LEAVITT MEDICAL ASSOCIATES OF NEVADA PC (NPI# 1124436480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124436480 |
| Entity Type | Organization |
| Organization Name | LEAVITT MEDICAL ASSOCIATES OF NEVADA PC |
| Practice Address |
1701 N Green Valley Pkwy Suite 7b Henderson NV 89074-5885 |
| Mailing Address |
151 Southhall Ln Suite 300 Maitland FL 32751-7176 |
| Practice Telephone | 7022577546 |
| Mailing Telephone | 4078752080 |
| Mailing Fax Number | 4076503455 |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2014-07-30 |
| Authorized Official Name | MATT LEAVITT (OWNER) |
| Authorized Official Telephone | 4078752080 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Street Address |
1701 N GREEN VALLEY PKWY SUITE 7B |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074-5885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508841800 | Robert A Gatlin | Obstetrics & Gynecology | 1701 N Green Valley Pkwy, Bld 3 Suite B, Henderson, NV 89074-5885 | 2005-12-08 |
| 1134733934 | Reneta Ngha | Pharmacist | 1701 N Green Valley Pkwy, Henderson, NV 89074-5885 | 2020-08-31 |
| 1497366439 | James Paul Avila | Pharmacist | 1701 N Green Valley Pkwy, Henderson, NV 89074-5885 | 2020-08-13 |
| 1104434513 | Vinh Thi Nguyen | Obstetrics & Gynecology | 1701 N Green Valley Pkwy, Henderson, NV 89074-5885 | 2020-07-22 |
| 1861048720 | Julie West | Technician | 1701 N Green Valley Pkwy, Henderson, NV 89074-5885 | 2019-08-15 |
| 1063067585 | Hannah Thomas | Technician | 1701 N Green Valley Pkwy, Henderson, NV 89074-5885 | 2019-08-02 |
| 1215582721 | Aubre Adoree | Technician | 1701 N Green Valley Pkwy, Henderson, NV 89074-5885 | 2019-08-02 |
| 1174003222 | Veronica Valentine | Technician | 1701 N Green Valley Pkwy, Henderson, NV 89074-5885 | 2018-08-17 |
| 1003367830 | Arnel Sulit | Physical Therapist | 1701 N Green Valley Pkwy, Henderson, NV 89074-5885 | 2016-10-17 |
| 1033664818 | New Century Rehabilitation, LLC | Physical Therapist | 1701 N Green Valley Pkwy, Bldg. 8, Ste. B, Henderson, NV 89074-5885 | 2016-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349381 | Samuel Taylor Mulford | Physical Therapist | 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 | 2020-06-03 |
| 1407369127 | Brenda Thomas | Dental Hygienist | 234 Polar Morning Place, Henderson, NV 89074 | 2017-11-16 |
| 1174036479 | Gail E Evans Wade | Behavioral Analyst | 1445 Stone Lake Cove, Henderson, NV 89074 | 2017-11-08 |
| 1710400957 | Kimberley Houk | Behavioral Analyst | 20 Avenida Picasso, Henderson, NV 89074 | 2017-07-19 |
| 1760911846 | Colin Ono-moore | Physical Therapist | 3 Rising Sun Ct, Henderson, NV 89074 | 2017-06-12 |
| 1851825764 | Ralph Wieder | Dietitian, Registered | 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 | 2017-04-18 |
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1275994642 | Malyna Lavarias | Behavioral Analyst | 74 N Pecos Rd., Suite C, Henderson, NV 89074 | 2016-03-14 |
| 1144608290 | Matthew Roderick | Acupuncturist | 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 | 2015-05-08 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| Find all providers in zip 89074 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942343900 | Woodson Dermatology | Dermatology | 229 N Pecos Rd Ste 100, Henderson, NV 89074-7364 | 2007-02-15 |
| 1134289762 | Curt P Samlaska | Dermatology | 2839 St Rose Pkwy, Suite #100, Henderson, NV 89052 | 2006-12-12 |
| 1558444729 | Bettencourt Skin Center LLC | Dermatology | 601 Whitney Ranch Dr Bldg C Ste 13, Henderson, NV 89014-2643 | 2006-10-23 |
| 1609866078 | Juian-juian L Fu | Dermatology | 861 Coronado Center Dr Ste 100, Henderson, NV 89052-3992 | 2005-10-26 |
| 1396210316 | Thomas Dermatology | Dermatology | 866 Seven Hills Dr Ste 201, Henderson, NV 89052-4376 | 2018-10-05 |
| 1346585866 | Adam Christopher Harkiewicz | Dermatology | 861 Coronado Center Dr Ste 100, Henderson, NV 89052-3992 | 2012-12-10 |
| 1891048104 | J. Woodson Dermatology & Associates | Dermatology | 229 N Pecos Rd Ste 100, Henderson, NV 89074-7364 | 2012-10-24 |
| 1316201726 | Henderson Dermatology and Skin Cancer Inc | Dermatology | 2960 Saint Rose Pkwy, Suite 120, Henderson, NV 89052-4447 | 2012-06-29 |
| 1780727750 | Johnnie M. Woodson Jr. | Dermatology | 229 N Pecos Rd Ste 100, Henderson, NV 89074-7364 | 2007-02-15 |
| 1609932029 | Karl Heine Md | Dermatology | 880 Seven Hills Dr, Suite 150, Henderson, NV 89052-4371 | 2006-12-29 |
| Find all providers in HENDERSON | ||||
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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.