SOUTHWEST MEDICAL ASSOCIATES, INC (NPI# 1043680440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043680440 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST MEDICAL ASSOCIATES, INC |
| Other Organization Name | SOUTHWEST MEDICAL ASSOCIATES - TENAYA |
| Practice Address |
2650 N Tenaya Way Las Vegas NV 89128-1102 |
| Mailing Address |
Po Box 15645 Las Vegas NV 89114-5645 |
| Practice Telephone | 7028778660 |
| Mailing Telephone | 7025793203 |
| Mailing Fax Number | 7028008192 |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2019-03-27 |
| NPI Deactivation Date | 03/04/2019 |
| NPI Reactivation Date | 2019-03-27 |
| Authorized Official Name | ROBERT B MCBEATH (PRESIDENT) |
| Authorized Official Telephone | 7025793203 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Southwest Medical Associates - Tenaya | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679663447 | Southwest Medical Associates, Inc | Radiology | 888 S Rancho Drive, Las Vegas, NV 89106 | 2006-10-13 |
| 1659346005 | Southwest Medical Associates, Inc | Internal Medicine | 888 S Rancho Dr, Las Vegas, NV 89106-3810 | 2006-02-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SOUTHWEST MEDICAL ASSOCIATES, INC. | 6720 Placid Street, Las Vegas, NV 89119 |
| Street Address |
2650 N TENAYA WAY |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89128-1102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790746477 | Pr Acquisition Corporation | Clinic/Center | 2650 N Tenaya Way, Las Vegas, NV 89128-1102 | 2006-03-31 |
| 1114493160 | Joseph Weber | Physical Therapist | 2650 N Tenaya Way, Las Vegas, NV 89128-1102 | 2018-10-17 |
| 1003297409 | Erin Longhurst | Physical Therapist | 2650 N Tenaya Way, Suite 180, Las Vegas, NV 89128-1102 | 2015-06-11 |
| 1790181089 | Nils Jordan | Physical Therapist | 2650 N Tenaya Way, Suite 180, Las Vegas, NV 89128-1102 | 2014-11-13 |
| 1386992758 | Breno T Rodrigues | Physical Therapist | 2650 N Tenaya Way, Las Vegas, NV 89128-1102 | 2012-08-16 |
| 1528337177 | Lisa M Marciniak | Specialist/Technologist, Other | 2650 N Tenaya Way, #301, Las Vegas, NV 89128-1102 | 2011-12-27 |
| 1245545763 | Eric Learing | Physical Therapist | 2650 N Tenaya Way, 180, Las Vegas, NV 89128-1102 | 2010-08-09 |
| 1821269812 | Pr Acquisition Corporation | Durable Medical Equipment & Medical Supplies | 2650 N Tenaya Way, #180, Las Vegas, NV 89128-1102 | 2008-03-18 |
| 1255511747 | Orthopedic Trauma Specialists, LLP | Orthopaedic Surgery | 2650 N Tenaya Way, #301, Las Vegas, NV 89128-1102 | 2007-11-13 |
| 1255441903 | H Stevenson | Physical Therapy Assistant | 2650 N Tenaya Way, #180, Las Vegas, NV 89128-1102 | 2006-08-30 |
| Find all providers in the same location | ||||
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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|---|---|---|---|---|
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| 1336772375 | Smith Plastic Surgery Building | Clinic/Center | 7650 W Sahara Ave, Las Vegas, NV 89117-2750 | 2020-02-18 |
| 1457813107 | Surgeon's Surgery Center Sorelle Pllc | Clinic/Center | 6940 S Cimarron Rd Ste 100, Las Vegas, NV 89113-2135 | 2019-04-02 |
| 1619439379 | Cimarron Surgery Center Sorelle Pllc | Clinic/Center | 6940 S Cimarron Rd Ste 150, Las Vegas, NV 89113-2135 | 2019-04-02 |
| 1780140772 | Adios Estenosis LLC | Clinic/Center | 2450 Fire Mesa St Ste 100, Las Vegas, NV 89128-9001 | 2019-02-14 |
| 1760947717 | Advanced Orthopaedic Surgery Center, LLC | Clinic/Center | 7183 Advanced Way, Las Vegas, NV 89113-3624 | 2019-02-04 |
| 1821560434 | Sunset Pain Surgery Center | Clinic/Center | 9120 W Russell Rd Unit 100, Las Vegas, NV 89148-1229 | 2018-12-20 |
| 1215429030 | Medical and Dental Center of Nevada LLC | Clinic/Center | 4275 Burnham Ave Ste 101, Las Vegas, NV 89119-5400 | 2018-06-06 |
| 1083119085 | Comprehensive Digest Surgery Center LLC | Clinic/Center | 8440 W Warm Springs Rd, Las Vegas, NV 89113-3624 | 2018-03-29 |
| 1134635097 | Mivip Regional Surgery Center | Clinic/Center | 5950 S Durango Dr Ste 101, Las Vegas, NV 89113 | 2017-12-14 |
| 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.