AMIR BACCHUS, M.D., FREMONT MEDICAL CENTER, LTD. (CRAIG) (NPI# 1023335387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023335387 |
| Entity Type | Organization |
| Organization Name | AMIR BACCHUS, M.D., FREMONT MEDICAL CENTER, LTD. (CRAIG) |
| Practice Address |
1302 W Craig Rd N Las Vegas NV 89032-0246 |
| Mailing Address |
Po Box 1737 Las Vegas NV 89125-1737 |
| Practice Telephone | 7026579555 |
| Practice Fax Number | 7026579040 |
| Mailing Telephone | 7026579555 |
| Mailing Fax Number | 7026579040 |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2010-05-11 |
| Authorized Official Name | ERNEST G. BARELA (VICE PRESIDENT OF OPERATIONS) |
| Authorized Official Telephone | 7026716808 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1302 W CRAIG RD |
| City | N LAS VEGAS |
| State | NV |
| Zip Code | 89032-0246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023399748 | Stephanie Marie Melcher | Nurse Practitioner | 1302 W Craig Rd, N Las Vegas, NV 89032-0246 | 2011-09-08 |
| 1801998166 | Binh N Tran | Family Medicine | 1302 W Craig Rd, N Las Vegas, NV 89032-0246 | 2006-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647290 | Bella Mae Home Care | Home Health | 3438 Midnight Shadows Way, North Las Vegaas, NV 89032 | 2020-07-27 |
| 1083231906 | Betsey Bergquist | Pharmacist | 4040 Martin Luther King Blvd, Ste B, North Las Vegas, NV 89032 | 2020-06-26 |
| 1174144687 | Rosalinda Ross | Technician | 3940 Martin Luther King Blv. #106, N. Lasvegas, NV 89032 | 2020-05-06 |
| 1164055919 | Shanae Ebony Glass | Case Manager/Care Coordinator | 2580 North Rancho, Suite 105-106, North Las Vegas, NV 89032 | 2020-02-20 |
| 1912539347 | Roderick Robbins II | Technician | 3940 N. Martin Luther King Blvd B106, N. Las Vegas, NV 89032 | 2020-02-04 |
| 1578103289 | Caring Hands Adult Day Service LLC | Day Training, Developmentally Disabled Services | 2580 North Rancho Dr, Suite 100, North Las Vegas, NV 89032 | 2020-01-10 |
| 1497397830 | Meagan Elizabeth Hill | Nurse Practitioner | 4060 N Martin Luther King Blvd Ste 101-a, Las Vegas, NV 89032 | 2019-10-16 |
| 1386294106 | Amy Nguyen Optometric Professional Corporation | Optometrist | 4080 N Martin Luther King Blvd, North Las Vegas, NV 89032 | 2019-09-13 |
| 1063060978 | Kathy K Cruz Anderson | Technician | 3940 North Martin Luther King Blvd Suite 106, Las Vegas, NV 89032 | 2019-09-04 |
| 1770131625 | Daniel R Thomas | Technician | 3940 N. Martin Luther King Blvd 106, North Las Vegas, NV 89032 | 2019-09-03 |
| Find all providers in zip 89032 | ||||
| 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 |
|---|---|---|---|---|
| 1376764779 | Abhinav Sinha | Internal Medicine | 1905 Mcdaniel St Ste 105, N Las Vegas, NV 89030-7170 | 2007-05-01 |
| 1811041841 | Shivay Saran International Chartered | Internal Medicine | 2610 E Lake Mead Blvd Ste A, N Las Vegas, NV 89030-2436 | 2007-01-23 |
| 1639275969 | Jorge Y Burgos | Internal Medicine | 1815 E Lake Mead Blvd Ste 314, N Las Vegas, NV 89030-7193 | 2006-09-15 |
| 1659315273 | Tri City Medical Internists LLC | Internal Medicine | 2365 Reynolds Avenue, Bldg C 2nd Floor, N Las Vegas, NV 89030 | 2006-06-15 |
| 1952399321 | Biljana Janic | Internal Medicine | 6900 N Pecos Rd, N Las Vegas, NV 89086-4400 | 2005-10-11 |
| 1629079884 | Bernard Addo-quaye Md PC | Internal Medicine | 2290 Mcdaniel St Ste 2a, N Las Vegas, NV 89030-6330 | 2005-08-09 |
| 1124029715 | Seth K Adjovu, Md PC | Internal Medicine | 1815 E Lake Mead Blvd, Suite 204, N Las Vegas, NV 89030-7187 | 2005-08-03 |
| 1669997839 | Elite Healthcare LLC | Internal Medicine | 1905 Mcdaniel St Ste 102, N Las Vegas, NV 89030-7170 | 2017-08-09 |
| 1760839740 | Miguel A Vargas Lagunas Md PC | Internal Medicine | 2465 Reynolds Ave Ste 101, N Las Vegas, NV 89030-7296 | 2016-05-19 |
| 1831345123 | Terence Lou D. Agustin | Internal Medicine | 2225 Civic Center Dr, Suite #280, N Las Vegas, NV 89030-6328 | 2008-08-18 |
| Find all providers in N LAS VEGAS | ||||
| City | N LAS VEGAS |
| Zip Code | 89032 |
Please comment or provide details below to improve the information on AMIR BACCHUS, M.D., FREMONT MEDICAL CENTER, LTD. (CRAIG).
| 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.