DAVITA MEDICAL GROUP NEVADA (COATS), LTD. (NPI# 1235116716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235116716 |
| Entity Type | Organization |
| Organization Name | DAVITA MEDICAL GROUP NEVADA (COATS), LTD. |
| Other Organization Name | HEALTHCARE PARTNERS - W. LAKE MEAD |
| Practice Address |
595 W Lake Mead Pkwy Henderson NV 89015-7071 |
| Mailing Address |
Po Box 98978 Las Vegas NV 89193-8978 |
| Practice Telephone | 7025665500 |
| Practice Fax Number | 7025587237 |
| Mailing Telephone | 7022163346 |
| Mailing Fax Number | 7026716883 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2017-05-10 |
| Authorized Official Name | BARD COATS (PRESIDENT) |
| Authorized Official Telephone | 7022163346 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
NV | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 207N00000X | Dermatology | NV | Allopathic & Osteopathic Physicians | |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
NV | Allopathic & Osteopathic Physicians | |
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
NV | Allopathic & Osteopathic Physicians | |
| N | 208000000X | Pediatrics | NV | Allopathic & Osteopathic Physicians | |
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
NV | Allopathic & Osteopathic Physicians | |
| N | 208M00000X | Hospitalist | NV | Allopathic & Osteopathic Physicians | |
| N | 207R00000X | Internal Medicine | NV | Allopathic & Osteopathic Physicians | |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
NV | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 247100000X | Radiologic Technologist | NV | Technologists, Technicians & Other Technical Service Providers | |
| N | 213E00000X | Podiatrist | NV | Podiatric Medicine & Surgery Service Providers | |
| Y | 207Q00000X | Family Medicine | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1235116716 | 05 |
| Other Name | Type Code |
|---|---|
| HealthCare Partners - W. Lake Mead | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043297468 | Davita Medical Group Nevada (coats), Ltd. | Pediatrics | 5575 S Durango Dr, #103, Las Vegas, NV 89113-1833 | 2005-12-28 |
| 1306274626 | Davita Medical Group Nevada (coats), Ltd. | Dermatology | 1151 S Highway 160, Pahrump, NV 89048-4700 | 2013-10-23 |
| 1477701183 | Davita Medical Group Nevada (coats), Ltd. | Internal Medicine | 6850 N. Durango Dr., Suite #120, Las Vegas, NV 89149-4596 | 2008-09-05 |
| 1598742934 | Davita Medical Group Nevada (coats), Ltd. | Pediatrics | 1505 Wigwam Pkwy, #230, Henderson, NV 89074-8194 | 2005-12-28 |
| 1245217694 | Davita Medical Group Nevada (coats), Ltd. | Dermatology | 9499 W Charleston Blvd, #150, Las Vegas, NV 89117-7150 | 2005-12-28 |
| Street Address |
595 W LAKE MEAD PKWY |
| City | HENDERSON |
| State | NV |
| Zip Code | 89015-7071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750383360 | Byron Kilpatrick | Family Medicine | 595 W Lake Mead Pkwy, Henderson, NV 89015-7071 | 2005-08-12 |
| 1407349715 | Ikaika K Moreno | Registered Nurse | 595 W Lake Mead Pkwy, Henderson, NV 89015-7015 | 2018-06-11 |
| 1811376908 | Vance Marshal Washington | Family Medicine | 595 W Lake Mead Pkwy, Henderson, NV 89015-7015 | 2015-05-22 |
| 1497144869 | Yaheiry Urena | Physician Assistant | 595 W Lake Mead Pkwy, Henderson, NV 89015-7015 | 2015-01-22 |
