DR. STEPHEN J IACOBONI (NPI# 1497706162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497706162 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN J IACOBONI |
| Credential | MD |
| Practice Address |
3006 S Maryland Pkwy Ste 205 Las Vegas NV 89109 |
| Mailing Address |
Po Box 21015 521 Hammill Ln. Reno NV 89515 |
| Practice Telephone | 7027357154 |
| Practice Fax Number | 7027357153 |
| Mailing Telephone | 7758270707 |
| Mailing Fax Number | 7758271006 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2018-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
M8193 | ID | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
MD00024072 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1497706162 | 05 | |
| ID | 805994300 | 05 | |
| NV | 1497706162 | 05 | |
| NV | STATE LICENSE | 15296 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 216 W 10th Ave, Suite 204, Kennewick, WA 993366300 | 5095852449 | 5095252433 |
| Street Address |
3006 S MARYLAND PKWY STE 205 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942501580 | Kira M Campos | Nurse Practitioner | 3006 S Maryland Pkwy Ste 205, Las Vegas, NV 89109-2229 | 2010-11-13 |
| 1043531981 | Shamail Butt | Internal Medicine | 3006 S Maryland Pkwy Ste 205, Las Vegas, NV 89109-2229 | 2010-06-15 |
| 1609814417 | Steven W Yates | Internal Medicine | 3006 S Maryland Pkwy Ste 205, Las Vegas, NV 89109 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820816 | Vivian Latoza Villasfer | Technician | 2770 South Maryland Parkway, Suite 205b, Las Vegas, NV 89109 | 2020-04-21 |
| 1235758236 | Happy Life Home Health Services Inc | Chore Provider | 2770 S Maryland Pkwy Suite 205-b, Las Vegas, NV 89109 | 2020-04-10 |
| 1346890662 | Jaylin Armour | Technician | 2770 S Maryland Pkwy Suite 108b Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-18 |
| 1104475003 | Jasmine Thomas | Technician | 2770 S Maryland Pkwy Suite 108 B-g Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-04 |
| 1982258331 | Melanee Gregory | Technician | 2770 S Maryland Okey Suite 108b, Suite 108b, Las Vegas, NV 89109 | 2019-07-24 |
| 1851877583 | Eric Darnell Thompson Jr. | Community/Behavioral Health | 2556 Shrewood Street, Unit 21, Las Vegas, NV 89109 | 2018-07-16 |
| 1144717117 | Emerging Vision Inc | Technician/Technologist | Mirage Hotel, 3400 Las Vegas Blvd S, Mirage Hotel, Las Vegas, NV 89109 | 2018-04-16 |
| 1013404110 | Emerging Vision Inc | Technician/Technologist | Mandalay Bay Resort (lobby), 3950 Las Vegas Blvd S, Mandalay Bay Resort (lobby), Las Vegas, NV 89109 | 2018-04-16 |
| 1750881736 | Amirelys Hernandez Diaz | Technician | 2770 S. Maryland Pkwy, Ste 108b-g, Las Vegas, NV 89109 | 2018-02-16 |
| 1972036663 | Ashley Murray | Registered Nurse | 2700 S Las Vegas Blvd #1506, Las Vegas, NV 89109 | 2017-04-10 |
| Find all providers in zip 89109 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275755670 | Brian D Vicuna | Internal Medicine | 653 N Town Center Dr Ste 402, Las Vegas, NV 89144-0518 | 2007-05-03 |
| 1730221854 | Sharda Sun Medical Group, Pllc | Internal Medicine | 3509 E. Harmon Ave, Las Vegas, NV 89121 | 2007-02-13 |
| 1316936222 | Salman Malad | Internal Medicine | 8285 W Arby Ave Ste 100-b, Las Vegas, NV 89113-2235 | 2005-10-14 |
| 1366441743 | Raja S Mehdi | Internal Medicine | 6827 W Tropicana Ave, 110, Las Vegas, NV 89103-4918 | 2005-07-19 |
| 1821418807 | Sccn LLC | Internal Medicine | 3150 N Tenaya Way, Suite 510, Las Vegas, NV 89128-0443 | 2014-04-17 |
| 1487081048 | Shamloo Blue Sky Treatment Center Pllc | Internal Medicine | 3150 N Tenaya Way, Suite 510, Las Vegas, NV 89128-0443 | 2013-09-27 |
| 1316180771 | Raja S Mehdi Md Pllc | Internal Medicine | 6827 W Tropicana Ave Ste 110, Las Vegas, NV 89103-4920 | 2009-04-15 |
| 1376519819 | Mohammad Nafees Nagy | Internal Medicine | 3006 S Maryland Pkwy, Suite 205, Las Vegas, NV 89109-2229 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730402025 | Dina K Tack | Internal Medicine | 1535 Medical Center Parkway, Suite B, Carson City, NV 89703-4367 | 2010-03-01 |
| 1679662688 | Ghulam Hossein Kashef | Internal Medicine | 10001 S Eastern Ave Ste 108, Henderson, NV 89052 | 2006-10-11 |
| 1952872384 | Community Care Services LLC | Internal Medicine | 1155 Mill St, Reno, NV 89502-1576 | 2018-12-11 |
| 1306317730 | Community Care Services LLC | Internal Medicine | 75 Pringle Way Ste 801, Reno, NV 89502-8400 | 2018-12-11 |
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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.