 1861644072 | Erica Jill Filby | Pharmacist | 3131 La Canada St, Las Vegas, NV 89169-2578 | 2008-10-21 |
| 1366690141 | Tamara Majic | Psychiatry & Neurology | 3131 La Canada St, Suite 101, Las Vegas, NV 89169-2578 | 2008-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820816 | Vivian Latoza Villasfer | Technician | 2770 South Maryland Parkway, Suite 205b, Las Vegas, NV 89109 | 2020-04-21 |
| 1235758236 | Happy Life Home Health Services Inc | Chore Provider | 2770 S Maryland Pkwy Suite 205-b, Las Vegas, NV 89109 | 2020-04-10 |
| 1346890662 | Jaylin Armour | Technician | 2770 S Maryland Pkwy Suite 108b Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-18 |
| 1104475003 | Jasmine Thomas | Technician | 2770 S Maryland Pkwy Suite 108 B-g Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-04 |
| 1982258331 | Melanee Gregory | Technician | 2770 S Maryland Okey Suite 108b, Suite 108b, Las Vegas, NV 89109 | 2019-07-24 |
| 1851877583 | Eric Darnell Thompson Jr. | Community/Behavioral Health | 2556 Shrewood Street, Unit 21, Las Vegas, NV 89109 | 2018-07-16 |
| 1144717117 | Emerging Vision Inc | Technician/Technologist | Mirage Hotel, 3400 Las Vegas Blvd S, Mirage Hotel, Las Vegas, NV 89109 | 2018-04-16 |
| 1013404110 | Emerging Vision Inc | Technician/Technologist | Mandalay Bay Resort (lobby), 3950 Las Vegas Blvd S, Mandalay Bay Resort (lobby), Las Vegas, NV 89109 | 2018-04-16 |
| 1750881736 | Amirelys Hernandez Diaz | Technician | 2770 S. Maryland Pkwy, Ste 108b-g, Las Vegas, NV 89109 | 2018-02-16 |
| 1972036663 | Ashley Murray | Registered Nurse | 2700 S Las Vegas Blvd #1506, Las Vegas, NV 89109 | 2017-04-10 |
| Find all providers in zip 89109 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| 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 |
|---|---|---|---|---|
| 1922478809 | Kahn Medical Pllc | Internal Medicine | 401 N. Buffalo Dr, Suite 100, Las Vegas, NV 89128 | 2015-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629455282 | University of Utah Adult Services | Internal Medicine | 976 Mountian City Hwy, A Plus Total Care, Elko, NV 89801-2728 | 2015-05-04 |
| 1023054012 | Nhi-1 | Internal Medicine | 1500 East Second, Suite 400, Reno, NV 89502-1198 | 2006-06-20 |
| 1518437326 | Community Care Services LLC | Internal Medicine | 1500 E 2nd St Ste 400, Reno, NV 89502-1198 | 2018-12-05 |
| 1891172458 | University of Utah Adult Services | Internal Medicine | 1500 Avenue H, Ely, NV 89301-2615 | 2015-05-04 |
| 1710190665 | Rakesh Kochikar Pai | Internal Medicine | 343 Elm St, Suite 400, Reno, NV 89503-4522 | 2007-05-08 |
| 1225196447 | Cardiovascular Consultants of Nevada | Internal Medicine | 2865 Siena Heights Dr, Suite 331-a, Henderson, NV 89052-4167 | 2006-12-04 |
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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.