JEREMY LIPSHUTZ, MD, PLLC (NPI# 1376159293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376159293 |
| Entity Type | Organization |
| Organization Name | JEREMY LIPSHUTZ, MD, PLLC |
| Practice Address |
6120 S Fort Apache Rd Ste 100 Las Vegas NV 89148-6760 |
| Practice Telephone | 7029488660 |
| Practice Fax Number | 7029488641 |
| Mailing Telephone | 7029488660 |
| Mailing Fax Number | 7029488641 |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |
| Authorized Official Name | AMY MECHAM (DIR OF OPERATIONS) |
| Authorized Official Telephone | 7029488660 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LA0401X |
Anesthesiology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | NEVADA STATE BUSINESS LICENSE | NV20201887338 | 01 |
| Other Name | Type Code |
|---|---|
| Collaborative Pain Management | Doing Business As Name - Organization |
| Street Address |
6120 S FORT APACHE RD STE 100 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89148-6760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578538195 | Warren J Seeds | Anesthesiology | 6120 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-6760 | 2006-02-17 |
| 1891308920 | Monos Health, LLC | Anesthesiology | 6120 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-6760 | 2020-08-28 |
| 1285171686 | Lena Burk | Physician Assistant | 6120 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-6760 | 2017-01-23 |
| 1750636981 | Mihir Patel | Psychiatry & Neurology | 6120 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-6760 | 2012-07-13 |
| 1568740041 | Lipshutz & Wills Medical Group LLP | Counselor | 6120 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-6760 | 2011-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293777 | Miguel Angel Umpierre | Technician | 9889 Overlook Ridge Ave, Las Vegas, NV 89148 | 2020-10-21 |
| 1689280588 | Santos Nunez | Technician | 7950 Mcginnis Ave, Las Vegas, NV 89148 | 2020-09-17 |
| 1861007734 | Daniel D Forro | Occupational Therapist | 10164 Phelps Lake Ct, Las Vegas, NV 89148 | 2020-09-08 |
| 1568098309 | Moinca R Ponce | Dentist | 9450 West Russell Rd, Suite #103, Las Vegas, NV 89148 | 2020-03-12 |
| 1689214876 | Mama Dukes Healthcare Services LLC | Rehabilitation Counselor | 9908 Masterpeice Drive, Las Vegas, NV 89148 | 2020-01-15 |
| 1720621865 | Building Hope Nevada | Community/Behavioral Health | 8936 Spanish Ridge, Las Vegas, NV 89148 | 2019-10-22 |
| 1790343721 | Maretes Godinez | Case Manager/Care Coordinator | 6070 S Fort Apache Rd., Suite 110, Las Vegas, NV 89148 | 2019-06-04 |
| 1295393601 | United Medical Group Pllc | Pharmacist | 9205 W. Russell Road, Building 3, Ste 240, Las Vegas, NV 89148 | 2019-05-31 |
| 1609358886 | Jdr Dermatology Research, LLC. | Dermatology | 9080 W Post Rd Ste 100, Las Vegas, NV 89148 | 2018-09-04 |
| 1902393929 | Hogue Healing Health and Hope, Pllc Dba H3, Pllc | Social Worker | 9205 W. Russell Rd Ste 240 Bldg 3, Las Vegas, NV 89148 | 2018-04-16 |
| Find all providers in zip 89148 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689295537 | Regenerative Cell Institute | Pain Medicine | 2911 N Tenaya Way Ste 200, Las Vegas, NV 89128-0495 | 2020-05-01 |
| 1528573292 | Caf Medical LLC | Pain Medicine | 3061 S Maryland Pkwy Ste 103, Las Vegas, NV 89109-6226 | 2017-12-04 |
| 1871044636 | Albert Khavkin, Ltd | Pain Medicine | 9329 Eagle Ridge Dr, Las Vegas, NV 89134 | 2016-10-17 |
| 1326423377 | Advanced Medical Professionals LLC | Pain Medicine | 1151 S Buffalo Dr, Suite 130, Las Vegas, NV 89117-8313 | 2015-07-20 |
| 1568493120 | Robert Bien | Pain Medicine | 7050 Smoke Ranch Rd, Suite 130, Las Vegas, NV 89128 | 2006-07-05 |
| 1215977038 | Walter M Kidwell | Pain Medicine | 7435 W Azure Dr Ste 190, Las Vegas, NV 89130-4427 | 2006-06-08 |
| 1144298928 | Daniel Lewis Burkhead | Pain Medicine | 9920 W Cheyenne Ave, Ste 110, Las Vegas, NV 89129-7725 | 2006-03-09 |
| 1083251250 | Rosemarie Salacup Lizardo | Pain Medicine | 4454 N Decatur Blvd, Las Vegas, NV 89130-5286 | 2019-12-05 |
| 1073169454 | Katriella Fernandez | Pain Medicine | 3975 S Durango Dr Ste 107, Las Vegas, NV 89147-4156 | 2019-08-12 |
| 1588121941 | Andrew Hall Md Pllc | Pain Medicine | 3975 S Durango Dr Ste 107, Las Vegas, NV 89147-4156 | 2019-02-21 |
| 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.