LYASS PC A PROFESSIONAL MEDICAL CORP (NPI# 1831742758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831742758 |
| Entity Type | Organization |
| Organization Name | LYASS PC A PROFESSIONAL MEDICAL CORP |
| Practice Address |
5950 S. Durgango Dr Suite 100 Las Vegas CA 89113 |
| Practice Telephone | 7024876000 |
| Mailing Telephone | 7024876000 |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2019-07-19 |
| Authorized Official Name | DR. SERGEY LYASS (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7024876000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| N/V MULTISPECIALTY GROUP | Doing Business As Name - Organization |
| Street Address |
5950 S. DURGANGO DR SUITE 100 |
| City | LAS VEGAS |
| State | CA |
| Zip Code | 89113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951121 | Trang Thu Tran | Pharmacist | 7200 Arroyo Crossing Parkway, Las Vegas, NV 89113 | 2020-10-30 |
| 1457966293 | Cory Alexander Stattelman | Physical Medicine & Rehabilitation | 5575 N Durango Dr Suite 111, Las Vegas, NV 89113 | 2020-09-09 |
| 1477170801 | Hailey Eileen Wilson | Behavior Technician | 5575 S Durango Dr #102, Las Vegas, NV 89113 | 2020-07-01 |
| 1295385078 | Dominica Zaragoza | Technician | 711 S. Durango Dr, Las Vegas, NV 89113 | 2019-09-13 |
| 1932679529 | Kiara Hayden | Rehabilitation Practitioner | 5509 Lonesome Biker Lane, Las Vegas, NV 89113 | 2018-11-27 |
| 1437631876 | James Eugene Hightower | Community Health Worker | 7455 Arroyo Crossing Pkwy Suite 220, Las Vegas, NV 89113 | 2018-09-01 |
| 1356822282 | Warda Ali | Nurse Practitioner | 8738 Pinley Spring St, Las Vegas, NV 89113 | 2018-08-28 |
| 1063992949 | Endure Recovery Services LLC | Counselor | 3087 E. Warm Srpings, Suite 200, Las Vegas, NV 89113 | 2018-08-20 |
| 1134635097 | Mivip Regional Surgery Center | Clinic/Center | 5950 S Durango Dr Ste 101, Las Vegas, NV 89113 | 2017-12-14 |
| 1265945638 | Tomlin Dental Group, PC | Dentist | 6970 South Cimarron Road Suite 100, Las Vegas, NV 89113 | 2017-11-08 |
| Find all providers in zip 89113 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1659846699 | Jgbb LLC | Clinic/Center | 801 S Rancho Dr Ste D1-b, Las Vegas, NV 89106-3854 | 2018-10-05 |
| 1790272524 | Las Vegas Sleep Center ( Shamiya) Pllc | Clinic/Center | 2400 S Cimarron Rd, Suite 130, Las Vegas, NV 89117 | 2018-04-17 |
| 1750886784 | Aeva Clinic LLC | Clinic/Center | 4641 Blue Diamond Rd Ste 120a, Las Vegas, NV 89139-7610 | 2018-03-30 |
| 1275034621 | Faber IIi, Ltd. | Clinic/Center | 8811 W Sahara Ave Ste 200, Las Vegas, NV 89117-4813 | 2018-02-21 |
| 1710406467 | Anoush H. Tacvorian Do LLC | Clinic/Center | 6525 W. Warm Springs Rd, Suite 100, Las Vegas, NV 89118 | 2017-09-13 |
| 1750809869 | Buffalo Chiropractic LLC | Clinic/Center | 6420 Spring Mountain Rd Ste 18, Las Vegas, NV 89146-8835 | 2017-09-08 |
| 1376084467 | Valley Medical Associates | Clinic/Center | 8655 S Eastern Ave Ste 101, Las Vegas, NV 89123-2839 | 2017-03-09 |
| 1376080093 | Breagan M Madejek D C, Pllc | Clinic/Center | 1212 Casino Center Drive, Las Vegas, NV 89104 | 2017-01-20 |
| 1396117859 | Foundation for Positively Kids | Clinic/Center | 3555 E Reno, Ste F, Las Vegas, NV 89118 | 2015-10-23 |
| 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.