JERRY D ROUTH (NPI# 1942256334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942256334 |
| Entity Type | Individual |
| Full Name | JERRY D ROUTH |
| Credential | MD |
| Practice Address |
3131 La Canada St Suite 200 Las Vegas NV 89169-2578 |
| Mailing Address |
Po Box 98978 Las Vegas NV 89193-8978 |
| Practice Telephone | 7029339400 |
| Practice Fax Number | 7029339444 |
| Mailing Telephone | 7022163346 |
| Mailing Fax Number | 7026716883 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2013-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
3993 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1942256334 | 05 |
| Street Address |
3131 LA CANADA ST SUITE 200 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89169-2578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245216605 | Jayram Krishnan | Urology | 3131 La Canada St, Suite 217, Las Vegas, NV 89169-2578 | 2005-12-19 |
| 1609292416 | Keisha Stevenson | Nurse Practitioner | 3131 La Canada St, 241, Las Vegas, NV 89169-2578 | 2014-03-17 |
| 1316212806 | Jaclyn Grace Rykal | Audiologist | 3131 La Canada St, Las Vegas, NV 89169-2578 | 2012-03-15 |
| 1114222551 | Amy Martine Pfeiffer | Nurse Practitioner | 3131 La Canada St, Suite 200, Las Vegas, NV 89169-2578 | 2011-01-16 |
| 1851625958 | Urvi H Patel | Pharmacist | 3131 La Canada St, Las Vegas, NV 89109 | 2009-09-23 |
| 1730321100 | Jacob L Snow | Pediatrics | 3131 La Canada St, Suite 244, Las Vegas, NV 89169-2578 | 2009-04-01 |
| 1275772006 | Carolyn Laurice Jefferson Cornelius | Obstetrics & Gynecology | 3131 La Canada St, Suite 241, Las Vegas, NV 89169-2578 | 2009-02-18 |
| 1922245281 | Tiffany Wan | Dietitian, Registered | 3131 La Canada St, Las Vegas, NV 89169-2578 | 2009-01-08 |
| 1861644072 | Erica Jill Filby | Pharmacist | 3131 La Canada St, Las Vegas, NV 89169-2578 | 2008-10-21 |
| 1366690141 | Tamara Majic | Psychiatry & Neurology | 3131 La Canada St, Suite 101, Las Vegas, NV 89169-2578 | 2008-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038196 | Tammy E Smith | Home Health | 1500 Karen Ave, 65, Las Vegas, NV 89169 | 2020-09-16 |
| 1457978561 | Damon Lavell Cohran | Counselor | 459 Sierra Vista Dr, 32, Las Vegas, NV 89169 | 2020-07-06 |
| 1912543307 | Josephine R Hernandez | Rehabilitation Practitioner | Firstmed Health and Wellness Center Inc., 3343 S. Eastern Avenue, Las Vegas, NV 89169 | 2019-11-21 |
| 1528602174 | Cindy Pena Jaramillo | Technician | 3376 S. Eaatern Ave, Las Vegas, NV 89169 | 2019-11-06 |
| 1497309967 | Richard Snarr Worthen | Technician | 3175 South Eastern Ave, Las Vegas, NV 89169 | 2019-08-01 |
| 1447718796 | Hope Industries LLC | Chore Provider | 1711 E Desert Inn Rd, Las Vegas, NV 89169 | 2019-03-06 |
| 1609345321 | Diaz Health LLC | Community/Behavioral Health | 5225 West 2nd Street, Las Vegas, NV 89169 | 2018-11-26 |
| 1902371024 | Kevin Burnett | Technician | 1100 Dunmont Apt 202, Las Vegas, NV 89169 | 2018-10-04 |
| 1659865111 | Kimberly Jackson-hampton | Counselor | 335 E Harmon Ave Apt 30, Las Vegas, NV 89169 | 2018-06-19 |
| 1093216350 | Blessed Services LLC | Community/Behavioral Health | 2525 White Street, Las Vegas, NV 89169 | 2018-02-22 |
| Find all providers in zip 89169 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548747793 | Nevada Heart and Vascular Center, (resh) LLP. | Internal Medicine | 7455 W. Washington Ave., Ste. 420, Las Vegas, NV 89128-4337 | 2018-07-20 |
| 1629434949 | City of Hope Cardiovascular Care and Therapeutics | Internal Medicine | 840 S Rancho Dr # 4-340, Las Vegas, NV 89106-3837 | 2016-01-04 |
| 1164859120 | Cavallini LLC | Internal Medicine | 7575 Norman Rockwell Ln, Ste 110, Las Vegas, NV 89143-6014 | 2013-10-03 |
| 1558705004 | Dalia Farouk Hawwass | Internal Medicine | 700 E Silverado Ranch Blvd Ste 170, Las Vegas, NV 89183-7518 | 2013-04-25 |
| 1659680635 | Silver State Cardiology, LLC | Internal Medicine | 4200 W Charleston Blvd Bldg A, Las Vegas, NV 89102-1625 | 2010-09-24 |
| 1588975544 | Jawad Ghazanfar Kiani | Internal Medicine | 3121 S Maryland Pky, Suite 512, Las Vegas, NV 89109 | 2010-06-24 |
| 1124278064 | Nevada Heart and Vascular Center Resh LLP | Internal Medicine | 1820 E Desert Inn, Suite A, Las Vegas, NV 89169-3249 | 2008-09-29 |
| 1851541791 | Nevada Heart and Vascular Center, Resh LLP | Internal Medicine | 500 E. Windmill Ln., Suite 140, Las Vegas, NV 89123-1847 | 2008-09-29 |
| 1063679249 | Mekdelawit Aschenaki | Internal Medicine | 10105 Banbury Cross Dr Ste 250, Las Vegas, NV 89144-6648 | 2008-05-16 |
| 1922287168 | Deepak Sharma, M.d., Ltd. | Internal Medicine | 4275 Burnham Ave Ste 128, Las Vegas, NV 89119-5400 | 2007-10-24 |
| 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.