SOUTHWEST MEDICAL ASSOCIATES (NPI# 1083157705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083157705 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST MEDICAL ASSOCIATES |
| Practice Address |
2845 Siena Heights Dr Henderson NV 89052-4153 |
| Practice Telephone | 7026171227 |
| Practice Fax Number | 7024929574 |
| Mailing Telephone | 7026171227 |
| Mailing Fax Number | 7024929574 |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |
| Authorized Official Name | DR. ANASTASIA KAARAMANIDES (MD) |
| Authorized Official Telephone | 7026171227 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | OPTUM |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 302R00000X | Health Maintenance Organization | 13313 | NV | Managed Care Organizations |
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
13313 | NV | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457517104 | Southwest Medical Associates | Health Maintenance Organization | 6330 W Flamingo Rd, Las Vegas, NV 89103-2201 | 2008-08-01 |
| 1144384900 | Southwest Medical Associates | Legal Medicine | 888 S Rancho Dr, Las Vegas, NV 89106-3831 | 2006-12-19 |
| 1881661411 | Southwest Medical Associates | Clinic/Center | 888 S Rancho, Las Vegas, NV 89102 | 2006-03-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SOUTHWEST MEDICAL ASSOCIATES, INC. | 6720 Placid Street, Las Vegas, NV 89119 |
| Oklahoma Business Registrations | SOUTHWEST MEDICAL ASSOCIATES, INC. | P O Box 2168, Rockport, TX 78381 |
| Street Address |
2845 SIENA HEIGHTS DR |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-4153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558350827 | Chang-hoon Ahn | Family Medicine | 2845 Siena Heights Dr, Henderson, NV 89052-4153 | 2005-10-19 |
| 1386201341 | William Song | Nurse Practitioner | 2845 Siena Heights Dr, Henderson, NV 89052-4153 | 2019-05-24 |
| 1831666338 | Kayanna M. Gilbert | Physician Assistant | 2845 Siena Heights Dr, Henderson, NV 89052-4153 | 2018-11-01 |
| 1356833222 | Roshni Panchal Graydus | Nurse Practitioner | 2845 Siena Heights Dr, Henderson, NV 89052-4153 | 2018-06-05 |
| 1972006476 | Julienne Go | Nurse Practitioner | 2845 Siena Heights Dr, Henderson, NV 89052 | 2018-03-12 |
| 1427405869 | Andrew Stanton | Family Medicine | 2845 Siena Heights Dr, Henderson, NV 89052 | 2016-05-16 |
| 1710340179 | Jing Qian Zhang | Family Medicine | 2845 Siena Heights Dr, Henderson, NV 89052-4153 | 2016-04-03 |
| 1306225750 | Arshia Rassi | Obstetrics & Gynecology | 2845 Siena Heights Dr, Henderson, NV 89052 | 2015-05-19 |
| 1245617802 | Amanda Lynne Fagan | Family Medicine | 2845 Siena Heights Dr, Henderson, NV 89052-4153 | 2015-05-04 |
| 1861899809 | Wendi Tsukada | Physician Assistant | 2845 Siena Heights Dr, Henderson, NV 89052-4153 | 2014-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| Find all providers in zip 89052 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437381 | Activate Healthcare | Clinic/Center | 1301 W Sunset Rd, Henderson, NV 89014-6607 | 2020-11-04 |
| 1669006854 | Nolloptometryllc | Clinic/Center | 2645 Saint Rose Pkwy, Ste C-110, Henderson, NV 89052-8905 | 2020-02-26 |
| 1831670603 | Terrance Ballard Md PC, Dba Welltrac | Clinic/Center | 2510 Wigwam Pkwy Ste 109, Henderson, NV 89074-7115 | 2018-08-28 |
| 1609215839 | Vance Recovery, PC | Clinic/Center | 510 Dabney Dr Ste B, Henderson, NC 27536-3946 | 2013-06-20 |
| 1194929877 | Arcadia Health Services, Inc. | Clinic/Center | 261 Quail Ranch Dr, Henderson, NV 89015-6650 | 2007-06-14 |
| 1922201896 | Robert W Shreck Md Ltd | Clinic/Center | 3048 Palatine Terrace Dr, Henderson, NV 89052-3002 | 2007-06-07 |
| 1477559169 | 7 Hills Radiology LLC | Clinic/Center | 870 Seven Hills Dr, Ste 101, Henderson, NV 89052-4378 | 2005-06-27 |
| 1912346180 | Vance Recovery, PC | Clinic/Center | 510 Dabney Dr, Suite B, Henderson, NC 27536-3946 | 2013-06-20 |
| 1538429436 | Healthquest Chiropractic & Active Rehab., Pllc. | Clinic/Center | 127 S Water St, Henderson, NV 89015-7221 | 2012-05-24 |
| 1952539751 | Elite Medicdal Services | Clinic/Center | 2779 Sunridge Heights Pkwy, Henderson, NV 89052-5050 | 2009-06-30 |
| Find all providers in HENDERSON | ||||
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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.