NEVADA ASSOCIATION OF CRITICAL CARE SURGEONS, LTD (NPI# 1184796054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184796054 |
| Entity Type | Organization |
| Organization Name | NEVADA ASSOCIATION OF CRITICAL CARE SURGEONS, LTD |
| Other Organization Name | NACCS |
| Practice Address |
501 S Rancho Dr Suite E 32 Las Vegas NV 89106-4833 |
| Mailing Address |
Po Box 270609 Las Vegas NV 89127-4609 |
| Practice Telephone | 7023825343 |
| Practice Fax Number | 7023882922 |
| Mailing Telephone | 7023825343 |
| Mailing Fax Number | 7023882922 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2008-04-14 |
| Authorized Official Name | JAMES SHERMAN TATE JR. (CEO) |
| Authorized Official Telephone | 7023825343 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 5717 | NV | Allopathic & Osteopathic Physicians |
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
5717 | NV | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
5717 | NV | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| NACCS | Other Name - Individual/Organization |
| Street Address |
501 S RANCHO DR SUITE E 32 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89106-4833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487656823 | Integrity Home Health Care Inc | Home Health | 501 S Rancho Dr, Suite D21, Las Vegas, NV 89106-4828 | 2005-08-15 |
| 1013448489 | Addiction Recovery Centers Plc | Psychiatry & Neurology | 501 S Rancho Dr, Suite H-50, Las Vegas, NV 89106-4828 | 2017-03-27 |
| 1982023040 | Evolve | Community/Behavioral Health | 501 S Rancho Dr, Ste C-17, Las Vegas, NV 89106-4828 | 2014-04-15 |
| 1245667393 | Jennifer Lynn Cook | Chiropractor | 501 S Rancho Dr, Suite A-2, Las Vegas, NV 89106-4828 | 2013-10-03 |
| 1669714598 | Stanton Franklin Carroll | Surgery | 501 S Rancho Dr, Suite F-37, Las Vegas, NV 89106-4828 | 2013-03-18 |
| 1164773107 | Kara Olson | Speech-Language Pathologist | 501 S Rancho Dr, Ste D25, Las Vegas, NV 89106-4828 | 2012-10-01 |
| 1114280906 | Speech Therapy Associates | Speech-Language Pathologist | 501 S Rancho Dr, Suite I-60, Las Vegas, NV 89106-4828 | 2012-06-18 |
| 1972876100 | Pickle, Flp | Chiropractor | 501 S Rancho Dr, Las Vegas, NV 89106-4828 | 2012-02-19 |
| 1154610988 | Surgical Advisors Inc | Orthopaedic Surgery | 501 S Rancho Dr, Suite I-67, Las Vegas, NV 89106-4828 | 2011-04-01 |
| 1770814659 | Silverarc Apn | Nurse Practitioner | 501 S Rancho Dr, Suite H50, Las Vegas, NV 89106-4828 | 2010-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555772 | Graciela Miranda Cocorpio | Technician | 820 Rancho Ln Suite #40, Las Vegas, NV 89106 | 2020-10-09 |
| 1679101679 | A Better You Wellness Center | Counselor | 320 W Monroe Street, Las Vegas, NV 89106 | 2020-03-27 |
| 1730725177 | Mariah La'neese Jones | Rehabilitation Practitioner | 400 Shadow Lane Ste 106, Las Vegas, NV 89106 | 2019-11-20 |
| 1417592841 | Lourdes Rita Apumayta-paredes | Technician | 820 Rancho Lane, Suite #40, Las Vegas, NV 89106 | 2019-11-08 |
| 1902456551 | Marisela Pena | Technician | 820 Rancho Ln., 25, Las Vegas, NV 89106 | 2019-09-16 |
| 1992368724 | Amber Nicole Mahajan | Nurse Practitioner | 2020 Wellness Way, Suite 300, Las Vegas, NV 89106 | 2019-04-17 |
| 1568924215 | Arlandrea Tarvins | Behavioral Analyst | 1048 Miller Ave, Las Vegas, NV 89106 | 2019-04-02 |
| 1427510361 | Erik Pennell | Student in an Organized Health Care Education/Training Program | 1542 Pinto Ln, 2nd Floor, Las Vegas, NV 89106 | 2019-04-01 |
| 1245702729 | Bruce Mark Babb | Technician | 820 Rancho Lane Ste #40, Las Vegas, NV 89106 | 2018-12-21 |
| 1639649213 | Antonio Ruiz Pelfort | Technician | 1951 Stella Lake St Suite 36, Las Vegas, NV 89106 | 2018-11-27 |
| Find all providers in zip 89106 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871859488 | Brandy Padilla-jones | Surgery | 3131 La Canada St Ste 217, Las Vegas, NV 89169-2579 | 2012-04-09 |
| 1629360912 | Nancy Rivera | Surgery | 3131 La Canada St Ste 217, Las Vegas, NV 89169-2579 | 2011-05-05 |
| 1487982534 | Desert Surgical Associates Fisher Pllc | Surgery | 3131 La Canada St Ste 217, Las Vegas, NV 89169-2579 | 2009-12-01 |
| 1669639092 | Douglas R Fraser | Surgery | 1707 W Charleston Blvd, #160, Las Vegas, NV 89102-2351 | 2008-05-22 |
| 1568545572 | Nathan I Ozobia | Surgery | 5701 W Charleston Blvd, 104, Las Vegas, NV 89146-1217 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649478041 | Eric James Turney | Surgery | 4700 Las Vegas Blvd N, 99 Msgs/sgcq, Nellis Afb, NV 89191-6600 | 2007-07-06 |
| 1073660106 | Jamie Rand | Surgery | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2007-01-04 |
Please comment or provide details below to improve the information on NEVADA ASSOCIATION OF CRITICAL CARE SURGEONS, LTD.
| 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.