JOAQUIM S TAVARES


Address: 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613
Phone: 7024764900

JOAQUIM S TAVARES (NPI# 1437147295) 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) 1437147295
Entity Type Individual
Full Name JOAQUIM S TAVARES
Credential MD
Practice Address 6040 S Fort Apache Rd Ste 100
Las Vegas
NV 89148-5613
Mailing Address 1801 W Olympic Blvd # 1270
Pasadena
CA 91199-0001
Practice Telephone 7024764900
Practice Fax Number 7024764949
Mailing Telephone 7027911454
Mailing Fax Number 7029461354
Enumeration Date 2005-10-06
Last Update Date 2015-08-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
9087 NV Allopathic & Osteopathic Physicians
N 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
9087 NV Allopathic & Osteopathic Physicians
N 207RS0012X Internal Medicine
Specialization: Sleep Medicine
9087 NV Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA MEDI CAL XPY196745 01

Office Location

Street Address 6040 S FORT APACHE RD STE 100
City LAS VEGAS
State NV
Zip Code 89148-5613

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801403126 Kori Leftwich Nurse Practitioner 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 2020-09-30
1629684337 Laurie Ann Blas Salcedo Hoang Nurse Practitioner 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 2020-09-17
1093340770 Aya Werra Nurse Practitioner 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 2020-03-03
1174161566 Leslie Kirkegard Dietitian, Registered 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 2019-12-16
1902377229 Jeniffer Creque Nurse Practitioner 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 2018-12-14
1568930972 Nancy Sahagun Nurse Practitioner 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 2018-11-05
1093210577 Anthony Tubig Ligones Nurse Practitioner 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 2018-03-27
1396272860 Tara Sue Kenny Dietitian, Registered 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 2017-05-16
1093157836 Karan Gupta Internal Medicine 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 2013-07-22
1407290968 Michael John Gale Internal Medicine 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148 2013-04-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881293777 Miguel Angel Umpierre Technician 9889 Overlook Ridge Ave, Las Vegas, NV 89148 2020-10-21
1689280588 Santos Nunez Technician 7950 Mcginnis Ave, Las Vegas, NV 89148 2020-09-17
1861007734 Daniel D Forro Occupational Therapist 10164 Phelps Lake Ct, Las Vegas, NV 89148 2020-09-08
1568098309 Moinca R Ponce Dentist 9450 West Russell Rd, Suite #103, Las Vegas, NV 89148 2020-03-12
1689214876 Mama Dukes Healthcare Services LLC Rehabilitation Counselor 9908 Masterpeice Drive, Las Vegas, NV 89148 2020-01-15
1720621865 Building Hope Nevada Community/Behavioral Health 8936 Spanish Ridge, Las Vegas, NV 89148 2019-10-22
1790343721 Maretes Godinez Case Manager/Care Coordinator 6070 S Fort Apache Rd., Suite 110, Las Vegas, NV 89148 2019-06-04
1295393601 United Medical Group Pllc Pharmacist 9205 W. Russell Road, Building 3, Ste 240, Las Vegas, NV 89148 2019-05-31
1609358886 Jdr Dermatology Research, LLC. Dermatology 9080 W Post Rd Ste 100, Las Vegas, NV 89148 2018-09-04
1902393929 Hogue Healing Health and Hope, Pllc Dba H3, Pllc Social Worker 9205 W. Russell Rd Ste 240 Bldg 3, Las Vegas, NV 89148 2018-04-16
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Taxonomy Information

Taxonomy Code 207RC0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Critical Care Medicine

Taxonomy Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467821264 Landers Intensive Care Services, Ltd Internal Medicine 2879 Geary Pl Unit 2811, Las Vegas, NV 89109-0218 2015-09-22
1629397690 Pedro P Hani Md PC Internal Medicine 8255 Las Vegas Blvd S, Unit 1719, Las Vegas, NV 89123-1064 2010-05-28
1013114487 David Steiger Internal Medicine 2000 Goldring Ave, Las Vegas, NV 89106-4006 2007-06-29
1033164009 Hidenobu Shigemitsu Internal Medicine 1707 W. Charleston Blvd, #220, Las Vegas, NV 89102 2006-05-24
1316996721 Charles D Mcpherson Internal Medicine 3121 South Maryland Pkwy, Ste 502, Las Vegas, NV 89148 2006-05-10
1558310656 James S.j. Hsu Internal Medicine 9280 West Sunset Rd, # 312, Las Vegas, NV 89148 2006-05-08
1184693962 Sharon Brenda Landers Internal Medicine 1555 E Flamingo Rd, Las Vegas, NV 89119-5261 2006-03-15
1093157836 Karan Gupta Internal Medicine 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 2013-07-22
1407290968 Michael John Gale Internal Medicine 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148 2013-04-26
1013212893 Nancy Esther Holder Internal Medicine 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 2011-01-25
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Competitor

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City LAS VEGAS
Zip Code 89148

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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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