DIGNITY HEALTH MEDICAL GROUP NEVADA, LLC


Address: 1701 N Green Valley Pkwy Ste 10a, Henderson, NV 89074-5991
Phone: 7026165801

DIGNITY HEALTH MEDICAL GROUP NEVADA, LLC (NPI# 1144739707) 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) 1144739707
Entity Type Organization
Organization Name DIGNITY HEALTH MEDICAL GROUP NEVADA, LLC
Practice Address 1701 N Green Valley Pkwy Ste 10a
Henderson
NV 89074-5991
Mailing Address 2200 Paseo Verde Pkwy Ste 260
Henderson
NV 89052-2703
Practice Telephone 7026165801
Enumeration Date 2017-09-27
Last Update Date 2017-10-25
Authorized Official Name MELISSA WALKER (CFO)
Authorized Official Telephone 7026165507
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1376805416 Dignity Health Medical Group Nevada, LLC Family Medicine 10001 S Eastern Ave, Suite 209, Henderson, NV 89052-3907 2012-06-14

Office Location

Street Address 1701 N GREEN VALLEY PKWY STE 10A
City HENDERSON
State NV
Zip Code 89074-5991

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558924613 Sanjay Kandoth Md PC Pediatrics 1701 N Green Valley Pkwy Ste 10a, Henderson, NV 89074-5991 2019-04-15

Providers in the same zip code

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 Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740807619 Sherrin Soliman Family Medicine 761 Crest Valley Pl, Henderson, NV 89011-2663 2020-06-26
1932724143 Qv Now Pllc Family Medicine 1600 Us Highway 79 S Ste B, Henderson, TX 75654-4508 2020-06-12
1154944544 Partners In Primary Care Nv PC Family Medicine 390 W Lake Mead Pkwy, Henderson, NV 89015-7417 2020-05-20
1689134116 Transforming Arts Inc Family Medicine 2900 N Green Valley Pkwy Ste 114, Henderson, NV 89014-0408 2019-03-21
1609359165 Kenisha Voncille Thomas Family Medicine 1520 W Sunset Rd Ste 130, Henderson, NV 89014 2018-09-11
1336636521 Bob Dillon Enterprises Ltd Family Medicine 90 S Stephanie St Ste 110, Henderson, NV 89012-5574 2018-04-13
1013425255 Bikramjit Singh Nanar Family Medicine 1382 Opal Valley St, Henderson, NV 89052-3146 2018-01-22
1265965263 La Boss LLC Family Medicine 2404 Chateau Napoleon Dr, Henderson, NV 89044-0377 2017-04-06
1679922959 Sonia Garcia-jayne Family Medicine 2645 W Horizon Ridge Pkwy Ste 120, Henderson, NV 89052 2016-06-08
1043668015 Michelle I-hung Lin Family Medicine 2865 Siena Heights Dr Ste 140, Henderson, NV 89052-4168 2016-05-31
Find all providers in HENDERSON

Competitor

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City HENDERSON
Zip Code 89074

Improve Information

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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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