MR. STEPHEN TRAVIS DERRICK STOREY (NPI# 1598850190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598850190 |
| Entity Type | Individual |
| Full Name | MR. STEPHEN TRAVIS DERRICK STOREY |
| Credential | MD |
| Practice Address |
500 N Rainbow Blvd Las Vegas NV 89107-1082 |
| Mailing Address |
500 North Rainbow Boulevard Las Vegas NV 89107 |
| Practice Telephone | 2169062524 |
| Mailing Telephone | 2169062524 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2014-12-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 14530 | NV | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043511314 | Stephen Dean Storey | Orthopaedic Surgery | 61 Paseo Hermoso, Salinas, CA 93908-9171 | 2010-11-03 |
| 1154475671 | Stephen Judd Storey | Optometrist | 121 E Locust St, Dekalb, IL 60115-3207 | 2007-01-22 |
| Street Address |
500 N RAINBOW BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89107-1082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447224431 | Emmanuel K Onwutuebe | Internal Medicine | 500 N Rainbow Blvd, Suite 300, Las Vegas, NV 89107-1082 | 2006-02-15 |
| 1821635103 | Yariv Sponko | Technician | 500 N Rainbow Blvd, Ste 300, Las Vegas, NV 89107 | 2019-12-05 |
| 1225675861 | Shorelines | Nurse Practitioner | 500 N Rainbow Blvd, Las Vegas, NV 89107-1082 | 2019-12-02 |
| 1083270193 | National Youth Advocate Program, Inc | Community/Behavioral Health | 500 N Rainbow Blvd, Las Vegas, NV 89107-1082 | 2019-05-14 |
| 1881188688 | Dora Ashley Marroquin | Technician | 500 N Rainbow Blvd, Las Vegas, NV 89107-1082 | 2018-06-15 |
| 1669919577 | Natalie Rae Bohn | Physician Assistant | 500 N Rainbow Blvd, Las Vegas, NV 89107-1082 | 2017-01-30 |
| 1235676610 | Kyle Martineau | Physician Assistant | 500 N Rainbow Blvd, 303, Las Vegas, NV 89107-1082 | 2017-01-24 |
| 1053856179 | Idealstaffing Inc | Home Health | 500 N Rainbow Blvd, Suite 300, Las Vegas, NV 89107-1082 | 2016-12-28 |
| 1740722461 | Gregory Allan Barnes | Physician Assistant | 500 N Rainbow Blvd, Ste. 203, Las Vegas, NV 89107-1082 | 2016-11-11 |
| 1578012670 | Oganes Shilgevorkyan Md Pllc | Family Medicine | 500 N Rainbow Blvd, Suite 300, Las Vegas, NV 89107-1082 | 2016-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942837620 | Dominica Marie Lemay | Technician | Ideal Staffing Inc 500 N Rainbow Blvd Ste 300 Las Vegas, Las Vegas, NV 89107 | 2020-03-24 |
| 1417589854 | Ciro Zuniga | Technician | 5020 Alta Dr Suit-b, Las Vegas, NV 89107 | 2020-02-04 |
| 1730729252 | Natalie Rochelle Ross | Technician | Ideal Staffing Inc N Rainbow Blvd Ste 300 Las Vegas, Nv, Las Vegas, NV 89107 | 2020-01-13 |
| 1679112148 | Cynthia Mayen | Technician | 2050 Alta Dr. Suit - B, Las Vegas, NV 89107 | 2020-01-02 |
| 1427695543 | Aaa Physical Therapy LLC | Clinic/Center | 633 N. Decatur Blvd., Suite E, Las Vegas, NV 89107 | 2019-12-09 |
| 1063061018 | Guaoalupe Pena | Technician | 5020 Alta Dr. Suit - B, Las Vegas, NV 89107 | 2019-09-11 |
| 1275180234 | Roman Bautista Ortiz | Technician | 5020 Alta Dr. Suit-b, Las Vegas, NV 89107 | 2019-08-23 |
| 1518513357 | Michele Renee Black | Chore Provider | 500 North Rainbow Boulevard, Suite 300, Las Vegas, NV 89107 | 2019-08-16 |
| 1124674312 | Helena Alma Ferron-zepeda | Technician | 5020 Alta Dr., Suite-b, Las Vegas, NV 89107 | 2019-08-13 |
| 1386299246 | Felecia Ann Goodwin | Technician | 500 N Rainbow Blvd Ste 300, Ideal Staffing Inc, Las Vegas, NV 89107 | 2019-08-07 |
| Find all providers in zip 89107 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578180469 | Athlete Advantage Medical | Emergency Medicine | 6771 W Charleston Blvd Ste B, Las Vegas, NV 89146-9016 | 2020-06-26 |
| 1588219117 | Spring Valley Medical Center | Emergency Medicine | 9217 S Cimarron Rd, Las Vegas, NV 89178 | 2019-08-09 |
| 1245740133 | Insight Medical Associates LLC | Emergency Medicine | 500 N Rainbow Blvd Ste 300-230, Las Vegas, NV 89107-1082 | 2017-10-04 |
| 1912438763 | Dominic Diprinzio | Emergency Medicine | 901 Ranch Lane, Suite 135, Las Vegas, NV 89106 | 2017-03-23 |
| 1740643998 | Ryan Patrick Casarella | Emergency Medicine | 653 N Town Center Dr # 657, Las Vegas, NV 89144-0514 | 2016-04-04 |
| 1437548906 | Clinic 21 of Nevada Zyniewicz Pllc | Emergency Medicine | 5216 Boulder Hwy, Suite 105, Las Vegas, NV 89122-6074 | 2015-01-21 |
| 1114189917 | Stephanos Paraskevas Orphanidis | Emergency Medicine | 8670 W Cheyenne Ave Ste 120, Maimonides Medical Center Department of Emergency Med, Las Vegas, NV 89129-7457 | 2008-07-02 |
| 1104011527 | Joeann K Leong | Emergency Medicine | 8670 West Cheyenne Avenue, Suite 120, Las Vegas, NV 89129 | 2007-09-10 |
| 1376741256 | Jack Sui Ki Chan | Emergency Medicine | 1350 N Town Center Dr Unit 1033, Las Vegas, NV 89144-0577 | 2007-07-03 |
| 1700087392 | Jason Donovan Klein | Emergency Medicine | 9880 W Flamingo Rd, Las Vegas, NV 89147-8085 | 2007-05-30 |
| 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.