INTEGRATIVE FAMILY MEDICINE (NPI# 1598820185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598820185 |
| Entity Type | Organization |
| Organization Name | INTEGRATIVE FAMILY MEDICINE |
| Practice Address |
4955 S Durango Dr #106 Las Vegas NV 89113-1053 |
| Practice Telephone | 7025628800 |
| Practice Fax Number | 7025620009 |
| Mailing Telephone | 7025628800 |
| Mailing Fax Number | 7025620009 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2010-04-12 |
| Authorized Official Name | COREY A WACHS (CO-OWNER/CHIROPRACTOR) |
| Authorized Official Telephone | 7025628800 |
| Authorized Official Credential | DC |
| Is Organization Subpart | Y |
| Parent Organization Name | INTEGRATIVE FAMILY MEDICINE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | B00709 | NV | Chiropractic Providers |
| N | 363A00000X | Physician Assistant | 585 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | 9444 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 002088311 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629532452 | Integrative Family Medicine | Nurse Practitioner | 638 Mccartney Rd, Buckhannon, WV 26201-4516 | 2019-01-25 |
| 1063752251 | Integrative Family Medicine | Acupuncturist | 1124 W Harvard St, Orlando, FL 32804-5247 | 2013-02-25 |
| 1811128564 | Integrative Family Medicine | Family Medicine | 22 W 21st St, Suite 400, New York, NY 10010-6904 | 2009-07-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INTEGRATIVE FAMILY MEDICINE LLC | 638 Mccartney Rd, Buckhannon, WV 26201-4516 |
| Colorado Business Entities | Integrative Family Medicine, LLC | 10097 E. 31st Avenue, Denver, CO 80238 |
| Alabama Business Registrations | Integrative Family Medicine, LLC | 260 3rd Avenue South, Jasper, AL 35501 |
| Street Address |
4955 S DURANGO DR #106 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89113-1053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740203256 | Steven Edward Weinberg | Dentist | 4955 S Durango Dr, Suite 201, Las Vegas, NV 89113-0152 | 2006-07-25 |
| 1164984282 | Zaireden Ascencio | Technician | 4955 S Durango Dr, Las Vegas, NV 89113-0152 | 2019-04-05 |
| 1497110084 | Apnea Medical Services | Durable Medical Equipment & Medical Supplies | 4955 S Durango Dr, Suite 124, Las Vegas, NV 89113-0152 | 2015-12-23 |
| 1952772345 | Vencer Health | Counselor | 4955 S Durango Dr, #207, Las Vegas, NV 89113-0152 | 2015-10-12 |
| 1407223423 | Independent Life | Home Health | 4955 S Durango Dr, Site #164, Las Vegas, NV 89113-0152 | 2015-08-25 |
| 1538546882 | Independent Life | Home Health | 4955 S Durango Dr, 164, Las Vegas, NV 89113-0152 | 2015-05-06 |
| 1144611534 | Clear Minds Counseling Agency LLC | Counselor | 4955 S Durango Dr, 158, Las Vegas, NV 89113-0152 | 2015-02-06 |
| 1346684644 | Independent Life LLC | Home Health | 4955 S Durango Dr, 164, Las Vegas, NV 89113-0152 | 2013-04-17 |
| 1679916357 | Jennifer Louise Lougee | Psychologist | 4955 S Durango Dr, Las Vegas, NV 89113-0152 | 2013-04-11 |
| 1588904668 | Jana Hobson | Psychologist | 4955 S Durango Dr, Suite 207, Las Vegas, NV 89113-0152 | 2013-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951121 | Trang Thu Tran | Pharmacist | 7200 Arroyo Crossing Parkway, Las Vegas, NV 89113 | 2020-10-30 |
| 1457966293 | Cory Alexander Stattelman | Physical Medicine & Rehabilitation | 5575 N Durango Dr Suite 111, Las Vegas, NV 89113 | 2020-09-09 |
| 1477170801 | Hailey Eileen Wilson | Behavior Technician | 5575 S Durango Dr #102, Las Vegas, NV 89113 | 2020-07-01 |
| 1295385078 | Dominica Zaragoza | Technician | 711 S. Durango Dr, Las Vegas, NV 89113 | 2019-09-13 |
| 1831742758 | Lyass PC A Professional Medical Corp | Clinic/Center | 5950 S. Durgango Dr, Suite 100, Las Vegas, CA 89113 | 2019-07-19 |
| 1932679529 | Kiara Hayden | Rehabilitation Practitioner | 5509 Lonesome Biker Lane, Las Vegas, NV 89113 | 2018-11-27 |
| 1437631876 | James Eugene Hightower | Community Health Worker | 7455 Arroyo Crossing Pkwy Suite 220, Las Vegas, NV 89113 | 2018-09-01 |
| 1356822282 | Warda Ali | Nurse Practitioner | 8738 Pinley Spring St, Las Vegas, NV 89113 | 2018-08-28 |
| 1063992949 | Endure Recovery Services LLC | Counselor | 3087 E. Warm Srpings, Suite 200, Las Vegas, NV 89113 | 2018-08-20 |
| 1134635097 | Mivip Regional Surgery Center | Clinic/Center | 5950 S Durango Dr Ste 101, Las Vegas, NV 89113 | 2017-12-14 |
| Find all providers in zip 89113 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374256 | Dmc Medical Clinic Ltd | Family Medicine | 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 | 2020-10-23 |
| 1558968420 | Neuro Health LLC | Family Medicine | 7455 W Washington Ave Ste 140, Las Vegas, NV 89128-4349 | 2020-10-05 |
| 1154934131 | Body & Mind Uplifment LLC | Family Medicine | 2215 Renaissance Dr Ste A, Las Vegas, NV 89119-6723 | 2020-08-28 |
| 1639788599 | Telelab | Family Medicine | 7881 W Charleston Blvd Ste 230, Las Vegas, NV 89117-8327 | 2020-07-27 |
| 1629687926 | Maria Habbi Md | Family Medicine | 501 S Rancho Dr Ste F40, Las Vegas, NV 89106-4834 | 2020-07-23 |
| 1225646805 | Shelley Elizabeth Ameduri | Family Medicine | 3943 Deluge Dr, Las Vegas, NV 89129-6481 | 2020-07-20 |
| 1659995090 | Universal Medical Alliance Inc. | Family Medicine | 6268 Spring Mountain Rd Ste 115b, Las Vegas, NV 89146-8873 | 2020-06-02 |
| 1255954640 | Partners In Primary Care Nv PC | Family Medicine | 4919 W Craig Rd, Las Vegas, NV 89130-2730 | 2020-05-20 |
| 1669095048 | Partners In Primary Care Nv PC | Family Medicine | 4813 S Eastern Ave, Las Vegas, NV 89119-6188 | 2020-05-20 |
| 1184247579 | Partners In Primary Care Nv PC | Family Medicine | 3129 N Rainbow Blvd, Las Vegas, NV 89108-4578 | 2020-05-20 |
| 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.