RAYMOND MATHIESON (NPI# 1023010576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023010576 |
| Entity Type | Individual |
| Full Name | RAYMOND MATHIESON |
| Credential | PA-C |
| Practice Address |
888 S Rancho Dr Las Vegas NV 89106-3810 |
| Mailing Address |
Po Box 15645 Las Vegas NV 89114-5645 |
| Practice Telephone | 7028778600 |
| Practice Fax Number | 7022586152 |
| Mailing Telephone | 7028778600 |
| Mailing Fax Number | 7022586152 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2017-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA893 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1023010576 | 05 |
| Street Address |
888 S RANCHO DR |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89106-3810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497757181 | Todd A Radivan | Physician Assistant | 888 S Rancho Dr, Las Vegas, NV 89106-3810 | 2005-08-11 |
| 1902448855 | James H Smith | Physician Assistant | 888 S Rancho Dr, Las Vegas, NV 89106-3810 | 2019-10-11 |
| 1659913580 | Sarah Kolmer | Physician Assistant | 888 S Rancho Dr, Las Vegas, NV 89106-3810 | 2019-10-11 |
| 1235771197 | Courtney Rae Botelho | Physician Assistant | 888 S Rancho Dr, Las Vegas, NV 89106-3810 | 2019-10-11 |
| 1780143164 | Julie J Hussey | Registered Nurse | 888 S Rancho Dr, Las Vegas, NV 89106-3810 | 2019-03-15 |
| 1376000349 | Amanda Lynette Helton | Nurse Practitioner | 888 S Rancho Dr, Las Vegas, NV 89106-3810 | 2019-02-26 |
| 1720543903 | Natasha Leah Ross | Nurse Practitioner | 888 S Rancho Dr, Las Vegas, NV 89106-3810 | 2019-02-01 |
| 1538650619 | Jennifer H Williams | Nurse Practitioner | 888 S Rancho Dr, Las Vegas, NV 89106-3810 | 2018-05-23 |
| 1033656863 | Nicholas Michael Bryant | Physician Assistant | 888 S Rancho Dr, Las Vegas, NV 89106-3810 | 2017-01-31 |
| 1467800243 | Tyler Alan Peterson | Family Medicine | 888 S Rancho Dr, Las Vegas, NV 89106-3810 | 2016-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555772 | Graciela Miranda Cocorpio | Technician | 820 Rancho Ln Suite #40, Las Vegas, NV 89106 | 2020-10-09 |
| 1679101679 | A Better You Wellness Center | Counselor | 320 W Monroe Street, Las Vegas, NV 89106 | 2020-03-27 |
| 1730725177 | Mariah La'neese Jones | Rehabilitation Practitioner | 400 Shadow Lane Ste 106, Las Vegas, NV 89106 | 2019-11-20 |
| 1417592841 | Lourdes Rita Apumayta-paredes | Technician | 820 Rancho Lane, Suite #40, Las Vegas, NV 89106 | 2019-11-08 |
| 1902456551 | Marisela Pena | Technician | 820 Rancho Ln., 25, Las Vegas, NV 89106 | 2019-09-16 |
| 1992368724 | Amber Nicole Mahajan | Nurse Practitioner | 2020 Wellness Way, Suite 300, Las Vegas, NV 89106 | 2019-04-17 |
| 1568924215 | Arlandrea Tarvins | Behavioral Analyst | 1048 Miller Ave, Las Vegas, NV 89106 | 2019-04-02 |
| 1427510361 | Erik Pennell | Student in an Organized Health Care Education/Training Program | 1542 Pinto Ln, 2nd Floor, Las Vegas, NV 89106 | 2019-04-01 |
| 1245702729 | Bruce Mark Babb | Technician | 820 Rancho Lane Ste #40, Las Vegas, NV 89106 | 2018-12-21 |
| 1639649213 | Antonio Ruiz Pelfort | Technician | 1951 Stella Lake St Suite 36, Las Vegas, NV 89106 | 2018-11-27 |
| Find all providers in zip 89106 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165985 | Vanessa E R Pulido Artienda | Physician Assistant | 7829 Strong Water Ct, Las Vegas, NV 89131-8247 | 2020-05-18 |
| 1427697952 | Fabiola Capano | Physician Assistant | 6930 S Cimarron Rd Ste 260, Las Vegas, NV 89113-2135 | 2020-01-01 |
| 1588200521 | Kimberly Hunt | Physician Assistant | 2250 E Flamingo Rd Ste 100, Las Vegas, NV 89119-5170 | 2019-11-25 |
| 1104461433 | Jacqueline Emilia Lindine | Physician Assistant | 7720 W Sahara Ave Ste 103, Las Vegas, NV 89117-2754 | 2019-11-11 |
| 1255973285 | Kirstey Langston | Physician Assistant | 4475 S Eastern Ave Ste 1500, Las Vegas, NV 89119-7826 | 2019-10-10 |
| 1740834050 | Zi Wang | Physician Assistant | 5300 Spring Mountain Rd Ste 112, Las Vegas, NV 89146 | 2019-07-25 |
| 1548825094 | Victoria Ashlyn James Hinton | Physician Assistant | 5775 S Fort Apache Rd Ste 120, Las Vegas, NV 89148-5627 | 2019-05-09 |
| 1275007205 | Kathy Ann Tran | Physician Assistant | 401 N Buffalo Dr Ste 200, Las Vegas, NV 89145-0397 | 2019-01-12 |
| 1144717067 | Lynne Barbara Ulevich | Physician Assistant | 9310 S Eastern Ave Ste 122, Las Vegas, NV 89123-6844 | 2018-04-16 |
| 1104326727 | Amanda Howe Parker Bartlett | Physician Assistant | 7170 Smoke Ranch Rd Ste 110, Las Vegas, NV 89128-3208 | 2018-02-20 |
| 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.