LAS VEGAS PROFESSIONAL GROUP - CALARCO, P. C. (NPI# 1609116003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609116003 |
| Entity Type | Organization |
| Organization Name | LAS VEGAS PROFESSIONAL GROUP - CALARCO, P. C. |
| Practice Address |
2465 E Twain Ave Las Vegas NV 89121-4011 |
| Mailing Address |
200 Powell Pl Brentwood TN 37027-7514 |
| Practice Telephone | 6157278387 |
| Practice Fax Number | 6154578094 |
| Mailing Telephone | 6157278387 |
| Mailing Fax Number | 6154578094 |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2017-12-27 |
| Authorized Official Name | DR. MARK A CALARCO (PRESIDENT, SECRETARY AND TREASURER) |
| Authorized Official Telephone | 6157278387 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | NV | Allopathic & Osteopathic Physicians | |
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
NV | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467955377 | Las Vegas Professional Group - Calarco, P. C. | Internal Medicine | 2975 S Rainbow Blvd Ste E, Las Vegas, NV 89146-6242 | 2018-03-16 |
| Street Address |
2465 E TWAIN AVE |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89121-4011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366407454 | Leslie Jeanne Howell | Psychiatry & Neurology | 2465 E Twain Ave, Las Vegas, NV 89121-4011 | 2006-04-20 |
| 1396216289 | Gina Pollina | Nurse Practitioner | 2465 E Twain Ave, Las Vegas, NV 89121-4011 | 2018-12-17 |
| 1649763582 | Albert Kwaku Ofori | Nurse Practitioner | 2465 E Twain Ave, Las Vegas, NV 89121-4011 | 2018-06-13 |
| 1326431099 | American Addiction Centers Inc | Community/Behavioral Health | 2465 E Twain Ave, Las Vegas, NV 89121-4011 | 2015-03-05 |
| 1548689292 | James Tenney | Psychologist | 2465 E Twain Ave, Las Vegas, NV 89121-4011 | 2014-04-09 |
| 1326482456 | Concorde Treatment Center,llc | Pharmacy | 2465 E Twain Ave, Las Vegas, NV 89121-4011 | 2013-04-19 |
| 1275879199 | Concorde Treatment Center, LLC | Clinic/Center | 2465 E Twain Ave, Las Vegas, NV 89121-4011 | 2012-12-20 |
| 1013085257 | Muhammed A Hyder | Psychiatry & Neurology | 2465 E Twain Ave, Las Vegas, NV 89121-4011 | 2006-12-04 |
| 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 | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811049158 | Mariam Alim-marvasti | Psychiatry & Neurology | 2601 N Tenaya Way, Las Vegas, NV 89128-0427 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639349418 | University of Nevada School of Medicine Multi Specialty Group South | Psychiatry & Neurology | 880 Seven Hills Dr, Ste 200, Henderson, NV 89052-4371 | 2008-03-07 |
| 1922132125 | Latha Prabhakar Pai | Psychiatry & Neurology | 975 Kirman Ave, Va Sierra Nevada Hcs, Mental Health Services, Reno, NV 89502 | 2007-03-16 |
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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.