DR. BOUNGKHONG DAVID VANSOMPHONE (NPI# 1457451262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457451262 |
| Entity Type | Individual |
| Full Name | DR. BOUNGKHONG DAVID VANSOMPHONE |
| Credential | M.D. |
| Practice Address |
5375 S Fort Apache Rd Ste# 101 Las Vegas NV 89148-7623 |
| Mailing Address |
Po Box 35984 Las Vegas NV 89133-5984 |
| Practice Telephone | 7025971597 |
| Mailing Telephone | 7024533799 |
| Mailing Fax Number | 7024535741 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2010-12-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 9448 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 002018399 | 05 | |
| CO | LIC | DR48601 | 01 |
| MT | LIC | 12431 | 01 |
| CA | LIC | C53921 | 01 |
| Street Address |
5375 S FORT APACHE RD STE# 101 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89148-7623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881651826 | Goldsmith Healthcare, Ltd | Family Medicine | 5375 S Fort Apache Rd, Las Vegas, NV 89148-7623 | 2006-04-26 |
| 1508246752 | Goldsmith Healthcare, Ltd | Counselor | 5375 S Fort Apache Rd, 102-103, Las Vegas, NV 89148-7623 | 2015-06-03 |
| 1659512762 | Edward Neil Fishman | Family Medicine | 5375 S Fort Apache Rd, Las Vegas, NV 89148-7623 | 2009-03-19 |
| 1033389812 | Satish Sharma Single Mbr | Pain Medicine | 5375 S Fort Apache Rd, Suite 102, Las Vegas, NV 89148-7623 | 2008-03-07 |
| 1750598165 | David Vansomphone Md Ltd | Internal Medicine | 5375 S Fort Apache Rd, Suite 101, Las Vegas, NV 89148-7623 | 2007-05-16 |
| 1225160500 | Satish Sharma | Anesthesiology | 5375 S Fort Apache Rd, Ste 102, Las Vegas, NV 89148-7623 | 2007-03-12 |
| 1568540680 | M Balasubramanian Md Inc | Internal Medicine | 5375 S Fort Apache Rd, Suite 110, Las Vegas, NV 89148-7623 | 2006-11-02 |
| 1073614095 | Ivan Lee Goldsmith | Internal Medicine | 5375 S Fort Apache Rd, #102-103, Las Vegas, NV 89148-7623 | 2006-09-25 |
| 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 |
| Find all providers in zip 89148 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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. |
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| 1720609555 | Alia Parveen Inc | Internal Medicine | 337 Rezzo St, Las Vegas, NV 89138-4624 | 2020-05-04 |
| 1225658982 | Ejo Mannaparambil John Md Pllc | Internal Medicine | 3217 Grayson Lake Ct, Las Vegas, NV 89129-6614 | 2020-04-23 |
| 1780203869 | Curry Pllc | Internal Medicine | 8535 Edna Ave, Las Vegas, NV 89117-4413 | 2020-04-09 |
| 1073142980 | Fajar Corp LLC | Internal Medicine | 2991 Raywood Ash Dr, Las Vegas, NV 89138-6143 | 2020-04-02 |
| 1912534348 | Garrison Medical Consultants Pllc | Internal Medicine | 6852 Sumatra St, Las Vegas, NV 89166-7001 | 2020-03-25 |
| 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.