DR. KENNETH J MOONEY (NPI# 1396797973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396797973 |
| Entity Type | Individual |
| Full Name | DR. KENNETH J MOONEY |
| Credential | M.D. |
| Practice Address |
10001 S Eastern Ave Ste 203 Henderson NV 89052-3908 |
| Mailing Address |
2657 Smooth Blend Pl Henderson NV 89052-4829 |
| Practice Telephone | 7026165915 |
| Practice Fax Number | 7026165905 |
| Mailing Telephone | 7028371776 |
| Mailing Fax Number | 7026165905 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2017-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
12134 | NV | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
12134 | NV | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD428957 | PA | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
12134 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | STATE LICENSE | 53941 | 01 |
| NV | 10-0512649 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225010168 | Kenneth E Mooney | Otolaryngology | 395 E Market St, Akron, OH 44304-1542 | 2005-11-16 |
| Street Address |
10001 S EASTERN AVE STE 203 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-3908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326558610 | Dignity Health Medical Group Nevada LLC | Internal Medicine | 10001 S Eastern Ave Ste 203, Henderson, NV 89052-3908 | 2017-10-02 |
| 1710120068 | Dodji Modjinou | Internal Medicine | 10001 S Eastern Ave Ste 203, Henderson, NV 89052-3908 | 2009-04-16 |
| 1457476707 | Elham Taherian | Internal Medicine | 10001 S Eastern Ave Ste 203, Henderson, NV 89052-3908 | 2007-03-19 |
| 1982707774 | Nidhi Mehta | Specialist | 10001 S Eastern Ave Ste 203, Henderson, NV 89052-3908 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| Find all providers in zip 89052 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1750394516 | Kuldeep Raj Pandit | Internal Medicine | 327 N Elm St, Henderson, KY 42420-2929 | 2006-08-14 |
| 1225645682 | Rajiv Amesur Do PC | Internal Medicine | 3001 Saint Rose Pkwy, Henderson, NV 89052-3839 | 2020-09-29 |
| 1992297006 | Murad M Jussa Md Pa Corp | Internal Medicine | 10301 Jeffreys St, Henderson, NV 89052-3922 | 2018-06-04 |
| 1851826838 | Pulmonary Intensivists of Southern Nevada | Internal Medicine | 10120 S Eastern Ave, 217, Henderson, NV 89052-3951 | 2017-04-27 |
| 1144547431 | John F Pinto Md Fccp | Internal Medicine | 1701 N Green Valley Pkwy, Bldg 5 Suite A, Henderson, NV 89074-5885 | 2010-04-26 |
| 1952533887 | Qureshi/al-owir Pllc | Internal Medicine | 10120 S Eastern Ave, Suite #120, Henderson, NV 89052-3951 | 2009-08-11 |
| 1700960150 | Thomson Kurian Chemplavil | Internal Medicine | 8965 S Pecos Rd, Ste 11a, Henderson, NV 89074-7159 | 2006-10-24 |
| 1497781330 | Pedro J Hani | Internal Medicine | 4 Sunset Way, Suite A-3, Henderson, NV 89014-2015 | 2006-06-23 |
| 1740221258 | Syed Akbarullah | Internal Medicine | 870 Seven Hills Dr Ste 102, Henderson, NV 89052-4378 | 2006-06-08 |
| 1376593145 | Murad M Jussa | Internal Medicine | 4 Sunset Way, Ste A#3, Henderson, NV 89014-2015 | 2006-05-11 |
| 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.