PHYSICAL MEDICINE AND PAIN MANAGEMENT OF NEVADA, LLC (NPI# 1952829764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952829764 |
Entity Type | Organization |
Organization Name | PHYSICAL MEDICINE AND PAIN MANAGEMENT OF NEVADA, LLC |
Other Organization Name | PHYSICAL MEDICINE & PAIN MANAGEMENT OF NEVADA, LLC |
Practice Address |
2004 Glenview Dr Las Vegas NV 89134 |
Mailing Address |
1930 Village Center Cir # 3-716 Las Vegas NV 89134-6299 |
Practice Telephone | 7024081096 |
Enumeration Date | 2017-08-31 |
Last Update Date | 2018-06-28 |
Authorized Official Name | FARZIN FARHANG (OWNER) |
Authorized Official Telephone | 7024081096 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Physical Medicine & Pain Management of Nevada, LLC | Doing Business As Name - Organization |
Street Address |
2004 GLENVIEW DR |
City | LAS VEGAS |
State | NV |
Zip Code | 89134 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083611859 | Karyn Rae Doddy | Physical Medicine & Rehabilitation | 2004 Glenview Dr, Las Vegas, NV 89134-6114 | 2005-07-07 |
1093376758 | Loreydel Bias Abia | Nurse Practitioner | 2004 Glenview Dr, Las Vegas, NV 89134-6114 | 2019-06-24 |
1184135360 | Jason Sala Regalado | Nurse Practitioner | 2004 Glenview Dr, Las Vegas, NV 89134-6114 | 2017-10-16 |
1144657149 | Rose Leih Jusayan | Nurse Practitioner | 2004 Glenview Dr, Las Vegas, NV 89134-6114 | 2013-10-04 |
1538592381 | Kera Rabacal Atijera | Physician Assistant | 2004 Glenview Dr, Las Vegas, NV 89134-6114 | 2013-08-15 |
1467765024 | Farzin Farhangnejad M.d. PC | Pain Medicine | 2004 Glenview Dr, Las Vegas, NV 89134-6114 | 2010-07-23 |
1518195247 | Sadaf Keroles | Physician Assistant | 2004 Glenview Dr, Las Vegas, NV 89134-6114 | 2009-07-01 |
1164429932 | Farzin Farhang | Physical Medicine & Rehabilitation | 2004 Glenview Dr, Las Vegas, NV 89134-6114 | 2005-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508345786 | J'aime Nicole Macpherson | Marriage & Family Therapist | 9148 W Lake Mead Blvd, Ste. 316, Las Vegas, NV 89134 | 2018-08-09 |
1487178471 | Rcg LLC | Nurse Practitioner | 10109 Snow Crest Pl, Las Vegas, NV 89134 | 2017-08-01 |
1346770120 | Rizalyne May Abdelnour | Dentist | 9501 Hillwood Dr., Las Vegas, NV 89134 | 2017-06-14 |
1215465380 | Erin Mattera | Marriage & Family Therapist | 9418 West Lake Mead Blvd, Las Vegas, NV 89134 | 2017-06-01 |
1871044636 | Albert Khavkin, Ltd | Pain Medicine | 9329 Eagle Ridge Dr, Las Vegas, NV 89134 | 2016-10-17 |
1952647794 | Auralcare Hearing Centers of America, LLC | Clinic/Center | 8568 Del Webb Blvd., Las Vegas, NV 89134 | 2012-12-26 |
1518247311 | Proteus Therapeutic Solutions Inc | Counselor | 1813 Sierra Oaks Ln, Las Vegas, NV 89134 | 2011-08-24 |
1629357702 | Jessica Robbins | Marriage & Family Therapist | 9402 W. Lake Mead Blvd, Kayenta Therapy Center, Las Vegas, NV 89134 | 2011-08-08 |
1447575659 | Sara Pelton | Marriage & Family Therapist | 9418 W. Lake Mead Blvd., Las Vegas, NV 89134 | 2010-03-30 |
1205167517 | James Joshua Greathouse | Physical Therapist | 1845 Village Center Cir, Las Vegas, NV 89134 | 2010-01-26 |
Find all providers in zip 89134 |
Taxonomy Code | 2081P2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Pain Medicine |
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164721627 | Peter Shao You Su | Physical Medicine & Rehabilitation | 6950 W Desert Inn Rd Ste 110, Las Vegas, NV 89117-3171 | 2011-03-23 |
1023219508 | Integrated Pain Relief, LLC | Physical Medicine & Rehabilitation | 4161 S Eastern Ave Ste A9, Las Vegas, NV 89119-5425 | 2007-05-30 |
1578508065 | Mountain Rehabilitation Services Poindexter & Associates Ltd | Physical Medicine & Rehabilitation | 2641 Box Canyon Dr, Suite B, Las Vegas, NV 89128-0419 | 2006-06-18 |
1477504157 | Steven A Holper | Physical Medicine & Rehabilitation | 3233 W Charleston Blvd Ste 202, Las Vegas, NV 89102-1999 | 2006-05-15 |
1558369181 | Minh H Nguyen | Physical Medicine & Rehabilitation | 6955 N Durango Dr, Suite 1115-361, Las Vegas, NV 89149-4411 | 2005-07-08 |
1346868387 | Telehealth Clinical Evals, LLC | Physical Medicine & Rehabilitation | 9505 Hillwood Dr, Las Vegas, NV 89134-0506 | 2020-07-07 |
1124462056 | Grant Miki Karno | Physical Medicine & Rehabilitation | 1569 E Flamingo Rd, Las Vegas, NV 89119-5321 | 2013-04-22 |
1417100918 | Andrew Kim | Physical Medicine & Rehabilitation | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2008-10-28 |
1356467831 | Katherine Travnicek | Physical Medicine & Rehabilitation | 7435 W Azure Dr, Ste 190, Las Vegas, NV 89130-4427 | 2007-03-22 |
1639231954 | Restorative Medicine LLC | Physical Medicine & Rehabilitation | 6955 N Durango Dr, Suite 1115-361, Las Vegas, NV 89149-4411 | 2006-12-14 |
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.