| 1629412002 | Christina Henry | Family Medicine | 595 W Lake Mead Pkwy, Henderson, NV 89015-7015 | 2013-04-29 |
| 1679899579 | Demian Gitnacht | Family Medicine | 595 W Lake Mead Pkwy, Henderson, NV 89015-7015 | 2010-04-16 |
| 1184948135 | Carlos Aaron Kelsey | Physician Assistant | 595 W Lake Mead Pkwy, Henderson, NV 89015 | 2010-03-19 |
| 1154583938 | Ahoora Payam | Internal Medicine | 595 W Lake Mead Pkwy, Henderson, NV 89015-7015 | 2008-07-02 |
| 1861600975 | Amanda Justine Hutchinson | Family Medicine | 595 W Lake Mead Pkwy, Henderson, NV 89015-7015 | 2007-05-21 |
| 1750505095 | Tamika Boulware Phyfer | Physician Assistant | 595 W Lake Mead Pkwy, Henderson, NV 89015-7015 | 2007-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225503238 | Holly Abarca | Home Health Aide | 212 Shoshone Ln, Henderson, NV 89015 | 2018-10-05 |
| 1184111890 | Pain Center of Henderson LLC | Pain Medicine | 98 E. Lake Mead Pkwy. Suite 202, Henderson, NV 89015 | 2018-04-18 |
| 1124528963 | Edson Jeam Arredondo | Chore Provider | 160 E Horison Dr Ste A, Henderson, NV 89015 | 2018-02-19 |
| 1558879569 | Robin Harvey | Rehabilitation Practitioner | 203 S. Water St # 200, Henderson, NV 89015 | 2018-01-12 |
| 1477064368 | Chris Mcdonald | Counselor | 220 E Horizon Drive, Suite H, Henderson, NV 89015 | 2017-10-18 |
| 1649792565 | David Blake | Case Manager/Care Coordinator | 522 E. Lake Mead Parkway, Suite 5, Henderson, NV 89015 | 2017-07-12 |
| 1457726135 | Ozioma Chiebuka Nwosu | Nurse Practitioner | 200 E Horizon Dr Ste A, Henderson, NV 89015 | 2015-12-07 |
| 1770962839 | Myesha Nicole Butler | Counselor | 16 W. Pacific Street, Ste. 2, Henderson, NV 89015 | 2015-05-22 |
| 1629469424 | Felicia Suberville | Behavioral Analyst | 236 Red Horizon Terrace, Henderson, NV 89015 | 2015-02-16 |
| 1144618349 | Dinesh Bharwani | Physician Assistant | 270 West Lake Mead Parkway, Southwest Medical Associates, Henderson, NV 89015 | 2014-12-23 |
| Find all providers in zip 89015 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807619 | Sherrin Soliman | Family Medicine | 761 Crest Valley Pl, Henderson, NV 89011-2663 | 2020-06-26 |
| 1932724143 | Qv Now Pllc | Family Medicine | 1600 Us Highway 79 S Ste B, Henderson, TX 75654-4508 | 2020-06-12 |
| 1154944544 | Partners In Primary Care Nv PC | Family Medicine | 390 W Lake Mead Pkwy, Henderson, NV 89015-7417 | 2020-05-20 |
| 1689134116 | Transforming Arts Inc | Family Medicine | 2900 N Green Valley Pkwy Ste 114, Henderson, NV 89014-0408 | 2019-03-21 |
| 1609359165 | Kenisha Voncille Thomas | Family Medicine | 1520 W Sunset Rd Ste 130, Henderson, NV 89014 | 2018-09-11 |
| 1336636521 | Bob Dillon Enterprises Ltd | Family Medicine | 90 S Stephanie St Ste 110, Henderson, NV 89012-5574 | 2018-04-13 |
| 1013425255 | Bikramjit Singh Nanar | Family Medicine | 1382 Opal Valley St, Henderson, NV 89052-3146 | 2018-01-22 |
| 1265965263 | La Boss LLC | Family Medicine | 2404 Chateau Napoleon Dr, Henderson, NV 89044-0377 | 2017-04-06 |
| 1679922959 | Sonia Garcia-jayne | Family Medicine | 2645 W Horizon Ridge Pkwy Ste 120, Henderson, NV 89052 | 2016-06-08 |
| 1043668015 | Michelle I-hung Lin | Family Medicine | 2865 Siena Heights Dr Ste 140, Henderson, NV 89052-4168 | 2016-05-31 |
| Find all providers in HENDERSON | ||||
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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.