SUSAN R FERNANDEZ PC (NPI# 1508257676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508257676 |
| Entity Type | Organization |
| Organization Name | SUSAN R FERNANDEZ PC |
| Other Organization Name | HORIZON RIDGE PEDIATRICS |
| Practice Address |
6843 W Tropicana Ave Suite 100 Las Vegas NV 89103-4922 |
| Mailing Address |
2621 W. Horizon Ridge Pwky Suite 100 Henderson NV 89052 |
| Practice Telephone | 7028183303 |
| Practice Fax Number | 7022630195 |
| Mailing Telephone | 7022631908 |
| Mailing Fax Number | 7022630195 |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2015-02-12 |
| Authorized Official Name | DR. SUSAN R FERNANDEZ (PRESIDENT) |
| Authorized Official Telephone | 7022631908 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 9740 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 003102477 | 05 |
| Other Name | Type Code |
|---|---|
| Horizon Ridge Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346374238 | Susan R Fernandez PC | Pediatrics | 2621 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052-2895 | 2007-03-15 |
| Street Address |
6843 W TROPICANA AVE SUITE 100 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89103-4922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043821671 | New Directions LLC | Counselor | 3651 S Lindell Dr, Ste D15 B, Las Vegas, NV 89103 | 2020-08-17 |
| 1396356929 | A-plus Community Counseling Services LLC | Counselor | 3651 S Lindell Dr Ste D15, Las Vegas, NV 89103 | 2020-08-17 |
| 1437798931 | Las Vegas Diagnostic & Treatment LLC | Neuromusculoskeletal Medicine & OMM | Dpm, 5650 W Flamingo Rd Ste A, Las Vegas, NV 89103 | 2019-12-31 |
| 1033769385 | Maria Yemi Centeno | Technician | 4674 Via Torino, Las Vegas, NV 89103 | 2019-09-18 |
| 1750847869 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3821 W Flamingo Rd, Las Vegas, NV 89103 | 2019-02-13 |
| 1447741905 | Adgold Medical Corp | Durable Medical Equipment & Medical Supplies | 3651 Lindell Rd Ste D536, Las Vegas, NV 89103 | 2018-05-21 |
| 1184138620 | Kiley Ballew | Social Worker | 4425 South Jones, Suite D3, Las Vegas, NV 89103 | 2017-11-20 |
| 1396275988 | Karen Walton | Technician | 5419 W. Tropicana Ave. A2803, Las Vegas, NV 89103 | 2017-06-15 |
| 1760923643 | Shannon-dorothy Austria | Social Worker | 4425 S. Jones, Suite D3, Las Vegas, NV 89103 | 2017-03-13 |
| 1306260583 | Ladonna Smith | Behavioral Analyst | 1126 Tamerck Ave, Las Vegas, NV 89103 | 2014-02-10 |
| Find all providers in zip 89103 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624592 | Brookes Pediatrics LLC | Pediatrics | 8440 W Lake Mead Blvd Ste 104, Las Vegas, NV 89128-7648 | 2020-06-19 |
| 1972079937 | Ching's Pediatrics, Pllc. | Pediatrics | 9260 W Sunset Rd Ste 205, Las Vegas, NV 89148-4903 | 2018-10-17 |
| 1912429093 | Rock & Rowles Pediatrics PC | Pediatrics | 2380 N Buffalo Dr Ste 145, Las Vegas, NV 89128-4807 | 2017-07-11 |
| 1104280783 | Aadil Mohammed Rahman | Pediatrics | 3186 S. Maryland Parkway, Las Vegas, NV 89109-2317 | 2016-04-08 |
| 1447592506 | Tina Vikki Desai | Pediatrics | 2040 W Charleston Blvd Ste 402, Las Vegas, NV 89102-2250 | 2013-03-26 |
| 1699014365 | Bond Pediatrics Ltd | Pediatrics | 5751 S Fort Apache Rd Ste A, Las Vegas, NV 89148-5624 | 2013-01-31 |
| 1891057519 | Rabbi Zia | Pediatrics | 10105 Banburry Cross Dr Ste 370, Las Vegas, NV 89144-6649 | 2012-06-08 |
| 1730445099 | William Edward Bannen | Pediatrics | 10 Wild Dunes Court, Las Vegas, NV 89113-1332 | 2012-04-11 |
| 1255622577 | Sanjay Kandoth Md PC | Pediatrics | 7875 S Rainbow Blvd, Suite 102, Las Vegas, NV 89139-6469 | 2011-04-20 |
| 1194049825 | Erin Caliri | Pediatrics | 3131 Lacanada, Suite 244, Pediatrix Medical Group, Las Vegas, NV 89169 | 2010-03-24 |
| 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.