ZANE MEDICAL GROUP LLC (NPI# 1801495932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801495932 |
| Entity Type | Organization |
| Organization Name | ZANE MEDICAL GROUP LLC |
| Practice Address |
3376 S Eastern Ave Ste 148 Las Vegas NV 89169-3367 |
| Practice Telephone | 7022720025 |
| Practice Fax Number | 7029208226 |
| Mailing Telephone | 7022720025 |
| Mailing Fax Number | 7029208226 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |
| Authorized Official Name | SUSSAN SIH FUNG (AGENT) |
| Authorized Official Telephone | 7022720025 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 250000654 | 05 |
| Other Name | Type Code |
|---|---|
| Zane Behavioral Services | Doing Business As Name - Organization |
| zane medical group llc | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235609140 | Zane Medical Group LLC | In Home Supportive Care | 6039 Hidden Summit St, North Las Vegas, NV 89031-6841 | 2018-12-04 |
| Street Address |
3376 S EASTERN AVE STE 148 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89169-3367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073928578 | Stephanie Robinson | Case Manager/Care Coordinator | 3376 S Eastern Ave Ste 148, Las Vegas, NV 89169-3367 | 2014-06-24 |
| 1457962714 | Michelle Marie Morales | Counselor | 3376 S Eastern Ave Ste 148, Las Vegas, NV 89169-3367 | 2020-08-11 |
| 1447868294 | Anum Iqbal | Health Educator | 3376 S Eastern Ave Ste 148, Las Vegas, NV 89169-3367 | 2020-07-17 |
| 1457833980 | Natalie Douglas | Counselor | 3376 S Eastern Ave Ste 148, Las Vegas, NV 89169-3367 | 2018-08-31 |
| 1275917981 | Jill Naveau | Counselor | 3376 S Eastern Ave Ste 148, Las Vegas, NV 89169-3367 | 2015-07-13 |
| 1124412622 | Alicia Belcher | Counselor | 3376 S Eastern Ave Ste 148, Las Vegas, NV 89169-3367 | 2015-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038196 | Tammy E Smith | Home Health | 1500 Karen Ave, 65, Las Vegas, NV 89169 | 2020-09-16 |
| 1457978561 | Damon Lavell Cohran | Counselor | 459 Sierra Vista Dr, 32, Las Vegas, NV 89169 | 2020-07-06 |
| 1912543307 | Josephine R Hernandez | Rehabilitation Practitioner | Firstmed Health and Wellness Center Inc., 3343 S. Eastern Avenue, Las Vegas, NV 89169 | 2019-11-21 |
| 1528602174 | Cindy Pena Jaramillo | Technician | 3376 S. Eaatern Ave, Las Vegas, NV 89169 | 2019-11-06 |
| 1497309967 | Richard Snarr Worthen | Technician | 3175 South Eastern Ave, Las Vegas, NV 89169 | 2019-08-01 |
| 1447718796 | Hope Industries LLC | Chore Provider | 1711 E Desert Inn Rd, Las Vegas, NV 89169 | 2019-03-06 |
| 1609345321 | Diaz Health LLC | Community/Behavioral Health | 5225 West 2nd Street, Las Vegas, NV 89169 | 2018-11-26 |
| 1902371024 | Kevin Burnett | Technician | 1100 Dunmont Apt 202, Las Vegas, NV 89169 | 2018-10-04 |
| 1659865111 | Kimberly Jackson-hampton | Counselor | 335 E Harmon Ave Apt 30, Las Vegas, NV 89169 | 2018-06-19 |
| 1093216350 | Blessed Services LLC | Community/Behavioral Health | 2525 White Street, Las Vegas, NV 89169 | 2018-02-22 |
| Find all providers in zip 89169 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1073175618 | Clark County Behavioral Health Services LLC | Clinic/Center | 2915 W Charleston Blvd Ste 2, Las Vegas, NV 89102-1903 | 2019-07-03 |
| 1518476068 | Guardian Convenient Clinic | Clinic/Center | 11850 Tevare Ln, Las Vegas, NV 89138-6501 | 2017-09-28 |
| 1467976969 | Activate Healthcare - Local 357 (red) | Clinic/Center | 51 N Pecos Rd Ste 110, Las Vegas, NV 89101-4819 | 2017-07-27 |
| 1942749767 | Cbh Wellness Clinic Inc | Clinic/Center | 3210 W Charleston Blvd, Suite 2, Las Vegas, NV 89102-2030 | 2017-02-13 |
| 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.