MEDICAL GENETICS OF NEVADA LLC (NPI# 1366068041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366068041 |
| Entity Type | Organization |
| Organization Name | MEDICAL GENETICS OF NEVADA LLC |
| Practice Address |
3006 S Maryland Pkwy Ste 515 Las Vegas NV 89109-2244 |
| Practice Telephone | 7027326800 |
| Practice Fax Number | 7029329611 |
| Mailing Telephone | 7027326800 |
| Mailing Fax Number | 7029329611 |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2020-06-18 |
| Authorized Official Name | SUSANNA SORRENTINO (PHYSICIAN) |
| Authorized Official Telephone | 7027326800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1770741555 | 05 |
| Street Address |
3006 S MARYLAND PKWY STE 515 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89109-2244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770741555 | Susanna Sorrentino | Medical Genetics | 3006 S Maryland Pkwy Ste 515, Las Vegas, NV 89109-2244 | 2008-05-28 |
| 1710381330 | Sarah Eiswert | Dietitian, Registered | 3006 S Maryland Pkwy Ste 515, Las Vegas, NV 89109-2244 | 2014-10-09 |
| 1487054276 | Martha Hernandez | Dietitian, Registered | 3006 S Maryland Pkwy Ste 515, Las Vegas, NV 89109-2244 | 2014-08-28 |
| 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 | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770741555 | Susanna Sorrentino | Medical Genetics | 3006 S Maryland Pkwy Ste 515, Las Vegas, NV 89109-2244 | 2008-05-28 |
| 1255361739 | James M Alexander Jr. | Medical Genetics | 1701 W Charleston Blvd Ste 290, Las Vegas, NV 89102 | 2006-07-03 |
| 1538535133 | Israel J Alvarado Md PC | Medical Genetics | 1930 Village Center Cir, #3-286, Las Vegas, NV 89134-6299 | 2015-08-18 |
| 1366705212 | Jonathan Bernstein, Md, Ltd. | Medical Genetics | 3121 S Maryland Pkwy, 206, Las Vegas, NV 89109-2307 | 2012-06-15 |
| 1013292689 | Alliance for Childhood Diseases | Medical Genetics | 1 Breakthrough Way, Las Vegas, NV 89135-3011 | 2011-10-14 |
| 1285612994 | Colleen Annette Morris | Medical Genetics | 3006 S Maryland Pkwy, 315, Las Vegas, NV 89109-2218 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063924470 | Brooks Family Clinic | Medical Genetics | 3550 W Cheyenne Ave, Suite 100, North Las Vegas, NV 89032-8212 | 2017-10-26 |
| 1689931537 | Alliance for Childhood Diseases | Medical Genetics | 540 W Plumb Ln, Suite No. 200, Reno, NV 89509-3683 | 2012-04-17 |
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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.