SILVER STATE CARDIOLOGY, LLC (NPI# 1659680635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659680635 |
Entity Type | Organization |
Organization Name | SILVER STATE CARDIOLOGY, LLC |
Practice Address |
4200 W Charleston Blvd Bldg A Las Vegas NV 89102-1625 |
Practice Telephone | 7026837876 |
Practice Fax Number | 7023315764 |
Mailing Telephone | 7026837876 |
Mailing Fax Number | 7023315764 |
Enumeration Date | 2010-09-24 |
Last Update Date | 2012-11-19 |
Authorized Official Name | JOSE AQUINO (OWNER/OFFICER) |
Authorized Official Telephone | 7022702721 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
9278 | NV | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RR MEDICARE PTAN | DR3800 | 01 | |
NV | MEDICARE PTAN | EN355A | 01 |
Street Address |
4200 W CHARLESTON BLVD BLDG A |
City | LAS VEGAS |
State | NV |
Zip Code | 89102-1625 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124582218 | Reynard Madriaga | Nurse Practitioner | 4200 W Charleston Blvd Bldg A, Las Vegas, NV 89102-1625 | 2019-01-23 |
1083987630 | Puso, LLC | Internal Medicine | 4200 W Charleston Blvd Bldg A, Las Vegas, NV 89102-1625 | 2012-02-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
Find all providers in zip 89102 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548747793 | Nevada Heart and Vascular Center, (resh) LLP. | Internal Medicine | 7455 W. Washington Ave., Ste. 420, Las Vegas, NV 89128-4337 | 2018-07-20 |
1629434949 | City of Hope Cardiovascular Care and Therapeutics | Internal Medicine | 840 S Rancho Dr # 4-340, Las Vegas, NV 89106-3837 | 2016-01-04 |
1164859120 | Cavallini LLC | Internal Medicine | 7575 Norman Rockwell Ln, Ste 110, Las Vegas, NV 89143-6014 | 2013-10-03 |
1558705004 | Dalia Farouk Hawwass | Internal Medicine | 700 E Silverado Ranch Blvd Ste 170, Las Vegas, NV 89183-7518 | 2013-04-25 |
1588975544 | Jawad Ghazanfar Kiani | Internal Medicine | 3121 S Maryland Pky, Suite 512, Las Vegas, NV 89109 | 2010-06-24 |
1124278064 | Nevada Heart and Vascular Center Resh LLP | Internal Medicine | 1820 E Desert Inn, Suite A, Las Vegas, NV 89169-3249 | 2008-09-29 |
1851541791 | Nevada Heart and Vascular Center, Resh LLP | Internal Medicine | 500 E. Windmill Ln., Suite 140, Las Vegas, NV 89123-1847 | 2008-09-29 |
1063679249 | Mekdelawit Aschenaki | Internal Medicine | 10105 Banbury Cross Dr Ste 250, Las Vegas, NV 89144-6648 | 2008-05-16 |
1922287168 | Deepak Sharma, M.d., Ltd. | Internal Medicine | 4275 Burnham Ave Ste 128, Las Vegas, NV 89119-5400 | 2007-10-24 |
1528250966 | Manish P Gupta | Internal Medicine | 66 Hawkridge Drive, Las Vegas, NV 89135 | 2007-08-09 |
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.