NEW IMAGE MEDICAL INC. (NPI# 1134660137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134660137 |
Entity Type | Organization |
Organization Name | NEW IMAGE MEDICAL INC. |
Other Organization Name | CONTINENCE CENTER OF LAS VEGAS |
Practice Address |
2610 S Jones Blvd Ste B Las Vegas NV 89146-5663 |
Mailing Address |
4760 S Pecos Rd Ste 103 Las Vegas NV 89121-5828 |
Practice Telephone | 8773028630 |
Mailing Telephone | 8773028630 |
Mailing Fax Number | 8773028630 |
Enumeration Date | 2017-03-10 |
Last Update Date | 2020-11-06 |
Authorized Official Name | MICHAEL LYNN BRADLEY (PRESIDENT) |
Authorized Official Telephone | 8773028630 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | 8638 | NV | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Continence Center of Las Vegas | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
4760 S Pecos Rd Ste 103, Las Vegas, NV 891215828 | 8773028630 | 8773028630 |
Street Address |
2610 S JONES BLVD STE B |
City | LAS VEGAS |
State | NV |
Zip Code | 89146-5663 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
1730726597 | Jenna Leigh White | Occupational Therapist | 2012 S Jones Blvd., Las Vegas, NV 89146 | 2019-11-28 |
1649828898 | Rocio Ferat | Chore Provider | 5000 W. Oakey Suite E.i, Las Vegas, NV 89146 | 2019-08-30 |
1912554007 | Juan Zamora | Chore Provider | 5000 W. Oakey Bld Suite E-1, Las Vegas, NV 89146 | 2019-08-22 |
1407402530 | Elia Rocio Vargas-sifuentes | Chore Provider | 5000 W Oakey, Suite E.i, Las Vegas, NV 89146 | 2019-08-14 |
1740834050 | Zi Wang | Physician Assistant | 5300 Spring Mountain Rd Ste 112, Las Vegas, NV 89146 | 2019-07-25 |
1871145565 | Virginia Lopez Lopez | Chore Provider | 5000 W. Oakey Blvd. Suite E-1, Las Vegas, NV 89146 | 2019-07-12 |
1962054726 | Nona Sixta Q Baldonado | Technician | 5450 W Sahara Ave Ste 250a, Las Vegas, NV 89146 | 2019-07-11 |
1326600701 | Thelma Moreno Cerros | Chore Provider | 5000 W. Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-05 |
1992367866 | Carolina Perez | Chore Provider | 5000 W Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-01 |
Find all providers in zip 89146 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841532595 | Robert James Evans | Urology | 2353 Lauren Dr, Las Vegas, NV 89134-5533 | 2013-03-20 |
1720355621 | Mujica Trenche - Vitality Md PC | Urology | 6380 W Flamingo Rd, Ste A, Las Vegas, NV 89103-7129 | 2011-11-19 |
1720213101 | Joel Emmanuel Abbott | Urology | 6110 Elton Ave, Las Vegas, NV 89107-2538 | 2009-05-28 |
1497977334 | Avi Weiss | Urology | 3150n Tenaya Way 165, Las Vegas, NV 89128-0462 | 2007-05-02 |
1366537144 | Jeffrey M. Zapinsky | Urology | 7200 Cathedral Rock Dr., Suite 180, Las Vegas, NV 89128-0466 | 2006-10-04 |
1659483444 | Sheldon Jay Freedman | Urology | 653 N Town Center Dr Ste 308, Las Vegas, NV 89144-0517 | 2006-08-31 |
1245242957 | Omid A. Lesani | Urology | 7500 Smoke Ranch Rd., Suite 200, Las Vegas, NV 89128-0373 | 2006-08-12 |
1578509949 | Helen T Housley | Urology | 2000 Pinto Ln, Suite 200, Las Vegas, NV 89106-4045 | 2006-06-22 |
1659328391 | Sarah A. Ryan | Urology | 3150 N Tenaya Way Ste 165, Las Vegas, NV 89128-0462 | 2006-05-28 |
1245216605 | Jayram Krishnan | Urology | 3131 La Canada St, Suite 217, Las Vegas, NV 89169-2578 | 2005-12-19 |
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.