AGATA-VENGER PARTNERSHIP (NPI# 1093772204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093772204 |
| Entity Type | Organization |
| Organization Name | AGATA-VENGER PARTNERSHIP |
| Other Organization Name | WESTERN REGIONAL CENTER FOR BRAIN AND SPINE SURGERY |
| Practice Address |
3061 S. Maryland Parkway Suite #200 Las Vegas NV 89109-6227 |
| Practice Telephone | 7027371948 |
| Practice Fax Number | 7027350742 |
| Mailing Telephone | 7027371948 |
| Mailing Fax Number | 7027350742 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2012-07-23 |
| Authorized Official Name | DEBRA HARPER (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 7027371948 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | RAILROAD MEDICARE | DB1501 | 01 |
| NV | PALMETTO J1 | VWJBHW | 01 |
| NV | RAILROAD MEDICARE | CI5556 | 01 |
| UT | RAILROAD MEDICARE | DE5316 | 01 |
| Other Name | Type Code |
|---|---|
| WESTERN REGIONAL CENTER FOR BRAIN AND SPINE SURGERY | Doing Business As Name - Organization |
| Street Address |
3061 S. MARYLAND PARKWAY SUITE #200 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89109-6227 |
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841581527 | Efrem Michael Cox | Neurological Surgery | 8530 W Sunset Rd Ste 250, Las Vegas, NV 89113-2245 | 2011-04-28 |
| 1528399680 | Gmf Group Inc | Neurological Surgery | 3540 W Sahara Ave Ste 832, Las Vegas, NV 89102-5816 | 2010-01-28 |
| 1730373010 | Keith S Blum Do PC | Neurological Surgery | 7271 W Sahara Ave Ste 100, Las Vegas, NV 89117-2862 | 2007-08-30 |
| 1558417345 | Keith S Blum | Neurological Surgery | 7271 West Sahara, Suite 100, Las Vegas, NV 89117 | 2007-01-26 |
| 1710069042 | Debra Nelson | Neurological Surgery | 8285 W. Arby Avenue, Ste. 220, Las Vegas, NV 89113 | 2006-10-19 |
| 1902988249 | Aurangzeb Nafees Nagy | Neurological Surgery | 2471 Professional Ct, Las Vegas, NV 89128 | 2006-10-19 |
| 1063594315 | Gary Michael Flangas | Neurological Surgery | 8285 W Arby Ave Ste 220, Las Vegas, NV 89113-2236 | 2006-10-19 |
| 1891734075 | Michael Ira Schneier | Neurological Surgery | 10105 Banburry Cross Dr Ste 445, Las Vegas, NV 89144 | 2006-06-05 |
| 1669438792 | Julio Aljure | Neurological Surgery | 4700 No. Las Vegas Boulevard, Dept of Veter Affairs, Mofh, Nellis Afb, Las Vegas, NV 89191 | 2006-04-26 |
| 1982676888 | John Paul Grossmith | Neurological Surgery | 10195 W Twain Ave, Suite B, Las Vegas, NV 89147-6726 | 2006-02-03 |
| 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.