DR. KULTIDA SOONTARAPORNCHAI (NPI# 1225242662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225242662 |
| Entity Type | Individual |
| Full Name | DR. KULTIDA SOONTARAPORNCHAI |
| Credential | M.D. |
| Practice Address |
10001 S Eastern Ave Suite 310 Henderson NV 89052-3907 |
| Mailing Address |
11714 Longworth Rd Las Vegas NV 89135-1322 |
| Practice Telephone | 7025662400 |
| Practice Fax Number | 7024332477 |
| Mailing Telephone | 7149245698 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2019-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
A155832 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
10001 S EASTERN AVE SUITE 310 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-3907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596338 | Casiano R Flaviano IIi | Physical Medicine & Rehabilitation | 10001 S Eastern Ave, Ste 210, Henderson, NV 89052-3907 | 2005-05-27 |
| 1740727007 | Hannah Furney | Nurse Practitioner | 10001 S Eastern Ave, Suite #108, Henderson, NV 89052 | 2017-01-25 |
| 1972046720 | Edelyn Barry | Nurse Practitioner | 10001 S Eastern Ave, Suite 307, Henderson, NV 89052-3907 | 2016-11-28 |
| 1427449297 | Seyed Abbas Mirabbasi | Internal Medicine | 10001 S Eastern Ave, Henderson, NV 89052-3907 | 2015-02-13 |
| 1376805416 | Dignity Health Medical Group Nevada, LLC | Family Medicine | 10001 S Eastern Ave, Suite 209, Henderson, NV 89052-3907 | 2012-06-14 |
| 1437439544 | Kimberly Erin Difillippo | Physician Assistant | 10001 S Eastern Ave, Suite 310, Henderson, NV 89052-3907 | 2011-08-19 |
| 1285944769 | Darcie Ellen Emge | Physician Assistant | 10001 S Eastern Ave, Suite 310, Henderson, NV 89052-3907 | 2010-10-18 |
| 1134437114 | Scott Selco Professional Corporation | Psychiatry & Neurology | 10001 S Eastern Ave, Suite 409, Henderson, NV 89052-3907 | 2010-09-23 |
| 1770712036 | I Fix Yu, Ltd | Orthopaedic Surgery | 10001 S Eastern Ave, Suite 406, Henderson, NV 89052-3907 | 2009-07-08 |
| 1861648545 | Harpreet Kaur Tsui | Internal Medicine | 10001 S Eastern Ave, Suite 101, Henderson, NV 89052-3907 | 2008-08-13 |
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| 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 | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437365376 | William George Cvetnic | Pediatrics | 2172 Indigo Creek Ave, Henderson, NV 89012-6116 | 2007-05-15 |
| 1518908243 | Iyad A Aljabi | Pediatrics | 505 Klutey Park Plaza Dr, Henderson, KY 42420-5224 | 2006-06-10 |
| 1184789364 | Pediatric Specialists LLC | Pediatrics | 505 Klutey Park Plaza Dr, Henderson, KY 42420-5224 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962069245 | Alana Marie Beilstein | Pediatrics | 5384 Desertstone Dr, Sparks, NV 89436-4047 | 2019-05-22 |
| 1720324429 | Elmer S. David, Md, Pllc | Pediatrics | 5876 S. Pecos Rd. Bldg. B, Las Vegas, NV 89120 | 2012-12-27 |
| 1174732168 | Rodica Constantin | Pediatrics | 10287 Jamapa Dr, Las Vegas, NV 89178-4028 | 2007-05-22 |
| 1811951726 | Cheryl Medlin Robinson | Pediatrics | St. Mary's Regional Medical Center, 235 W 6th St Room 2401, Reno, NV 89503 | 2006-04-17 |
| 1710975420 | Mente Dalere | Pediatrics | 653 N Town Center Dr Ste 10, Las Vegas, NV 89144-0503 | 2005-10-07 |
| 1689083057 | Vivian Ekwutosi Onuagu | Pediatrics | 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317 | 2014-08-10 |
| 1437563202 | Farooq Abdulla Md | Pediatrics | 2501 W Charleston Blvd, Las Vegas, NV 89102-2127 | 2014-06-19 |
| 1760822738 | Sunil Kumar Batlahally Venkatarayappa | Pediatrics | 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317 | 2013-07-04 |
| 1912342007 | Alaa Eldin A Eldemerdash | Pediatrics | 1800 W. Charleston Blvd., Las Vegas, NV 89102 | 2013-05-03 |
| 1255654737 | Zeromeh Lorelei Gerber | Pediatrics | 653 N Town Center Dr, Suite 112, Las Vegas, NV 89144-0514 | 2010-03-11 |
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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.