SUNRISE MOUNTAINVIEW MULTISPECIALTY CLINICS, LLC (NPI# 1043402522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043402522 |
| Entity Type | Organization |
| Organization Name | SUNRISE MOUNTAINVIEW MULTISPECIALTY CLINICS, LLC |
| Practice Address |
3006 S Maryland Pkwy Ste 765 Las Vegas NV 89109-2246 |
| Mailing Address |
2000 Health Park Dr Brentwood TN 37027-4525 |
| Practice Telephone | 7029488788 |
| Practice Fax Number | 7029488789 |
| Mailing Telephone | 6153725426 |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2018-01-16 |
| Authorized Official Name | MR. TEDRICK JOHNSON (VICE PRESIDENT-OPERATIONS) |
| Authorized Official Telephone | 6153723375 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
NV | Allopathic & Osteopathic Physicians | |
| N | 207T00000X | Neurological Surgery | NV | Allopathic & Osteopathic Physicians | |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
NV | Allopathic & Osteopathic Physicians | |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | NV | Allopathic & Osteopathic Physicians | |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1043402522 | 05 | |
| AZ | 1043402522 | 05 | |
| NV | 1043402522 | 05 |
| Street Address |
3006 S MARYLAND PKWY STE 765 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89109-2246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922186659 | Phaniraj Iyengar | Psychiatry & Neurology | 3006 S Maryland Pkwy Ste 765, Las Vegas, NV 89109-2246 | 2006-11-01 |
| 1962857607 | Suzan Hadwan | Psychiatry & Neurology | 3006 S Maryland Pkwy Ste 765, Las Vegas, NV 89109-2246 | 2016-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820816 | Vivian Latoza Villasfer | Technician | 2770 South Maryland Parkway, Suite 205b, Las Vegas, NV 89109 | 2020-04-21 |
| 1235758236 | Happy Life Home Health Services Inc | Chore Provider | 2770 S Maryland Pkwy Suite 205-b, Las Vegas, NV 89109 | 2020-04-10 |
| 1346890662 | Jaylin Armour | Technician | 2770 S Maryland Pkwy Suite 108b Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-18 |
| 1104475003 | Jasmine Thomas | Technician | 2770 S Maryland Pkwy Suite 108 B-g Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-04 |
| 1982258331 | Melanee Gregory | Technician | 2770 S Maryland Okey Suite 108b, Suite 108b, Las Vegas, NV 89109 | 2019-07-24 |
| 1851877583 | Eric Darnell Thompson Jr. | Community/Behavioral Health | 2556 Shrewood Street, Unit 21, Las Vegas, NV 89109 | 2018-07-16 |
| 1144717117 | Emerging Vision Inc | Technician/Technologist | Mirage Hotel, 3400 Las Vegas Blvd S, Mirage Hotel, Las Vegas, NV 89109 | 2018-04-16 |
| 1013404110 | Emerging Vision Inc | Technician/Technologist | Mandalay Bay Resort (lobby), 3950 Las Vegas Blvd S, Mandalay Bay Resort (lobby), Las Vegas, NV 89109 | 2018-04-16 |
| 1750881736 | Amirelys Hernandez Diaz | Technician | 2770 S. Maryland Pkwy, Ste 108b-g, Las Vegas, NV 89109 | 2018-02-16 |
| 1972036663 | Ashley Murray | Registered Nurse | 2700 S Las Vegas Blvd #1506, Las Vegas, NV 89109 | 2017-04-10 |
| Find all providers in zip 89109 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760982367 | Centennial Neurology LLC | Psychiatry & Neurology | 7425 W Azure Dr Ste 150, Las Vegas, NV 89130-4425 | 2018-02-20 |
| 1457731242 | Janda, Mahajan & Balsiger Pllc | Psychiatry & Neurology | 2010 Wellness Way # 306, Las Vegas, NV 89106 | 2015-06-05 |
| 1184011330 | Eric Ryan Gutglueck | Psychiatry & Neurology | 7751 W Flamingo Rd A100, Las Vegas, NV 89147-4399 | 2015-04-24 |
| 1033532833 | Valencia Neurology PC | Psychiatry & Neurology | 7500 W Lake Mead Blvd Ste 9, Box 467, Las Vegas, NV 89128-1000 | 2014-01-29 |
| 1760733414 | Arlyn Valencia Md PC | Psychiatry & Neurology | 7500 W Lake Mead Blvd # 9-467, Las Vegas, NV 89128-0297 | 2012-09-20 |
| 1740548866 | Brian Ahuja | Psychiatry & Neurology | 49 Alamere Falls Dr, Las Vegas, NV 89138-6155 | 2012-04-26 |
| 1972833440 | Juanidad Corporation | Psychiatry & Neurology | 209 Dalmatian Ln, Las Vegas, NV 89107-2304 | 2010-01-06 |
| 1942443072 | Carrie Michelle Hersh | Psychiatry & Neurology | 888 W Bonneville Avenue, Las Vegas, NV 89106 | 2009-04-20 |
| 1285894881 | Gerald Wayne Dunn | Psychiatry & Neurology | 10432 Profondo Ct, Las Vegas, NV 89135-2564 | 2008-06-17 |
| 1497924468 | Paul Harlan Janda | Psychiatry & Neurology | 2010 Wellness Way Ste 306, Las Vegas, NV 89106-4142 | 2008-02-25 |
| Find all providers in LAS VEGAS | ||||
Please comment or provide details below to improve the information on SUNRISE MOUNTAINVIEW MULTISPECIALTY CLINICS, LLC.
| 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.