DAVITA MEDICAL GROUP NEVADA (COATS), LTD. (NPI# 1043297468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043297468 |
| Entity Type | Organization |
| Organization Name | DAVITA MEDICAL GROUP NEVADA (COATS), LTD. |
| Other Organization Name | HEALTHCARE PARTNERS MEDICAL GROUP (COATS, LTD. |
| Practice Address |
5575 S Durango Dr #103 Las Vegas NV 89113-1833 |
| Mailing Address |
Po Box 98978 Las Vegas NV 89193-8978 |
| Practice Telephone | 7024355437 |
| Practice Fax Number | 7028519640 |
| Mailing Telephone | 7022163346 |
| Mailing Fax Number | 7026716883 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2017-05-10 |
| Authorized Official Name | BARD COATS (PRESIDENT) |
| Authorized Official Telephone | 7022163346 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1043297468 | 05 |
| Other Name | Type Code |
|---|---|
| HealthCare Partners Medical Group (Coats, Ltd. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306274626 | Davita Medical Group Nevada (coats), Ltd. | Dermatology | 1151 S Highway 160, Pahrump, NV 89048-4700 | 2013-10-23 |
| 1477701183 | Davita Medical Group Nevada (coats), Ltd. | Internal Medicine | 6850 N. Durango Dr., Suite #120, Las Vegas, NV 89149-4596 | 2008-09-05 |
| 1598742934 | Davita Medical Group Nevada (coats), Ltd. | Pediatrics | 1505 Wigwam Pkwy, #230, Henderson, NV 89074-8194 | 2005-12-28 |
| 1245217694 | Davita Medical Group Nevada (coats), Ltd. | Dermatology | 9499 W Charleston Blvd, #150, Las Vegas, NV 89117-7150 | 2005-12-28 |
| 1235116716 | Davita Medical Group Nevada (coats), Ltd. | Nurse Practitioner | 595 W Lake Mead Pkwy, Henderson, NV 89015-7071 | 2005-12-27 |
| Street Address |
5575 S DURANGO DR #103 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89113-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140123 | Areej Salim | Behavior Technician | 5575 S Durango Dr, Las Vegas, NV 89113-1833 | 2020-06-25 |
| 1912539032 | Kathleen Ann Andrade | Respite Care | 5575 S Durango Dr, Las Vegas, NV 89113-1833 | 2020-02-06 |
| 1215494281 | Uplus Academy LLC | Community/Behavioral Health | 5575 S Durango Dr, Las Vegas, NV 89113-1833 | 2019-02-26 |
| 1912138470 | Yanyan Eileen Shi | Pediatrics | 5575 S Durango Dr, #103, Las Vegas, NV 89113-1833 | 2009-08-01 |
| 1649232786 | Prashant S Dani | Pediatrics | 5575 S Durango Dr, #103, Las Vegas, NV 89113-1833 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951121 | Trang Thu Tran | Pharmacist | 7200 Arroyo Crossing Parkway, Las Vegas, NV 89113 | 2020-10-30 |
| 1457966293 | Cory Alexander Stattelman | Physical Medicine & Rehabilitation | 5575 N Durango Dr Suite 111, Las Vegas, NV 89113 | 2020-09-09 |
| 1477170801 | Hailey Eileen Wilson | Behavior Technician | 5575 S Durango Dr #102, Las Vegas, NV 89113 | 2020-07-01 |
| 1295385078 | Dominica Zaragoza | Technician | 711 S. Durango Dr, Las Vegas, NV 89113 | 2019-09-13 |
| 1831742758 | Lyass PC A Professional Medical Corp | Clinic/Center | 5950 S. Durgango Dr, Suite 100, Las Vegas, CA 89113 | 2019-07-19 |
| 1932679529 | Kiara Hayden | Rehabilitation Practitioner | 5509 Lonesome Biker Lane, Las Vegas, NV 89113 | 2018-11-27 |
| 1437631876 | James Eugene Hightower | Community Health Worker | 7455 Arroyo Crossing Pkwy Suite 220, Las Vegas, NV 89113 | 2018-09-01 |
| 1356822282 | Warda Ali | Nurse Practitioner | 8738 Pinley Spring St, Las Vegas, NV 89113 | 2018-08-28 |
| 1063992949 | Endure Recovery Services LLC | Counselor | 3087 E. Warm Srpings, Suite 200, Las Vegas, NV 89113 | 2018-08-20 |
| 1134635097 | Mivip Regional Surgery Center | Clinic/Center | 5950 S Durango Dr Ste 101, Las Vegas, NV 89113 | 2017-12-14 |
| Find all providers in zip 89113 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624592 | Brookes Pediatrics LLC | Pediatrics | 8440 W Lake Mead Blvd Ste 104, Las Vegas, NV 89128-7648 | 2020-06-19 |
| 1972079937 | Ching's Pediatrics, Pllc. | Pediatrics | 9260 W Sunset Rd Ste 205, Las Vegas, NV 89148-4903 | 2018-10-17 |
| 1912429093 | Rock & Rowles Pediatrics PC | Pediatrics | 2380 N Buffalo Dr Ste 145, Las Vegas, NV 89128-4807 | 2017-07-11 |
| 1104280783 | Aadil Mohammed Rahman | Pediatrics | 3186 S. Maryland Parkway, Las Vegas, NV 89109-2317 | 2016-04-08 |
| 1508257676 | Susan R Fernandez PC | Pediatrics | 6843 W Tropicana Ave, Suite 100, Las Vegas, NV 89103-4922 | 2015-02-11 |
| 1447592506 | Tina Vikki Desai | Pediatrics | 2040 W Charleston Blvd Ste 402, Las Vegas, NV 89102-2250 | 2013-03-26 |
| 1699014365 | Bond Pediatrics Ltd | Pediatrics | 5751 S Fort Apache Rd Ste A, Las Vegas, NV 89148-5624 | 2013-01-31 |
| 1891057519 | Rabbi Zia | Pediatrics | 10105 Banburry Cross Dr Ste 370, Las Vegas, NV 89144-6649 | 2012-06-08 |
| 1730445099 | William Edward Bannen | Pediatrics | 10 Wild Dunes Court, Las Vegas, NV 89113-1332 | 2012-04-11 |
| 1255622577 | Sanjay Kandoth Md PC | Pediatrics | 7875 S Rainbow Blvd, Suite 102, Las Vegas, NV 89139-6469 | 2011-04-20 |
| 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.