EDS-I/HOMANSKY PRACTICES OF NEVADA PC (NPI# 1720540628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720540628 |
| Entity Type | Organization |
| Organization Name | EDS-I/HOMANSKY PRACTICES OF NEVADA PC |
| Practice Address |
360 S Lola Ln Pahrump NV 89048-0884 |
| Mailing Address |
350 W Cedar St Fl 4 Pensacola FL 32502-4910 |
| Practice Telephone | 9548382371 |
| Mailing Telephone | 9732511132 |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2020-08-19 |
| Authorized Official Name | ANDREW SCOGGINS (OFFICER) |
| Authorized Official Telephone | 9732511132 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
360 S LOLA LN |
| City | PAHRUMP |
| State | NV |
| Zip Code | 89048-0884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720072333 | Jeffrey Milton Young | Emergency Medicine | 360 S Lola Ln, Pahrump, NV 89048-0884 | 2005-09-09 |
| 1326687120 | Kyle J Kelly | Nurse Practitioner | 360 S Lola Ln, Pahrump, NV 89048-0884 | 2019-12-27 |
| 1619436458 | Lola Emergency Physicians LLC | Emergency Medicine | 360 S Lola Ln, Pahrump, NV 89048-0884 | 2019-03-19 |
| 1659838563 | Mercy Air Service, Inc. | Ambulance | 360 S Lola Ln, Pahrump, NV 89048-0884 | 2019-02-27 |
| 1427582006 | Bonanza Peak Emergency Physicians LLC | Emergency Medicine | 360 S Lola Ln, Pahrump, NV 89048-0884 | 2017-04-20 |
| 1083067433 | Dvh Hospital Alliance LLC | General Acute Care Hospital | 360 S Lola Ln, Pahrump, NV 89048-0884 | 2016-07-21 |
| 1073963138 | Dvh Hospital Alliance LLC | General Acute Care Hospital | 360 S Lola Ln, Pahrump, NV 89048-0884 | 2016-06-20 |
| 1346657277 | Advanced Care Emergency Specialists LLC | Emergency Medicine | 360 S Lola Ln, Pahrump, NV 89048-0884 | 2014-07-11 |
| 1346682168 | Stephen Bert Defriez | Physical Therapist | 360 S Lola Ln, Pahrump, NV 89048-0884 | 2013-07-22 |
| 1881932721 | Nevada Em-i Silver-homansky Medical Services Professional Corporation | Nurse Practitioner | 360 S Lola Ln, Pahrump, NV 89048-0884 | 2013-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550577 | Adela Madueno | Technician | 1321 S. Highway 160 Ste. 10b, Pahrump, NV 89048 | 2020-08-27 |
| 1295363232 | Desert River PCa | Home Health Aide | 1890, S Mount Charleston Rd W, Pahrump, NV 89048 | 2020-03-27 |
| 1720628530 | Jeannie Gutierrez | Registered Nurse | 240 S Humahuaca, Pahrump, NV 89048 | 2020-01-09 |
| 1689214686 | Jennifer Leigh Dion | Rehabilitation Counselor | 240 S. Humahuaca Rural Clinics Parhrump, Pahrump, NV 89048 | 2020-01-08 |
| 1679119069 | Pahrump Internal Medicine | Internal Medicine | 3370 S State Highway 160, Ste 10, Pahrump, NV 89048 | 2019-11-21 |
| 1417599184 | Silver State Health Services | Clinic/Center | 951 E Honeysuckle St, Pahrump, NV 89048 | 2019-10-14 |
| 1447892369 | Leanna Claney | Home Health Aide | 1321 S. Highway 160, Suite 10b, Pahrump, NV 89048 | 2019-10-11 |
| 1154972776 | Transforming Lives Completely LLC | Counselor | 3340 S Highway St, Suite 201, Pahrump, NV 89048 | 2019-09-25 |
| 1669022992 | Stepheni J. Nelson | Technician | 1321 South Highway 160 Suite 10b, Pahrump, NV 89048 | 2019-09-18 |
| 1437709045 | Ohana Home Care, LLC | In Home Supportive Care | 1321 South Highway 160, Ste. 10b, Pahrump, NV 89048 | 2019-09-16 |
| Find all providers in zip 89048 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881640662 | Tawni J Christensen | Emergency Medicine | 360 S Lola Lane, Pahrump, NV 89048 | 2006-05-25 |
| 1396794095 | Nopah Vista Emergency Physicians LLC | Emergency Medicine | 360 South Lola Lane, Pahrump, NV 89048 | 2006-05-09 |
| 1720072333 | Jeffrey Milton Young | Emergency Medicine | 360 S Lola Ln, Pahrump, NV 89048-0884 | 2005-09-09 |
| 1619436458 | Lola Emergency Physicians LLC | Emergency Medicine | 360 S Lola Ln, Pahrump, NV 89048-0884 | 2019-03-19 |
| 1427582006 | Bonanza Peak Emergency Physicians LLC | Emergency Medicine | 360 S Lola Ln, Pahrump, NV 89048-0884 | 2017-04-20 |
| 1245647205 | Michael Allen Engler | Emergency Medicine | 1397 S Loop Rd, Pahrump, NV 89048 | 2014-07-22 |
| 1346657277 | Advanced Care Emergency Specialists LLC | Emergency Medicine | 360 S Lola Ln, Pahrump, NV 89048-0884 | 2014-07-11 |
| 1114241130 | Veronica Pricillia Allen | Emergency Medicine | 1397 S Loop Rd, Pahrump, NV 89048 | 2010-03-19 |
| 1720097967 | Laimis H Sadzius | Emergency Medicine | 360 S Lola Ln, Pahrump, NV 89048-0884 | 2006-08-05 |
| 1548201635 | Jackson Health and Theater | Emergency Medicine | 360 South Lola Lane, Pahrump, NV 89048 | 2006-06-09 |
| Find all providers in PAHRUMP | ||||
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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.