CONSULTING INTERVENTIONAL CARDIOLOGY LLC


Address: 112 S Water St, #108, Henderson, NV 89015-2312
Phone: 7023866855

CONSULTING INTERVENTIONAL CARDIOLOGY LLC (NPI# 1083678486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083678486
Entity Type Organization
Organization Name CONSULTING INTERVENTIONAL CARDIOLOGY LLC
Practice Address 112 S Water St
#108
Henderson
NV 89015-2312
Mailing Address Po Box 4398
Modesto
CA 95352-4398
Practice Telephone 7023866855
Practice Fax Number 2095754598
Mailing Telephone 2095754575
Mailing Fax Number 2095754598
Enumeration Date 2006-04-13
Last Update Date 2011-01-25
Authorized Official Name JOHN ADAN (MANAGING GENERAL PARTNER)
Authorized Official Telephone 7023866855
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
F6379 TX Allopathic & Osteopathic Physicians
N 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
17530 AZ Allopathic & Osteopathic Physicians
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
5498 NV Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
DEA AA9643619 01
NV 002002858 05

Office Location

Street Address 112 S WATER ST
#108
City HENDERSON
State NV
Zip Code 89015-2312

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740832484 Taquisha Lloyd Health Educator 112 S Water St, Henderson, NV 89015-2312 2019-07-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225503238 Holly Abarca Home Health Aide 212 Shoshone Ln, Henderson, NV 89015 2018-10-05
1184111890 Pain Center of Henderson LLC Pain Medicine 98 E. Lake Mead Pkwy. Suite 202, Henderson, NV 89015 2018-04-18
1124528963 Edson Jeam Arredondo Chore Provider 160 E Horison Dr Ste A, Henderson, NV 89015 2018-02-19
1558879569 Robin Harvey Rehabilitation Practitioner 203 S. Water St # 200, Henderson, NV 89015 2018-01-12
1477064368 Chris Mcdonald Counselor 220 E Horizon Drive, Suite H, Henderson, NV 89015 2017-10-18
1649792565 David Blake Case Manager/Care Coordinator 522 E. Lake Mead Parkway, Suite 5, Henderson, NV 89015 2017-07-12
1457726135 Ozioma Chiebuka Nwosu Nurse Practitioner 200 E Horizon Dr Ste A, Henderson, NV 89015 2015-12-07
1770962839 Myesha Nicole Butler Counselor 16 W. Pacific Street, Ste. 2, Henderson, NV 89015 2015-05-22
1629469424 Felicia Suberville Behavioral Analyst 236 Red Horizon Terrace, Henderson, NV 89015 2015-02-16
1144618349 Dinesh Bharwani Physician Assistant 270 West Lake Mead Parkway, Southwest Medical Associates, Henderson, NV 89015 2014-12-23
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Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609988856 Chandra Reddy Narala Md Prof Corp Internal Medicine 2847 Saint Rose Pkwy Ste 100, Henderson, NV 89052-4844 2006-08-31
1750868089 Vilv Zeetser Pllc Internal Medicine 375 N Stephanie St Ste 1011, Henderson, NV 89014-8901 2018-07-19
1831490796 Umakanthan Cardiology Group Pllc Internal Medicine 98 E Lake Mead Pkwy, Suite # 305, Henderson, NV 89015-5540 2010-11-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1962901801 Cardiac Cin of Las Vegas LLC Internal Medicine 5550 Painted Mirage Rd Ste 320-a186, Las Vegas, NV 89149-4581 2018-02-06
1497267587 Jeoffrey Tinapay Internal Medicine 3041 E. Flamingo Rd. #a, Las Vegas, NV 89121 2017-10-30
1972503878 Syed T Zaidi Internal Medicine 9280 W Sunset Rd, Suite 320, Las Vegas, NV 89148-4860 2005-07-21
1063047736 Acv Nevada Bernstein Pllc Internal Medicine 2031 Mcdaniel St Ste 170, North Las Vegas, NV 89030-6325 2020-03-03
1396391868 Sarc Nevada LLC Internal Medicine 1500 Avenue H, Ely, NV 89301-2615 2019-08-12
1144782947 Cnv Care of Nv II, LLC Internal Medicine 5550 Painted Mirage Rd Ste 320-a38, Las Vegas, NV 89149-4581 2019-04-02
1073075776 Cnv Care of Nv, LLC Internal Medicine 5550 Painted Mirage Rd Ste 320-a38, Las Vegas, NV 89149-4581 2019-04-02
1972038412 University of Utah Adult Services Internal Medicine 976 Mountian City Hwy, A Plus Total Care, Elko, NV 89801-2728 2017-04-21
1467734285 Abhilash Akinapelli Internal Medicine 1500 E 2nd St Ste 400, Reno, NV 89502 2011-09-19
1932363132 Amr Mohsen Internal Medicine 2385 E Prater Way, Suite 302, Sparks, NV 89434-9629 2008-07-16
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City HENDERSON
Zip Code 89015

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Dataset Information

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.

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