INTEGRATED MEDICAL GROUP INC (NPI# 1205182292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205182292 |
| Entity Type | Organization |
| Organization Name | INTEGRATED MEDICAL GROUP INC |
| Practice Address |
3230 S Buffalo Dr Ste 105 Las Vegas NV 89117-2506 |
| Practice Telephone | 7029852533 |
| Practice Fax Number | 7022537288 |
| Mailing Telephone | 7029852533 |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2012-07-27 |
| Authorized Official Name | MARIA LOURDES YUVIENCO PECHO (PRESIDENT) |
| Authorized Official Telephone | 7029852533 |
| Authorized Official Credential | MS ECO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | NV20121441185 | NV | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871931741 | Integrated Medical Group Inc | Nurse Practitioner | 208 E Carson St Ste 101, Carson, CA 90745-2762 | 2013-06-12 |
| Street Address |
3230 S BUFFALO DR STE 105 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89117-2506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124127 | Charming Home Care LLC | Technician | 3230 S Buffalo Dr Ste 105, Las Vegas, NV 89117-2506 | 2020-11-05 |
| 1760865919 | A Complete Care Support Services | Community/Behavioral Health | 3230 S Buffalo Dr Ste 105, Las Vegas, NV 89117-2506 | 2015-07-07 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281451 | Korn Health Solutions, Pllc | General Practice | 8530 W Sunset Rd Ste 305, Las Vegas, NV 89113-2215 | 2020-10-06 |
| 1740898253 | Cano Health Nevada Pllc | General Practice | 3265 E Tropicana Ave, Las Vegas, NV 89121-7386 | 2020-07-21 |
| 1225530553 | Real Time Physicians, LLC | General Practice | 3855 W Diablo Dr Ste 2, Las Vegas, NV 89118-2343 | 2018-03-02 |
| 1063847317 | Mh Health Care Services, PC | General Practice | 7135 W Sahara Ave Ste 100, C/o Laborers Health Center, Las Vegas, NV 89117-2828 | 2013-09-05 |
| 1386078582 | Richard F Russell | General Practice | 2221 S Tioga Way, Las Vegas, NV 89117-2735 | 2013-08-25 |
| 1790125862 | Ihawa | General Practice | 1504 Couples St, Las Vegas, NV 89128-2155 | 2013-07-03 |
| 1154768620 | Francisco Martinez Villanueva | General Practice | 8652 Grandbank Dr, Las Vegas, NV 89145-4813 | 2013-05-23 |
| 1588900716 | Dean Grant Peterson | General Practice | 3021 Waterside Cir, Las Vegas, NV 89117-2277 | 2012-12-15 |
| 1083970248 | Sebastian Balle | General Practice | 6670 Palmyra Ave, Las Vegas, NV 89146-6539 | 2012-04-02 |
| 1780951376 | James Edward Holmes Sr. | General Practice | 4370 Smiley Rd, Las Vegas, NV 89115-1808 | 2011-11-26 |
| 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.