DAVITA MEDICAL GROUP NEVADA (COATS), LTD. (NPI# 1598742934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598742934 |
| Entity Type | Organization |
| Organization Name | DAVITA MEDICAL GROUP NEVADA (COATS), LTD. |
| Other Organization Name | HEALTHCARE PARTNERS MEDICAL GROUP |
| Practice Address |
1505 Wigwam Pkwy #230 Henderson NV 89074-8194 |
| Mailing Address |
Po Box 98978 Las Vegas NV 89193-8978 |
| Practice Telephone | 7028702099 |
| Practice Fax Number | 7024070266 |
| Mailing Telephone | 7022163346 |
| Mailing Fax Number | 7026716883 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2017-05-10 |
| Authorized Official Name | BARD COATS (PRESIDENT) |
| Authorized Official Telephone | 7029328555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1598742934 | 05 |
| Other Name | Type Code |
|---|---|
| HealthCare Partners Medical Group | Doing Business As Name - 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 |
| 1477701183 | Davita Medical Group Nevada (coats), Ltd. | Internal Medicine | 6850 N. Durango Dr., Suite #120, Las Vegas, NV 89149-4596 | 2008-09-05 |
| 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 |
1505 WIGWAM PKWY #230 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074-8194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386646859 | Eugene Earl Schnitzler | Pediatrics | 1505 Wigwam Pkwy, #230, Henderson, NV 89074-8194 | 2005-08-12 |
| 1265959977 | Allcare for Women LLC | Obstetrics & Gynecology | 1505 Wigwam Pkwy, Henderson, NV 89074-8194 | 2017-08-23 |
| 1881149771 | New Century Rehabilitation, LLC | Physical Therapist | 1505 Wigwam Pkwy, Suite 240, Henderson, NV 89074-8194 | 2016-08-20 |
| 1760853287 | Melanie Gough | Physical Therapist | 1505 Wigwam Pkwy, Suite 240, Henderson, NV 89074-8194 | 2015-10-09 |
| 1255619177 | Holman Chan | Orthopaedic Surgery | 1505 Wigwam Pkwy, #330, Henderson, NV 89074-8194 | 2011-07-26 |
| 1477864346 | Kevin R Sharif | Orthopaedic Surgery | 1505 Wigwam Pkwy, Suite 330, Henderson, NV 89074-8194 | 2010-06-25 |
| 1083844229 | Amanda Marie Cain | Physical Therapist | 1505 Wigwam Pkwy, #240, Henderson, NV 89074-8194 | 2009-07-22 |
| 1740418391 | Rhea Agbayani | Physical Therapist | 1505 Wigwam Pkwy, Suite 240, Henderson, NV 89074-8194 | 2009-06-22 |
| 1629248349 | Advanced Prosthetics and Orthotics, Inc | Durable Medical Equipment & Medical Supplies | 1505 Wigwam Pkwy, Suite 340, Henderson, NV 89074-8159 | 2008-03-10 |
| 1073700357 | Nicoletta Campagna | Nurse Practitioner | 1505 Wigwam Pkwy, Suite 130, Henderson, NV 89074-8194 | 2007-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349381 | Samuel Taylor Mulford | Physical Therapist | 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 | 2020-06-03 |
| 1407369127 | Brenda Thomas | Dental Hygienist | 234 Polar Morning Place, Henderson, NV 89074 | 2017-11-16 |
| 1174036479 | Gail E Evans Wade | Behavioral Analyst | 1445 Stone Lake Cove, Henderson, NV 89074 | 2017-11-08 |
| 1710400957 | Kimberley Houk | Behavioral Analyst | 20 Avenida Picasso, Henderson, NV 89074 | 2017-07-19 |
| 1760911846 | Colin Ono-moore | Physical Therapist | 3 Rising Sun Ct, Henderson, NV 89074 | 2017-06-12 |
| 1851825764 | Ralph Wieder | Dietitian, Registered | 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 | 2017-04-18 |
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1275994642 | Malyna Lavarias | Behavioral Analyst | 74 N Pecos Rd., Suite C, Henderson, NV 89074 | 2016-03-14 |
| 1144608290 | Matthew Roderick | Acupuncturist | 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 | 2015-05-08 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| Find all providers in zip 89074 | ||||
| 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 |
|---|---|---|---|---|
| 1669028106 | Harold Zilberman, Md, Chartered | Pediatrics | 880 Seven Hills Dr Ste 100, Henderson, NV 89052-4372 | 2019-08-12 |
| 1740747542 | Payton Cerda | Pediatrics | 2510 W Horizon Ridge Pkwy Ste 130, Henderson, NV 89052-1600 | 2019-02-27 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| 1679852891 | Jung Y. Hahr | Pediatrics | 969 Wagner Valley St, Henderson, NV 89052-5064 | 2011-08-04 |
| 1174755276 | Placida Martinez | Pediatrics | 247 Clemson St, Henderson, NV 89074-5484 | 2009-08-22 |
| 1306029830 | Mdfamily Medical Group | Pediatrics | 152 Zeb Robinson Rd, Henderson, NC 27537-3577 | 2007-12-06 |
| 1346374238 | Susan R Fernandez PC | Pediatrics | 2621 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052-2895 | 2007-03-15 |
| 1750422481 | Jagannath S. Surpure, M.d.p.c. | Pediatrics | 1600 W Sunset Rd, Suite A, Henderson, NV 89014-2654 | 2007-02-08 |
| 1184774093 | James Allen Wayne Jr. | Pediatrics | 451 Ruin Creek Rd Ste 101, Henderson, NC 27536-5920 | 2007-01-11 |
| 1982763108 | Hesham Sirsy Md Ltd | Pediatrics | 10950 S Eastern Ave, #100, Henderson, NV 89052-4970 | 2006-12-06 |
| Find all providers in HENDERSON | ||||
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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.