GASTROINTESTINAL DIAGNOSTIC CLINIC (NPI# 1811085459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811085459 |
| Entity Type | Organization |
| Organization Name | GASTROINTESTINAL DIAGNOSTIC CLINIC |
| Practice Address |
3196 S Maryland Pkwy Suite 207 Las Vegas NV 89109-2305 |
| Practice Telephone | 7023693400 |
| Mailing Telephone | 7023693400 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-10-18 |
| Authorized Official Name | MR. JACK GERARD LONDON (SENIOR CONSULTANT) |
| Authorized Official Telephone | 7027377555 |
| Authorized Official Credential | MBA/MHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
477ASC-8 | NV | Ambulatory Health Care Facilities |
| Street Address |
3196 S MARYLAND PKWY SUITE 207 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89109-2305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497739601 | Howard I Baron | Pediatrics | 3196 S Maryland Pkwy, Suite 309, Las Vegas, NV 89109-2314 | 2005-12-01 |
| 1215382387 | Hughes & Sanders, LLC | Dentist | 3196 S Maryland Pkwy, Suite 307, Las Vegas, NV 89109-2305 | 2016-04-26 |
| 1750792990 | Healthy Kids Pediatrics LLC | Pediatrics | 3196 S Maryland Pkwy, 400, Las Vegas, NV 89109-2305 | 2014-05-09 |
| 1437429842 | Sharon Schaffer | Pediatrics | 3196 S Maryland Pkwy, Suite 309, Las Vegas, NV 89109-2305 | 2012-01-03 |
| 1386872265 | Christopher Richardson | Surgery | 3196 S Maryland Pkwy, Suite 101, Las Vegas, NV 89109-2305 | 2009-06-30 |
| 1134354350 | Teresa R Carroll | Nurse Practitioner | 3196 S Maryland Pkwy, #309, Las Vegas, NV 89109-2305 | 2009-05-18 |
| 1770607871 | Matthew S Johnson | Surgery | 3196 S Maryland Pkwy, Suite 101-a, Las Vegas, NV 89109-2305 | 2007-03-16 |
| 1104959782 | University of Nv School of Medicine Multi Specialty Group Practice So | Obstetrics & Gynecology | 3196 S Maryland Pkwy, #209, Las Vegas, NV 89109-2305 | 2007-03-13 |
| 1932294980 | Ernest M. Sussman | Urology | 3196 S Maryland Pkwy, Ste. 410, Las Vegas, NV 89109-2305 | 2006-10-04 |
| 1124138516 | William D Burrows | Nurse Practitioner | 3196 S Maryland Pkwy, Suite 217, Las Vegas, NV 89109-2305 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820816 | Vivian Latoza Villasfer | Technician | 2770 South Maryland Parkway, Suite 205b, Las Vegas, NV 89109 | 2020-04-21 |
| 1235758236 | Happy Life Home Health Services Inc | Chore Provider | 2770 S Maryland Pkwy Suite 205-b, Las Vegas, NV 89109 | 2020-04-10 |
| 1346890662 | Jaylin Armour | Technician | 2770 S Maryland Pkwy Suite 108b Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-18 |
| 1104475003 | Jasmine Thomas | Technician | 2770 S Maryland Pkwy Suite 108 B-g Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-04 |
| 1982258331 | Melanee Gregory | Technician | 2770 S Maryland Okey Suite 108b, Suite 108b, Las Vegas, NV 89109 | 2019-07-24 |
| 1851877583 | Eric Darnell Thompson Jr. | Community/Behavioral Health | 2556 Shrewood Street, Unit 21, Las Vegas, NV 89109 | 2018-07-16 |
| 1144717117 | Emerging Vision Inc | Technician/Technologist | Mirage Hotel, 3400 Las Vegas Blvd S, Mirage Hotel, Las Vegas, NV 89109 | 2018-04-16 |
| 1013404110 | Emerging Vision Inc | Technician/Technologist | Mandalay Bay Resort (lobby), 3950 Las Vegas Blvd S, Mandalay Bay Resort (lobby), Las Vegas, NV 89109 | 2018-04-16 |
| 1750881736 | Amirelys Hernandez Diaz | Technician | 2770 S. Maryland Pkwy, Ste 108b-g, Las Vegas, NV 89109 | 2018-02-16 |
| 1972036663 | Ashley Murray | Registered Nurse | 2700 S Las Vegas Blvd #1506, Las Vegas, NV 89109 | 2017-04-10 |
| Find all providers in zip 89109 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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|---|---|---|---|---|
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| 1336772375 | Smith Plastic Surgery Building | Clinic/Center | 7650 W Sahara Ave, Las Vegas, NV 89117-2750 | 2020-02-18 |
| 1457813107 | Surgeon's Surgery Center Sorelle Pllc | Clinic/Center | 6940 S Cimarron Rd Ste 100, Las Vegas, NV 89113-2135 | 2019-04-02 |
| 1619439379 | Cimarron Surgery Center Sorelle Pllc | Clinic/Center | 6940 S Cimarron Rd Ste 150, Las Vegas, NV 89113-2135 | 2019-04-02 |
| 1780140772 | Adios Estenosis LLC | Clinic/Center | 2450 Fire Mesa St Ste 100, Las Vegas, NV 89128-9001 | 2019-02-14 |
| 1760947717 | Advanced Orthopaedic Surgery Center, LLC | Clinic/Center | 7183 Advanced Way, Las Vegas, NV 89113-3624 | 2019-02-04 |
| 1821560434 | Sunset Pain Surgery Center | Clinic/Center | 9120 W Russell Rd Unit 100, Las Vegas, NV 89148-1229 | 2018-12-20 |
| 1215429030 | Medical and Dental Center of Nevada LLC | Clinic/Center | 4275 Burnham Ave Ste 101, Las Vegas, NV 89119-5400 | 2018-06-06 |
| 1083119085 | Comprehensive Digest Surgery Center LLC | Clinic/Center | 8440 W Warm Springs Rd, Las Vegas, NV 89113-3624 | 2018-03-29 |
| 1134635097 | Mivip Regional Surgery Center | Clinic/Center | 5950 S Durango Dr Ste 101, Las Vegas, NV 89113 | 2017-12-14 |
| 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.