MR. BRENT DAMON MICHAELS (NPI# 1871749648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871749648 |
| Entity Type | Individual |
| Full Name | MR. BRENT DAMON MICHAELS |
| Credential | D.O. |
| Practice Address |
4488 S Pecos Rd Las Vegas NV 89121-5030 |
| Mailing Address |
9097 W Post Rd Ste 100 Las Vegas NV 89148-2417 |
| Practice Telephone | 7024361001 |
| Practice Fax Number | 7024363858 |
| Mailing Telephone | 7024305333 |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2018-03-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | SL0590 | NV | Other Service Providers |
| Y | 207N00000X | Dermatology | DO1715 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | RR MEDICARE | P01115811 | 01 |
| Street Address |
4488 S PECOS RD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89121-5030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487687539 | Las Vegas Skin and Cancer Clinics Ltd | Dermatology | 4488 S Pecos Rd, Las Vegas, NV 89121-5030 | 2006-07-09 |
| 1881179778 | Juliette Hoang | Nurse Practitioner | 4488 S Pecos Rd, Las Vegas, NV 89121-5030 | 2018-09-26 |
| 1750707634 | Nghia Trung Tran | Physician Assistant | 4488 S Pecos Rd, Las Vegas, NV 89121-5030 | 2014-03-14 |
| 1780904300 | Clifton Samuel Hall | Dermatology | 4488 S Pecos Rd, Las Vegas, NV 89121-5030 | 2010-06-04 |
| 1962642082 | Amity Elise Herrera | Physician Assistant | 4488 S Pecos Rd, Las Vegas, NV 89121-5030 | 2009-03-02 |
| 1811186646 | Mai T. Vuong | Physician Assistant | 4488 S Pecos Rd, Las Vegas, NV 89121-5030 | 2007-10-17 |
| 1356443196 | Michael Grant Bryan | Dermatology | 4488 S Pecos Rd, Las Vegas, NV 89121-5030 | 2006-09-02 |
| 1891897658 | Douglas A. Thomas, Md | Dermatology | 4488 S Pecos Rd, Las Vegas, NV 89121-5030 | 2006-09-02 |
| 1134147853 | Lucius Blanchard | Dermatology | 4488 S Pecos Rd, Las Vegas, NV 89121-5030 | 2006-07-18 |
| 1578581179 | Sigfrid Muller | Dermatology | 4488 S Pecos Rd, Las Vegas, NV 89121-5030 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379117 | Western State Behavioral Health and Psychiatric Services | Psychologist | 3910 Pecos-mcleod Interconnect, Las Vegas, NV 89121 | 2020-09-01 |
| 1962025155 | Arieste Diaz Perez | Clinic/Center | 3777 Pecos-mcleod Interconnect, Suite 101, Las Vegas, NV 89121 | 2020-05-21 |
| 1366071904 | Vanesa Silva | Behavior Technician | 4714 Flamigo Rd, Las Vegas, NV 89121 | 2020-04-06 |
| 1053955732 | Valente Solis Santiago | Technician | 2785 E. Desert Inn Rd Ste. 240, Las Vegas, NV 89121 | 2019-11-05 |
| 1750938981 | Ken Ernst | Rehabilitation Practitioner | Primary Solutions Medical Billing, 4525 S. Sandhill Rd Ste #112, Las Vegas, NV 89121 | 2019-08-22 |
| 1902450455 | Tracey Anora Henry | Counselor | 3675 Pecos Mecleod Ste 900, Las Vegas, NV 89121 | 2019-08-01 |
| 1679127096 | Wilma Guadalupe Nunez | Chore Provider | 2860 East Flamingo, Suite C, Las Vegas, NV 89121 | 2019-07-25 |
| 1487213807 | Karla Susana Ayala | Chore Provider | 2860 E. Flamingo Rd Ste K., Las Vegas, NV 89121 | 2019-06-10 |
| 1447819164 | Jovita Garcia-perez | Chore Provider | 2860 E. Flamingo Suite C, Suite C, Las Vegas, NV 89121 | 2019-06-06 |
| 1164081972 | Maria Isabel Castellanos Gonzalez | Chore Provider | 2860 E. Flamingo Rd Ste K, Las Vegas, NV 89121 | 2019-06-06 |
| Find all providers in zip 89121 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538708573 | Skin Docs | Dermatology | 410 S Rancho Dr, Las Vegas, NV 89106-4802 | 2019-12-21 |
| 1609358886 | Jdr Dermatology Research, LLC. | Dermatology | 9080 W Post Rd Ste 100, Las Vegas, NV 89148 | 2018-09-04 |
| 1003310368 | Lenore S Kakita Md LLC | Dermatology | 9360 W Flamingo Rd Ste 110-325, Las Vegas, NV 89147-6410 | 2018-03-21 |
| 1619492378 | Fife Dermatology, PC 1 | Dermatology | 10080 West Alta Drive, Suite 120, Las Vegas, NV 89145-8651 | 2017-08-03 |
| 1194268987 | J H Daulat Do PC | Dermatology | 1875 S Nellis Blvd, Las Vegas, NV 89104-6215 | 2016-11-28 |
| 1396192761 | Craig Parson | Dermatology | 6850 N Durango Dr Ste 100, Las Vegas, NV 89149-4596 | 2016-05-16 |
| 1942565205 | Centennial Dermatology and Skin Cancer Inc | Dermatology | 5500 Painted Mirage Road, Suite 100, Las Vegas, NV 89149 | 2012-07-11 |
| 1760786552 | Edelstein Medical Group, Pllc | Dermatology | 8205 West Warm Springs Road, Las Vegas, NV 89113 | 2011-01-07 |
| 1043533383 | Healthcare Partners Medical Group Coats Ltd. | Dermatology | 700 E Warm Springs Rd Ste 230, Las Vegas, NV 89119-4324 | 2010-03-01 |
| 1457590150 | Taheri Chang Md PC | Dermatology | 5731 S Fort Apache Rd Ste C, Las Vegas, NV 89148-5620 | 2009-02-19 |
| 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.