DR. MAVIS N MATSUMOTO (NPI# 1942213558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942213558 |
| Entity Type | Individual |
| Full Name | DR. MAVIS N MATSUMOTO |
| Credential | M.D. |
| Practice Address |
2780 W Horizon Ridge Pkwy Suite 30 Henderson NV 89052-3995 |
| Mailing Address |
Po Box 530656 Henderson NV 89053-0656 |
| Practice Telephone | 7029924050 |
| Practice Fax Number | 7029924052 |
| Mailing Telephone | 7029924050 |
| Mailing Fax Number | 7029924052 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2016-03-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 7825 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 2019816 | 05 |
| Street Address |
2780 W HORIZON RIDGE PKWY SUITE 30 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-3995 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265872469 | Ashley Michelle Anderson | Dentist | 2780 W Horizon Ridge Pkwy, Suite 20, Henderson, NV 89052-3995 | 2013-07-02 |
| 1902174741 | Mavis N Matsumoto, Md, LLC | Non-Pharmacy Dispensing Site | 2780 W Horizon Ridge Pkwy, Suite 30, Henderson, NV 89052-3995 | 2011-12-08 |
| 1114233087 | Jamie Pero | Occupational Therapist | 2780 W Horizon Ridge Pkwy, Suite 40, Henderson, NV 89052-3995 | 2010-08-29 |
| 1679806608 | Jeremy Thompson | Occupational Therapist | 2780 W Horizon Ridge Pkwy, Ste 40, Henderson, NV 89052-3995 | 2009-09-09 |
| 1114250164 | Marifloyd Wright | Speech-Language Pathologist | 2780 W Horizon Ridge Pkwy, Ste 40, Henderson, NV 89052-3995 | 2009-09-09 |
| 1699958819 | Devon A Allgower | Physical Therapist | 2780 W Horizon Ridge Pkwy, Suite 40, Henderson, NV 89052-3995 | 2007-12-11 |
| 1043344161 | Korina Woods | Physical Therapist | 2780 W Horizon Ridge Pkwy, Suite 40, Henderson, NV 89052-3995 | 2007-03-14 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1811521313 | Mahgerefteh Medical Pllc | Internal Medicine | 10624 S Eastern Ave Ste A-1015, Henderson, NV 89052-2982 | 2020-02-24 |
| 1780232421 | Toledo and Associates Ltd | Internal Medicine | 1546 W Warm Springs Rd Ste 100, Henderson, NV 89014-4326 | 2019-08-27 |
| 1528552379 | Snf Doctors of Henderson, Inc | Internal Medicine | 10410 S Eastern Ave Ste 100, Henderson, NV 89052-4196 | 2018-06-15 |
| 1063828226 | Premiere Home Services LLC | Internal Medicine | 688 Childrens Way, Henderson, NV 89052-4818 | 2014-07-09 |
| 1376973594 | Roy M Margallo Md | Internal Medicine | 10725 Prairie Wheat Ct, Henderson, NV 89052-8688 | 2013-11-25 |
| 1255779443 | Tiffany Therese Fonte | Internal Medicine | 108 E Lake Mead Pkwy Ste 302, Henderson, NV 89015 | 2013-06-10 |
| 1679864854 | Mpado Medical (amin) Ltd. | Internal Medicine | 11425 S Bermuda Rd, Henderson, NV 89052-8710 | 2011-04-22 |
| 1932498144 | Wendy Mojica | Internal Medicine | 10624 S Eastern Ave # A955, Henderson, NV 89052 | 2011-03-29 |
| 1912201104 | Elron Mighty | Internal Medicine | 745 S Green Valley Pkwy Ste 160, Henderson, NV 89052 | 2011-01-02 |
| 1295052322 | Joseph E. Dawa | Internal Medicine | 2900 W Horizon Ridge Pkwy Ste 221, Henderson, NV 89052-5014 | 2010-04-29 |
| 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.