GOLAN INTERGRATIVE PHYSICAL MEDICINE (NPI# 1417479189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417479189 |
| Entity Type | Organization |
| Organization Name | GOLAN INTERGRATIVE PHYSICAL MEDICINE |
| Practice Address |
3061 S Maryland Pkwy Ste 201 Las Vegas NV 89109-6227 |
| Mailing Address |
3061 S Maryland Parkway 201 La Vegas NV 89109-2298 |
| Practice Telephone | (702) 396-4993 |
| Practice Fax Number | 7024789594 |
| Mailing Telephone | 7023964993 |
| Mailing Fax Number | 7024789594 |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2017-07-13 |
| Authorized Official Name | DAVID GOLAN (OWNER) |
| Authorized Official Telephone | 4802138448 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 7091 | NV | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871893016 | Golan Intergrative Physical Medicine | Chiropractor | 6592 N. Decatur Blvd, Suite # 115, Las Vegas, NV 89131-1038 | 2010-10-21 |
| Street Address |
3061 S MARYLAND PKWY STE 201 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89109-6227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821573908 | Cayla Lairmore | Chiropractor | 3061 S Maryland Pkwy Ste 201, Las Vegas, NV 89109-6227 | 2018-09-25 |
| 1356826440 | Les Daniel Gilbert | Chiropractor | 3061 S Maryland Pkwy Ste 201, Las Vegas, NV 89109-6227 | 2018-09-25 |
| 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 | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134146111 | Pejman Bady | Neuromusculoskeletal Medicine, Sports Medicine | 5741 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5622 | 2006-07-16 |
| 1598114860 | Medical Systems Management | Neuromusculoskeletal Medicine, Sports Medicine | 9280 W Sunset Rd, Suite 412, Las Vegas, NV 89148-4860 | 2016-06-08 |
| 1497195580 | Golan Integrated Physical Medicine, P.C. | Neuromusculoskeletal Medicine, Sports Medicine | 6592 N Decatur Blvd, Suite 115, Las Vegas, NV 89131-1037 | 2013-07-03 |
| 1326002510 | Benjamin Alexander Hart | Neuromusculoskeletal Medicine, Sports Medicine | 1524 Pinto Ln, Las Vegas, NV 89106-4195 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114901444 | Alexander Imas | Neuromusculoskeletal Medicine, Sports Medicine | 1358 Paseo Verde Pkwy Ste 100, Henderson, NV 89012-5725 | 2005-11-30 |
Please comment or provide details below to improve the information on GOLAN INTERGRATIVE PHYSICAL MEDICINE.
| 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.