ERIC A. GERSON, MD LTD (NPI# 1447209499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447209499 |
Entity Type | Organization |
Organization Name | ERIC A. GERSON, MD LTD |
Practice Address |
1409 E Lake Mead Blvd Imaging Department N Las Vegas NV 89030-7120 |
Mailing Address |
Dept 8191 Los Angeles CA 90084-0001 |
Practice Telephone | 7026575507 |
Practice Fax Number | 7026493480 |
Mailing Telephone | 8887271075 |
Mailing Fax Number | 7029904947 |
Enumeration Date | 2006-05-08 |
Last Update Date | 2009-02-12 |
Authorized Official Name | ERIC A GERSON (PRESIDENT) |
Authorized Official Telephone | 7028972081 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | 100512276 | 05 | |
NV | MEDICARE LEGACY | V102219 | 01 |
NV | RAILROAD MEDICARE | DE7931 | 01 |
Street Address |
1409 E LAKE MEAD BLVD IMAGING DEPARTMENT |
City | N LAS VEGAS |
State | NV |
Zip Code | 89030-7120 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619267358 | Megan C Grande | Physician Assistant | 1409 E Lake Mead Blvd, N Las Vegas, NV 89030-7120 | 2011-04-14 |
1013242791 | Howard G Gelfand Md LLC | Preventive Medicine | 1409 E Lake Mead Blvd, N Las Vegas, NV 89030-7120 | 2009-10-13 |
1154367605 | Lake Mead Emergency Physicians, LLC | Emergency Medicine | 1409 E Lake Mead Blvd, Emergency Department, N Las Vegas, NV 89030-7120 | 2006-06-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043819063 | Ma Guadalupe Ramos Michel | Technician | 2415 Reynolds Ave #101, Las Vegas, NV 89030 | 2020-10-21 |
1558968214 | Arturo Juarez Magana | Technician | 2415 Reynolds Ave Suite 101, Las Vegas, NV 89030 | 2020-10-06 |
1669088407 | Olivia Lizbeth Santillan-trinidad | Technician | 2415 Reynolds Ave. Ste #101, Las Vegas, NV 89030 | 2020-09-17 |
1508471640 | Fabian Aaron Alvarado-perales | Technician | 2415 Reynolds Ave Ste. 101, Las Vegas, NV 89030 | 2020-09-15 |
1063047934 | Adriana Lopez | Technician | 2415 Reynolds Ave., Ste 100, N. Las Vegas, NV 89030 | 2020-03-11 |
1881234078 | Blanca E Rangel Silva | Technician | 2810 Equador Ct, Las Vegas, NV 89030 | 2020-01-15 |
1598314445 | Julia Gonzalez | Technician | 2415 Reynolds Ave Suiete 100, Las Vegas, NV 89030 | 2019-09-04 |
1487201901 | Mayra Gutierrez | Technician | 2415 Reynolds Av. #100, Las Vegas, NV 89030 | 2019-08-20 |
1639725799 | Idalia Ruiz | Technician | 2415 Reynolds Ave, Las Vegas, NV 89030 | 2019-08-14 |
1548815616 | Rd Prabhu-lata K Shete Mds Ltd | Clinic/Center | 1905 Civic Center Drive, Ste 201, N. Las Vegas, NV 89030 | 2019-08-06 |
Find all providers in zip 89030 |
Taxonomy Code | 261QR0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Radiology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376730945 | Consolidated Laboratory Services, Inc | Clinic/Center | 1670 E Calvada Blvd, Suite 600, Pahrump, NV 89048 | 2007-09-27 |
1457305856 | Medical Diagnostic Services, Inc. | Clinic/Center | 6301 Mountain Vista St., Suite 101, Henderson, NV 89014-2631 | 2006-05-20 |
1134173719 | Medical Diagnostic Services, Inc. | Clinic/Center | 1000 S. Rainbow Blvd., Las Vegas, NV 89145-6231 | 2006-05-19 |
1114470614 | American Radiology LLC | Clinic/Center | 6460 Medical Center St, Ste 150, Las Vegas, NV 89148-2406 | 2016-08-01 |
1134589716 | High Desert Imaging LLC | Clinic/Center | 976 Mountain City Hwy, Elko, NV 89801-2728 | 2016-02-25 |
1760664973 | Nevada Cancer Institute | Clinic/Center | 1 Breakthrough Way, Las Vegas, NV 89135 | 2007-11-29 |
1265626584 | Diagnostic Investments LLC | Clinic/Center | 4880 Wynn Rd, Las Vegas, NV 89103-5406 | 2007-08-29 |
1861514580 | John A Shields, Md Steven A Schiff, Md A Professional Corporation | Clinic/Center | 5423 Reno Corporate Dr, Reno, NV 89511 | 2007-04-04 |
1518081827 | Dkt LLC | Clinic/Center | 600 Whitney Ranch Dr, Ste B9, Henderson, NV 89014-2611 | 2007-03-19 |
1053341032 | Medical Diagnostic Services | Clinic/Center | 600 Whitney Ranch Dr, B9, Henderson, NV 89014-2611 | 2006-07-04 |
Find all providers with the same taxonomy |
City | N LAS VEGAS |
Zip Code | 89030 |
Please comment or provide details below to improve the information on ERIC A. GERSON, MD LTD.
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.