MR. MICHAEL DAMM SR. (NPI# 1073889945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073889945 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL DAMM SR. |
| Practice Address |
2725 S Jones Blvd Las Vegas NV 89146-5667 |
| Practice Telephone | 7023842233 |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2016-03-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194794404 | Michael G Damm | Radiology | 202 S Park St, Madison, WI 53715-1507 | 2006-03-17 |
| Street Address |
2725 S JONES BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89146-5667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821062324 | David Earl Linden | Psychiatry & Neurology | 2725 S Jones Blvd, Suite 104, Las Vegas, NV 89146-5667 | 2006-02-14 |
| 1356904031 | Trinay Laverne Hogan | Nurse Practitioner | 2725 S Jones Blvd, Las Vegas, NV 89146 | 2019-04-17 |
| 1801387717 | Paulina Awuah | Community/Behavioral Health | 2725 S Jones Blvd, Las Vegas, NV 89146-5667 | 2018-05-25 |
| 1336660018 | Sahara Gabales | Community/Behavioral Health | 2725 S Jones Blvd, Las Vegas, NV 89146-5667 | 2017-07-03 |
| 1467984245 | Daniel Arriola | Community/Behavioral Health | 2725 S Jones Blvd, Ste 109, Las Vegas, NV 89146-5667 | 2017-03-30 |
| 1073051876 | Quanda Quarles-brinson | Behavioral Analyst | 2725 S Jones Blvd, Las Vegas, NV 89146-5667 | 2017-02-01 |
| 1851837801 | Raelara Tilden, Lmft Inc | Community/Behavioral Health | 2725 S Jones Blvd, Suite 109, Las Vegas, NV 89146-5667 | 2017-01-15 |
| 1194171165 | Vilisia Ann Coleman | Social Worker | 2725 S Jones Blvd, Suite 106, Las Vegas, NV 89146-5667 | 2016-05-10 |
| 1841645934 | Psychiatric Management, LLC | Psychiatry & Neurology | 2725 S Jones Blvd, Suite 104, Las Vegas, NV 89146-5667 | 2016-04-26 |
| 1669840203 | Ancy Tom | Nurse Practitioner | 2725 S Jones Blvd, Ste 104, Las Vegas, NV 89146-5667 | 2015-09-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
| 1730726597 | Jenna Leigh White | Occupational Therapist | 2012 S Jones Blvd., Las Vegas, NV 89146 | 2019-11-28 |
| 1649828898 | Rocio Ferat | Chore Provider | 5000 W. Oakey Suite E.i, Las Vegas, NV 89146 | 2019-08-30 |
| 1912554007 | Juan Zamora | Chore Provider | 5000 W. Oakey Bld Suite E-1, Las Vegas, NV 89146 | 2019-08-22 |
| 1407402530 | Elia Rocio Vargas-sifuentes | Chore Provider | 5000 W Oakey, Suite E.i, Las Vegas, NV 89146 | 2019-08-14 |
| 1740834050 | Zi Wang | Physician Assistant | 5300 Spring Mountain Rd Ste 112, Las Vegas, NV 89146 | 2019-07-25 |
| 1871145565 | Virginia Lopez Lopez | Chore Provider | 5000 W. Oakey Blvd. Suite E-1, Las Vegas, NV 89146 | 2019-07-12 |
| 1962054726 | Nona Sixta Q Baldonado | Technician | 5450 W Sahara Ave Ste 250a, Las Vegas, NV 89146 | 2019-07-11 |
| 1326600701 | Thelma Moreno Cerros | Chore Provider | 5000 W. Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-05 |
| 1992367866 | Carolina Perez | Chore Provider | 5000 W Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-01 |
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| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656438 | Brittney Mary Sobwick | Rehabilitation Practitioner | 8360 W Sahara Ave Ste 230, Las Vegas, NV 89117-8945 | 2020-10-12 |
| 1184234544 | Karina Mandello | Rehabilitation Practitioner | 8250 N Grand Canyon Dr Unit 2121, Las Vegas, NV 89166-3734 | 2020-07-31 |
| 1730797408 | Jeffrey Michael Stovall | Rehabilitation Practitioner | 7037 Fort Union Ct, Las Vegas, NV 89179-1206 | 2020-07-20 |
| 1194333716 | Francisco Javier Robles | Rehabilitation Practitioner | 2810 W Charleston Blvd Ste H77, Las Vegas, NV 89102-1921 | 2020-07-20 |
| 1073121836 | Genna Villanueva | Rehabilitation Practitioner | 6612 Sand Bench Ave, Las Vegas, NV 89130-4801 | 2020-07-17 |
| 1861000895 | Carolyn Mccrae | Rehabilitation Practitioner | 11245 Vintners Ln, Las Vegas, NV 89138-1503 | 2020-07-15 |
| 1871119404 | Andrew Hunt | Rehabilitation Practitioner | 9557 Green Spruce St, Las Vegas, NV 89123-3573 | 2020-06-19 |
| 1861018566 | Tshawnalyn Alize Nicole Puryear | Rehabilitation Practitioner | 6300 W Tropicana Ave Trlr 159, Las Vegas, NV 89103-4422 | 2020-06-19 |
| 1962024661 | Ernestina Huerta | Rehabilitation Practitioner | 6933 Cobblestone Ave, Las Vegas, NV 89145-5349 | 2020-05-15 |
| 1538789102 | Thomas Putnam | Rehabilitation Practitioner | 7824 Nesting Pine Pl, Las Vegas, NV 89143-4468 | 2020-04-23 |
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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.