BERALDO A VAZQUEZ CORREA (NPI# 1417901901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417901901 |
Entity Type | Individual |
Full Name | BERALDO A VAZQUEZ CORREA |
Other Name | BERALDO A VAZQUEZ |
Credential | MD |
Practice Address |
9975 S Eastern Ave Ste 110 Las Vegas NV 89183-7950 |
Mailing Address |
2480 W Horizon Ridge Pkwy Henderson NV 89052 |
Practice Telephone | (702) 492-7208 |
Practice Fax Number | 7026160657 |
Mailing Telephone | 7024927208 |
Mailing Fax Number | 7026160657 |
Enumeration Date | 2006-05-20 |
Last Update Date | 2020-01-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | 5720 | NV | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | 1417901901 | 05 |
Street Address |
9975 S EASTERN AVE STE 110 |
City | LAS VEGAS |
State | NV |
Zip Code | 89183-7950 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588646830 | Craig M Jorgenson | Internal Medicine | 9975 S Eastern Ave Ste 110, Las Vegas, NV 89183-7950 | 2005-11-14 |
1881199800 | Jorgenson & Koka LLP | Non-Pharmacy Dispensing Site | 9975 S Eastern Ave Ste 110, Las Vegas, NV 89183-7950 | 2018-03-30 |
1013278316 | Manpreet Sran | Student in an Organized Health Care Education/Training Program | 9975 S Eastern Ave Ste 110, Las Vegas, NV 89183-7950 | 2012-06-04 |
1275798563 | Jorgenson & Koka LLP | Internal Medicine | 9975 S Eastern Ave Ste 110, Las Vegas, NV 89183-7950 | 2008-07-25 |
1831261460 | Craig M Jorgenson Md Ltd | Family Medicine | 9975 S Eastern Ave Ste 110, Las Vegas, NV 89183-7950 | 2006-11-15 |
1013088327 | Timothy R Knauff | Physician Assistant | 9975 S Eastern Ave Ste 110, Las Vegas, NV 89183-7950 | 2006-11-10 |
1700869054 | Lauren V Abela | Physician Assistant | 9975 S Eastern Ave Ste 110, Las Vegas, NV 89183-7950 | 2005-11-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720643067 | Karimzada Silverado Ranch Dentistry, PC | Dentist | 45 E. Silverado Ranch Blvd, Suite 100, Las Vegas, NV 89183 | 2019-05-02 |
1396247854 | Brian Timothy Budd | Home Health Aide | 10115 Jefres St, Las Vegas, NV 89183 | 2018-03-01 |
1891206983 | Gina Balgoyen | Registered Nurse | 2350 Ione Rd, Las Vegas, NV 89183 | 2017-10-17 |
1538552815 | Nganha Cheung | Clinic/Center | 8455 S. Eastern Avenue, Las Vegas, NV 89183 | 2015-03-11 |
1467878892 | Steve Sanson Jr. | Rehabilitation Practitioner | 340 Welsh Mist Ct, Las Vegas, NV 89183 | 2014-03-10 |
1235401829 | Edward D Lewis Jr. | Behavioral Analyst | 10000 S Maryland Parkway #2167, Las Vegas, NV 89183 | 2012-01-30 |
1841575248 | Fabrienne Alicia Bowman | Behavioral Analyst | 10143 Climbing Lily St, Las Vegas, NV 89183 | 2011-10-17 |
1447538285 | Thuytien Tran Mai | Optometrist | 9770 S Maryland Pkwy Ste 10, Las Vegas, NV 89183 | 2011-07-27 |
1932356870 | Elevation Physical Therapy and Sports and Rehabilitation, LLC | Home Health | 10245 S Maryland Pkwy 153, Las Vegas, NV 89183 | 2008-08-22 |
1902902539 | Bruce C Koelliker | Chiropractor | 9775 S Maryland Pkwy, Ste A, Las Vegas, NV 89183 | 2006-09-14 |
Find all providers in zip 89183 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
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. |
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1780203869 | Curry Pllc | Internal Medicine | 8535 Edna Ave, Las Vegas, NV 89117-4413 | 2020-04-09 |
1073142980 | Fajar Corp LLC | Internal Medicine | 2991 Raywood Ash Dr, Las Vegas, NV 89138-6143 | 2020-04-02 |
1912534348 | Garrison Medical Consultants Pllc | Internal Medicine | 6852 Sumatra St, Las Vegas, NV 89166-7001 | 2020-03-25 |
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.