J ROBERT WEST, M.D., INC (NPI# 1932154788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932154788 |
| Entity Type | Organization |
| Organization Name | J ROBERT WEST, M.D., INC |
| Other Organization Name | WEST DERMATOLOGY AND SURGERY MEDICAL GROUP |
| Practice Address |
2285 Corporate Cir Ste 200 Henderson NV 89074-7759 |
| Practice Telephone | 7023602763 |
| Practice Fax Number | 9497832880 |
| Mailing Telephone | 7023602763 |
| Mailing Fax Number | 9497832880 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2018-12-14 |
| Authorized Official Name | LUCIUS BLANCHARD (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 7023602763 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | J ROBERT WEST, M.D., INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
G4302 | CA | Allopathic & Osteopathic Physicians |
| N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
G4302 | CA | Allopathic & Osteopathic Physicians |
| N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
C53342 | CA | Allopathic & Osteopathic Physicians |
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
C53342 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD MEDICARE | CA7620 | 01 |
| CA | BLUE SHIELD PROVIDER NUMB | ZZZ24833Z | 01 |
| NV | RAILROAD MEDICARE | CG5410 | 01 |
| CA | BLUE SHIELD PROVIDER NUMB | ZZZ24828Z | 01 |
| CA | RAILROAD MEDICARE | CD5363 | 01 |
| Other Name | Type Code |
|---|---|
| WEST DERMATOLOGY AND SURGERY MEDICAL GROUP | Doing Business As Name - Organization |
| Street Address |
2285 CORPORATE CIR STE 200 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074-7759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349381 | Samuel Taylor Mulford | Physical Therapist | 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 | 2020-06-03 |
| 1407369127 | Brenda Thomas | Dental Hygienist | 234 Polar Morning Place, Henderson, NV 89074 | 2017-11-16 |
| 1174036479 | Gail E Evans Wade | Behavioral Analyst | 1445 Stone Lake Cove, Henderson, NV 89074 | 2017-11-08 |
| 1710400957 | Kimberley Houk | Behavioral Analyst | 20 Avenida Picasso, Henderson, NV 89074 | 2017-07-19 |
| 1760911846 | Colin Ono-moore | Physical Therapist | 3 Rising Sun Ct, Henderson, NV 89074 | 2017-06-12 |
| 1851825764 | Ralph Wieder | Dietitian, Registered | 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 | 2017-04-18 |
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1275994642 | Malyna Lavarias | Behavioral Analyst | 74 N Pecos Rd., Suite C, Henderson, NV 89074 | 2016-03-14 |
| 1144608290 | Matthew Roderick | Acupuncturist | 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 | 2015-05-08 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| Find all providers in zip 89074 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689846826 | Brittny Call Ahrendes | Dermatology | 1250 S Buffalo Dr Ste 170, Las Vegas, NV 89117-8329 | 2008-03-27 |
| 1689681850 | Thomas L Standlee | Dermatology | 125 Sawbuck Rd, Reno, NV 89519-8011 | 2006-08-01 |
| 1518923424 | Jay Stanley Adams | Dermatology | Carson Dermatology, 1100 South Carson Street, Carson City, NV 89701 | 2006-04-21 |
| 1578767836 | Dhanvantari Trehan Salts of The Earth PC | Dermatology | 653 N Town Center Dr, Suite # 400, Las Vegas, NV 89144-0514 | 2007-06-12 |
| 1073605846 | Dominick J Addonizio I | Dermatology | 653 N Town Center Dr, Las Vegas, NV 89144-0514 | 2006-09-29 |
Please comment or provide details below to improve the information on J ROBERT WEST, M.D., 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.