DR. CARLOS ERMOCILLA (NPI# 1497799407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497799407 |
| Entity Type | Individual |
| Full Name | DR. CARLOS ERMOCILLA |
| Credential | M.D. |
| Practice Address |
150 E Harmon Ave Las Vegas NV 89109-4533 |
| Mailing Address |
3121 S Maryland Pkwy Ste 204 Las Vegas NV 89109-2302 |
| Practice Telephone | 7027961116 |
| Practice Fax Number | 7026924740 |
| Mailing Telephone | 7023203627 |
| Mailing Fax Number | 7022163822 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2017-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 11167 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100505702 | 05 |
| Street Address |
150 E HARMON AVE |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89109-4533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093763112 | Nawaz Qureshi | Internal Medicine | 150 E Harmon Ave, Ste. 202, Las Vegas, NV 89109-4533 | 2006-05-04 |
| 1902391162 | Bagwell Elite Hospitalists Pllc | Hospitalist | 150 E Harmon Ave, Las Vegas, NV 89109-4533 | 2018-06-28 |
| 1083118145 | Elite Medical Center LLC | Clinic/Center | 150 E Harmon Ave, Las Vegas, NV 89109-4533 | 2018-03-22 |
| 1346749215 | Emergency Medicine Las Vegas Staffing Pllc | Emergency Medicine | 150 E Harmon Ave, Las Vegas, NV 89109-4533 | 2018-02-06 |
| 1063798908 | Jenilee Kessel | Pharmacist | 150 E Harmon Ave, Las Vegas, NV 89109-4533 | 2011-10-24 |
| 1326248311 | Ryan Obregon | Pharmacist | 150 E Harmon Ave, Las Vegas, NV 89109-4533 | 2007-07-19 |
| 1104037548 | Ryan's Pharmacy | Pharmacist | 150 E Harmon Ave, Las Vegas, NV 89109-4533 | 2007-05-25 |
| 1902904600 | Wenceslao Cabaluna | Surgery | 150 E Harmon Ave, Las Vegas, NV 89109-4533 | 2006-09-20 |
| 1720097041 | Mulu Chokele Professional Corporation | Pharmacist | 150 E Harmon Ave, Las Vegas, NV 89109-4533 | 2006-08-05 |
| 1912926924 | Nawaz A. Qureshi Md Ltd | Internal Medicine | 150 E Harmon Ave, Suite 202, Las Vegas, NV 89109-4533 | 2006-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820816 | Vivian Latoza Villasfer | Technician | 2770 South Maryland Parkway, Suite 205b, Las Vegas, NV 89109 | 2020-04-21 |
| 1235758236 | Happy Life Home Health Services Inc | Chore Provider | 2770 S Maryland Pkwy Suite 205-b, Las Vegas, NV 89109 | 2020-04-10 |
| 1346890662 | Jaylin Armour | Technician | 2770 S Maryland Pkwy Suite 108b Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-18 |
| 1104475003 | Jasmine Thomas | Technician | 2770 S Maryland Pkwy Suite 108 B-g Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-04 |
| 1982258331 | Melanee Gregory | Technician | 2770 S Maryland Okey Suite 108b, Suite 108b, Las Vegas, NV 89109 | 2019-07-24 |
| 1851877583 | Eric Darnell Thompson Jr. | Community/Behavioral Health | 2556 Shrewood Street, Unit 21, Las Vegas, NV 89109 | 2018-07-16 |
| 1144717117 | Emerging Vision Inc | Technician/Technologist | Mirage Hotel, 3400 Las Vegas Blvd S, Mirage Hotel, Las Vegas, NV 89109 | 2018-04-16 |
| 1013404110 | Emerging Vision Inc | Technician/Technologist | Mandalay Bay Resort (lobby), 3950 Las Vegas Blvd S, Mandalay Bay Resort (lobby), Las Vegas, NV 89109 | 2018-04-16 |
| 1750881736 | Amirelys Hernandez Diaz | Technician | 2770 S. Maryland Pkwy, Ste 108b-g, Las Vegas, NV 89109 | 2018-02-16 |
| 1972036663 | Ashley Murray | Registered Nurse | 2700 S Las Vegas Blvd #1506, Las Vegas, NV 89109 | 2017-04-10 |
| Find all providers in zip 89109 | ||||
| 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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| 1639788599 | Telelab | Family Medicine | 7881 W Charleston Blvd Ste 230, Las Vegas, NV 89117-8327 | 2020-07-27 |
| 1629687926 | Maria Habbi Md | Family Medicine | 501 S Rancho Dr Ste F40, Las Vegas, NV 89106-4834 | 2020-07-23 |
| 1225646805 | Shelley Elizabeth Ameduri | Family Medicine | 3943 Deluge Dr, Las Vegas, NV 89129-6481 | 2020-07-20 |
| 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 |
| 1669095048 | Partners In Primary Care Nv PC | Family Medicine | 4813 S Eastern Ave, Las Vegas, NV 89119-6188 | 2020-05-20 |
| 1184247579 | Partners In Primary Care Nv PC | Family Medicine | 3129 N Rainbow Blvd, Las Vegas, NV 89108-4578 | 2020-05-20 |
| 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.