RONALD A SHOCKLEY (NPI# 1275511263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275511263 |
| Entity Type | Individual |
| Full Name | RONALD A SHOCKLEY |
| Credential | M.D. |
| Practice Address |
3121 S Maryland Pkwy Ste 412 Las Vegas NV 89109-2309 |
| Mailing Address |
3483 S Eastern Ave Las Vegas NV 89169-3314 |
| Practice Telephone | 7023092311 |
| Practice Fax Number | 7023092177 |
| Mailing Telephone | 7023092311 |
| Mailing Fax Number | 7023092177 |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2020-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
9492 | NV | Allopathic & Osteopathic Physicians |
| Street Address |
3121 S MARYLAND PKWY STE 412 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89109-2309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720647944 | Genus Sarabia | Nurse Practitioner | 3121 S Maryland Pkwy Ste 412, Las Vegas, NV 89109-2309 | 2019-06-11 |
| 1992360598 | Kristine Jennifer Naval Andres | Nurse Practitioner | 3121 S Maryland Pkwy Ste 412, Las Vegas, NV 89109-2309 | 2019-05-08 |
| 1831528637 | Piceno Kidney & Hypertension Specialists, LLC | Internal Medicine | 3121 S Maryland Pkwy Ste 412, Las Vegas, NV 89109 | 2013-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820816 | Vivian Latoza Villasfer | Technician | 2770 South Maryland Parkway, Suite 205b, Las Vegas, NV 89109 | 2020-04-21 |
| 1235758236 | Happy Life Home Health Services Inc | Chore Provider | 2770 S Maryland Pkwy Suite 205-b, Las Vegas, NV 89109 | 2020-04-10 |
| 1346890662 | Jaylin Armour | Technician | 2770 S Maryland Pkwy Suite 108b Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-18 |
| 1104475003 | Jasmine Thomas | Technician | 2770 S Maryland Pkwy Suite 108 B-g Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-04 |
| 1982258331 | Melanee Gregory | Technician | 2770 S Maryland Okey Suite 108b, Suite 108b, Las Vegas, NV 89109 | 2019-07-24 |
| 1851877583 | Eric Darnell Thompson Jr. | Community/Behavioral Health | 2556 Shrewood Street, Unit 21, Las Vegas, NV 89109 | 2018-07-16 |
| 1144717117 | Emerging Vision Inc | Technician/Technologist | Mirage Hotel, 3400 Las Vegas Blvd S, Mirage Hotel, Las Vegas, NV 89109 | 2018-04-16 |
| 1013404110 | Emerging Vision Inc | Technician/Technologist | Mandalay Bay Resort (lobby), 3950 Las Vegas Blvd S, Mandalay Bay Resort (lobby), Las Vegas, NV 89109 | 2018-04-16 |
| 1750881736 | Amirelys Hernandez Diaz | Technician | 2770 S. Maryland Pkwy, Ste 108b-g, Las Vegas, NV 89109 | 2018-02-16 |
| 1972036663 | Ashley Murray | Registered Nurse | 2700 S Las Vegas Blvd #1506, Las Vegas, NV 89109 | 2017-04-10 |
| Find all providers in zip 89109 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366957425 | Roger Rivera Patricio Jr. | Internal Medicine | 6276 S Rainbow Blvd Ste 100, Las Vegas, NV 89118-3243 | 2017-12-11 |
| 1033657622 | Naima Zaheer, Md, Pllc | Internal Medicine | 3006 S Maryland Pkwy Ste 780, Las Vegas, NV 89109-2292 | 2017-02-03 |
| 1700036431 | Tienchai Narach | Internal Medicine | 2435 Fire Mesa St Ste 120, Las Vegas, NV 89128 | 2008-09-30 |
| 1598889008 | Alireza Farabi | Internal Medicine | 701 Shadow Lane # 200, Las Vegas, NV 89106 | 2007-03-19 |
| 1740330711 | Fermin Leguen | Internal Medicine | 280 S Decatur Blvd, Las Vegas, NV 89107 | 2007-01-11 |
| 1558427526 | Infectious Disease Specialists, LLC | Internal Medicine | 6276 S Rainbow Blvd, Suite #100, Las Vegas, NV 89118-3243 | 2006-12-27 |
| 1972538247 | Amir Z Qureshi | Internal Medicine | 4275 Burnham Ave Ste 230, Las Vegas, NV 89119-5400 | 2006-07-12 |
| 1427012806 | Alka Peter Rebentish | Internal Medicine | 6088 S Durango Dr, #d-100, Las Vegas, NV 89113-1780 | 2006-04-13 |
| 1194711358 | Dhaval Jasvant Shah | Internal Medicine | 2435 Fire Mesa St, Suite 120, Las Vegas, NV 89128-9009 | 2005-09-23 |
| 1447876156 | Aids Healthcare Foundation | Internal Medicine | 3201 S Maryland Pkwy Ste 218, Las Vegas, NV 89109-2424 | 2020-06-18 |
| 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.