DR. ELIAS J. PTAK (NPI# 1861653560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861653560 |
| Entity Type | Individual |
| Full Name | DR. ELIAS J. PTAK |
| Credential | D.O. |
| Practice Address |
874 American Pacific Dr Henderson NV 89014-8800 |
| Mailing Address |
1801 W Olympic Blvd # 2265 Pasadena CA 91199-0001 |
| Practice Telephone | 7027774809 |
| Practice Fax Number | 7027774822 |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2020-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | DO1666 | NV | Allopathic & Osteopathic Physicians |
| N | 204D00000X | Neuromusculoskeletal Medicine & OMM | 20A9728 | CA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | DO1666 | NV | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 20A9728 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
874 AMERICAN PACIFIC DR |
| City | HENDERSON |
| State | NV |
| Zip Code | 89014-8800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013919349 | Jacqueline Randa | Physical Therapist | 874 American Pacific Dr, Henderson, NV 89014-8800 | 2005-05-31 |
| 1952926297 | Dana Shepherd | Physician Assistant | 874 American Pacific Dr, Henderson, NV 89014-8800 | 2020-06-12 |
| 1558999888 | Jino Soriano | Student in an Organized Health Care Education/Training Program | 874 American Pacific Dr, Henderson, NV 89014-8800 | 2020-03-31 |
| 1083279442 | Sarah Peralta | Behavior Technician | 874 American Pacific Dr, Henderson, NV 89014-8800 | 2019-05-01 |
| 1871082511 | Robert Wimmer | Physician Assistant | 874 American Pacific Dr, Henderson, NV 89014-8800 | 2018-05-08 |
| 1093217507 | Tiffany Ann Finnegan | Behavior Technician | 874 American Pacific Dr, Henderson, NV 89014-8800 | 2018-03-01 |
| 1801303326 | Adam Volker | Behavioral Analyst | 874 American Pacific Dr, Henderson, NV 89014-8800 | 2018-01-05 |
| 1497268791 | Patrick Allen Leytham | Technician, Other | 874 American Pacific Dr, Henderson, NV 89014-8800 | 2017-11-08 |
| 1316475072 | Cynthia Lau | Occupational Therapist | 874 American Pacific Dr, Henderson, NV 89014-8800 | 2017-05-25 |
| 1497209134 | Teresa Renee Edwards | Behavioral Analyst | 874 American Pacific Dr, Henderson, NV 89014-8800 | 2016-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857024 | Sudheer J. Surpure, Md, Dds, Inc. | Oral & Maxillofacial Surgery | Grand Canyon Oral and Facial Surgery, 1600 W. Sunset Road, Suite B, Henderson, NV 89014 | 2020-10-06 |
| 1386271740 | Fibonacci Services LLC | Counselor | 2920 N. Green Valley Pkwy, Bulding 8 & Suite 812, Henderson, NV 89014 | 2020-03-25 |
| 1508409145 | Facial Expressions Presented By K. Thomas | Home Infusion | 1520 W. Sunset Rd. Ste 130, #205, Henderson, NV 89014 | 2019-10-27 |
| 1235794595 | Marquise D Dennis | Prosthetist | 1520 W. Sunset Rd, Henderson, NV 89014 | 2019-05-02 |
| 1609359165 | Kenisha Voncille Thomas | Family Medicine | 1520 W Sunset Rd Ste 130, Henderson, NV 89014 | 2018-09-11 |
| 1841716727 | Logan Bretney | Physical Therapist | 400 S Stephanie St, Suite 310, Building 1, Henderson, NV 89014 | 2017-08-22 |
| 1912421280 | Alan Joseph Sevy | Dentist | 1485 W Warm Springs Rd Ste 101, Henderson, NV 89014 | 2017-07-28 |
| 1659805307 | Ann Marie Echevarria | Behavior Technician | 2551 N Green Valley Parkway, 410a, Henderson, NV 89014 | 2017-04-19 |
| 1366838997 | Ladwana Retic, Lcsw LLC | Case Management | 1514 Tree Top Ct, Henderson, NV 89014 | 2015-04-10 |
| 1073958393 | Ashlyn Call | Physician Assistant | 1397 Galleria Dr Ste 100, Henderson, NV 89014 | 2013-04-30 |
| Find all providers in zip 89014 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558643155 | Robert Baker | Neuromusculoskeletal Medicine & OMM | 874 American Pacific Dr, Henderson, NV 89014-8800 | 2011-09-09 |
| 1578717781 | Paul R Rennie | Neuromusculoskeletal Medicine & OMM | 874 American Pacific Dr, Henderson, NV 89014-8800 | 2008-11-14 |
| 1740483197 | Claire Marianna Galin | Neuromusculoskeletal Medicine & OMM | 874 American Pacific Dr, Henderson, NV 89014-8800 | 2007-06-05 |
| 1710013826 | Wesley Chilton Lockhart | Neuromusculoskeletal Medicine & OMM | 874 American Pacific Dr, Touro Health Center, Henderson, NV 89014-8800 | 2007-02-25 |
| 1700878287 | Robert E Kessler | Neuromusculoskeletal Medicine & OMM | 874 American Pacific Dr, Henderson, NV 89014-8800 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518589399 | Eric Toder, D.o. | Neuromusculoskeletal Medicine & OMM | 7381 W Charleston Blvd Ste 120, Las Vegas, NV 89117-1571 | 2020-05-14 |
| 1437798931 | Las Vegas Diagnostic & Treatment LLC | Neuromusculoskeletal Medicine & OMM | Dpm, 5650 W Flamingo Rd Ste A, Las Vegas, NV 89103 | 2019-12-31 |
| 1952731150 | Susan Clay | Neuromusculoskeletal Medicine & OMM | 11115 Parma Way, Reno, NV 89521-4242 | 2013-11-25 |
| 1184815052 | Osteopathic Care, Inc | Neuromusculoskeletal Medicine & OMM | 893 Adams Blvd, Boulder City, NV 89005-2235 | 2007-08-06 |
| 1669488185 | Richard Scott Lee | Neuromusculoskeletal Medicine & OMM | 3960 Howard Hughes Pkwy, Suite 500, Las Vegas, NV 89169-5972 | 2006-08-01 |
| 1285698381 | Michael David Reiner | Neuromusculoskeletal Medicine & OMM | 1320 E Calvada Blvd, Pahrump, NV 89048 | 2006-04-14 |
| 1043213085 | Eric M Toder | Neuromusculoskeletal Medicine & OMM | 6853 W Charleston Blvd, Suite A, Las Vegas, NV 89117-1666 | 2005-05-23 |
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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.