DEEPA D KORDICK (NPI# 1396087094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396087094 |
| Entity Type | Individual |
| Full Name | DEEPA D KORDICK |
| Credential | MD |
| Practice Address |
8205 W Warm Springs Rd Ste 210 Las Vegas NV 89113-3646 |
| Practice Telephone | 7026167660 |
| Practice Fax Number | 7026167712 |
| Mailing Telephone | 7026167660 |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2016-11-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 16629 | NV | Allopathic & Osteopathic Physicians |
| Street Address |
8205 W WARM SPRINGS RD STE 210 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89113-3646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629063714 | Teresa Ong Hong | Family Medicine | 8205 W Warm Springs Rd Ste 210, Las Vegas, NV 89113 | 2005-09-14 |
| 1891294732 | Bonnie Kwan | Nurse Practitioner | 8205 W Warm Springs Rd Ste 210, Las Vegas, NV 89113-3646 | 2018-02-06 |
| 1912419052 | Kevin Lee Downing | Nurse Practitioner | 8205 W Warm Springs Rd Ste 210, Las Vegas, NV 89113 | 2017-10-30 |
| 1629587845 | Dignity Health Medical Group Nevada LLC | Internal Medicine | 8205 W Warm Springs Rd Ste 210, Las Vegas, NV 89113-3646 | 2017-09-20 |
| 1770005662 | Aishwarya Vyas-lahar | Internal Medicine | 8205 W Warm Springs Rd Ste 210, Las Vegas, NV 89113-3646 | 2017-07-12 |
| 1073975090 | Latricia Ann Lacy | Nurse Practitioner | 8205 W Warm Springs Rd Ste 210, Las Vegas, NV 89113-3646 | 2016-03-28 |
| 1831509637 | Winner Lee | Family Medicine | 8205 W Warm Springs Rd Ste 210, Las Vegas, NV 89113 | 2014-05-01 |
| 1629377379 | Christopher D. Mercado | Family Medicine | 8205 W Warm Springs Rd Ste 210, Las Vegas, NV 89113-3646 | 2011-03-21 |
| 1366633182 | Tuan Brian Nguyen | Specialist | 8205 W Warm Springs Rd Ste 210, Las Vegas, NV 89113-3646 | 2007-08-06 |
| 1467425421 | Carmelo V Rillera | Family Medicine | 8205 W Warm Springs Rd Ste 210, Las Vegas, NV 89113-3646 | 2006-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951121 | Trang Thu Tran | Pharmacist | 7200 Arroyo Crossing Parkway, Las Vegas, NV 89113 | 2020-10-30 |
| 1457966293 | Cory Alexander Stattelman | Physical Medicine & Rehabilitation | 5575 N Durango Dr Suite 111, Las Vegas, NV 89113 | 2020-09-09 |
| 1477170801 | Hailey Eileen Wilson | Behavior Technician | 5575 S Durango Dr #102, Las Vegas, NV 89113 | 2020-07-01 |
| 1295385078 | Dominica Zaragoza | Technician | 711 S. Durango Dr, Las Vegas, NV 89113 | 2019-09-13 |
| 1831742758 | Lyass PC A Professional Medical Corp | Clinic/Center | 5950 S. Durgango Dr, Suite 100, Las Vegas, CA 89113 | 2019-07-19 |
| 1932679529 | Kiara Hayden | Rehabilitation Practitioner | 5509 Lonesome Biker Lane, Las Vegas, NV 89113 | 2018-11-27 |
| 1437631876 | James Eugene Hightower | Community Health Worker | 7455 Arroyo Crossing Pkwy Suite 220, Las Vegas, NV 89113 | 2018-09-01 |
| 1356822282 | Warda Ali | Nurse Practitioner | 8738 Pinley Spring St, Las Vegas, NV 89113 | 2018-08-28 |
| 1063992949 | Endure Recovery Services LLC | Counselor | 3087 E. Warm Srpings, Suite 200, Las Vegas, NV 89113 | 2018-08-20 |
| 1134635097 | Mivip Regional Surgery Center | Clinic/Center | 5950 S Durango Dr Ste 101, Las Vegas, NV 89113 | 2017-12-14 |
| Find all providers in zip 89113 | ||||
| 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. |
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| 1659995090 | Universal Medical Alliance Inc. | Family Medicine | 6268 Spring Mountain Rd Ste 115b, Las Vegas, NV 89146-8873 | 2020-06-02 |
| 1255954640 | Partners In Primary Care Nv PC | Family Medicine | 4919 W Craig Rd, Las Vegas, NV 89130-2730 | 2020-05-20 |
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| 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.