SUSAN GALVIN (NPI# 1972569333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972569333 |
Entity Type | Individual |
Full Name | SUSAN GALVIN |
Other Name | SUSAN CATHERINE COSTA |
Credential | M.D. |
Practice Address |
2316 W Charleston Blvd Las Vegas NV 89102-2149 |
Mailing Address |
Po Box 15645 Las Vegas NV 89114-5645 |
Practice Telephone | 7028778600 |
Practice Fax Number | 7028709876 |
Mailing Telephone | 7025602900 |
Mailing Fax Number | 7025602928 |
Enumeration Date | 2006-04-25 |
Last Update Date | 2014-02-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 14531 | NV | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | 1972569333 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861718983 | Susan E Galvin | Counselor | 850 Harrison Ave, Emergency Dept, Boston, MA 02118-4001 | 2010-04-14 |
Street Address |
2316 W CHARLESTON BLVD |
City | LAS VEGAS |
State | NV |
Zip Code | 89102-2149 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760478564 | Nicholas Tibaldi | Internal Medicine | 2316 W Charleston Blvd, Suite 280, Las Vegas, NV 89102-2149 | 2005-09-27 |
1235427816 | Sururat A Coulibaly | Physician Assistant | 2316 W Charleston Blvd, Adult Medicine Clinic, Las Vegas, NV 89102-2149 | 2011-07-15 |
1588962773 | Lyndsie Wilson | Physician Assistant | 2316 W Charleston Blvd, Las Vegas, NV 89102-2149 | 2011-03-11 |
1457655482 | Julie Lynn Swanson | Family Medicine | 2316 W Charleston Blvd, Las Vegas, NV 89102-2149 | 2011-01-05 |
1780991828 | Jennifer Ainsworth | Dietitian, Registered | 2316 W Charleston Blvd, Las Vegas, NV 89102-2149 | 2010-09-10 |
1801057625 | Chaorui Tian | Internal Medicine | 2316 W Charleston Blvd, Las Vegas, NV 89102-2149 | 2008-06-24 |
1467638809 | Kortney Mortimer | Physician Assistant | 2316 W Charleston Blvd, Las Vegas, NV 89102-2149 | 2008-01-16 |
1265622260 | Michael Uzmann | Internal Medicine | 2316 W Charleston Blvd, Las Vegas, NV 89102-2149 | 2007-07-26 |
1861593832 | John Eckert | Physician Assistant | 2316 W Charleston Blvd, Las Vegas, NV 89102-2149 | 2006-09-25 |
1083723274 | Ryan W Tingle | Podiatrist | 2316 W Charleston Blvd, Suite 120, Las Vegas, NV 89102-2149 | 2006-08-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
Find all providers in zip 89102 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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1154934131 | Body & Mind Uplifment LLC | Family Medicine | 2215 Renaissance Dr Ste A, Las Vegas, NV 89119-6723 | 2020-08-28 |
1639788599 | Telelab | Family Medicine | 7881 W Charleston Blvd Ste 230, Las Vegas, NV 89117-8327 | 2020-07-27 |
1629687926 | Maria Habbi Md | Family Medicine | 501 S Rancho Dr Ste F40, Las Vegas, NV 89106-4834 | 2020-07-23 |
1225646805 | Shelley Elizabeth Ameduri | Family Medicine | 3943 Deluge Dr, Las Vegas, NV 89129-6481 | 2020-07-20 |
1659995090 | Universal Medical Alliance Inc. | Family Medicine | 6268 Spring Mountain Rd Ste 115b, Las Vegas, NV 89146-8873 | 2020-06-02 |
1255954640 | Partners In Primary Care Nv PC | Family Medicine | 4919 W Craig Rd, Las Vegas, NV 89130-2730 | 2020-05-20 |
1669095048 | Partners In Primary Care Nv PC | Family Medicine | 4813 S Eastern Ave, Las Vegas, NV 89119-6188 | 2020-05-20 |
1184247579 | Partners In Primary Care Nv PC | Family Medicine | 3129 N Rainbow Blvd, Las Vegas, NV 89108-4578 | 2020-05-20 |
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.