JOHNATHAN RYAN TAITANO


Address: 9499 W Charleston Blvd Ste 150, Las Vegas, NV 89117-7147
Phone: 7022285477

JOHNATHAN RYAN TAITANO (NPI# 1184062309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184062309
Entity Type Individual
Full Name JOHNATHAN RYAN TAITANO
Credential DO
Practice Address 9499 W Charleston Blvd Ste 150
Las Vegas
NV 89117-7147
Mailing Address Po Box 98978
Las Vegas
NV 89193-8978
Practice Telephone 7022285477
Practice Fax Number 7022557981
Mailing Telephone 7022163346
Mailing Fax Number 7026716883
Enumeration Date 2013-06-10
Last Update Date 2020-05-29
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 174400000X Specialist SL0955 NV Other Service Providers
Y 207R00000X Internal Medicine DO2144 NV Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NV 1184062309 05
NV STATE LICENSE DO2144 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
9480 S Eastern Avenue, Suite 262, Henderson, NV 89052 7024077700 7024077016

Office Location

Street Address 9499 W CHARLESTON BLVD STE 150
City LAS VEGAS
State NV
Zip Code 89117-7147

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437151917 Robert Clinton Hayes Family Medicine 9499 W Charleston Blvd Ste 150, Las Vegas, NV 89117-7147 2005-08-15
1104339225 Maria Agnes Austria Sado Nurse Practitioner 9499 W Charleston Blvd Ste 150, Las Vegas, NV 89117-7147 2017-11-11
1992112775 Steven Tsang Internal Medicine 9499 W Charleston Blvd Ste 150, Las Vegas, NV 89117 2014-07-14
1487627915 Ira H Copeland Internal Medicine 9499 W Charleston Blvd Ste 150, Las Vegas, NV 89117 2006-02-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962016923 Nick Marte Massage Therapist 8321 W Sahara Ave 2057, Las Vegas, NV 89117 2020-09-06
1831709740 Marizel Yukee Nurse Practitioner 3086 Lapis Beach Dr, Las Vegas, NV 89117 2020-08-05
1336762525 Mashiko Jenny Tavares Sleep Specialist, PhD 1711 Songlight Court, Las Vegas, NV 89117 2020-05-21
1235772849 Cornelia Darlau Counselor 2753 Lodestone Drive, Las Vegas, NV 89117 2019-10-26
1861034837 Luz Aguirre Technician 9105 Quiet Cove Way, Las Vegas, NV 89117 2019-10-11
1043778566 Maggie Lynn Steel Occupational Therapist 7621 W Charleston Blvd, Unit 101, Las Vegas, NV 89117 2019-03-04
1154805356 Joyce Ingram Counselor 8600 Starboard Dr Apt 2100, Las Vegas, NV 89117 2018-09-24
1356823421 Pari Garza Chore Provider 9825 Paseo Cresta Ave., Las Vegas, NV 89117 2018-09-05
1235624297 Creative Family Health & Wellness Center Case Management 6849 W Charleston Blvd Ste B, Las Vegas, NV 89117 2018-06-22
1790272524 Las Vegas Sleep Center ( Shamiya) Pllc Clinic/Center 2400 S Cimarron Rd, Suite 130, Las Vegas, NV 89117 2018-04-17
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578162848 Desert Teleheart Inc Internal Medicine 12384 Middle Creek St, Las Vegas, NV 89138 2020-10-19
1962018531 Sanaz Siran Md Pllc Internal Medicine 2893 Red Springs Dr, Las Vegas, NV 89135-1514 2020-09-19
1215546932 5 Star Medical Health Services LLC Internal Medicine 1363 W Owens Ave, Las Vegas, NV 89106-2432 2020-07-28
1376160291 Qazi, Ribeiro, and Shah Pllc Internal Medicine 1925 Village Center Cir Ste 150, Las Vegas, NV 89134-6261 2020-06-26
1639791791 Spring Mountain Medical Center Pllc Internal Medicine 4276 Spring Mountain Rd Unit 211, Las Vegas, NV 89102-8781 2020-05-12
1720609555 Alia Parveen Inc Internal Medicine 337 Rezzo St, Las Vegas, NV 89138-4624 2020-05-04
1225658982 Ejo Mannaparambil John Md Pllc Internal Medicine 3217 Grayson Lake Ct, Las Vegas, NV 89129-6614 2020-04-23
1780203869 Curry Pllc Internal Medicine 8535 Edna Ave, Las Vegas, NV 89117-4413 2020-04-09
1073142980 Fajar Corp LLC Internal Medicine 2991 Raywood Ash Dr, Las Vegas, NV 89138-6143 2020-04-02
1912534348 Garrison Medical Consultants Pllc Internal Medicine 6852 Sumatra St, Las Vegas, NV 89166-7001 2020-03-25
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Competitor

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City LAS VEGAS
Zip Code 89117

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Dataset Information

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.

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