SOUTHERN NEVADA PAIN CENTER KIM PC (NPI# 1073624011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073624011 |
| Entity Type | Organization |
| Organization Name | SOUTHERN NEVADA PAIN CENTER KIM PC |
| Other Organization Name | SOUTHERN NEVADA PAIN CENTER |
| Practice Address |
6950 W Desert Inn Rd Ste 110 Las Vegas NV 89117-3171 |
| Practice Telephone | 7022595550 |
| Practice Fax Number | 7022595554 |
| Mailing Telephone | 7022595550 |
| Mailing Fax Number | 7022595554 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-11-16 |
| Authorized Official Name | DR. DANIEL K KIM (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7022595550 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
37818 | NV | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Southern Nevada Pain Center | Doing Business As Name - Organization |
| Street Address |
6950 W DESERT INN RD STE 110 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89117-3171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932183266 | Single Day Surgery Center LLC | Clinic/Center | 6950 W Desert Inn Rd, Suite 100, Las Vegas, NV 89117-3171 | 2005-11-30 |
| 1477023067 | Shinly Marie Karl Pangilinan | Nurse Practitioner | 6950 W Desert Inn Rd, Las Vegas, NV 89117-3171 | 2018-11-27 |
| 1194292193 | Janet Rhee | Physician Assistant | 6950 W Desert Inn Rd, Ste 110, Las Vegas, NV 89117 | 2018-10-28 |
| 1306053848 | Edson Erkulvrawatr | Pain Medicine | 6950 W Desert Inn Rd, Ste 110, Las Vegas, NV 89117-3171 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016923 | Nick Marte | Massage Therapist | 8321 W Sahara Ave 2057, Las Vegas, NV 89117 | 2020-09-06 |
| 1831709740 | Marizel Yukee | Nurse Practitioner | 3086 Lapis Beach Dr, Las Vegas, NV 89117 | 2020-08-05 |
| 1336762525 | Mashiko Jenny Tavares | Sleep Specialist, PhD | 1711 Songlight Court, Las Vegas, NV 89117 | 2020-05-21 |
| 1235772849 | Cornelia Darlau | Counselor | 2753 Lodestone Drive, Las Vegas, NV 89117 | 2019-10-26 |
| 1861034837 | Luz Aguirre | Technician | 9105 Quiet Cove Way, Las Vegas, NV 89117 | 2019-10-11 |
| 1043778566 | Maggie Lynn Steel | Occupational Therapist | 7621 W Charleston Blvd, Unit 101, Las Vegas, NV 89117 | 2019-03-04 |
| 1154805356 | Joyce Ingram | Counselor | 8600 Starboard Dr Apt 2100, Las Vegas, NV 89117 | 2018-09-24 |
| 1356823421 | Pari Garza | Chore Provider | 9825 Paseo Cresta Ave., Las Vegas, NV 89117 | 2018-09-05 |
| 1235624297 | Creative Family Health & Wellness Center | Case Management | 6849 W Charleston Blvd Ste B, Las Vegas, NV 89117 | 2018-06-22 |
| 1790272524 | Las Vegas Sleep Center ( Shamiya) Pllc | Clinic/Center | 2400 S Cimarron Rd, Suite 130, Las Vegas, NV 89117 | 2018-04-17 |
| Find all providers in zip 89117 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689295537 | Regenerative Cell Institute | Pain Medicine | 2911 N Tenaya Way Ste 200, Las Vegas, NV 89128-0495 | 2020-05-01 |
| 1528573292 | Caf Medical LLC | Pain Medicine | 3061 S Maryland Pkwy Ste 103, Las Vegas, NV 89109-6226 | 2017-12-04 |
| 1871044636 | Albert Khavkin, Ltd | Pain Medicine | 9329 Eagle Ridge Dr, Las Vegas, NV 89134 | 2016-10-17 |
| 1326423377 | Advanced Medical Professionals LLC | Pain Medicine | 1151 S Buffalo Dr, Suite 130, Las Vegas, NV 89117-8313 | 2015-07-20 |
| 1568493120 | Robert Bien | Pain Medicine | 7050 Smoke Ranch Rd, Suite 130, Las Vegas, NV 89128 | 2006-07-05 |
| 1215977038 | Walter M Kidwell | Pain Medicine | 7435 W Azure Dr Ste 190, Las Vegas, NV 89130-4427 | 2006-06-08 |
| 1144298928 | Daniel Lewis Burkhead | Pain Medicine | 9920 W Cheyenne Ave, Ste 110, Las Vegas, NV 89129-7725 | 2006-03-09 |
| 1083251250 | Rosemarie Salacup Lizardo | Pain Medicine | 4454 N Decatur Blvd, Las Vegas, NV 89130-5286 | 2019-12-05 |
| 1073169454 | Katriella Fernandez | Pain Medicine | 3975 S Durango Dr Ste 107, Las Vegas, NV 89147-4156 | 2019-08-12 |
| 1588121941 | Andrew Hall Md Pllc | Pain Medicine | 3975 S Durango Dr Ste 107, Las Vegas, NV 89147-4156 | 2019-02-21 |
| 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.