MR. COSMAS EZE (NPI# 1518460112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518460112 |
| Entity Type | Individual |
| Full Name | MR. COSMAS EZE |
| Credential | ADMINISTRATOR |
| Practice Address |
4723 E Flamingo Rd Las Vegas NV 89121-4742 |
| Mailing Address |
4718 E Flamingo Rd Las Vegas NV 89121-4709 |
| Practice Telephone | 7029025400 |
| Practice Fax Number | 7029025401 |
| Mailing Telephone | 7029025400 |
| Mailing Fax Number | 7029025401 |
| Enumeration Date | 2018-03-10 |
| Last Update Date | 2019-11-27 |
| NPI Deactivation Date | 11/07/2018 |
| NPI Reactivation Date | 2019-11-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
4723 E FLAMINGO RD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89121-4742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225115538 | Medical Electronics, Inc | Durable Medical Equipment & Medical Supplies | 4723 E Flamingo Rd, Las Vegas, NV 89121-4742 | 2006-11-01 |
| 1144841644 | Healthcare Plus LLC | Public Health or Welfare | 4723 E Flamingo Rd, Las Vegas, NV 89121-4742 | 2020-05-06 |
| 1942770433 | Healthcare Plus LLC | Clinic/Center | 4723 E Flamingo Rd, Las Vegas, NV 89121-4742 | 2018-11-28 |
| 1457849077 | Healthcare Plus LLC | Public Health or Welfare | 4723 E Flamingo Rd, Las Vegas, NV 89121-4742 | 2018-04-30 |
| 1598161408 | Healthcare Plus LLC | Pharmacy | 4723 E Flamingo Rd, Las Vegas, NV 89121-4742 | 2014-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379117 | Western State Behavioral Health and Psychiatric Services | Psychologist | 3910 Pecos-mcleod Interconnect, Las Vegas, NV 89121 | 2020-09-01 |
| 1962025155 | Arieste Diaz Perez | Clinic/Center | 3777 Pecos-mcleod Interconnect, Suite 101, Las Vegas, NV 89121 | 2020-05-21 |
| 1366071904 | Vanesa Silva | Behavior Technician | 4714 Flamigo Rd, Las Vegas, NV 89121 | 2020-04-06 |
| 1053955732 | Valente Solis Santiago | Technician | 2785 E. Desert Inn Rd Ste. 240, Las Vegas, NV 89121 | 2019-11-05 |
| 1750938981 | Ken Ernst | Rehabilitation Practitioner | Primary Solutions Medical Billing, 4525 S. Sandhill Rd Ste #112, Las Vegas, NV 89121 | 2019-08-22 |
| 1902450455 | Tracey Anora Henry | Counselor | 3675 Pecos Mecleod Ste 900, Las Vegas, NV 89121 | 2019-08-01 |
| 1679127096 | Wilma Guadalupe Nunez | Chore Provider | 2860 East Flamingo, Suite C, Las Vegas, NV 89121 | 2019-07-25 |
| 1487213807 | Karla Susana Ayala | Chore Provider | 2860 E. Flamingo Rd Ste K., Las Vegas, NV 89121 | 2019-06-10 |
| 1447819164 | Jovita Garcia-perez | Chore Provider | 2860 E. Flamingo Suite C, Suite C, Las Vegas, NV 89121 | 2019-06-06 |
| 1164081972 | Maria Isabel Castellanos Gonzalez | Chore Provider | 2860 E. Flamingo Rd Ste K, Las Vegas, NV 89121 | 2019-06-06 |
| Find all providers in zip 89121 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971414 | Oluwakemi Temitayo Obajuwonlo | Counselor | 4442 Avery Park Ave, Las Vegas, NV 89110-5488 | 2020-10-29 |
| 1275132862 | Keep Safe Wellcare Center, LLC | Counselor | 1912 Goodwill St, Apt D, Las Vegas, NV 89106-1232 | 2020-10-23 |
| 1568060796 | Rolly Taguinod Quilang | Counselor | 5346 Tipper Ave, Las Vegas, NV 89122-6966 | 2020-10-09 |
| 1255948519 | Jaafah Rashad Coppedge | Counselor | 4400 S Jones Blvd Unit 1028, Las Vegas, NV 89103-3337 | 2020-09-30 |
| 1457968570 | Deborah Ilakay Walker | Counselor | 764 E Twain Ave Apt 5b, Las Vegas, NV 89169-4125 | 2020-09-24 |
| 1912513359 | Parisa Karen Kabiri | Counselor | 6767 W Tropicana Ave #100, Las Vegas, NV 89103-8910 | 2020-09-21 |
| 1861007932 | Camry A Howard | Counselor | 3200 Arville St Apt 146, Las Vegas, NV 89102-7648 | 2020-09-14 |
| 1992319099 | Kayli Wrenn | Counselor | 7788 Peaceful Trellis Dr, Las Vegas, NV 89179-2031 | 2020-09-04 |
| 1932712809 | Williams Consultation | Counselor | 3811 W Charleston Blvd Ste 106, Las Vegas, NV 89102-1846 | 2020-08-28 |
| 1386255321 | Evolve and Heal Wellness Center | Counselor | 1024 W Owens Ave Ste 113, Las Vegas, NV 89106-2520 | 2020-08-13 |
| 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.