UNIVERSITY OF NV SCHOOL OF MEDICINE MULTI SPECIALTY GROUP PRACTICE SO (NPI# 1417080839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417080839 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF NV SCHOOL OF MEDICINE MULTI SPECIALTY GROUP PRACTICE SO |
| Other Organization Name | MEDSCHOOL ASSOCIATES SOUTH |
| Practice Address |
1707 W Charleston Blvd 110b Las Vegas NV 89102-2351 |
| Mailing Address |
Po Box 29506 Las Vegas NV 89126-9506 |
| Practice Telephone | 7029684363 |
| Practice Fax Number | 7026710193 |
| Mailing Telephone | 7029684371 |
| Mailing Fax Number | 7026715170 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2015-10-14 |
| Authorized Official Name | DR. ELISSA J PALMER (PRESIDENT) |
| Authorized Official Telephone | 7029926888 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207SG0202X |
Medical Genetics Specialization: Clinical Biochemical Genetics |
Allopathic & Osteopathic Physicians | ||
| N | 207SG0203X |
Medical Genetics Specialization: Clinical Molecular Genetics |
Allopathic & Osteopathic Physicians | ||
| N | 207SG0205X |
Medical Genetics Specialization: Ph.D. Medical Genetics |
Allopathic & Osteopathic Physicians | ||
| N | 207SM0001X |
Medical Genetics Specialization: Molecular Genetic Pathology |
Allopathic & Osteopathic Physicians | ||
| N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| Y | 207SC0300X |
Medical Genetics Specialization: Clinical Cytogenetic |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100500484 | 05 |
| Other Name | Type Code |
|---|---|
| MedSchool Associates South | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477686004 | University of Nv School of Medicine Multi Specialty Group Practice So | Medical Genetics | 522 E Twain Ave, Las Vegas, NV 89169-4905 | 2007-03-13 |
| 1184601239 | University of Nv School of Medicine Multi Specialty Group Practice So | Pediatrics | 1701 W Charleston Blvd, #110, Las Vegas, NV 89102-2325 | 2005-12-29 |
| 1235262650 | University of Nv School of Medicine Multi Specialty Group Practice So | Obstetrics & Gynecology | 1707 W Charleston Blvd, #120, Las Vegas, NV 89102-2351 | 2007-03-14 |
| 1144353566 | University of Nv School of Medicine Multi Specialty Group Practice So | Plastic Surgery | 1707 W Charleston Blvd, #190, Las Vegas, NV 89102-2351 | 2007-03-14 |
| 1881727204 | University of Nv School of Medicine Multi Specialty Group Practice So | Internal Medicine | 1707 W Charleston Blvd, 230, Las Vegas, NV 89102-2351 | 2007-03-14 |
| 1699808014 | University of Nv School of Medicine Multi Specialty Group Practice So | Transplant Surgery | 1707 W Charleston Blvd, #160, Las Vegas, NV 89102-2351 | 2007-03-14 |
| 1326171745 | University of Nv School of Medicine Multi Specialty Group Practice So | Obstetrics & Gynecology | 1707 W Charleston Blvd, #110, Las Vegas, NV 89102-2351 | 2007-03-14 |
| 1588797146 | University of Nv School of Medicine Multi Specialty Group Practice So | Psychiatry & Neurology | 1707 W Charleston Blvd, 220, Las Vegas, NV 89102-2351 | 2007-03-13 |
| 1104959782 | University of Nv School of Medicine Multi Specialty Group Practice So | Obstetrics & Gynecology | 3196 S Maryland Pkwy, #209, Las Vegas, NV 89109-2305 | 2007-03-13 |
| 1437282050 | University of Nv School of Medicine Multi Specialty Group Practice So | Otolaryngology | 5380 S Rainbow Blvd, Ste. 324, Las Vegas, NV 89118-1877 | 2007-03-13 |
| Street Address |
1707 W CHARLESTON BLVD 110B |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-2351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750377693 | Miracle Wangsuwana | Psychiatry & Neurology | 1707 W Charleston Blvd, Suite #220, Las Vegas, NV 89102-2351 | 2005-09-26 |
| 1073040127 | Evan Drew Davis | Student in an Organized Health Care Education/Training Program | 1707 W Charleston Blvd, Las Vegas, NV 89102-2351 | 2017-05-19 |
| 1336674969 | Bobby Karandeep Singh Brar | Student in an Organized Health Care Education/Training Program | 1707 W Charleston Blvd, Suite 120, Las Vegas, NV 89102-2351 | 2017-04-20 |
| 1497280036 | Pooja Patil | Student in an Organized Health Care Education/Training Program | 1707 W Charleston Blvd, Suite 120, Las Vegas, NV 89102-2351 | 2017-04-20 |
| 1346772597 | Angela Hui-chia Liu | Student in an Organized Health Care Education/Training Program | 1707 W Charleston Blvd, Suite 120, Las Vegas, NV 89102-2351 | 2017-03-28 |
| 1902345077 | Ankita Raman | Student in an Organized Health Care Education/Training Program | 1707 W Charleston Blvd, Ste 120, Las Vegas, NV 89102-2351 | 2017-02-22 |
| 1669852513 | Cameron Lasley | Student in an Organized Health Care Education/Training Program | 1707 W Charleston Blvd, Suite 290, Las Vegas, NV 89102-2351 | 2015-06-05 |
| 1043627508 | Richard Witty Jr. | Dentist | 1707 W Charleston Blvd, Suite 290, Las Vegas, NV 89102-2351 | 2014-07-16 |
| 1346657285 | Jacqueline Sanders Delaney | Dentist | 1707 W Charleston Blvd, Suite 290, Las Vegas, NV 89102-2351 | 2014-07-11 |
| 1710305156 | Ali Osama Malik | Internal Medicine | 1707 W Charleston Blvd, Las Vegas, NV 89102-2351 | 2014-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
| 1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
| 1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
| 1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
| 1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
| 1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
| 1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
| 1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
| 1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
| 1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
| Find all providers in zip 89102 | ||||
| Taxonomy Code | 207SC0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Cytogenetic |
| A clinical cytogeneticist demonstrates competence in providing laboratory diagnostic and clinical interpretive services dealing with cellular components, particularly chromosomes, associated with heredity. |
| 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. A general certificate was first issued by the ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477686004 | University of Nv School of Medicine Multi Specialty Group Practice So | Medical Genetics | 522 E Twain Ave, Las Vegas, NV 89169-4905 | 2007-03-13 |
| 1821076092 | Holly H. Hobart | Medical Genetics | 1707 W. Charleston Blvd- Dba Nevada Genetics Laboratory, 110-b, Las Vegas, NV 89102-2351 | 2006-01-06 |
Please comment or provide details below to improve the information on UNIVERSITY OF NV SCHOOL OF MEDICINE MULTI SPECIALTY GROUP PRACTICE SO.
| 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.