NICHOLAS TIBALDI (NPI# 1760478564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760478564 |
| Entity Type | Individual |
| Full Name | NICHOLAS TIBALDI |
| Credential | M.D. |
| Practice Address |
2316 W Charleston Blvd Suite 280 Las Vegas NV 89102-2149 |
| Mailing Address |
Po Box 15645 Las Vegas NV 89114-5645 |
| Practice Telephone | 7028778330 |
| Practice Fax Number | 7028778312 |
| Mailing Telephone | 7028778330 |
| Mailing Fax Number | 7028778312 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2014-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
11661 | NV | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
35065820 | OH | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
19721 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 6000016000 | 05 | |
| OH | 0151302 | 05 | |
| NV | 1760478564 | 05 |
| Street Address |
2316 W CHARLESTON BLVD SUITE 280 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-2149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235427816 | Sururat A Coulibaly | Physician Assistant | 2316 W Charleston Blvd, Adult Medicine Clinic, Las Vegas, NV 89102-2149 | 2011-07-15 |
| 1588962773 | Lyndsie Wilson | Physician Assistant | 2316 W Charleston Blvd, Las Vegas, NV 89102-2149 | 2011-03-11 |
| 1457655482 | Julie Lynn Swanson | Family Medicine | 2316 W Charleston Blvd, Las Vegas, NV 89102-2149 | 2011-01-05 |
| 1780991828 | Jennifer Ainsworth | Dietitian, Registered | 2316 W Charleston Blvd, Las Vegas, NV 89102-2149 | 2010-09-10 |
| 1801057625 | Chaorui Tian | Internal Medicine | 2316 W Charleston Blvd, Las Vegas, NV 89102-2149 | 2008-06-24 |
| 1467638809 | Kortney Mortimer | Physician Assistant | 2316 W Charleston Blvd, Las Vegas, NV 89102-2149 | 2008-01-16 |
| 1265622260 | Michael Uzmann | Internal Medicine | 2316 W Charleston Blvd, Las Vegas, NV 89102-2149 | 2007-07-26 |
| 1861593832 | John Eckert | Physician Assistant | 2316 W Charleston Blvd, Las Vegas, NV 89102-2149 | 2006-09-25 |
| 1083723274 | Ryan W Tingle | Podiatrist | 2316 W Charleston Blvd, Suite 120, Las Vegas, NV 89102-2149 | 2006-08-30 |
| 1588694046 | Jamey E Stephens | Nurse Practitioner | 2316 W Charleston Blvd, Suite 259, Las Vegas, NV 89102-2149 | 2006-07-03 |
| Find all providers in the same location | ||||
| 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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1760958052 | Cdin Education LLC | Internal Medicine | 6276 Spring Mountain Rd Ste 110, Las Vegas, NV 89146-8869 | 2018-10-15 |
| 1669808390 | Nourollah Ghahreman | Internal Medicine | 3291 Mission Creek Court, Las Vegas, NV 89135 | 2013-09-26 |
| 1578849998 | Gicare LLC | Internal Medicine | 7437 S Eastern Ave # 4, Las Vegas, NV 89123-1538 | 2011-10-31 |
| 1871722025 | Mahendran Jayaraj | Internal Medicine | 1701 W Charleston Blvd Ste 230, Las Vegas, NV 89102-2312 | 2009-07-09 |
| 1821264052 | Clifford Carrol Md A Professional Corporation | Internal Medicine | 10313 Orkiney Dr, Las Vegas, NV 89144-4316 | 2008-05-07 |
| 1861668097 | Sharma Medical PC | Internal Medicine | 2312 Cedardale Pl, Las Vegas, NV 89134-6719 | 2008-05-07 |
| 1699941880 | Mukherjee Professional Services Pllc | Internal Medicine | 133 S Ring Dove Dr, Las Vegas, NV 89144-4350 | 2008-05-07 |
| 1538335765 | Fw Faris M D Ltd | Internal Medicine | 609 Canyon Greens Dr, Las Vegas, NV 89144-0832 | 2008-05-07 |
| 1740456334 | Wahid Professional Services Pllc | Internal Medicine | 7228 Old Mission Dr, Las Vegas, NV 89128-8312 | 2008-05-02 |
| 1174798946 | Mickey Weisz Md PC | Internal Medicine | 9150 Smoke Ranch Rd, Ste 110, Las Vegas, NV 89128 | 2008-04-23 |
| 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.