QUIAMZON AESTHETIC AND CONCIERGE HEALTHCARE (NPI# 1134654866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134654866 |
| Entity Type | Organization |
| Organization Name | QUIAMZON AESTHETIC AND CONCIERGE HEALTHCARE |
| Practice Address |
10885 S Eastern Ave Suite 100 Henderson NV 89052-5857 |
| Practice Telephone | 7024990589 |
| Practice Fax Number | 7024429898 |
| Mailing Telephone | 7024990589 |
| Mailing Fax Number | 7024429898 |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-01 |
| Authorized Official Name | DR. MARK QUIAMZON (OWNER/NURSE PRACTITIONER) |
| Authorized Official Telephone | 7024990589 |
| Authorized Official Credential | DNP, APRN, FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
10885 S EASTERN AVE SUITE 100 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-5857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740673029 | Alejandro Jimenez Incera | Nurse Practitioner | 10885 S Eastern Ave, Suite 100, Henderson, NV 89052-5857 | 2015-03-11 |
| 1386163756 | Life Breakthrough | Nurse Practitioner | 10885 S Eastern Ave, Henderson, NV 89052-5857 | 2017-09-16 |
| 1447794466 | Incera LLC | Preventive Medicine | 10885 S Eastern Ave, #100, Henderson, NV 89052-5857 | 2016-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| Find all providers in zip 89052 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665676 | Vitality Restored Chiropractic and Wellness Center | Clinic/Center | 1742 W Horizon Ridge Pkwy Ste 110, Henderson, NV 89012-4833 | 2019-08-19 |
| 1891265997 | Elite Beg Limited Liability Co | Clinic/Center | 209 S Stephanie St # B177, Henderson, NV 89012-5501 | 2018-11-30 |
| 1215330014 | The Gateway Center Las Vegas | Clinic/Center | 74 North Pecos, Suite C, Henderson, NV 89074-7344 | 2014-10-07 |
| 1508036781 | Elaine T. Shim, Dds, PC | Clinic/Center | 1550 N Green Valley Pkwy, #350, Henderson, NV 89074-7108 | 2008-03-04 |
| 1154510907 | American Current Care Pa | Clinic/Center | 149 N Gibson Road, Suite H, Henderson, NV 89014 | 2007-10-17 |
| 1457355125 | Matthew 25 Aids Services Inc | Clinic/Center | 452 Old Corydon Rd, Henderson, KY 42420-4645 | 2005-06-09 |
| 1104440692 | Las Vegas Scripts Care LLC | Clinic/Center | 2920 N Green Valley Pkwy Ste 814, Henderson, NV 89014-0409 | 2020-06-01 |
| 1295386936 | Vegas Md | Clinic/Center | 11201 S Eastern Ave Ste 110, Henderson, NV 89052-6200 | 2019-09-24 |
| 1942787122 | Desert Dietitians LLC | Clinic/Center | 2470 W Horizon Ridge Pkwy Ste 120, Henderson, NV 89052-2733 | 2018-07-20 |
| 1881196012 | Bamboo Family Clinic LLC | Clinic/Center | 98 E Lake Mead Pkwy Ste 307, Henderson, NV 89015-6444 | 2018-03-03 |
| 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.