DR. PAVAN R LUCKOOR (NPI# 1902282692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902282692 |
| Entity Type | Individual |
| Full Name | DR. PAVAN R LUCKOOR |
| Credential | MD |
| Practice Address |
3041 E Flamingo Rd Ste A Las Vegas NV 89121-7447 |
| Mailing Address |
12900 Park Plaza Dr Ste 150 Cerritos CA 90703-9329 |
| Practice Telephone | 5626772414 |
| Practice Fax Number | 5626774479 |
| Mailing Telephone | 6256772414 |
| Mailing Fax Number | 5627414479 |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2020-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 19651 | NV | Allopathic & Osteopathic Physicians |
| Street Address |
3041 E FLAMINGO RD STE A |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89121-7447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518361658 | Thomas Theroux | Nurse Practitioner | 3041 E Flamingo Rd Ste A, Las Vegas, NV 89121-7447 | 2014-10-17 |
| 1083247613 | Kayla Mcmillen | Family Medicine | 3041 E Flamingo Rd Ste A, Las Vegas, NV 89121-7447 | 2020-02-21 |
| 1154885150 | Nicole Renee Phillips | Nurse Practitioner | 3041 E Flamingo Rd Ste A, Las Vegas, NV 89121-7447 | 2019-01-24 |
| 1922501139 | Jennifer Renee Landberg | Nurse Practitioner | 3041 E Flamingo Rd Ste A, Las Vegas, NV 89121-7447 | 2018-03-14 |
| 1417492661 | Adam Herrmann | Nurse Practitioner | 3041 E Flamingo Rd Ste A, Las Vegas, NV 89121-7447 | 2016-12-27 |
| 1245602275 | Caremore Health Plan | Nurse Practitioner | 3041 E Flamingo Rd Ste A, Las Vegas, NV 89121-7447 | 2015-10-29 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 1225658982 | Ejo Mannaparambil John Md Pllc | Internal Medicine | 3217 Grayson Lake Ct, Las Vegas, NV 89129-6614 | 2020-04-23 |
| 1780203869 | Curry Pllc | Internal Medicine | 8535 Edna Ave, Las Vegas, NV 89117-4413 | 2020-04-09 |
| 1073142980 | Fajar Corp LLC | Internal Medicine | 2991 Raywood Ash Dr, Las Vegas, NV 89138-6143 | 2020-04-02 |
| 1912534348 | Garrison Medical Consultants Pllc | Internal Medicine | 6852 Sumatra St, Las Vegas, NV 89166-7001 | 2020-03-25 |
| 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.