THE PHYSICIANS MA LLC (NPI# 1760048326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760048326 |
| Entity Type | Organization |
| Organization Name | THE PHYSICIANS MA LLC |
| Other Organization Name | SOROMED |
| Practice Address |
5280 S Eastern Ave Ste A-9 Las Vegas NV 89119-2396 |
| Practice Telephone | 7085467229 |
| Practice Fax Number | 7025702694 |
| Mailing Telephone | 7025702682 |
| Mailing Fax Number | 7025702694 |
| Enumeration Date | 2019-05-18 |
| Last Update Date | 2019-06-04 |
| Authorized Official Name | MRS. TAMERIA ROACH (OWNER) |
| Authorized Official Telephone | 7025702682 |
| Authorized Official Credential | CMA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SOROMED | Doing Business As Name - Organization |
| Street Address |
5280 S EASTERN AVE STE A-9 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89119-2396 |
| 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 | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437480 | Activate Healthcare | Clinic/Center | 11011 W Charleston Blvd, Las Vegas, NV 89135-1402 | 2020-11-04 |
| 1124672464 | Blue Zone Innergy | Clinic/Center | 2780 S Jones Blvd # 3665, Las Vegas, NV 89146-5628 | 2019-07-25 |
| 1962964213 | Grow Corporation | Clinic/Center | 517 S Tonopah Dr, Las Vegas, NV 89106-4047 | 2019-04-04 |
| 1922582675 | Activate Healthcare - Local 525 A | Clinic/Center | 1607 East Windmill Lane, Suite 100, Las Vegas, NV 89123-1905 | 2018-09-19 |
| 1275027229 | Halo Chiropractic Wellness Clinic & Performance Center | Clinic/Center | 8930 W Sunset Rd Ste 350, Las Vegas, NV 89148-5042 | 2018-06-21 |
| 1659736262 | Anti-aging, Inc | Clinic/Center | 10200 Trailing Dalea Ave, Las Vegas, NV 89135-2083 | 2015-12-24 |
| 1295149508 | Dr. Yong H Jung, Ltd | Clinic/Center | 5755 S Rainbow Blvd, Suite 101, Las Vegas, NV 89118-2534 | 2014-06-13 |
| 1194077172 | Baby's First Day, LLC | Clinic/Center | 332 S Jones Blvd, Las Vegas, NV 89107-2623 | 2012-10-15 |
| 1508126962 | Athletic Healthcare Incorporated | Clinic/Center | 4840 Englewood Ave, Las Vegas, NV 89139-5776 | 2012-05-19 |
| 1275762783 | Intrgrated Support Solutions | Clinic/Center | 3027 E Sunset, Ste 201, Las Vegas, NV 89120 | 2009-07-06 |
| Find all providers in LAS VEGAS | ||||
Please comment or provide details below to improve the information on THE PHYSICIANS MA LLC.
| 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.