MICHAEL ROOS (NPI# 1477655223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477655223 |
| Entity Type | Individual |
| Full Name | MICHAEL ROOS |
| Credential | PA |
| Practice Address |
1420 E Calvada Blvd Ste 100 Pahrump NV 89048-3975 |
| Mailing Address |
1875 S Nellis Blvd Las Vegas NV 89104-6215 |
| Practice Telephone | 7757270900 |
| Practice Fax Number | 7027270902 |
| Mailing Telephone | 7022546821 |
| Mailing Fax Number | 7022435012 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
6711 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA0347 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | RAILROAD MEDICARE | 70003254 | 01 |
| NV | NV STATE MEDICAL LICENSE | PA0347 | 01 |
| NV | 1477655223 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5731 S Fort Apache Rd, Suite 130, Las Vegas, NV 891485620 | 7022721600 | 7022721640 |
| 340 Falcon Ridge Pkwy # 400-404, Mesquite, NV 890278850 | 7023465510 | 7023462557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215266309 | Michael Dwayne Roos | Marriage & Family Therapist | 719 Sleater Kinney Rd Se Ste 212, Lacey, WA 98503-1138 | 2009-12-18 |
| Street Address |
1420 E CALVADA BLVD STE 100 |
| City | PAHRUMP |
| State | NV |
| Zip Code | 89048-3975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550577 | Adela Madueno | Technician | 1321 S. Highway 160 Ste. 10b, Pahrump, NV 89048 | 2020-08-27 |
| 1295363232 | Desert River PCa | Home Health Aide | 1890, S Mount Charleston Rd W, Pahrump, NV 89048 | 2020-03-27 |
| 1720628530 | Jeannie Gutierrez | Registered Nurse | 240 S Humahuaca, Pahrump, NV 89048 | 2020-01-09 |
| 1689214686 | Jennifer Leigh Dion | Rehabilitation Counselor | 240 S. Humahuaca Rural Clinics Parhrump, Pahrump, NV 89048 | 2020-01-08 |
| 1679119069 | Pahrump Internal Medicine | Internal Medicine | 3370 S State Highway 160, Ste 10, Pahrump, NV 89048 | 2019-11-21 |
| 1417599184 | Silver State Health Services | Clinic/Center | 951 E Honeysuckle St, Pahrump, NV 89048 | 2019-10-14 |
| 1447892369 | Leanna Claney | Home Health Aide | 1321 S. Highway 160, Suite 10b, Pahrump, NV 89048 | 2019-10-11 |
| 1154972776 | Transforming Lives Completely LLC | Counselor | 3340 S Highway St, Suite 201, Pahrump, NV 89048 | 2019-09-25 |
| 1669022992 | Stepheni J. Nelson | Technician | 1321 South Highway 160 Suite 10b, Pahrump, NV 89048 | 2019-09-18 |
| 1437709045 | Ohana Home Care, LLC | In Home Supportive Care | 1321 South Highway 160, Ste. 10b, Pahrump, NV 89048 | 2019-09-16 |
| Find all providers in zip 89048 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063989606 | M Roberson Md PC | Physician Assistant | 1151 S Nevada Highway 160, Pahrump, NV 89048 | 2018-11-01 |
| 1619327764 | Aaron Taylor Powell | Physician Assistant | 1501 E Calvada Blvd, Pahrump, NV 89048-5807 | 2016-06-20 |
| 1598036931 | Danielle Ann Ybarra | Physician Assistant | 1501 E Calvada Blvd, Pahrump, NV 89048-5807 | 2012-01-17 |
| 1144491143 | Ha T Le | Physician Assistant | 1501 E Calvada Blvd, Pahrump, NV 89048-5807 | 2008-03-18 |
| 1285821470 | Peter Antoune Joseph Bou-daher | Physician Assistant | 1280 E Calvada Blvd, Pahrump, NV 89048-5693 | 2007-10-02 |
| 1932246931 | Donald H Taylor | Physician Assistant | 1401 S Highway 160, Suite B, Pahrump, NV 89048-4784 | 2007-01-30 |
| 1235207523 | David R Armitage | Physician Assistant | 1501 E Calvada Blvd, Pahrump, NV 89048-5807 | 2006-12-02 |
| 1003929415 | William Joseph Carle | Physician Assistant | 2100 E Calvada Blvd, Pahrump, NV 89048-5805 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281667 | Gina Won Lee | Physician Assistant | 4340 Simmons St Ste 102, North Las Vegas, NV 89032-3222 | 2020-10-05 |
| 1821554106 | Amy Hamilton | Physician Assistant | 5785 Centennial Center Blvd Ste 190, Las Vegas, NV 89149-7110 | 2019-02-12 |
| 1386145159 | Kevin Refahiyat | Physician Assistant | 7150 S Durango Dr Ste 105, Las Vegas, NV 89113-2242 | 2018-02-26 |
| 1316487325 | Nadiya-larissa Bateman | Physician Assistant | 2809 W Charleston Blvd # 150, Las Vegas, NV 89102-1998 | 2017-02-24 |
| 1811346901 | Rodney Briggs | Physician Assistant | 1925 Whipple Ave. Ste. 30, Logandale, NV 89027 | 2016-06-08 |
| 1285093989 | Lauren Ashley Colpo | Physician Assistant | 4760 Townsite Rd, Reno, NV 89511-9067 | 2016-02-23 |
| 1760840797 | Ying Quan | Physician Assistant | 2995 S Jones Blvd Ste A, Las Vegas, NV 89146-5612 | 2016-02-04 |
| 1396121646 | Lucas Michal Anderson | Physician Assistant | 9050 W Tropicana Ave, 1159, Las Vegas, NV 89147-8186 | 2015-08-09 |
| 1144618349 | Dinesh Bharwani | Physician Assistant | 270 West Lake Mead Parkway, Southwest Medical Associates, Henderson, NV 89015 | 2014-12-23 |
| 1285057562 | Elena Zalan | Physician Assistant | 75 S Valle Verde Dr, Suite 100, Henderson, NV 89012-3462 | 2014-01-22 |
| Find all providers with the same taxonomy | ||||
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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.