SEAN DALY BEATY


Address: 4101 Wagon Trail Ave, Las Vegas, NV 89118-4426
Phone: 7029424123

SEAN DALY BEATY (NPI# 1316920986) 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) 1316920986
Entity Type Individual
Full Name SEAN DALY BEATY
Credential M.D.
Practice Address 4101 Wagon Trail Ave
Las Vegas
NV 89118-4426
Mailing Address 1 Independence Pt Ste 202
Greenville
SC 29615-4536
Practice Telephone 7029424123
Practice Fax Number 7029424124
Mailing Telephone 8774062916
Enumeration Date 2005-11-28
Last Update Date 2013-01-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
11844 NV Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NV BLUE CC4853 01
AZ TRICARE WEST 86080015085259A463 01
NV RR MEDICARE P00342670 01
NV 100509912 05
AZ 939788 05

Office Location

Street Address 4101 WAGON TRAIL AVE
City LAS VEGAS
State NV
Zip Code 89118-4426

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841709219 Shree Sainath LLC Pharmacy 4101 Wagon Trail Ave, Las Vegas, NV 89118-4426 2017-09-28
1275083396 Ashkan Mousavinasab Pharmacist 4101 Wagon Trail Ave, Las Vegas, NV 89118-4426 2016-10-12
1285908798 Sonoran Pharmacy Group Inc Pharmacy 4101 Wagon Trail Ave, Las Vegas, NV 89118-4426 2012-03-01
1669553954 Shao-pow Lin Radiology 4101 Wagon Trail Ave, Las Vegas, NV 89118-4426 2006-10-17
1982706974 Sunil Kumar Gujrathi Radiology 4101 Wagon Trail Ave, Las Vegas, NV 89118-4426 2006-09-01
1861417792 Varoujan Kostanian Radiology 4101 Wagon Trail Ave, Las Vegas, NV 89118-4426 2006-07-13
1508844713 David P Gorczyca Radiology 4101 Wagon Trail Ave, Las Vegas, NV 89118-4426 2006-01-06
1336126721 Aaron Thomas Peterson Radiology 4101 Wagon Trail Ave, Las Vegas, NV 89118-4426 2005-12-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720568520 Kurt Yaross Behavioral Analyst 7138 W Post Rd, #208, Las Vegas, NV 89118 2018-08-21
1619457108 Michelle Herzberg Behavioral Analyst 7318 W Post Rd #280, Las Vegas, NV 89118 2018-08-15
1548749385 Keisha Bere-ruiz Behavioral Analyst 7318 W Post Rd #208, Las Vegas, NV 89118 2018-08-13
1295222081 Aliantcare Radiologic Technologist 5490 S Rainbow Blvd, Suite 400 N34835, Las Vegas, NV 89118 2018-04-17
1710406467 Anoush H. Tacvorian Do LLC Clinic/Center 6525 W. Warm Springs Rd, Suite 100, Las Vegas, NV 89118 2017-09-13
1962920470 Harvard Medtech, LLC Durable Medical Equipment & Medical Supplies 6280 S. Valley View Blvd, Suite 412, Las Vegas, NV 89118 2017-09-05
1750827903 Kerry Cutler Nurse Practitioner 6020 South Rainbow Blvd, Suite C, Las Vegas, NV 89118 2017-01-12
1184173015 Girisgen & Kopolow Od PC Optometrist 7090 S Rainbow Blvd, Ste 100, Las Veegas, NV 89118 2016-10-04
1396117859 Foundation for Positively Kids Clinic/Center 3555 E Reno, Ste F, Las Vegas, NV 89118 2015-10-23
1720492663 Kiet Michael Lam Chiropractor 5693 S. Jones Bvld, Ste 116, Las Vegas, NV 89118 2014-06-18
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346860624 Smi Imaging LLC Radiology 7455 W Washington Ave Ste 120, Las Vegas, NV 89128-4338 2020-04-16
1548807274 Smi Imaging LLC Radiology 3560 W Flamingo Rd, Ste 100, Las Vegas, NV 89121-5088 2019-12-02
1316583297 Smi Imaging LLC Radiology 8530 W Sunset Rd Ste 120, Las Vegas, NV 89113-2244 2019-11-26
1114563095 Smi Imaging LLC Radiology 7540 Oso Blanca Rd Ste 140, Las Vegas, NV 89149-1417 2019-11-26
1396381273 Smi Imaging LLC Radiology 7610 W Cheyenne Ave Ste 100, Las Vegas, NV 89129-6761 2019-11-26
1740826627 Smi Imaging LLC Radiology 3061 S Maryland Pkwy Ste 102, Las Vegas, NV 89109-6226 2019-11-26
1366000622 6radiology Radiology 11266 Parleys Cone Ct, Las Vegas, NV 89135-1839 2019-06-03
1396271698 Cheryl Jayne Radiology 2225 Scarlet Rose Dr, Las Vegas, NV 89134-5905 2017-05-04
1174997407 Sutter Valley Medical Foundation Radiology 2995 American River Ln, Las Vegas, NV 89135-1713 2015-11-24
1467879205 Ross Leon Prujan Radiology 11663 Glowing Sunset Ln, Las Vegas, NV 89135-1659 2014-03-18
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Competitor

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City LAS VEGAS
Zip Code 89118

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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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