J DAVIDSON MD (NPI# 1023476876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023476876 |
| Entity Type | Organization |
| Organization Name | J DAVIDSON MD |
| Practice Address |
1550 Tuscano Ct Henderson NV 89052-4142 |
| Practice Telephone | 7027361200 |
| Practice Fax Number | 7027366538 |
| Mailing Telephone | 7027361200 |
| Mailing Fax Number | 7027366538 |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |
| Authorized Official Name | DR. JOEL DAVIDSON (PRES) |
| Authorized Official Telephone | 7027361200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | G89324 | CA | Managed Care Organizations |
| Street Address |
1550 TUSCANO CT |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-4142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053535377 | Joel I. Davidson | Surgery | 1550 Tuscano Ct, Henderson, NV 89052-4142 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| Find all providers in zip 89052 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104161355 | Equal Housing Opportunity Inc | Point of Service | 1264 Moon Vision St, Henderson, NV 89052-4007 | 2012-11-29 |
| 1235661406 | Overton Psychological Service | Point of Service | 8975 S Pecos Rd, Henderson, NV 89074-7160 | 2017-03-28 |
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| 1417404492 | Agape Companion Services | Point of Service | 7165 Indigo Cir, Reno, NV 89506-1765 | 2016-09-07 |
| 1780059113 | Dana Anderson, Mft | Point of Service | 333 Flint St, Reno, NV 89501-2005 | 2015-12-10 |
| 1093186553 | 21st Century Moves LLC | Point of Service | 245 E Centennial Pkwy # 23-3116, North Las Vegas, NV 89084-1354 | 2015-10-09 |
| 1043610777 | Forever Living Residence Home Care LLC | Point of Service | 1608 Aztec Way, Las Vegas, NV 89169-3168 | 2014-08-29 |
| 1205268695 | Exdous Family & Guidance Coalition LLC | Point of Service | 1415 S Maryland Pkwy, Las Vegas, NV 89104-3311 | 2013-08-07 |
| 1437434321 | West Coast Healthcare, LLC | Point of Service | 10217 Madison Grove Avenue, Las Vegas, NV 89166-5266 | 2011-10-11 |
| 1639485147 | Senior Life Solutions, LLC | Point of Service | 330 E Tropicana Ave, Las Vegas, NV 89119-4225 | 2010-08-20 |
| 1790019131 | Lutheran Social Services of Nevada | Point of Service | 73 Spectrum Blvd, Las Vegas, NV 89101-4838 | 2009-10-01 |
| 1447496823 | Us National Personal Care | Point of Service | 2881 S Valley View Blvd, Ste 14, Las Vegas, NV 89102-0100 | 2009-01-06 |
| Find all providers with the same taxonomy | ||||
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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.