GOLAN INTEGRATED PHYSICAL MEDICINE, P.C. (NPI# 1497195580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497195580 |
| Entity Type | Organization |
| Organization Name | GOLAN INTEGRATED PHYSICAL MEDICINE, P.C. |
| Practice Address |
6592 N Decatur Blvd Suite 115 Las Vegas NV 89131-1037 |
| Mailing Address |
592 N. Decatur Blvd Suite 115 Las Vegas NV 89131 |
| Practice Telephone | 7024789594 |
| Practice Fax Number | 7024789509 |
| Mailing Telephone | 7024789594 |
| Mailing Fax Number | 7024789509 |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2017-02-01 |
| Authorized Official Name | DAVID ROBERT GOLAN (MEDICAL DOCTOR) |
| Authorized Official Telephone | 8084639726 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | PTAN | 6983960001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477026243 | Golan Integrated Physical Medicine, P.C. | Chiropractor | 321 N Pecos Rd Ste 200, Henderson, NV 89074-1348 | 2019-01-04 |
| Street Address |
6592 N DECATUR BLVD SUITE 115 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89131-1037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326008079 | Jason O Jaeger | Chiropractor | 6592 N Decatur Blvd, Suite 115, Las Vegas, NV 89131-1037 | 2006-03-26 |
| 1336682715 | Alexandar Joshua Peters | Chiropractor | 6592 N Decatur Blvd, #115, Las Vegas, NV 89131-1037 | 2016-12-02 |
| 1588039739 | Lauren Crystann Taylor | Physician Assistant | 6592 N Decatur Blvd, Unit 115, Las Vegas, NV 89131-1037 | 2015-12-13 |
| 1629493804 | Optic Gallery Aliante Inc | Optometrist | 6592 N Decatur Blvd, Ste. 130, Las Vegas, NV 89131-1037 | 2014-02-25 |
| 1811326200 | Lauren Traveller | Nurse Practitioner | 6592 N Decatur Blvd, Suite 115, Las Vegas, NV 89131-1037 | 2013-11-05 |
| 1164796207 | Robert Raymond Moore | Chiropractor | 6592 N Decatur Blvd, Suite 115, Las Vegas, NV 89131-1037 | 2012-03-07 |
| 1528237336 | Naren Chelian | Dentist | 6592 N Decatur Blvd, Suite 160, Las Vegas, NV 89131-1037 | 2008-02-26 |
| 1255386702 | Hilaire Pressley | Optometrist | 6592 N Decatur Blvd, Ste. 130, Las Vegas, NV 89131-1037 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013497973 | Vivian Matti | Technician | 7155 Royal Melbourne Dr, Las Vegas, NV 89131 | 2018-08-20 |
| 1235656810 | Yolonda Chantelle Johnson | Massage Therapist | 8400 Farm Road #150, Las Vegas, NV 89131 | 2017-08-24 |
| 1528581865 | Nevada Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8491 Farm Rd, Las Vegas, NV 89131 | 2017-07-19 |
| 1992252522 | Brittany Ann Brumfield | Behavioral Analyst | 7580 Splashing Rock Drive, Las Vegas, NV 89131 | 2016-09-01 |
| 1144682220 | Integrative Health & Wellness Practices LLC | Chiropractor | 6628 Skypointe Drive Suite 113, Las Vegas, NV 89131 | 2016-03-28 |
| 1659747137 | Daniel Leiner | Pharmacist | 8410 W. Farm Road, Las Vegas, NV 89131 | 2015-08-19 |
| 1669860938 | Adrienne K Stauffer-snell | Chiropractor | 8400 Farm Road, Suite 150, Las Vegas, NV 89131 | 2015-01-08 |
| 1568897874 | Arturo Hernandez | Physical Therapist | 6535 N Buffalo Dr Ste 120, Las Vegas, NV 89131 | 2013-09-05 |
| 1750727996 | Sheppards Health Education &psychiatric Services | Counselor | 5827 Falling Stream Street, Las Vegas, NV 89131 | 2013-05-15 |
| 1962748038 | Phases of Me, Inc. | Counselor | 6624 Sky Pointe Drive, Las Vegas, NV 89131 | 2012-12-18 |
| Find all providers in zip 89131 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417479189 | Golan Intergrative Physical Medicine | Neuromusculoskeletal Medicine, Sports Medicine | 3061 S Maryland Pkwy Ste 201, Las Vegas, NV 89109-6227 | 2017-07-13 |
| 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 |
| 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 INTEGRATED PHYSICAL MEDICINE, P.C..
| 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.