ERIC G DEURELL (NPI# 1508961848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508961848 |
| Entity Type | Individual |
| Full Name | ERIC G DEURELL |
| Credential | MD |
| Practice Address |
4840 S Fort Apache Rd Suite 101 Las Vegas NV 89147 |
| Practice Telephone | 7024505437 |
| Practice Fax Number | 7023671698 |
| Mailing Telephone | 7024505437 |
| Mailing Fax Number | 7023671698 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 11440 | NV | Allopathic & Osteopathic Physicians |
| Street Address |
4840 S FORT APACHE RD SUITE 101 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700868643 | Lee A Wittenberg | Podiatrist | 4840 S Fort Apache Rd, Suite 101, Las Vegas, NV 89147-7967 | 2005-11-16 |
| 1386709228 | Apache Foot and Ankle Specialists LLC | Podiatrist | 4840 S Fort Apache Rd, Ste 101, Las Vegas, NV 89147-7967 | 2006-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619593621 | Ata Group Lv | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 10170 W Tropicana Ave Ste 156-211, Las Vegas, NV 89147 | 2020-06-25 |
| 1104474022 | Jacklyn Siagatonu | Behavior Technician | 7125 Grand Montecito Parkway, Las Vegas Nv, N Las Vegas, NV 89147 | 2019-09-04 |
| 1700388253 | Pr Acquisition Corporation | Clinic/Center | 9892 W Flamingo Road, Las Vegas, NV 89147 | 2018-03-01 |
| 1629578836 | Jonathan Balagot Dizon | Optometrist | 4160 S Durango Dr, Las Vegas, NV 89147 | 2018-02-14 |
| 1346751526 | Ignite Teen Treatment, LLC | Clinic/Center | 3722 Lone Mesa Dr, Las Vegas, NV 89147 | 2017-10-16 |
| 1306365275 | Diversified Behavioral Health Services LLC | Community/Behavioral Health | 9636 W.cherokee Ave, Las Vegas, NV 89147 | 2017-09-12 |
| 1356874713 | A8a Personal Care Solution LLC | In Home Supportive Care | 8879 West Flamingo, Ste 101, Las Vegas, NV 89147 | 2017-04-04 |
| 1154782191 | Ma Leah Roble Maravillas | Behavioral Analyst | 9999 W Katie Ave Suite 1313, Las Vegas, NV 89147 | 2016-03-18 |
| 1285010959 | Samantha Lauren Pope | Specialist | 9353 W. Twain Ave, Apt 113, Las Vegas, NV 89147 | 2015-08-05 |
| 1215311980 | Daniel Dorado | Marriage & Family Therapist | 9848 Gallo Dr, Las Vegas, NV 89147 | 2015-07-13 |
| Find all providers in zip 89147 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624592 | Brookes Pediatrics LLC | Pediatrics | 8440 W Lake Mead Blvd Ste 104, Las Vegas, NV 89128-7648 | 2020-06-19 |
| 1972079937 | Ching's Pediatrics, Pllc. | Pediatrics | 9260 W Sunset Rd Ste 205, Las Vegas, NV 89148-4903 | 2018-10-17 |
| 1912429093 | Rock & Rowles Pediatrics PC | Pediatrics | 2380 N Buffalo Dr Ste 145, Las Vegas, NV 89128-4807 | 2017-07-11 |
| 1104280783 | Aadil Mohammed Rahman | Pediatrics | 3186 S. Maryland Parkway, Las Vegas, NV 89109-2317 | 2016-04-08 |
| 1508257676 | Susan R Fernandez PC | Pediatrics | 6843 W Tropicana Ave, Suite 100, Las Vegas, NV 89103-4922 | 2015-02-11 |
| 1447592506 | Tina Vikki Desai | Pediatrics | 2040 W Charleston Blvd Ste 402, Las Vegas, NV 89102-2250 | 2013-03-26 |
| 1699014365 | Bond Pediatrics Ltd | Pediatrics | 5751 S Fort Apache Rd Ste A, Las Vegas, NV 89148-5624 | 2013-01-31 |
| 1891057519 | Rabbi Zia | Pediatrics | 10105 Banburry Cross Dr Ste 370, Las Vegas, NV 89144-6649 | 2012-06-08 |
| 1730445099 | William Edward Bannen | Pediatrics | 10 Wild Dunes Court, Las Vegas, NV 89113-1332 | 2012-04-11 |
| 1255622577 | Sanjay Kandoth Md PC | Pediatrics | 7875 S Rainbow Blvd, Suite 102, Las Vegas, NV 89139-6469 | 2011-04-20 |
| 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.