TAEYONG SIM (NPI# 1417396003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417396003 |
| Entity Type | Individual |
| Full Name | TAEYONG SIM |
| Credential | M.D. |
| Practice Address |
2435 Fire Mesa St Ste 120 Las Vegas NV 89128-9009 |
| Mailing Address |
2435 Fire Mesa St # 120 Las Vegas NV 89128-9009 |
| Practice Telephone | 7029682437 |
| Practice Fax Number | 7024791796 |
| Mailing Telephone | 7252003232 |
| Mailing Fax Number | 7252003233 |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2018-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
17903 | NV | Allopathic & Osteopathic Physicians |
| Street Address |
2435 FIRE MESA ST STE 120 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89128-9009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700036431 | Tienchai Narach | Internal Medicine | 2435 Fire Mesa St Ste 120, Las Vegas, NV 89128 | 2008-09-30 |
| 1568950855 | Chemanthi Rochelle Kalen | Family Medicine | 2435 Fire Mesa St Ste 120, Las Vegas, NV 89128-9009 | 2018-04-23 |
| 1174041735 | Jessica Noel Reynolds | Clinical Nurse Specialist | 2435 Fire Mesa St Ste 120, Las Vegas, NV 89128-9009 | 2017-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374256 | Dmc Medical Clinic Ltd | Family Medicine | 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 | 2020-10-23 |
| 1619589462 | Eldercare Services Lv, LLC | Technician | 8430 W. Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-08-21 |
| 1508477308 | Amneris Lizet Duran-brocato | Technician | 1150 North Buffalo Dr. Apt 2120, Las Vegas, NV 89128 | 2020-08-14 |
| 1366082612 | Ar Home Health Management LLC | Home Health | 7465 W Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-01-14 |
| 1114563731 | Leslie A Pasternack | Acupuncturist | Integrated Acupuncture of Southern Nevada, 7250 Peak Dr #106, Las Vegas, NV 89128 | 2019-11-19 |
| 1154977940 | Devora Susana Leon-lopez | Chore Provider | 7320 Smoke Ranch Rd. Ste. H, Las Vegas, NV 89128 | 2019-08-16 |
| 1659924884 | Blanca Estela Garnica-mendez | Chore Provider | 7320 Smoke Ranch Rd. Suite H, Suite H, Las Vegas, NV 89128 | 2019-07-17 |
| 1467913160 | Sherwin Necunazar Azad | Student in an Organized Health Care Education/Training Program | Mountainview Hospital Gme, 3100 N. Tenaya Way, Las Vegas, NV 89128 | 2019-03-26 |
| 1962963801 | Michael Richard Korczynski | Student in an Organized Health Care Education/Training Program | 3100 North Tenaya Way, Las Vegas, NV 89128 | 2019-03-25 |
| 1013477041 | Yuanlong Zhao | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way Graduate Medical Education, Las Vegas, NV 89128 | 2019-03-25 |
| Find all providers in zip 89128 | ||||
| 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 |
| 1275511263 | Ronald A Shockley | Internal Medicine | 3121 S Maryland Pkwy Ste 412, Las Vegas, NV 89109-2309 | 2006-01-09 |
| 1194711358 | Dhaval Jasvant Shah | Internal Medicine | 2435 Fire Mesa St, Suite 120, Las Vegas, NV 89128-9009 | 2005-09-23 |
| 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.