INDEPENDENT MEDICAL GROUP, LLC (NPI# 1942843859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942843859 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT MEDICAL GROUP, LLC |
| Practice Address |
1320 E Calvada Blvd Pahrump NV 89048-5692 |
| Mailing Address |
Po Box 1309 Pahrump NV 89041-1309 |
| Practice Telephone | 7757516111 |
| Practice Fax Number | 7757513056 |
| Mailing Telephone | 7757516111 |
| Mailing Fax Number | 7757513056 |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-12-13 |
| Authorized Official Name | DR. MICHAEL D. REINER (MANAGER) |
| Authorized Official Telephone | 7757516111 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 2012042 | 05 |
| Street Address |
1320 E CALVADA BLVD |
| City | PAHRUMP |
| State | NV |
| Zip Code | 89048-5692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285698381 | Michael David Reiner | Neuromusculoskeletal Medicine & OMM | 1320 E Calvada Blvd, Pahrump, NV 89048 | 2006-04-14 |
| 1720638422 | Paula Denise Wabsis | Nurse Practitioner | 1320 E Calvada Blvd, Pahrump, NV 89048-5692 | 2019-09-13 |
| 1285106724 | Markeeta Dawn Araujo | Nurse Practitioner | 1320 E Calvada Blvd, Pahrump, NV 89048-5692 | 2018-12-21 |
| 1235638800 | Pahrump Physical Medicine LLC | Family Medicine | 1320 E Calvada Blvd, Pahrump, NV 89048-5692 | 2018-02-08 |
| 1619427291 | Michael D. Reiner Md | Family Medicine | 1320 E Calvada Blvd, Pahrump, NV 89048-5692 | 2016-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550577 | Adela Madueno | Technician | 1321 S. Highway 160 Ste. 10b, Pahrump, NV 89048 | 2020-08-27 |
| 1295363232 | Desert River PCa | Home Health Aide | 1890, S Mount Charleston Rd W, Pahrump, NV 89048 | 2020-03-27 |
| 1720628530 | Jeannie Gutierrez | Registered Nurse | 240 S Humahuaca, Pahrump, NV 89048 | 2020-01-09 |
| 1689214686 | Jennifer Leigh Dion | Rehabilitation Counselor | 240 S. Humahuaca Rural Clinics Parhrump, Pahrump, NV 89048 | 2020-01-08 |
| 1679119069 | Pahrump Internal Medicine | Internal Medicine | 3370 S State Highway 160, Ste 10, Pahrump, NV 89048 | 2019-11-21 |
| 1417599184 | Silver State Health Services | Clinic/Center | 951 E Honeysuckle St, Pahrump, NV 89048 | 2019-10-14 |
| 1447892369 | Leanna Claney | Home Health Aide | 1321 S. Highway 160, Suite 10b, Pahrump, NV 89048 | 2019-10-11 |
| 1154972776 | Transforming Lives Completely LLC | Counselor | 3340 S Highway St, Suite 201, Pahrump, NV 89048 | 2019-09-25 |
| 1669022992 | Stepheni J. Nelson | Technician | 1321 South Highway 160 Suite 10b, Pahrump, NV 89048 | 2019-09-18 |
| 1437709045 | Ohana Home Care, LLC | In Home Supportive Care | 1321 South Highway 160, Ste. 10b, Pahrump, NV 89048 | 2019-09-16 |
| Find all providers in zip 89048 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| 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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235638800 | Pahrump Physical Medicine LLC | Family Medicine | 1320 E Calvada Blvd, Pahrump, NV 89048-5692 | 2018-02-08 |
| 1215228838 | Hope Medical LLC | Family Medicine | 1260 Blackhorn St, Pahrump, NV 89048-8112 | 2011-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033537402 | Lubna Javed Md Pllc | Family Medicine | 10170 W Tropicana Ave # 156-336, Las Vegas, NV 89147-8465 | 2014-04-02 |
| 1477868586 | Ca Medical Associates, LLC | Family Medicine | 5650 Riggins Ct, Suite 201, Reno, NV 89502-6699 | 2010-08-12 |
| 1942472303 | C M Peterson LLC | Family Medicine | 1328 Fox Acres Dr, Las Vegas, NV 89134-0511 | 2008-03-26 |
| 1467514729 | Iyad Houshan, M.d. Professional Corporation | Family Medicine | 1820 E Warm Springs Rd., Suite 145, Las Vegas, NV 89119 | 2006-12-14 |
| 1235170820 | Alvin B Lin | Family Medicine | 5564 S Fort Apache Rd Ste 120, Las Vegas, NV 89148-3601 | 2006-06-08 |
| 1063482180 | Roopa Dani | Family Medicine | 9280 W Sunset Rd Ste 200, Las Vegas, NV 89148-4861 | 2006-01-23 |
| 1598762353 | Peter A Tran Iv | Family Medicine | 1776 W Horizon Ridge Pkwy, Suite 120, Henderson, NV 89012-5018 | 2005-07-07 |
| 1396309407 | Homebase Care Faylona Pllc | Family Medicine | 850 Mill St Ste 100, Reno, NV 89502-1463 | 2019-04-24 |
| 1518422583 | Homebase Healthcare LLC | Family Medicine | 3312 W Charleston Blvd, Las Vegas, NV 89102-1829 | 2019-02-04 |
| 1093299547 | Sharon P Brown | Family Medicine | 5250 Neil Rd Ste 207, Reno, NV 89502-6556 | 2018-09-20 |
| Find all providers with the same taxonomy | ||||
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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.