DR. ERIC RYAN GUTGLUECK (NPI# 1184011330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184011330 |
| Entity Type | Individual |
| Full Name | DR. ERIC RYAN GUTGLUECK |
| Credential | M.D. |
| Practice Address |
7751 W Flamingo Rd A100 Las Vegas NV 89147-4399 |
| Mailing Address |
1691 W Horizon Ridge Pkwy #100 Henderson NV 89012-3520 |
| Practice Telephone | 7024508485 |
| Practice Fax Number | 7028041222 |
| Mailing Telephone | 7024508485 |
| Mailing Fax Number | 7028041222 |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2020-07-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
19688 | NV | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
7751 W FLAMINGO RD A100 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89147-4399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619593621 | Ata Group Lv | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 10170 W Tropicana Ave Ste 156-211, Las Vegas, NV 89147 | 2020-06-25 |
| 1104474022 | Jacklyn Siagatonu | Behavior Technician | 7125 Grand Montecito Parkway, Las Vegas Nv, N Las Vegas, NV 89147 | 2019-09-04 |
| 1700388253 | Pr Acquisition Corporation | Clinic/Center | 9892 W Flamingo Road, Las Vegas, NV 89147 | 2018-03-01 |
| 1629578836 | Jonathan Balagot Dizon | Optometrist | 4160 S Durango Dr, Las Vegas, NV 89147 | 2018-02-14 |
| 1346751526 | Ignite Teen Treatment, LLC | Clinic/Center | 3722 Lone Mesa Dr, Las Vegas, NV 89147 | 2017-10-16 |
| 1306365275 | Diversified Behavioral Health Services LLC | Community/Behavioral Health | 9636 W.cherokee Ave, Las Vegas, NV 89147 | 2017-09-12 |
| 1356874713 | A8a Personal Care Solution LLC | In Home Supportive Care | 8879 West Flamingo, Ste 101, Las Vegas, NV 89147 | 2017-04-04 |
| 1154782191 | Ma Leah Roble Maravillas | Behavioral Analyst | 9999 W Katie Ave Suite 1313, Las Vegas, NV 89147 | 2016-03-18 |
| 1285010959 | Samantha Lauren Pope | Specialist | 9353 W. Twain Ave, Apt 113, Las Vegas, NV 89147 | 2015-08-05 |
| 1215311980 | Daniel Dorado | Marriage & Family Therapist | 9848 Gallo Dr, Las Vegas, NV 89147 | 2015-07-13 |
| Find all providers in zip 89147 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760982367 | Centennial Neurology LLC | Psychiatry & Neurology | 7425 W Azure Dr Ste 150, Las Vegas, NV 89130-4425 | 2018-02-20 |
| 1457731242 | Janda, Mahajan & Balsiger Pllc | Psychiatry & Neurology | 2010 Wellness Way # 306, Las Vegas, NV 89106 | 2015-06-05 |
| 1033532833 | Valencia Neurology PC | Psychiatry & Neurology | 7500 W Lake Mead Blvd Ste 9, Box 467, Las Vegas, NV 89128-1000 | 2014-01-29 |
| 1760733414 | Arlyn Valencia Md PC | Psychiatry & Neurology | 7500 W Lake Mead Blvd # 9-467, Las Vegas, NV 89128-0297 | 2012-09-20 |
| 1740548866 | Brian Ahuja | Psychiatry & Neurology | 49 Alamere Falls Dr, Las Vegas, NV 89138-6155 | 2012-04-26 |
| 1972833440 | Juanidad Corporation | Psychiatry & Neurology | 209 Dalmatian Ln, Las Vegas, NV 89107-2304 | 2010-01-06 |
| 1942443072 | Carrie Michelle Hersh | Psychiatry & Neurology | 888 W Bonneville Avenue, Las Vegas, NV 89106 | 2009-04-20 |
| 1285894881 | Gerald Wayne Dunn | Psychiatry & Neurology | 10432 Profondo Ct, Las Vegas, NV 89135-2564 | 2008-06-17 |
| 1497924468 | Paul Harlan Janda | Psychiatry & Neurology | 2010 Wellness Way Ste 306, Las Vegas, NV 89106-4142 | 2008-02-25 |
| 1780852723 | Ansarinia Professional Corportation | Psychiatry & Neurology | 2835 S. Jones Blvd, Las Vegas, NV 89146 | 2008-02-12 |
| 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.