ANTHONY ROBERT DICAMILLO (NPI# 1831483213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831483213 |
| Entity Type | Individual |
| Full Name | ANTHONY ROBERT DICAMILLO |
| Credential | D.O. |
| Practice Address |
10001 S Eastern Ave Ste 101 Henderson NV 89052-3908 |
| Mailing Address |
2200 Paseo Verde Pkwy Ste 260 Henderson NV 89052-2703 |
| Practice Telephone | 7026165870 |
| Mailing Telephone | 7026165801 |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2018-01-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0008X |
Psychiatry & Neurology Specialization: Neuromuscular Medicine |
SL0804 | NV | Allopathic & Osteopathic Physicians |
| Street Address |
10001 S EASTERN AVE STE 101 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-3908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093823577 | Celeste Caronia Atkinson | Internal Medicine | 10001 S Eastern Ave Ste 101, Henderson, NV 89052-3908 | 2006-08-26 |
| 1437682333 | Jason Lao | Family Medicine | 10001 S Eastern Ave Ste 101, Henderson, NV 89052-3908 | 2017-04-06 |
| 1699217232 | Tran Lyons | Nurse Practitioner | 10001 S Eastern Ave Ste 101, Henderson, NV 89052 | 2016-11-14 |
| 1386099703 | Sangouk Lee | Internal Medicine | 10001 S Eastern Ave Ste 101, Henderson, NV 89052-3908 | 2016-05-04 |
| 1083024194 | Michelle Alicia Mark | Family Medicine | 10001 S Eastern Ave Ste 101, Henderson, NV 89052-3908 | 2014-04-29 |
| 1952653123 | Rebecca T Church | Nurse Practitioner | 10001 S Eastern Ave Ste 101, Henderson, NV 89052-3908 | 2012-10-11 |
| 1306070552 | Mandy Yvonne Buttrum | Family Medicine | 10001 S Eastern Ave Ste 101, Henderson, NV 89052 | 2009-05-02 |
| 1033353032 | Emily K Peterson | Pediatrics | 10001 S Eastern Ave Ste 101, Henderson, NV 89052-3908 | 2009-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| Find all providers in zip 89052 | ||||
| Taxonomy Code | 2084N0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neuromuscular Medicine |
| A neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome). |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new] Additional Resources: American Board of Psychiatry and Neurology, 2007. http://www.abpn.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Psychiatry and Neurology |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679916688 | Neuropain Solutions LLC | Psychiatry & Neurology | 800 N Rainbow Blvd, Suite 215, Las Vegas, NV 89107-1189 | 2013-04-09 |
| 1083935811 | Robert William Balsiger | Psychiatry & Neurology | 2010 Wellness Way Ste 306, Las Vegas, NV 89106-4142 | 2010-06-16 |
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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.