DR. JAEMI KEITH (NPI# 1215145792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215145792 |
| Entity Type | Individual |
| Full Name | DR. JAEMI KEITH |
| Credential | M.D. |
| Practice Address |
3975 S Durango Dr Ste 107 Las Vegas NV 89147-4156 |
| Practice Telephone | 7029408007 |
| Practice Fax Number | 7028321940 |
| Mailing Telephone | 7029408007 |
| Mailing Fax Number | 7028391301 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 16028 | NV | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | 43285 | AZ | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | 49547 | MN | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
16028 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1215145792 | 05 | |
| AZ | 554136 | 05 |
| Street Address |
3975 S DURANGO DR STE 107 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89147-4156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073169454 | Katriella Fernandez | Pain Medicine | 3975 S Durango Dr Ste 107, Las Vegas, NV 89147-4156 | 2019-08-12 |
| 1588121941 | Andrew Hall Md Pllc | Pain Medicine | 3975 S Durango Dr Ste 107, Las Vegas, NV 89147-4156 | 2019-02-21 |
| 1366737421 | Andrew Michael Hall | Anesthesiology | 3975 S Durango Dr Ste 107, Las Vegas, NV 89147-4156 | 2011-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619593621 | Ata Group Lv | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 10170 W Tropicana Ave Ste 156-211, Las Vegas, NV 89147 | 2020-06-25 |
| 1104474022 | Jacklyn Siagatonu | Behavior Technician | 7125 Grand Montecito Parkway, Las Vegas Nv, N Las Vegas, NV 89147 | 2019-09-04 |
| 1700388253 | Pr Acquisition Corporation | Clinic/Center | 9892 W Flamingo Road, Las Vegas, NV 89147 | 2018-03-01 |
| 1629578836 | Jonathan Balagot Dizon | Optometrist | 4160 S Durango Dr, Las Vegas, NV 89147 | 2018-02-14 |
| 1346751526 | Ignite Teen Treatment, LLC | Clinic/Center | 3722 Lone Mesa Dr, Las Vegas, NV 89147 | 2017-10-16 |
| 1306365275 | Diversified Behavioral Health Services LLC | Community/Behavioral Health | 9636 W.cherokee Ave, Las Vegas, NV 89147 | 2017-09-12 |
| 1356874713 | A8a Personal Care Solution LLC | In Home Supportive Care | 8879 West Flamingo, Ste 101, Las Vegas, NV 89147 | 2017-04-04 |
| 1154782191 | Ma Leah Roble Maravillas | Behavioral Analyst | 9999 W Katie Ave Suite 1313, Las Vegas, NV 89147 | 2016-03-18 |
| 1285010959 | Samantha Lauren Pope | Specialist | 9353 W. Twain Ave, Apt 113, Las Vegas, NV 89147 | 2015-08-05 |
| 1215311980 | Daniel Dorado | Marriage & Family Therapist | 9848 Gallo Dr, Las Vegas, NV 89147 | 2015-07-13 |
| Find all providers in zip 89147 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215564539 | Mark David Kraft | Anesthesiology | 8861 W Sahara Ave Ste 220, Las Vegas, NV 89117-4805 | 2020-03-25 |
| 1659918498 | Center for Wellness and Pain Care of Las Vegas, Inc. | Anesthesiology | 6930 S Cimarron Rd, Ste 260, Las Vegas, NV 89113-2135 | 2019-11-27 |
| 1922526755 | Pain Care Innovation LLC | Anesthesiology | 222 Karen Ave Unit 3305, Las Vegas, NV 89109-5308 | 2017-08-31 |
| 1003367921 | Charlie Y. Nahm, Md, PC | Anesthesiology | 9333 W Sunset Rd, Suite A, Las Vegas, NV 89148-4845 | 2016-10-14 |
| 1588082374 | Tara-lin Hollins | Anesthesiology | 3281 N Decatur Blvd Ste 150, Las Vegas, NV 89130-3264 | 2014-03-31 |
| 1225385842 | Quicknd Pain Care | Anesthesiology | 3111 S Maryland Pkwy Ste 200, Las Vegas, NV 89109-2319 | 2012-08-14 |
| 1245533207 | Maryanne D. Phillips Md Apc | Anesthesiology | 7835 S Rainbow Bl, Ste 15, Las Vegas, NV 89139 | 2010-12-14 |
| 1326354697 | Mission Treatment Centers, Inc. | Anesthesiology | 2887 S Maryland Parkway, Las Vegas, NV 89109-1511 | 2010-08-25 |
| 1124356241 | Joseph J Schifini, Md, Ltd | Anesthesiology | 600 S Tonopah Dr Ste 240, Las Vegas, NV 89106-4042 | 2009-12-01 |
| 1033385307 | Charlie Nahm | Anesthesiology | 9333 W Sunset Rd Ste A, Las Vegas, NV 89148-4845 | 2008-05-06 |
| 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.