MR. ZACHARY DAVID GOLDBERG (NPI# 1174861769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174861769 |
Entity Type | Individual |
Full Name | MR. ZACHARY DAVID GOLDBERG |
Practice Address |
11680 Evergreen Creek Ln Las Vegas NV 89135-1650 |
Practice Telephone | 7026060735 |
Mailing Telephone | 7026060735 |
Enumeration Date | 2013-01-16 |
Last Update Date | 2013-01-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
11680 EVERGREEN CREEK LN |
City | LAS VEGAS |
State | NV |
Zip Code | 89135-1650 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033743083 | Summerlin Medical | Durable Medical Equipment & Medical Supplies | 10300 W. Charleston Blvd., Suite 13, Las Vegas, NV 89135 | 2020-02-28 |
1902363344 | Arle Troy Ceniza Jumalon | Physical Therapist | 10401 West Charleston Blvd, Las Vegas, NV 89135 | 2019-02-21 |
1952887473 | Randon Ralph | Pharmacist | 10250 W.charleston Blvd, Las Vegas, NV 89135 | 2018-07-17 |
1528463981 | Century Vision Center, Chtd. | Optometrist | 10870 W. Charleston Blvd, Ste 105, Las Vegas, NV 89135 | 2014-10-28 |
1669808390 | Nourollah Ghahreman | Internal Medicine | 3291 Mission Creek Court, Las Vegas, NV 89135 | 2013-09-26 |
1033485560 | Jessica L Benesh | Speech-Language Pathologist | 11053 Crystal Crest Court, Las Vegas, NV 89135 | 2012-03-29 |
1053696237 | Jaclyn Latteri | Pharmacist | 5442 Nettle Way, Las Vegas, NV 89135 | 2011-10-19 |
1235384033 | Nancee Larson | Registered Nurse | 3418 Antique Rose Drive, Lasvegas, NV 89135 | 2008-11-20 |
1528250966 | Manish P Gupta | Internal Medicine | 66 Hawkridge Drive, Las Vegas, NV 89135 | 2007-08-09 |
1205036134 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 11720 W Charleston Blvd, Las Vegas, NV 89135 | 2007-07-19 |
Find all providers in zip 89135 |
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 |
Find all providers in LAS VEGAS |
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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.