AMIR BACCHUS, M.D., FREMONT MEDICAL CENTER, LTD. (NELLIS) (NPI# 1699092957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699092957 |
| Entity Type | Organization |
| Organization Name | AMIR BACCHUS, M.D., FREMONT MEDICAL CENTER, LTD. (NELLIS) |
| Practice Address |
821 N Nellis Blvd Las Vegas NV 89110-5339 |
| Mailing Address |
Po Box 1737 Las Vegas NV 89125-1737 |
| Practice Telephone | 7024384003 |
| Practice Fax Number | 7024380555 |
| Mailing Telephone | 7024384003 |
| Mailing Fax Number | 7024380555 |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2010-05-11 |
| Authorized Official Name | ERNEST G. BARELA (VICE PRESIDENT OF OPERATIONS) |
| Authorized Official Telephone | 7026716808 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
821 N NELLIS BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89110-5339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407836794 | David M Rivas | Family Medicine | 821 N Nellis Blvd, Las Vegas, NV 89110-5339 | 2006-01-20 |
| 1609318369 | Michael Keith Smith | Specialist/Technologist | 821 N Nellis Blvd, Las Vegas, NV 89110-5339 | 2016-11-12 |
| 1902217656 | Friday Oghenero Irorobeje | Nurse Practitioner | 821 N Nellis Blvd, Las Vegas, NV 89110-5339 | 2014-05-15 |
| 1952721904 | Abrill Jones | Family Medicine | 821 N Nellis Blvd, Las Vegas, NV 89110-5339 | 2014-04-17 |
| 1992979751 | Blanca Rocio Tenhet | Physician Assistant | 821 N Nellis Blvd, Las Vegas, NV 89110-5339 | 2008-04-14 |
| 1760686158 | Alexander C Noche | Family Medicine | 821 N Nellis Blvd, Las Vegas, NV 89110-5339 | 2007-06-12 |
| 1538374905 | Lola Teresa Margron | Physician Assistant | 821 N Nellis Blvd, Las Vegas, NV 89110-5339 | 2007-05-11 |
| 1457406241 | Beatrice Lee Godbouldt | Emergency Medicine | 821 N Nellis Blvd, Las Vegas, NV 89110-5339 | 2007-01-24 |
| 1356443105 | Lynn Edward Kasch | Nurse Practitioner | 821 N Nellis Blvd, Las Vegas, NV 89110-5339 | 2006-09-02 |
| 1467562132 | Barbara Rosso | Physical Therapist | 821 N Nellis Blvd, Ste 130, Las Vegas, NV 89110-5339 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932740792 | Egalitarian Nevada LLC | Community/Behavioral Health | 241 North Nellis Boulevard, Suite 103, Las Vegas, NV 89110 | 2019-10-03 |
| 1730698333 | Antoinette Garrett | Rehabilitation Practitioner | 3085 S. Jones Boulevard Ste D., Las Vegas, NV 89110 | 2017-09-26 |
| 1063883486 | Chanfay Michelle Dabney | Adult Companion | 609 Sponseller, Las Vegas, NV 89110 | 2015-10-12 |
| 1689097735 | Lynda C Mccloskey | Registered Nurse | 330 South Valley View, Las Vegas, NV 89110 | 2014-01-27 |
| 1679994487 | Maria Arias De Lujan | Registered Nurse | 570 N Nellis Blvd Suite D1, Las Vegas, NV 89110 | 2013-12-20 |
| 1932520988 | Satoko Brilis | Registered Nurse | 570 N. Nellis Blvd., Suite D-1, Las Vegas, NV 89110 | 2013-12-18 |
| 1245651231 | Loriza Chongtai | Registered Nurse | 570 N.nellis Blvd Suite D1, Las Vegas, NV 89110 | 2013-12-18 |
| 1255752242 | Marites Navarro | Registered Nurse | 570 N. Nellis Blvd Suite D1, Las Vegas, NV 89110 | 2013-12-18 |
| 1770904781 | Karen M Atkins | Registered Nurse | 570 N. Nellis Blvd, Suite D1, Las Vegas, NV 89110 | 2013-12-17 |
| 1780020016 | Emma Jean Watson | Counselor | 3750 East Bonanza Rd Unit 155, Las Vegas, NV 89110 | 2013-05-14 |
| Find all providers in zip 89110 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 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.