UNIVERSITY OF NV SCHOOL OF MEDICINE MULTI SPECIALTY GROUP PRACTICE SO (NPI# 1477686004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477686004 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF NV SCHOOL OF MEDICINE MULTI SPECIALTY GROUP PRACTICE SO |
| Other Organization Name | MEDSCHOOL ASSOCIATES SOUTH |
| Practice Address |
522 E Twain Ave Las Vegas NV 89169-4905 |
| Mailing Address |
Po Box 29506 Las Vegas NV 89126-9506 |
| Practice Telephone | 7026712200 |
| Practice Fax Number | 7026712233 |
| Mailing Telephone | 7026968437 |
| Mailing Fax Number | 7026715170 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2015-10-14 |
| Authorized Official Name | 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 | 207SC0300X |
Medical Genetics Specialization: Clinical Cytogenetic |
Allopathic & Osteopathic Physicians | ||
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
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 |
|---|---|---|---|---|
| 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 |
| 1417080839 | University of Nv School of Medicine Multi Specialty Group Practice So | Medical Genetics | 1707 W Charleston Blvd, 110b, 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 |
522 E TWAIN AVE |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89169-4905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038196 | Tammy E Smith | Home Health | 1500 Karen Ave, 65, Las Vegas, NV 89169 | 2020-09-16 |
| 1457978561 | Damon Lavell Cohran | Counselor | 459 Sierra Vista Dr, 32, Las Vegas, NV 89169 | 2020-07-06 |
| 1912543307 | Josephine R Hernandez | Rehabilitation Practitioner | Firstmed Health and Wellness Center Inc., 3343 S. Eastern Avenue, Las Vegas, NV 89169 | 2019-11-21 |
| 1528602174 | Cindy Pena Jaramillo | Technician | 3376 S. Eaatern Ave, Las Vegas, NV 89169 | 2019-11-06 |
| 1497309967 | Richard Snarr Worthen | Technician | 3175 South Eastern Ave, Las Vegas, NV 89169 | 2019-08-01 |
| 1447718796 | Hope Industries LLC | Chore Provider | 1711 E Desert Inn Rd, Las Vegas, NV 89169 | 2019-03-06 |
| 1609345321 | Diaz Health LLC | Community/Behavioral Health | 5225 West 2nd Street, Las Vegas, NV 89169 | 2018-11-26 |
| 1902371024 | Kevin Burnett | Technician | 1100 Dunmont Apt 202, Las Vegas, NV 89169 | 2018-10-04 |
| 1659865111 | Kimberly Jackson-hampton | Counselor | 335 E Harmon Ave Apt 30, Las Vegas, NV 89169 | 2018-06-19 |
| 1093216350 | Blessed Services LLC | Community/Behavioral Health | 2525 White Street, Las Vegas, NV 89169 | 2018-02-22 |
| Find all providers in zip 89169 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770741555 | Susanna Sorrentino | Medical Genetics | 3006 S Maryland Pkwy Ste 515, Las Vegas, NV 89109-2244 | 2008-05-28 |
| 1255361739 | James M Alexander Jr. | Medical Genetics | 1701 W Charleston Blvd Ste 290, Las Vegas, NV 89102 | 2006-07-03 |
| 1366068041 | Medical Genetics of Nevada LLC | Medical Genetics | 3006 S Maryland Pkwy Ste 515, Las Vegas, NV 89109-2244 | 2020-06-18 |
| 1538535133 | Israel J Alvarado Md PC | Medical Genetics | 1930 Village Center Cir, #3-286, Las Vegas, NV 89134-6299 | 2015-08-18 |
| 1366705212 | Jonathan Bernstein, Md, Ltd. | Medical Genetics | 3121 S Maryland Pkwy, 206, Las Vegas, NV 89109-2307 | 2012-06-15 |
| 1013292689 | Alliance for Childhood Diseases | Medical Genetics | 1 Breakthrough Way, Las Vegas, NV 89135-3011 | 2011-10-14 |
| 1285612994 | Colleen Annette Morris | Medical Genetics | 3006 S Maryland Pkwy, 315, Las Vegas, NV 89109-2218 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063924470 | Brooks Family Clinic | Medical Genetics | 3550 W Cheyenne Ave, Suite 100, North Las Vegas, NV 89032-8212 | 2017-10-26 |
| 1689931537 | Alliance for Childhood Diseases | Medical Genetics | 540 W Plumb Ln, Suite No. 200, Reno, NV 89509-3683 | 2012-04-17 |
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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.