MICHAEL J DEFAZIO (NPI# 1609367465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609367465 |
| Entity Type | Individual |
| Full Name | MICHAEL J DEFAZIO |
| Practice Address |
6755 Shelter Ln Las Vegas NV 89103-4369 |
| Practice Telephone | 7025212350 |
| Mailing Telephone | 7025212350 |
| Enumeration Date | 2018-05-28 |
| Last Update Date | 2018-05-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | A1953895 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821354325 | Michael Vincent Defazio | Surgery | 14546 Old Saint Augustine Rd Ste 407, Jacksonville, FL 32258-5473 | 2012-04-09 |
| 1497189476 | Michael Carey Defazio | Student in an Organized Health Care Education/Training Program | 3001 Green Bay Rd, Fisher Dental Clinic, North Chicago, IL 60064-3048 | 2013-08-27 |
| 1154407419 | Michael A Defazio | Counselor | 3734 7th Ave, Ste 24, Kenosha, WI 53140 | 2006-10-30 |
| Street Address |
6755 SHELTER LN |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89103-4369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043821671 | New Directions LLC | Counselor | 3651 S Lindell Dr, Ste D15 B, Las Vegas, NV 89103 | 2020-08-17 |
| 1396356929 | A-plus Community Counseling Services LLC | Counselor | 3651 S Lindell Dr Ste D15, Las Vegas, NV 89103 | 2020-08-17 |
| 1437798931 | Las Vegas Diagnostic & Treatment LLC | Neuromusculoskeletal Medicine & OMM | Dpm, 5650 W Flamingo Rd Ste A, Las Vegas, NV 89103 | 2019-12-31 |
| 1033769385 | Maria Yemi Centeno | Technician | 4674 Via Torino, Las Vegas, NV 89103 | 2019-09-18 |
| 1750847869 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3821 W Flamingo Rd, Las Vegas, NV 89103 | 2019-02-13 |
| 1447741905 | Adgold Medical Corp | Durable Medical Equipment & Medical Supplies | 3651 Lindell Rd Ste D536, Las Vegas, NV 89103 | 2018-05-21 |
| 1184138620 | Kiley Ballew | Social Worker | 4425 South Jones, Suite D3, Las Vegas, NV 89103 | 2017-11-20 |
| 1396275988 | Karen Walton | Technician | 5419 W. Tropicana Ave. A2803, Las Vegas, NV 89103 | 2017-06-15 |
| 1760923643 | Shannon-dorothy Austria | Social Worker | 4425 S. Jones, Suite D3, Las Vegas, NV 89103 | 2017-03-13 |
| 1306260583 | Ladonna Smith | Behavioral Analyst | 1126 Tamerck Ave, Las Vegas, NV 89103 | 2014-02-10 |
| Find all providers in zip 89103 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093339749 | Melanie Marie Davis | Driver | 5055 E Charleston Blvd Apt C116, Las Vegas, NV 89104-6476 | 2020-05-28 |
| 1477183788 | Saimone Sandra Sailor | Driver | 2589 Pine Creek Rd, Las Vegas, NV 89115-4335 | 2020-01-26 |
| 1043840515 | Felton Dwight Davis | Driver | 8865 Knickknack Ct, Las Vegas, NV 89149-0452 | 2020-01-23 |
| 1033675756 | Ralph Mesa | Driver | 6514 Brook Cottage Ln, Las Vegas, NV 89122-0847 | 2019-02-18 |
| 1013485267 | Katarina Karapetyan | Driver | 7473 Pepperbox Ave, Las Vegas, NV 89179-1815 | 2018-11-06 |
| 1053825125 | Henry Thrasher | Driver | 3335 Hauck St, Las Vegas, NV 89146-8022 | 2017-11-27 |
| 1831601806 | Kamoreah Williams | Driver | 1906 H St, Las Vegas, NV 89106-2536 | 2017-10-31 |
| 1447789888 | Dustin Douglas | Driver | 50 N 21 St #139, Las Vegas, NV 89101 | 2017-06-08 |
| 1912440199 | Taylor Hart | Driver | 5300 E Craig Rd, Las Vegas, NV 89115-2215 | 2016-11-21 |
| 1790234961 | Melissa Chavez | Driver | 5613 Grand Guiness Ct, Las Vegas, NV 89130-1366 | 2016-09-28 |
| 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.