DIGNITY HEALTH MEDICAL GROUP NEVADA, LLC (NPI# 1376805416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376805416 |
| Entity Type | Organization |
| Organization Name | DIGNITY HEALTH MEDICAL GROUP NEVADA, LLC |
| Practice Address |
10001 S Eastern Ave Suite 209 Henderson NV 89052-3907 |
| Mailing Address |
2200 Paseo Verde Pkwy Ste 260 Henderson NV 89052-2703 |
| Practice Telephone | 7026165865 |
| Practice Fax Number | 7026165828 |
| Mailing Telephone | 7026165801 |
| Mailing Fax Number | 6022003745 |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MELISSA WALKER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7026165507 |
| Is Organization Subpart | Y |
| Parent Organization Name | DIGNITY HEALTH MEDICAL GROUP NEVADA, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10001 S Eastern Ave Ste 209, Henderson, NV 890523908 | 7026165801 | |
| 800 N Gibson Rd Ste 101, Henderson, NV 890111706 | 7026165801 | |
| 400 S Rampart Blvd Ste 240, Las Vegas, NV 891455742 | 7026165801 | |
| 8205 W Warm Springs Rd Ste 210, Las Vegas, NV 891133646 | 7026165801 | |
| 8689 W Charleston Blvd Ste 105, Las Vegas, NV 891175485 | 7026165801 | |
| 1701 N Green Valley Pkwy Ste 10a, Henderson, NV 890745991 | 7006165801 | |
| 10001 S Eastern Ave Ste 203, Henderson, NV 890523908 | 7026165801 | |
| 800 N Gibson Rd Ste 201, Henderson, NV 890111706 | 7026165801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144739707 | Dignity Health Medical Group Nevada, LLC | Nurse Practitioner | 1701 N Green Valley Pkwy Ste 10a, Henderson, NV 89074-5991 | 2017-09-27 |
| Street Address |
10001 S EASTERN AVE SUITE 209 |
| 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 |
| 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 |
| 1417114893 | Hannah Imasa | Physician Assistant | 10001 S Eastern Ave, Suite 310, Henderson, NV 89052-3907 | 2008-05-21 |
| Find all providers in the same location | ||||
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| 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 | ||||
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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.