WOUND PROS NEVADA (NPI# 1053959791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053959791 |
| Entity Type | Organization |
| Organization Name | WOUND PROS NEVADA |
| Practice Address |
5940 S Rainbow Blvd Ste 2007 Las Vegas NV 89118-2506 |
| Mailing Address |
4640 Admiralty Way Ste 500 Marina Dl Rey CA 90292-6636 |
| Practice Telephone | 8188362475 |
| Practice Fax Number | 3234339177 |
| Mailing Telephone | 8188362475 |
| Mailing Fax Number | 3234339177 |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |
| Authorized Official Name | DR. CHRISTOPHER AYODELE OTIKO (PRESIDENT) |
| Authorized Official Telephone | 8188362475 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
5940 S RAINBOW BLVD STE 2007 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89118-2506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720568520 | Kurt Yaross | Behavioral Analyst | 7138 W Post Rd, #208, Las Vegas, NV 89118 | 2018-08-21 |
| 1619457108 | Michelle Herzberg | Behavioral Analyst | 7318 W Post Rd #280, Las Vegas, NV 89118 | 2018-08-15 |
| 1548749385 | Keisha Bere-ruiz | Behavioral Analyst | 7318 W Post Rd #208, Las Vegas, NV 89118 | 2018-08-13 |
| 1295222081 | Aliantcare | Radiologic Technologist | 5490 S Rainbow Blvd, Suite 400 N34835, Las Vegas, NV 89118 | 2018-04-17 |
| 1710406467 | Anoush H. Tacvorian Do LLC | Clinic/Center | 6525 W. Warm Springs Rd, Suite 100, Las Vegas, NV 89118 | 2017-09-13 |
| 1962920470 | Harvard Medtech, LLC | Durable Medical Equipment & Medical Supplies | 6280 S. Valley View Blvd, Suite 412, Las Vegas, NV 89118 | 2017-09-05 |
| 1750827903 | Kerry Cutler | Nurse Practitioner | 6020 South Rainbow Blvd, Suite C, Las Vegas, NV 89118 | 2017-01-12 |
| 1184173015 | Girisgen & Kopolow Od PC | Optometrist | 7090 S Rainbow Blvd, Ste 100, Las Veegas, NV 89118 | 2016-10-04 |
| 1396117859 | Foundation for Positively Kids | Clinic/Center | 3555 E Reno, Ste F, Las Vegas, NV 89118 | 2015-10-23 |
| 1720492663 | Kiet Michael Lam | Chiropractor | 5693 S. Jones Bvld, Ste 116, Las Vegas, NV 89118 | 2014-06-18 |
| Find all providers in zip 89118 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595622 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2500 W Washington Ave Ste 103, Las Vegas, NV 89106-3731 | 2020-10-14 |
| 1639793698 | Amador Medical LLC | Durable Medical Equipment & Medical Supplies | 4325 Dean Martin Dr Ste 340, Las Vegas, NV 89103-4168 | 2020-06-04 |
| 1205456001 | Vitality M12 LLC | Durable Medical Equipment & Medical Supplies | 4650 Arville St Ste F, Las Vegas, NV 89103-5325 | 2020-04-21 |
| 1255951059 | Peggy Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 6355 S Durango Dr Unit 1265, Las Vegas, NV 89113-1878 | 2020-04-21 |
| 1598394801 | Total Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 200 Hoover Ave Unit 1912, Las Vegas, NV 89101-6887 | 2020-04-07 |
| 1033743083 | Summerlin Medical | Durable Medical Equipment & Medical Supplies | 10300 W. Charleston Blvd., Suite 13, Las Vegas, NV 89135 | 2020-02-28 |
| 1841835618 | Home Front Pumps West | Durable Medical Equipment & Medical Supplies | 11239 Cactus Tower Ave Unit 101, Las Vegas, NV 89135-3449 | 2019-11-15 |
| 1568016855 | Medelite Capital, LLC | Durable Medical Equipment & Medical Supplies | 5528 S Fort Apache Rd, Las Vegas, NV 89148-7657 | 2019-07-25 |
| 1376004614 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 2780 S Jones Blvd Ste 140, Las Vegas, NV 89146-5641 | 2019-03-28 |
| 1619435997 | Dignity Select Nevada LLC | Durable Medical Equipment & Medical Supplies | 4855 Blue Diamond Rd Ste 210, Las Vegas, NV 89139-7602 | 2019-03-06 |
| 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.