ELYSIUM MEDICAL INCORPORATED (NPI# 1225544158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225544158 |
| Entity Type | Organization |
| Organization Name | ELYSIUM MEDICAL INCORPORATED |
| Practice Address |
3001 Saint Rose Pkwy Henderson NV 89052-3839 |
| Practice Telephone | 3238677907 |
| Mailing Telephone | 3238677907 |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2017-12-14 |
| Authorized Official Name | DR. ANDREW JONES (CEO) |
| Authorized Official Telephone | 3238677907 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251K00000X | Public Health or Welfare | Agencies | ||
| N | 302F00000X | Exclusive Provider Organization | Managed Care Organizations | ||
| N | 302R00000X | Health Maintenance Organization | Managed Care Organizations | ||
| Y | 305R00000X | Preferred Provider Organization | Managed Care Organizations |
| Street Address |
3001 SAINT ROSE PKWY |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-3839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225021215 | Michael S Zbiegien | Pediatrics | 3001 Saint Rose Pkwy, Henderson, NV 89052-3839 | 2005-08-25 |
| 1225645682 | Rajiv Amesur Do PC | Internal Medicine | 3001 Saint Rose Pkwy, Henderson, NV 89052-3839 | 2020-09-29 |
| 1629685219 | Ela Kristel Olan Bolisay | Nurse Practitioner | 3001 Saint Rose Pkwy, Henderson, NV 89052-3839 | 2020-09-28 |
| 1639663495 | Vituity - Nevada Koury & Partners Pllc | Emergency Medicine | 3001 Saint Rose Pkwy, Henderson, NV 89052 | 2018-06-15 |
| 1174037709 | Heather Gamez LLC | Specialist/Technologist, Other | 3001 Saint Rose Pkwy, Henderson, NV 89052-3839 | 2017-11-17 |
| 1225541030 | Cep America - Neurology PC | Psychiatry & Neurology | 3001 Saint Rose Pkwy, Henderson, NV 89052-3839 | 2017-11-15 |
| 1306369442 | Premier Medical LLC | Family Medicine | 3001 Saint Rose Pkwy, Henderson, NV 89052-3839 | 2017-07-20 |
| 1841728417 | Sound Intensivists of Nevada Rbessler Md Pllc | Internal Medicine | 3001 Saint Rose Pkwy, Henderson, NV 89052-3839 | 2017-05-26 |
| 1730636457 | Sogol Sara Amjadi | Internal Medicine | 3001 Saint Rose Pkwy, Henderson, NV 89052 | 2016-09-10 |
| 1154875979 | Freddy Hernan Espinosa | Nurse Practitioner | 3001 Saint Rose Pkwy, Henderson, NV 89052-3839 | 2016-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| Find all providers in zip 89052 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801201918 | Michelle Strahler | Preferred Provider Organization | 75 Yesterday Dr, Henderson, NV 89074-5852 | 2014-06-26 |
| 1346525136 | Preferred Pain Management, LLC | Preferred Provider Organization | 153 W Lake Mead Pkwy, Henderson, NV 89015-7044 | 2011-10-12 |
| 1730580432 | Beyond Challenges Community Services LLC | Preferred Provider Organization | 1302 Dabney Dr, Henderson, NC 27536-3531 | 2014-09-12 |
| 1194915785 | Donald C. Hartlieb M.d. Ltd | Preferred Provider Organization | 10521 Jeffreys St, Suit 220, Henderson, NV 89052-4180 | 2007-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821468778 | Nathan Pinkney | Preferred Provider Organization | 9421 Moon Splash Ct, Las Vegas, NV 89129-7890 | 2015-10-05 |
| 1033586417 | Phoenix Providers | Preferred Provider Organization | 3844 Joy Ln, Reno, NV 89523 | 2015-09-01 |
| 1982080172 | Alw Behavior Services | Preferred Provider Organization | 3757 Dusky Flycatcher St, Las Vegas, NV 89122-3546 | 2015-08-11 |
| 1659766137 | Just Like Family | Preferred Provider Organization | 1118 Kruger Ct, North Las Vegas, NV 89032-9005 | 2015-04-01 |
| 1639411473 | Giang Lam A Profession Corp | Preferred Provider Organization | 6545 S Fort Apache Rd, 110, Las Vegas, NV 89148-6752 | 2013-03-19 |
| 1659610483 | Valhalla Medical Associates LLC | Preferred Provider Organization | 2851 N Tenoya Way #103, Las Vegas, NV 89128-0435 | 2013-02-14 |
| 1104176361 | Rainbow Adult Child Family Services | Preferred Provider Organization | 5016 Blue Rose St, N Las Vegas, NV 89081-2676 | 2012-09-14 |
| 1205183886 | My Family Home | Preferred Provider Organization | 2224 Canary Way, Las Vegas, NV 89106-1912 | 2012-08-13 |
| 1306115449 | Sierra Home Health Care | Preferred Provider Organization | 3500 Lakeside Ct Ste 204, Reno, NV 89509-4896 | 2011-12-19 |
| 1124308135 | St. Louis Medical Center | Preferred Provider Organization | 530 E Saint Louis Ave, Las Vegas, NV 89104-2558 | 2011-08-22 |
| Find all providers with the same taxonomy | ||||
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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.