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).
| 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 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1184062309 | 05 | |
| NV | STATE LICENSE | DO2144 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9480 S Eastern Avenue, Suite 262, Henderson, NV 89052 | 7024077700 | 7024077016 |
| Street Address |
9499 W CHARLESTON BLVD STE 150 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89117-7147 |
| 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 |
| 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 |
| Find all providers in zip 89117 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
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| 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 |
| 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.