GARY M DESHAZO DO PC (NPI# 1821290115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821290115 |
| Entity Type | Organization |
| Organization Name | GARY M DESHAZO DO PC |
| Other Organization Name | HARBOR ISLAND MEDICAL CENTER AT SUMMERLIN |
| Practice Address |
8440 W Lake Mead Blvd Ste 103 Las Vegas NV 89128-7648 |
| Practice Telephone | 7028708852 |
| Practice Fax Number | 7028708914 |
| Mailing Telephone | 7028708852 |
| Mailing Fax Number | 7028708914 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2011-03-03 |
| Authorized Official Name | GARY MAX DESHAZO (OWNER) |
| Authorized Official Telephone | 7028708852 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 113458 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | DESHAZO'S PERSONAL NPI | 1568512101 | 01 |
| Other Name | Type Code |
|---|---|
| Harbor Island Medical Center at Summerlin | Doing Business As Name - Organization |
| Street Address |
8440 W LAKE MEAD BLVD STE 103 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89128-7648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831198860 | Bruce Thomas Burnett | Anesthesiology | 8440 W Lake Mead Blvd, Suite 202, Las Vegas, NV 89128-7648 | 2005-07-20 |
| 1619394251 | Harbor Island Medical Center | Family Medicine | 8440 W Lake Mead Blvd, 103, Las Vegas, NV 89128-7603 | 2014-03-20 |
| 1871917666 | Davis Group, Ltd. | Dermatology | 8440 W Lake Mead Blvd, 104, Las Vegas, NV 89128-7648 | 2014-02-13 |
| 1932540085 | Kimberly Jill Taylor | Marriage & Family Therapist | 8440 W Lake Mead Blvd, 206, Las Vegas, NV 89128-7648 | 2013-07-17 |
| 1669706040 | Davis Group, Ltd. | Clinical Medical Laboratory | 8440 W Lake Mead Blvd, 104, Las Vegas, NV 89128-7648 | 2009-10-01 |
| 1356572788 | Paula Squitieri | Counselor | 8440 W Lake Mead Blvd, Suite 206, Las Vegas, NV 89128-7648 | 2009-08-03 |
| 1700077146 | Francine L Greenstein | Marriage & Family Therapist | 8440 W Lake Mead Blvd, Suite 206, Las Vegas, NV 89128-7648 | 2007-08-08 |
| 1558560334 | Central Parc Ltd | Chiropractor | 8440 W Lake Mead Blvd, #101, Las Vegas, NV 89128 | 2007-07-12 |
| 1588872105 | Charles Cooley | Psychologist | 8440 W Lake Mead Blvd, Suite 206, Las Vegas, NV 89128-7648 | 2007-05-18 |
| 1659490928 | Matthew D. Mcgee | Dentist | 8440 W Lake Mead Blvd, Ste. 207, Las Vegas, NV 89128-7648 | 2007-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374256 | Dmc Medical Clinic Ltd | Family Medicine | 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 | 2020-10-23 |
| 1619589462 | Eldercare Services Lv, LLC | Technician | 8430 W. Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-08-21 |
| 1508477308 | Amneris Lizet Duran-brocato | Technician | 1150 North Buffalo Dr. Apt 2120, Las Vegas, NV 89128 | 2020-08-14 |
| 1366082612 | Ar Home Health Management LLC | Home Health | 7465 W Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-01-14 |
| 1114563731 | Leslie A Pasternack | Acupuncturist | Integrated Acupuncture of Southern Nevada, 7250 Peak Dr #106, Las Vegas, NV 89128 | 2019-11-19 |
| 1154977940 | Devora Susana Leon-lopez | Chore Provider | 7320 Smoke Ranch Rd. Ste. H, Las Vegas, NV 89128 | 2019-08-16 |
| 1659924884 | Blanca Estela Garnica-mendez | Chore Provider | 7320 Smoke Ranch Rd. Suite H, Suite H, Las Vegas, NV 89128 | 2019-07-17 |
| 1467913160 | Sherwin Necunazar Azad | Student in an Organized Health Care Education/Training Program | Mountainview Hospital Gme, 3100 N. Tenaya Way, Las Vegas, NV 89128 | 2019-03-26 |
| 1962963801 | Michael Richard Korczynski | Student in an Organized Health Care Education/Training Program | 3100 North Tenaya Way, Las Vegas, NV 89128 | 2019-03-25 |
| 1013477041 | Yuanlong Zhao | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way Graduate Medical Education, Las Vegas, NV 89128 | 2019-03-25 |
| Find all providers in zip 89128 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374256 | Dmc Medical Clinic Ltd | Family Medicine | 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 | 2020-10-23 |
| 1558968420 | Neuro Health LLC | Family Medicine | 7455 W Washington Ave Ste 140, Las Vegas, NV 89128-4349 | 2020-10-05 |
| 1154934131 | Body & Mind Uplifment LLC | Family Medicine | 2215 Renaissance Dr Ste A, Las Vegas, NV 89119-6723 | 2020-08-28 |
| 1639788599 | Telelab | Family Medicine | 7881 W Charleston Blvd Ste 230, Las Vegas, NV 89117-8327 | 2020-07-27 |
| 1629687926 | Maria Habbi Md | Family Medicine | 501 S Rancho Dr Ste F40, Las Vegas, NV 89106-4834 | 2020-07-23 |
| 1225646805 | Shelley Elizabeth Ameduri | Family Medicine | 3943 Deluge Dr, Las Vegas, NV 89129-6481 | 2020-07-20 |
| 1659995090 | Universal Medical Alliance Inc. | Family Medicine | 6268 Spring Mountain Rd Ste 115b, Las Vegas, NV 89146-8873 | 2020-06-02 |
| 1255954640 | Partners In Primary Care Nv PC | Family Medicine | 4919 W Craig Rd, Las Vegas, NV 89130-2730 | 2020-05-20 |
| 1669095048 | Partners In Primary Care Nv PC | Family Medicine | 4813 S Eastern Ave, Las Vegas, NV 89119-6188 | 2020-05-20 |
| 1184247579 | Partners In Primary Care Nv PC | Family Medicine | 3129 N Rainbow Blvd, Las Vegas, NV 89108-4578 | 2020-05-20 |
| 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.