LAS VEGAS PAIN INSTITUTE AND MEDICAL CENTER, LLC (NPI# 1659431443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659431443 |
| Entity Type | Organization |
| Organization Name | LAS VEGAS PAIN INSTITUTE AND MEDICAL CENTER, LLC |
| Practice Address |
3835 S Jones Blvd Ste 104 Las Vegas NV 89103-2283 |
| Mailing Address |
4616 W Sahara Ave # 337 Las Vegas NV 89102-3654 |
| Practice Telephone | 7028804193 |
| Practice Fax Number | 7028804197 |
| Mailing Telephone | 7028804193 |
| Mailing Fax Number | 7028804197 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2009-10-15 |
| Authorized Official Name | DR. GODWIN O MADUKA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7028804193 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
2000268 650 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100509710 | 05 |
| Street Address |
3835 S JONES BLVD STE 104 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89103-2283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548363583 | Godwin O Maduka | Anesthesiology | 3835 S Jones Blvd Ste 104, Las Vegas, NV 89103-2283 | 2006-09-06 |
| 1982219317 | Lawanda Michelle Cantwell | Nurse Practitioner | 3835 S Jones Blvd Ste 104, Las Vegas, NV 89103-2283 | 2020-09-11 |
| 1013550870 | Rizalyn Delgado | Nurse Practitioner | 3835 S Jones Blvd Ste 104, Las Vegas, NV 89103-2283 | 2019-10-24 |
| 1104304856 | Stephanie Michelle Celeste | Nurse Practitioner | 3835 S Jones Blvd Ste 104, Las Vegas, NV 89103-2283 | 2018-08-03 |
| 1275832008 | Alia Jabali | Physician Assistant | 3835 S Jones Blvd Ste 104, Las Vegas, NV 89103-2283 | 2011-03-18 |
| 1053545582 | Dante Fabian Famy | Nurse Practitioner | 3835 S Jones Blvd Ste 104, Las Vegas, NV 89103-2283 | 2009-05-12 |
| 1902058977 | Kimberly Anne Moulliet | Nurse Practitioner | 3835 S Jones Blvd Ste 104, Las Vegas, NV 89103-2283 | 2008-10-21 |
| 1619070695 | Glen Cochrane | Chiropractor | 3835 S Jones Blvd Ste 104, Las Vegas, NV 89103-2283 | 2006-09-06 |
| 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 | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215564539 | Mark David Kraft | Anesthesiology | 8861 W Sahara Ave Ste 220, Las Vegas, NV 89117-4805 | 2020-03-25 |
| 1659918498 | Center for Wellness and Pain Care of Las Vegas, Inc. | Anesthesiology | 6930 S Cimarron Rd, Ste 260, Las Vegas, NV 89113-2135 | 2019-11-27 |
| 1922526755 | Pain Care Innovation LLC | Anesthesiology | 222 Karen Ave Unit 3305, Las Vegas, NV 89109-5308 | 2017-08-31 |
| 1003367921 | Charlie Y. Nahm, Md, PC | Anesthesiology | 9333 W Sunset Rd, Suite A, Las Vegas, NV 89148-4845 | 2016-10-14 |
| 1588082374 | Tara-lin Hollins | Anesthesiology | 3281 N Decatur Blvd Ste 150, Las Vegas, NV 89130-3264 | 2014-03-31 |
| 1225385842 | Quicknd Pain Care | Anesthesiology | 3111 S Maryland Pkwy Ste 200, Las Vegas, NV 89109-2319 | 2012-08-14 |
| 1245533207 | Maryanne D. Phillips Md Apc | Anesthesiology | 7835 S Rainbow Bl, Ste 15, Las Vegas, NV 89139 | 2010-12-14 |
| 1326354697 | Mission Treatment Centers, Inc. | Anesthesiology | 2887 S Maryland Parkway, Las Vegas, NV 89109-1511 | 2010-08-25 |
| 1124356241 | Joseph J Schifini, Md, Ltd | Anesthesiology | 600 S Tonopah Dr Ste 240, Las Vegas, NV 89106-4042 | 2009-12-01 |
| 1033385307 | Charlie Nahm | Anesthesiology | 9333 W Sunset Rd Ste A, Las Vegas, NV 89148-4845 | 2008-05-06 |
| 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.