SIMMON L WILCOX (NPI# 1205890027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205890027 |
| Entity Type | Individual |
| Full Name | SIMMON L WILCOX |
| Credential | MD |
| Practice Address |
4550 E Charleston Blvd Las Vegas NV 89104-5525 |
| Mailing Address |
6421 Aberdeen Ln Las Vegas NV 89107-1268 |
| Practice Telephone | 7024159906 |
| Practice Fax Number | 8663834399 |
| Mailing Telephone | 7024159906 |
| Mailing Fax Number | 8663834399 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2014-02-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 2009007880 | MO | Allopathic & Osteopathic Physicians |
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
6968998-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
11588 | NV | Allopathic & Osteopathic Physicians |
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
MD033724E | PA | Allopathic & Osteopathic Physicians |
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
11588 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100510116 | 05 | |
| PA | HIGHMARK BC/BS | 000185023 | 01 |
| Street Address |
4550 E CHARLESTON BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89104-5525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451382 | Christian Ceasar Lapitan | Nurse Practitioner | 4550 E Charleston Blvd, Las Vegas, NV 89104-5525 | 2020-06-14 |
| 1447899448 | Premier Medical Group LLC | Registered Nurse | 4550 E Charleston Blvd, Las Vegas, NV 89104-5525 | 2019-12-23 |
| 1336707900 | Lab Express LLC | Durable Medical Equipment & Medical Supplies | 4550 E Charleston Blvd, Las Vegas, NV 89104-5525 | 2019-05-30 |
| 1235657149 | Sneha Vinod Philip Thomas | Nurse Practitioner | 4550 E Charleston Blvd, Las Vegas, NV 89104-5525 | 2017-08-31 |
| 1750748620 | Lab Express, LLC | Durable Medical Equipment & Medical Supplies | 4550 E Charleston Blvd, Las Vegas, NV 89104 | 2016-01-25 |
| 1164833638 | David M Pena Sariol | Massage Therapist | 4550 E Charleston Blvd, Las Vegas, NV 89104-5525 | 2014-05-18 |
| 1275944027 | John Thao | Respiratory Therapist, Certified | 4550 E Charleston Blvd, Las Vegas, NV 89104-5525 | 2014-05-14 |
| 1881014579 | Nolimits Nutrition & Wellness, LLC | Clinic/Center | 4550 E Charleston Blvd, Las Vegas, NV 89104-5525 | 2014-04-21 |
| 1841613650 | Nommis Consultants | Emergency Medicine | 4550 E Charleston Blvd, Las Vegas, NV 89104-5525 | 2014-01-30 |
| 1972684629 | Musnitanandvazquezltd | Family Medicine | 4550 E Charleston Blvd, Las Vegas, NV 89104-5525 | 2006-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550635 | Comfort Care Senior Services LLC | In Home Supportive Care | 1601 S Sandhill Rd, 62, Las Vegas, NV 89104 | 2020-08-26 |
| 1508484734 | Accessible Space Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1405 South Mojave Rd, Las Vegas, NV 89104 | 2020-07-14 |
| 1003448333 | Shirley Lauren Valenzona-gianan | Pharmacist | Smith's Pharmacy #318, 4965 East Sahara Avenue, Las Vegas, NV 89104 | 2020-02-05 |
| 1427602713 | Alma Lucia Lozano-vargas | Chore Provider | 1785 E. Sahara Ave. Suite 485, Las Vegas, NV 89104 | 2019-07-25 |
| 1396398947 | Martinez Antuan Coates | Psychologist | 1755 Palm St Bld T Apt147, Las Vegas, NV 89104 | 2019-07-23 |
| 1982171518 | Ian Sande | Occupational Therapist | 1500 West Warm Springs Rd, Las Vegas, NV 89104 | 2018-11-01 |
| 1215436563 | A Better Life In Home Care, LLC | Technician | 1810 East Sahara Avenue, Suite 216, Las Vegas, NV 89104 | 2018-02-01 |
| 1891202016 | Nevada Helping Hands LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1810 E Sahara Ave Ste 143, Las Vegas, NV 89104 | 2018-01-09 |
| 1760901581 | Fannie Bell | Counselor | 1800 E. Sahara Suite 104, Las Vegas, NV 89104 | 2017-09-13 |
| 1386162147 | Jaclyn Mustachio | Social Worker | 1860 E Sahara Ave, Las Vegas, NV 89104 | 2017-08-31 |
| Find all providers in zip 89104 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548558810 | F. Akioyame Medical Consultant Inc | Pain Medicine | 4903 Vegas Dr., Ste 102, Las Vegas, NV 89108-2367 | 2011-07-20 |
| 1245479773 | Nu Wave Eswt, LLC | Pain Medicine | 4510 West Diablo Ave, Suite A110, Las Vegas, NV 89118 | 2009-02-06 |
| 1407898836 | Firooz Mashhood Md A Professional Corporation | Pain Medicine | 5440 W Sahara Ave Ste 104, Las Vegas, NV 89146-0363 | 2006-06-11 |
| 1558352187 | Warren Lynn Wheeler | Pain Medicine | 4141 Swenson St, Las Vegas, NV 89119-6718 | 2005-11-02 |
| 1043870199 | Psychiatric Management, LLC | Pain Medicine | 2725 S Jones Blvd Ste 104, Las Vegas, NV 89146-5605 | 2019-06-19 |
| 1528532223 | Garielle Kara Martinez | Pain Medicine | 5741 S Fort Apache Rd Ste 120, Las Vegas, NV 89148-5622 | 2019-01-15 |
| 1447760954 | R&d Medical Group, LLC | Pain Medicine | 4270 S Decatur Blvd Ste A2, Las Vegas, NV 89103-6840 | 2017-10-10 |
| 1427590694 | Epion Institute for Spine and Joint Pain | Pain Medicine | 5740 S Eastern Ave Ste 100, Las Vegas, NV 89119-3037 | 2016-11-04 |
| 1942657473 | Living Life Medical Center LLC | Pain Medicine | 7720 W Sahara Ave, Ste 111, Las Vegas, NV 89117-2799 | 2016-05-13 |
| 1639545940 | Elite Pain Management, LLC | Pain Medicine | 7150 W Sunset Rd Ste 202, Las Vegas, NV 89113-1981 | 2015-08-20 |
| 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.