DR. REGAN HOLDRIDGE (NPI# 1093937054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093937054 |
| Entity Type | Individual |
| Full Name | DR. REGAN HOLDRIDGE |
| Credential | M.D. |
| Practice Address |
1505 Wigwam Pkwy Ste 130 Henderson NV 89074 |
| Mailing Address |
400 N Stephanie St Ste 300 Henderson NV 89014-6692 |
| Practice Telephone | 7028561400 |
| Practice Fax Number | 7028561401 |
| Mailing Telephone | 7029523350 |
| Mailing Fax Number | 7029523365 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2018-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 042-0011321 | VT | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
12846 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 371315 | 05 |
| Street Address |
1505 WIGWAM PKWY STE 130 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780241778 | Tracey Christine Neuman | Nurse Practitioner | 1505 Wigwam Pkwy Ste 130, Henderson, NV 89074-8195 | 2019-05-24 |
| 1841650579 | Christy Hess | Nurse Practitioner | 1505 Wigwam Pkwy Ste 130, Henderson, NV 89074 | 2016-02-23 |
| 1255799227 | Andrea Schuiling Waldman | Physician Assistant | 1505 Wigwam Pkwy Ste 130, Henderson, NV 89074-8195 | 2016-02-05 |
| 1285869727 | Stephani Dawn Christensen | Internal Medicine | 1505 Wigwam Pkwy Ste 130, Henderson, NV 89074-8195 | 2009-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349381 | Samuel Taylor Mulford | Physical Therapist | 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 | 2020-06-03 |
| 1407369127 | Brenda Thomas | Dental Hygienist | 234 Polar Morning Place, Henderson, NV 89074 | 2017-11-16 |
| 1174036479 | Gail E Evans Wade | Behavioral Analyst | 1445 Stone Lake Cove, Henderson, NV 89074 | 2017-11-08 |
| 1710400957 | Kimberley Houk | Behavioral Analyst | 20 Avenida Picasso, Henderson, NV 89074 | 2017-07-19 |
| 1760911846 | Colin Ono-moore | Physical Therapist | 3 Rising Sun Ct, Henderson, NV 89074 | 2017-06-12 |
| 1851825764 | Ralph Wieder | Dietitian, Registered | 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 | 2017-04-18 |
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1275994642 | Malyna Lavarias | Behavioral Analyst | 74 N Pecos Rd., Suite C, Henderson, NV 89074 | 2016-03-14 |
| 1144608290 | Matthew Roderick | Acupuncturist | 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 | 2015-05-08 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| Find all providers in zip 89074 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679662688 | Ghulam Hossein Kashef | Internal Medicine | 10001 S Eastern Ave Ste 108, Henderson, NV 89052 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730402025 | Dina K Tack | Internal Medicine | 1535 Medical Center Parkway, Suite B, Carson City, NV 89703-4367 | 2010-03-01 |
| 1275755670 | Brian D Vicuna | Internal Medicine | 653 N Town Center Dr Ste 402, Las Vegas, NV 89144-0518 | 2007-05-03 |
| 1730221854 | Sharda Sun Medical Group, Pllc | Internal Medicine | 3509 E. Harmon Ave, Las Vegas, NV 89121 | 2007-02-13 |
| 1497706162 | Stephen J Iacoboni | Internal Medicine | 3006 S Maryland Pkwy Ste 205, Las Vegas, NV 89109 | 2006-05-15 |
| 1316936222 | Salman Malad | Internal Medicine | 8285 W Arby Ave Ste 100-b, Las Vegas, NV 89113-2235 | 2005-10-14 |
| 1366441743 | Raja S Mehdi | Internal Medicine | 6827 W Tropicana Ave, 110, Las Vegas, NV 89103-4918 | 2005-07-19 |
| 1952872384 | Community Care Services LLC | Internal Medicine | 1155 Mill St, Reno, NV 89502-1576 | 2018-12-11 |
| 1306317730 | Community Care Services LLC | Internal Medicine | 75 Pringle Way Ste 801, Reno, NV 89502-8400 | 2018-12-11 |
| 1821418807 | Sccn LLC | Internal Medicine | 3150 N Tenaya Way, Suite 510, Las Vegas, NV 89128-0443 | 2014-04-17 |
| 1487081048 | Shamloo Blue Sky Treatment Center Pllc | Internal Medicine | 3150 N Tenaya Way, Suite 510, Las Vegas, NV 89128-0443 | 2013-09-27 |
| Find all providers with the same taxonomy | ||||
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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.