MR. ERIC HARALSON (NPI# 1871961797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871961797 |
| Entity Type | Individual |
| Full Name | MR. ERIC HARALSON |
| Credential | PA-C |
| Practice Address |
270 W Lake Mead Pkwy Henderson NV 89015-7093 |
| Mailing Address |
6803 W Tropicana Ave Ste 100 Las Vegas NV 89103-4927 |
| Practice Telephone | 7026773720 |
| Practice Fax Number | 7026773733 |
| Mailing Telephone | 7024522526 |
| Mailing Fax Number | 7024522525 |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2017-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA0321 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | RAILROAD MEDICARE | P01700941 | 01 |
| NV | 1871961797 | 05 |
| Street Address |
270 W LAKE MEAD PKWY |
| City | HENDERSON |
| State | NV |
| Zip Code | 89015-7093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952380008 | Diane Renee Johnson | Physician Assistant | 270 W Lake Mead Pkwy, Henderson, NV 89015 | 2006-01-16 |
| 1225671639 | Mariam Hanna | Student in an Organized Health Care Education/Training Program | 270 W Lake Mead Pkwy, Henderson, NV 89015-7093 | 2019-10-18 |
| 1588016430 | Julie Michelle Laplante | Nurse Practitioner | 270 W Lake Mead Pkwy, Henderson, NV 89015-7093 | 2016-07-04 |
| 1184092272 | Adrienne Kemp | Nurse Practitioner | 270 W Lake Mead Pkwy, Henderson, NV 89015-7093 | 2015-09-08 |
| 1245622646 | Eric Fergen | Physician Assistant | 270 W Lake Mead Pkwy, Henderson, NV 89015-7093 | 2015-02-23 |
| 1083017081 | Marcus Pace | Physician Assistant | 270 W Lake Mead Pkwy, Henderson, NV 89015-7093 | 2014-10-03 |
| 1538418934 | Jason Daniel Fagan | Physician Assistant | 270 W Lake Mead Pkwy, Henderson, NV 89015 | 2012-08-31 |
| 1972883320 | Hava G Lavine | Nurse Practitioner | 270 W Lake Mead Pkwy, Henderson, NV 89015-7093 | 2011-08-17 |
| 1275701617 | Naysha Mya Isom | Family Medicine | 270 W Lake Mead Pkwy, Henderson, NV 89015-7093 | 2008-02-19 |
| 1184737330 | Ian John Fero | Physician Assistant | 270 W Lake Mead Pkwy, Henderson, NV 89015-7093 | 2006-08-15 |
| Find all providers in the same location | ||||
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144618349 | Dinesh Bharwani | Physician Assistant | 270 West Lake Mead Parkway, Southwest Medical Associates, Henderson, NV 89015 | 2014-12-23 |
| 1285057562 | Elena Zalan | Physician Assistant | 75 S Valle Verde Dr, Suite 100, Henderson, NV 89012-3462 | 2014-01-22 |
| 1760557151 | Leda W.z. Edwards | Physician Assistant | 6301 Mountain Vista, Suite #205, Henderson, NV 89014 | 2006-11-21 |
| 1952381089 | Ronald Allen Hoffmeyer | Physician Assistant | 1132 Industrial Drive, Henderson Health Center, Henderson, TN 38340 | 2006-01-17 |
| 1750997078 | Els Dauven | Physician Assistant | 10950 S Eastern Ave Ste 100, Henderson, NV 89052-4971 | 2020-09-22 |
| 1952926297 | Dana Shepherd | Physician Assistant | 874 American Pacific Dr, Henderson, NV 89014-8800 | 2020-06-12 |
| 1861957722 | Michaela R Parrish | Physician Assistant | 1621 Front St, Henderson, NE 68371-8902 | 2019-02-05 |
| 1770056566 | Justin Peter Spangler | Physician Assistant | 2900 N Green Valley Pkwy, Henderson, NV 89014-0410 | 2019-01-04 |
| 1396217493 | Audrey N Darreguet | Physician Assistant | 10001 S Eastern Ave Ste 310, Henderson, NV 89052-3908 | 2018-12-30 |
| 1871082511 | Robert Wimmer | Physician Assistant | 874 American Pacific Dr, Henderson, NV 89014-8800 | 2018-05-08 |
| 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.