DAVITA MEDICAL GROUP NEVADA (COATS), LTD. (NPI# 1245217694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245217694 |
| Entity Type | Organization |
| Organization Name | DAVITA MEDICAL GROUP NEVADA (COATS), LTD. |
| Other Organization Name | HEALTHCARE PARTNERS - W. CHARLESTON |
| Practice Address |
9499 W Charleston Blvd #150 Las Vegas NV 89117-7150 |
| Mailing Address |
Po Box 98978 Las Vegas NV 89193-8978 |
| Practice Telephone | 7022285477 |
| Practice Fax Number | 7022554915 |
| Mailing Telephone | 7022163346 |
| Mailing Fax Number | 7026716883 |
| Enumeration Date | 2005-12-28 |
| 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 | 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 | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
NV | Physician Assistants & Advanced Practice Nursing Providers | |
| 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 | 1245217694 | 05 |
| Other Name | Type Code |
|---|---|
| HealthCare Partners - W. Charleston | Other Name - Individual/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 |
| 1235116716 | Davita Medical Group Nevada (coats), Ltd. | Nurse Practitioner | 595 W Lake Mead Pkwy, Henderson, NV 89015-7071 | 2005-12-27 |
| Street Address |
9499 W CHARLESTON BLVD #150 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89117-7150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902807613 | Steven C Thomas | Orthopaedic Surgery | 9499 W Charleston Blvd, Ste 200, Las Vegas, NV 89117-7147 | 2005-08-03 |
| 1689130700 | Aaron James Burley | Nurse Practitioner | 9499 W Charleston Blvd, Las Vegas, NV 89117-7150 | 2019-02-13 |
| 1679013718 | Aysa Marcela Chavarria | Nurse Practitioner | 9499 W Charleston Blvd, Las Vegas, NV 89117-7150 | 2017-03-07 |
| 1063968600 | Ann Kathrin Roberts | Specialist/Technologist, Other | 9499 W Charleston Blvd, Ste 200, Las Vegas, NV 89117 | 2016-09-01 |
| 1336593086 | Shawana Moss | Specialist/Technologist, Other | 9499 W Charleston Blvd, Suite 200, Las Vegas, NV 89117-7150 | 2016-04-19 |
| 1962890426 | Tracy Ellis | Specialist/Technologist, Other | 9499 W Charleston Blvd, Ste 200, Las Vegas, NV 89117-7150 | 2015-01-06 |
| 1326442484 | Knee and Shoulder Institute | Specialist/Technologist, Other | 9499 W Charleston Blvd, Ste 200, Las Vegas, NV 89117-7150 | 2014-10-20 |
| 1447503644 | Asbel T. Caligagan | Nurse Practitioner | 9499 W Charleston Blvd, Suite 150, Las Vegas, NV 89117-7150 | 2012-10-25 |
| 1588929962 | Dan Wruck | Technician, Other | 9499 W Charleston Blvd, Ste 200, Las Vegas, NV 89117-7150 | 2012-07-11 |
| 1033476023 | Evensen and Trippi Mens Health Pllc | Family Medicine | 9499 W Charleston Blvd, Suite 270, Las Vegas, NV 89117-7150 | 2012-04-16 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1699374256 | Dmc Medical Clinic Ltd | Family Medicine | 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 | 2020-10-23 |
| 1558968420 | Neuro Health LLC | Family Medicine | 7455 W Washington Ave Ste 140, Las Vegas, NV 89128-4349 | 2020-10-05 |
| 1154934131 | Body & Mind Uplifment LLC | Family Medicine | 2215 Renaissance Dr Ste A, Las Vegas, NV 89119-6723 | 2020-08-28 |
| 1639788599 | Telelab | Family Medicine | 7881 W Charleston Blvd Ste 230, Las Vegas, NV 89117-8327 | 2020-07-27 |
| 1629687926 | Maria Habbi Md | Family Medicine | 501 S Rancho Dr Ste F40, Las Vegas, NV 89106-4834 | 2020-07-23 |
| 1225646805 | Shelley Elizabeth Ameduri | Family Medicine | 3943 Deluge Dr, Las Vegas, NV 89129-6481 | 2020-07-20 |
| 1659995090 | Universal Medical Alliance Inc. | Family Medicine | 6268 Spring Mountain Rd Ste 115b, Las Vegas, NV 89146-8873 | 2020-06-02 |
| 1255954640 | Partners In Primary Care Nv PC | Family Medicine | 4919 W Craig Rd, Las Vegas, NV 89130-2730 | 2020-05-20 |
| 1669095048 | Partners In Primary Care Nv PC | Family Medicine | 4813 S Eastern Ave, Las Vegas, NV 89119-6188 | 2020-05-20 |
| 1184247579 | Partners In Primary Care Nv PC | Family Medicine | 3129 N Rainbow Blvd, Las Vegas, NV 89108-4578 | 2020-05-20 |
| 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.