HENDERSON OB/GYN LLC (NPI# 1710945092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710945092 |
| Entity Type | Organization |
| Organization Name | HENDERSON OB/GYN LLC |
| Practice Address |
98 E Lake Mead Pkwy Ste 307 Suite 307 Henderson NV 89015-6444 |
| Mailing Address |
Po Box 530124 Henderson NV 89053-0124 |
| Practice Telephone | 7025686108 |
| Practice Fax Number | 7025688603 |
| Mailing Telephone | 7025686108 |
| Mailing Fax Number | 7025688603 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ORLANDIS L. WELLS (MANAGING MEMBER) |
| Authorized Official Telephone | 7025686108 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Street Address |
98 E LAKE MEAD PKWY STE 307 SUITE 307 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89015-6444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881196012 | Bamboo Family Clinic LLC | Clinic/Center | 98 E Lake Mead Pkwy Ste 307, Henderson, NV 89015-6444 | 2018-03-03 |
| 1427246578 | Christine T Estepa | Family Medicine | 98 E Lake Mead Pkwy Ste 307, Henderson, NV 89015-6444 | 2007-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225503238 | Holly Abarca | Home Health Aide | 212 Shoshone Ln, Henderson, NV 89015 | 2018-10-05 |
| 1184111890 | Pain Center of Henderson LLC | Pain Medicine | 98 E. Lake Mead Pkwy. Suite 202, Henderson, NV 89015 | 2018-04-18 |
| 1124528963 | Edson Jeam Arredondo | Chore Provider | 160 E Horison Dr Ste A, Henderson, NV 89015 | 2018-02-19 |
| 1558879569 | Robin Harvey | Rehabilitation Practitioner | 203 S. Water St # 200, Henderson, NV 89015 | 2018-01-12 |
| 1477064368 | Chris Mcdonald | Counselor | 220 E Horizon Drive, Suite H, Henderson, NV 89015 | 2017-10-18 |
| 1649792565 | David Blake | Case Manager/Care Coordinator | 522 E. Lake Mead Parkway, Suite 5, Henderson, NV 89015 | 2017-07-12 |
| 1457726135 | Ozioma Chiebuka Nwosu | Nurse Practitioner | 200 E Horizon Dr Ste A, Henderson, NV 89015 | 2015-12-07 |
| 1770962839 | Myesha Nicole Butler | Counselor | 16 W. Pacific Street, Ste. 2, Henderson, NV 89015 | 2015-05-22 |
| 1629469424 | Felicia Suberville | Behavioral Analyst | 236 Red Horizon Terrace, Henderson, NV 89015 | 2015-02-16 |
| 1144618349 | Dinesh Bharwani | Physician Assistant | 270 West Lake Mead Parkway, Southwest Medical Associates, Henderson, NV 89015 | 2014-12-23 |
| Find all providers in zip 89015 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366008120 | Amy Marie Falcone-wharton Md PC | Obstetrics & Gynecology | 1701 N Green Valley Pkwy Bldg 3, Ste B, Henderson, NV 89074-5885 | 2019-05-16 |
| 1285197384 | Stepanida Freeman Md PC | Obstetrics & Gynecology | 1701 N Greenway Pkwy, Ste 3b, Henderson, NV 89704 | 2019-04-08 |
| 1558833830 | Mehran Salek | Obstetrics & Gynecology | 990 Crescent Meadows Ct, Henderson, NV 89052-4957 | 2018-12-26 |
| 1487074829 | David Ollendorff | Obstetrics & Gynecology | 9 Grand Corniche Dr, Henderson, NV 89011-2005 | 2014-04-24 |
| 1770822207 | James Oscar Goodwin | Obstetrics & Gynecology | 1740 Parker Ln, Henderson, NC 27536-3541 | 2013-02-04 |
| 1043502446 | Stepanida Freeman | Obstetrics & Gynecology | 1701 N Green Valley Pkwy Ste 3b, Henderson, NV 89074 | 2011-05-04 |
| 1255631313 | Kevin Hsiung | Obstetrics & Gynecology | 1528 W Warm Springs Rd Ste 100, Henderson, NV 89014-4332 | 2010-10-23 |
| 1891004198 | Douglas Tanita | Obstetrics & Gynecology | 2420 W Horizon Ridge Pkwy Ste 130, Henderson, NV 89052-2725 | 2010-10-04 |
| 1821300716 | Hayat Jawadi | Obstetrics & Gynecology | 3041 W Horizon Ridge Pkwy Ste 165, Henderson, NV 89052 | 2010-07-08 |
| 1023332541 | Joseph Brodhead Callahan | Obstetrics & Gynecology | 391 Burning Tree Dr, Henderson, NC 27537-9608 | 2010-03-26 |
| Find all providers in HENDERSON | ||||
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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.