AGELESS MEN'S HEALTH NV, LLC (NPI# 1023330230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023330230 |
| Entity Type | Organization |
| Organization Name | AGELESS MEN'S HEALTH NV, LLC |
| Practice Address |
2911 N Tenaya Way 105 Las Vegas NV 89128-0464 |
| Practice Telephone | 7022528378 |
| Practice Fax Number | 7022420098 |
| Mailing Telephone | 7022528378 |
| Mailing Fax Number | 7022420098 |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-02-16 |
| Authorized Official Name | MISS KATIE LYNN (BUSINESS MANAGER) |
| Authorized Official Telephone | 7022528378 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 4498 | NV | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326360686 | Ageless Men's Health Nv, LLC | Urology | 2821 W Horizon Ridge Pkwy, 111, Henderson, NV 89052-4427 | 2010-02-26 |
| Street Address |
2911 N TENAYA WAY 105 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89128-0464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528038619 | Simon John Farrow | Psychiatry & Neurology | 2911 N Tenaya Way, Ste 100, Las Vegas, NV 89128-0464 | 2006-01-23 |
| 1225337132 | Larissa Gallo | Specialist | 2911 N Tenaya Way, Suite 105, Las Vegas, NV 89128-0464 | 2011-03-17 |
| 1861630444 | Stephan T Garrett | Physician Assistant | 2911 N Tenaya Way, Suite 105, Las Vegas, NV 89128-0464 | 2009-02-04 |
| 1174708325 | Luis G N Panuncialman M D Inc | Specialist | 2911 N Tenaya Way, Suite 104, Las Vegas, NV 89128-0464 | 2008-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374256 | Dmc Medical Clinic Ltd | Family Medicine | 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 | 2020-10-23 |
| 1619589462 | Eldercare Services Lv, LLC | Technician | 8430 W. Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-08-21 |
| 1508477308 | Amneris Lizet Duran-brocato | Technician | 1150 North Buffalo Dr. Apt 2120, Las Vegas, NV 89128 | 2020-08-14 |
| 1366082612 | Ar Home Health Management LLC | Home Health | 7465 W Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-01-14 |
| 1114563731 | Leslie A Pasternack | Acupuncturist | Integrated Acupuncture of Southern Nevada, 7250 Peak Dr #106, Las Vegas, NV 89128 | 2019-11-19 |
| 1154977940 | Devora Susana Leon-lopez | Chore Provider | 7320 Smoke Ranch Rd. Ste. H, Las Vegas, NV 89128 | 2019-08-16 |
| 1659924884 | Blanca Estela Garnica-mendez | Chore Provider | 7320 Smoke Ranch Rd. Suite H, Suite H, Las Vegas, NV 89128 | 2019-07-17 |
| 1467913160 | Sherwin Necunazar Azad | Student in an Organized Health Care Education/Training Program | Mountainview Hospital Gme, 3100 N. Tenaya Way, Las Vegas, NV 89128 | 2019-03-26 |
| 1962963801 | Michael Richard Korczynski | Student in an Organized Health Care Education/Training Program | 3100 North Tenaya Way, Las Vegas, NV 89128 | 2019-03-25 |
| 1013477041 | Yuanlong Zhao | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way Graduate Medical Education, Las Vegas, NV 89128 | 2019-03-25 |
| Find all providers in zip 89128 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134660137 | New Image Medical Inc. | Urology | 2610 S Jones Blvd Ste B, Las Vegas, NV 89146-5663 | 2017-03-10 |
| 1841532595 | Robert James Evans | Urology | 2353 Lauren Dr, Las Vegas, NV 89134-5533 | 2013-03-20 |
| 1720355621 | Mujica Trenche - Vitality Md PC | Urology | 6380 W Flamingo Rd, Ste A, Las Vegas, NV 89103-7129 | 2011-11-19 |
| 1720213101 | Joel Emmanuel Abbott | Urology | 6110 Elton Ave, Las Vegas, NV 89107-2538 | 2009-05-28 |
| 1497977334 | Avi Weiss | Urology | 3150n Tenaya Way 165, Las Vegas, NV 89128-0462 | 2007-05-02 |
| 1366537144 | Jeffrey M. Zapinsky | Urology | 7200 Cathedral Rock Dr., Suite 180, Las Vegas, NV 89128-0466 | 2006-10-04 |
| 1659483444 | Sheldon Jay Freedman | Urology | 653 N Town Center Dr Ste 308, Las Vegas, NV 89144-0517 | 2006-08-31 |
| 1245242957 | Omid A. Lesani | Urology | 7500 Smoke Ranch Rd., Suite 200, Las Vegas, NV 89128-0373 | 2006-08-12 |
| 1578509949 | Helen T Housley | Urology | 2000 Pinto Ln, Suite 200, Las Vegas, NV 89106-4045 | 2006-06-22 |
| 1659328391 | Sarah A. Ryan | Urology | 3150 N Tenaya Way Ste 165, Las Vegas, NV 89128-0462 | 2006-05-28 |
| 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.