CHARLES H. TADLOCK, M.D. LTD (NPI# 1720292642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720292642 |
| Entity Type | Organization |
| Organization Name | CHARLES H. TADLOCK, M.D. LTD |
| Other Organization Name | CENTER FOR PAIN MANAGEMENT |
| Practice Address |
6725 S. Eastern Ave. Suite 6 Las Vegas NV 89119 |
| Practice Telephone | 7024740200 |
| Practice Fax Number | 7029465328 |
| Mailing Telephone | 7024740200 |
| Mailing Fax Number | 7024747165 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2015-10-13 |
| Authorized Official Name | DR. CHARLES HENRY TADLOCK (PRESIDENT) |
| Authorized Official Telephone | 7024740200 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
8402 | NV | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
26067 | AZ | Allopathic & Osteopathic Physicians |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA1256 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
48411 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100502539 | 05 |
| Other Name | Type Code |
|---|---|
| CENTER FOR PAIN MANAGEMENT | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962720078 | Charles H. Tadlock, M.d. Ltd | Non-Pharmacy Dispensing Site | 6725 S Eastern Ave Ste 6, Las Vegas, NV 89119-3949 | 2010-05-13 |
| Street Address |
6725 S. EASTERN AVE. SUITE 6 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089298 | Jennifer Chavon Cruse | Technician | [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 | 2020-09-28 |
| 1063024214 | Rosa Isela Martinez Gonzalez | Technician | 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 | 2020-08-19 |
| 1720697980 | Christian Scott | Social Worker | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
| 1245867159 | Starfruit Holdings, LLC | Skilled Nursing Facility | 4375 S Eastern Ave, Paradise, NV 89119 | 2020-03-23 |
| 1215562376 | Phyllis Eberechukwu Hunt | Adult Companion | 5160 Tamarus St Appt 17, Las Vegas, NV 89119 | 2020-03-10 |
| 1841832581 | Legna Carrillo | Adult Companion | 4325 South Bruce St Appt 63, Las Vegas, NV 89119 | 2019-10-15 |
| 1104468339 | Alma Leticia Salazar | Home Health Aide | Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 | 2019-10-09 |
| 1083260046 | Araceli Rosas Vargas | Technician | 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 | 2019-08-15 |
| 1376197707 | Bristure Clayton | Technician | Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 | 2019-07-24 |
| 1457904534 | Carmen Laura Gonzalez Valenzuela | Chore Provider | 6725-1 S. Eastern Ave, Las Vegas, NV 89119 | 2019-07-18 |
| Find all providers in zip 89119 | ||||
| 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.