DAVID DIJOHN (NPI# 1699722819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699722819 |
| Entity Type | Individual |
| Full Name | DAVID DIJOHN |
| Credential | MD |
| Practice Address |
1524 Pinto Ln Fl 3 Las Vegas NV 89106-4195 |
| Mailing Address |
3016 W Charleston Blvd Ste 205 Las Vegas NV 89102-1963 |
| Practice Telephone | 7029926868 |
| Mailing Telephone | 7027802311 |
| Mailing Fax Number | 7028954014 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2019-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 15067 | NV | Other Service Providers |
| N | 208000000X | Pediatrics | 156788 | NY | Allopathic & Osteopathic Physicians |
| Y | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
156788 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01454342 | 05 | |
| NV | NV MEDICAL LICENSE | 15067 | 01 |
| NV | 1699722819 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3006 S Maryland Pkwy, Suite 315, Las Vegas, NV 891092218 | 7029926868 | 7029926860 |
| Street Address |
1524 PINTO LN FL 3 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89106-4195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134757990 | Alis Sergeevna-sokolova Roose | Student in an Organized Health Care Education/Training Program | 1524 Pinto Ln Fl 3, Las Vegas, NV 89106-4195 | 2020-03-28 |
| 1871956664 | Josue Diaz-frias | Pediatrics | 1524 Pinto Ln Fl 3, Las Vegas, NV 89106-4195 | 2016-03-30 |
| 1417344631 | Alvaro Eduardo Galvis | Pediatrics | 1524 Pinto Ln Fl 3, Las Vegas, NV 89106-4195 | 2015-04-26 |
| 1346637170 | Adib Federico Rodriguez | Pediatrics | 1524 Pinto Ln Fl 3, Las Vegas, NV 89106-4195 | 2015-04-20 |
| 1972997419 | Rachel Danielle Fisher | Pediatrics | 1524 Pinto Ln Fl 3, Las Vegas, NV 89106-4195 | 2015-03-23 |
| 1114241635 | Jennifer Lynne Quinlan | Pediatrics | 1524 Pinto Ln Fl 3, Las Vegas, NV 89106 | 2010-03-26 |
| 1356664205 | Oriaku Adaure Kas-osoka | Pediatrics | 1524 Pinto Ln Fl 3, Las Vegas, NV 89106-4195 | 2010-03-07 |
| 1952500845 | Fatehali Peera | Pediatrics | 1524 Pinto Ln Fl 3, Las Vegas, NV 89106 | 2007-07-12 |
| 1609800523 | Evelyn Montalvo-stanton | Pediatrics | 1524 Pinto Ln Fl 3, Las Vegas, NV 89106-4195 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555772 | Graciela Miranda Cocorpio | Technician | 820 Rancho Ln Suite #40, Las Vegas, NV 89106 | 2020-10-09 |
| 1679101679 | A Better You Wellness Center | Counselor | 320 W Monroe Street, Las Vegas, NV 89106 | 2020-03-27 |
| 1730725177 | Mariah La'neese Jones | Rehabilitation Practitioner | 400 Shadow Lane Ste 106, Las Vegas, NV 89106 | 2019-11-20 |
| 1417592841 | Lourdes Rita Apumayta-paredes | Technician | 820 Rancho Lane, Suite #40, Las Vegas, NV 89106 | 2019-11-08 |
| 1902456551 | Marisela Pena | Technician | 820 Rancho Ln., 25, Las Vegas, NV 89106 | 2019-09-16 |
| 1992368724 | Amber Nicole Mahajan | Nurse Practitioner | 2020 Wellness Way, Suite 300, Las Vegas, NV 89106 | 2019-04-17 |
| 1568924215 | Arlandrea Tarvins | Behavioral Analyst | 1048 Miller Ave, Las Vegas, NV 89106 | 2019-04-02 |
| 1427510361 | Erik Pennell | Student in an Organized Health Care Education/Training Program | 1542 Pinto Ln, 2nd Floor, Las Vegas, NV 89106 | 2019-04-01 |
| 1245702729 | Bruce Mark Babb | Technician | 820 Rancho Lane Ste #40, Las Vegas, NV 89106 | 2018-12-21 |
| 1639649213 | Antonio Ruiz Pelfort | Technician | 1951 Stella Lake St Suite 36, Las Vegas, NV 89106 | 2018-11-27 |
| Find all providers in zip 89106 | ||||
| Taxonomy Code | 2080P0208X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Infectious Diseases |
| A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. |
| 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/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598743254 | Echezona Edozie Ezeanolue | Pediatrics | 3006 S Maryland Pkwy, 315, Las Vegas, NV 89109-2218 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851862288 | Community Care Services LLC | Pediatrics | 1343 Newlands Dr W, Fernley, NV 89408-8926 | 2018-12-11 |
| 1487125977 | Community Care Services LLC | Pediatrics | 75 Pringle Way Ste 505, Reno, NV 89502-1469 | 2018-12-10 |
| 1629238332 | Sara Anne Healy | Pediatrics | 75 Pringle Way Ste 505, Reno, NV 89502-1469 | 2008-06-16 |
| 1164561734 | Trudy Larson | Pediatrics | 580 W 5th St, 12c, Reno, NV 89503-4407 | 2007-02-06 |
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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.