DAVITA MEDICAL GROUP NEVADA (COATS), LTD. (NPI# 1477701183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477701183 |
| Entity Type | Organization |
| Organization Name | DAVITA MEDICAL GROUP NEVADA (COATS), LTD. |
| Other Organization Name | HEALTHCARE PARTNERS MEDICAL GROUP |
| Practice Address |
6850 N. Durango Dr. Suite #120 Las Vegas NV 89149-4596 |
| Mailing Address |
Po Box 98978 Las Vegas NV 89193-8978 |
| Practice Telephone | 7027357154 |
| Practice Fax Number | 7025153599 |
| Mailing Telephone | 7022163346 |
| Mailing Fax Number | 7026176883 |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2017-05-10 |
| Authorized Official Name | BARD COATS (PRESIDENT) |
| Authorized Official Telephone | 7029328555 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTHCARE PARTNERS MEDICAL GROUP (COATS) LTD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1043533383 | 05 |
| Other Name | Type Code |
|---|---|
| HealthCare Partners Medical Group | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043297468 | Davita Medical Group Nevada (coats), Ltd. | Pediatrics | 5575 S Durango Dr, #103, Las Vegas, NV 89113-1833 | 2005-12-28 |
| 1306274626 | Davita Medical Group Nevada (coats), Ltd. | Dermatology | 1151 S Highway 160, Pahrump, NV 89048-4700 | 2013-10-23 |
| 1598742934 | Davita Medical Group Nevada (coats), Ltd. | Pediatrics | 1505 Wigwam Pkwy, #230, Henderson, NV 89074-8194 | 2005-12-28 |
| 1245217694 | Davita Medical Group Nevada (coats), Ltd. | Dermatology | 9499 W Charleston Blvd, #150, Las Vegas, NV 89117-7150 | 2005-12-28 |
| 1235116716 | Davita Medical Group Nevada (coats), Ltd. | Nurse Practitioner | 595 W Lake Mead Pkwy, Henderson, NV 89015-7071 | 2005-12-27 |
| Street Address |
6850 N. DURANGO DR. SUITE #120 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89149-4596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578599890 | Michael C. Tenby, M.d., Ltd | Pediatrics | 6850 N. Durango Dr., Suite #306, Las Vegas, NV 89149 | 2006-06-26 |
| 1730119827 | Michael C Tenby | Pediatrics | 6850 N. Durango Dr., Suite 306, Las Vegas, NV 89149 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796226 | Thompson Dental Pllc | Dentist | 9859 W. Deer Springs Way, Ste. 110, Las Vegas, NV 89149 | 2020-10-08 |
| 1699384941 | Dignity Select Nevada, LLC | Clinic/Center | 8675 W Rome Blvd, Las Vegas, NV 89149 | 2020-07-23 |
| 1225656945 | Vanlue Orthodontics, PC | Clinic/Center | 9855 W. Deer Springs Way, Suite 150, Las Vegas, NE 89149 | 2020-07-09 |
| 1285292052 | Dianne Pana | Physical Therapist | 351 N Fort Apache Rd, Las Vegas, NV 89149 | 2019-06-05 |
| 1477118198 | Cece Group Home, LLC | Community Based Residential Treatment Facility, Mental Illness | 5417 Ireland St, Las Vegas, NV 89149 | 2019-05-08 |
| 1790242543 | Carl Anthony Llanos Plaza | Nurse Practitioner | 6440 W Centennial Pkwy, Unit 155, Las Vegas, NV 89149 | 2019-02-28 |
| 1932664158 | Lychee Holdings, LLC | Skilled Nursing Facility | 8565 W Rome Blvd, Las Vegas, NV 89149 | 2019-02-01 |
| 1366976276 | Pam Squared At Las Vegas, LLC | Rehabilitation Hospital | 6166 North Durango Drive, Las Vegas, NV 89149 | 2017-04-18 |
| 1083076269 | Kristopher Kevin Kleinman | Registered Nurse | 5550 Painted Mirage Rd Ste 217, Las Vegas, NV 89149 | 2016-03-25 |
| 1326428962 | Kimberly Vialpando | Physical Therapist | 6351 N. Forte Apache Road, Las Vegas, NV 89149 | 2015-06-08 |
| Find all providers in zip 89149 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679785141 | John A Ellerton Md.ltd Dba Cancer Consultants | Internal Medicine | 2020 W. Palomino Ln, Suite #110, Las Vegas, NV 89106-4812 | 2007-05-04 |
| 1568513059 | Gary Allen Palmer | Internal Medicine | 6827 W Tropicana Ave Ste 110, Las Vegas, NV 89103-4920 | 2007-01-13 |
| 1063587459 | Shamoon Ahmad | Internal Medicine | 3340 Topaz St, Suite 100, Las Vegas, NV 89121-3903 | 2006-11-21 |
| 1952414948 | Delva P. Deauna-limayo | Internal Medicine | 3150 N Tenaya Way Ste 530, Las Vegas, NV 89128-0465 | 2006-08-16 |
| 1659389062 | Arlene Bayreder | Internal Medicine | 3121 S. Maryland Pkwy Suite 300, Las Vegas, NV 29109 | 2006-08-03 |
| 1770526964 | Vikas Gupta | Internal Medicine | 9280 W Sunset Rd Ste 100, Las Vegas, NV 89148 | 2006-06-14 |
| 1588635312 | Shahid Pervez Malik | Internal Medicine | 2911 N Tenaya Way Ste 210, Las Vegas, NV 89128 | 2006-01-30 |
| 1730186354 | Dhan Dev Kaushal | Internal Medicine | 3730 S Eastern Ave, Las Vegas, NV 89169 | 2005-06-29 |
| 1225514508 | Richy Agajanian Md A Professional Corporation | Internal Medicine | 2911 N Tenaya Way Ste 210, Las Vegas, NV 89128-0464 | 2018-07-19 |
| 1831557354 | Ann M Wierman Md Ltd | Internal Medicine | 3150 N Tenaya Way, Suite 200, Las Vegas, NV 89128 | 2016-01-29 |
| 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.