PAIN MANAGEMENT DEPOT INC (NPI# 1841810686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841810686 |
Entity Type | Organization |
Organization Name | PAIN MANAGEMENT DEPOT INC |
Practice Address |
2465 Reynolds Ave Ste 301 N Las Vegas NV 89030-7296 |
Practice Telephone | 7029923563 |
Practice Fax Number | 7252045455 |
Mailing Telephone | 7029923563 |
Mailing Fax Number | 7252045455 |
Enumeration Date | 2020-04-22 |
Last Update Date | 2020-04-22 |
Authorized Official Name | DR. FRANKLIN AKIOYAME (OWNER) |
Authorized Official Telephone | 7029923563 |
Authorized Official Credential | DNP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | DRIVERS LICENSE | 2600379066 | 01 |
Street Address |
2465 REYNOLDS AVE STE 301 |
City | N LAS VEGAS |
State | NV |
Zip Code | 89030-7296 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043819063 | Ma Guadalupe Ramos Michel | Technician | 2415 Reynolds Ave #101, Las Vegas, NV 89030 | 2020-10-21 |
1558968214 | Arturo Juarez Magana | Technician | 2415 Reynolds Ave Suite 101, Las Vegas, NV 89030 | 2020-10-06 |
1669088407 | Olivia Lizbeth Santillan-trinidad | Technician | 2415 Reynolds Ave. Ste #101, Las Vegas, NV 89030 | 2020-09-17 |
1508471640 | Fabian Aaron Alvarado-perales | Technician | 2415 Reynolds Ave Ste. 101, Las Vegas, NV 89030 | 2020-09-15 |
1063047934 | Adriana Lopez | Technician | 2415 Reynolds Ave., Ste 100, N. Las Vegas, NV 89030 | 2020-03-11 |
1881234078 | Blanca E Rangel Silva | Technician | 2810 Equador Ct, Las Vegas, NV 89030 | 2020-01-15 |
1598314445 | Julia Gonzalez | Technician | 2415 Reynolds Ave Suiete 100, Las Vegas, NV 89030 | 2019-09-04 |
1487201901 | Mayra Gutierrez | Technician | 2415 Reynolds Av. #100, Las Vegas, NV 89030 | 2019-08-20 |
1639725799 | Idalia Ruiz | Technician | 2415 Reynolds Ave, Las Vegas, NV 89030 | 2019-08-14 |
1548815616 | Rd Prabhu-lata K Shete Mds Ltd | Clinic/Center | 1905 Civic Center Drive, Ste 201, N. Las Vegas, NV 89030 | 2019-08-06 |
Find all providers in zip 89030 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619516713 | Teammd Physicians PC | Family Medicine | 9850 Double R Blvd Fl 2, Reno, NV 89521-3103 | 2020-01-06 |
1992207104 | Sibel Infusion Centers Sonpatki Pllc | Family Medicine | 8930 W Sunset Rd Ste 100, Las Vegas, NV 89148-5009 | 2018-03-03 |
1811265887 | Paul William Knoop | Family Medicine | 1500 Greensburg Cir, Reno, NV 89509-6833 | 2011-12-06 |
1184761876 | Unsom Multispecialty Group Practice North, Inc | Family Medicine | Unr Brigham Building, 123 17th Street, Reno, NV 89557-0001 | 2007-01-31 |
1124188214 | Judy F Hilbish | Family Medicine | 1155 W 4th St Ste 107, Reno, NV 89503-5146 | 2006-12-11 |
1639280118 | Health Care Center of Southern Nevada | Family Medicine | 2842 E Lake Mead Blvd, North Las Vegas, NV 89030-6548 | 2006-08-31 |
1235242470 | Mohsen Tamasaby | Family Medicine | 1699 S Virginia St Ste 100, Reno, NV 89502 | 2006-08-15 |
1891774568 | Ram K Singh | Family Medicine | 4432 S Eastern Ave, Las Vegas, NV 89119 | 2006-01-11 |
1083247613 | Kayla Mcmillen | Family Medicine | 3041 E Flamingo Rd Ste A, Las Vegas, NV 89121-7447 | 2020-02-21 |
1457826828 | Madeleine Christine Anstett | Family Medicine | 1397 S Loop Rd, Pahrump, NV 89048-4729 | 2018-10-11 |
Find all providers with the same taxonomy |
City | N LAS VEGAS |
Zip Code | 89030 |
Please comment or provide details below to improve the information on PAIN MANAGEMENT DEPOT INC.
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.