DR. KENT L WELLISH (NPI# 1952358426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952358426 |
| Entity Type | Individual |
| Full Name | DR. KENT L WELLISH |
| Credential | M.D. |
| Practice Address |
2110 E Flamingo Rd #210 Las Vegas NV 89119-5190 |
| Practice Telephone | 7027332020 |
| Practice Fax Number | 7027942797 |
| Mailing Telephone | 7027332020 |
| Mailing Fax Number | 7027942797 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2008-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 21433 | AZ | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | G74385 | CA | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | 7032 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | RAILROAD MEDICARE | 180023250 | 01 |
| NV | 002019599 | 05 |
| Street Address |
2110 E FLAMINGO RD #210 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89119-5190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154311058 | Jay Kenneth Mattheis | Ophthalmology | 2110 E Flamingo Rd, Suite 210, Las Vegas, NV 89119-5190 | 2005-10-24 |
| 1144846973 | La Shay Lynn Ratcliff | Technician | 2110 E Flamingo Rd, Las Vegas, NV 89119-5190 | 2020-06-17 |
| 1831712017 | Tumico La'jai Smith-jackson | Technician | 2110 E Flamingo Rd, Las Vegas, NV 89119-5190 | 2020-05-22 |
| 1952924391 | Khalid M King | Home Health Aide | 2110 E Flamingo Rd, Las Vegas, NV 89119-5190 | 2020-05-20 |
| 1245851245 | Dale Lee Kurtz | Technician | 2110 E Flamingo Rd, Las Vegas, NV 89119-5190 | 2020-04-30 |
| 1922636869 | Marcus D Douglas | Technician | 2110 E Flamingo Rd, Las Vegas, NV 89119-5190 | 2020-03-27 |
| 1356977953 | Jacqueline Kimble | Technician | 2110 E Flamingo Rd, Las Vegas, NV 89119-5190 | 2020-03-16 |
| 1548892482 | Latisha Renee Hill | Behavior Technician | 2110 E Flamingo Rd, Las Vegas, NV 89119-5190 | 2020-02-09 |
| 1255999629 | Lasean Brown | Technician | 2110 E Flamingo Rd, Las Vegas, NV 89119-5190 | 2019-05-31 |
| 1356808547 | Lowana Perkins | Chore Provider | 2110 E Flamingo Rd, Las Vegas, NV 89119-5190 | 2019-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089298 | Jennifer Chavon Cruse | Technician | [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 | 2020-09-28 |
| 1063024214 | Rosa Isela Martinez Gonzalez | Technician | 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 | 2020-08-19 |
| 1720697980 | Christian Scott | Social Worker | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
| 1245867159 | Starfruit Holdings, LLC | Skilled Nursing Facility | 4375 S Eastern Ave, Paradise, NV 89119 | 2020-03-23 |
| 1215562376 | Phyllis Eberechukwu Hunt | Adult Companion | 5160 Tamarus St Appt 17, Las Vegas, NV 89119 | 2020-03-10 |
| 1841832581 | Legna Carrillo | Adult Companion | 4325 South Bruce St Appt 63, Las Vegas, NV 89119 | 2019-10-15 |
| 1104468339 | Alma Leticia Salazar | Home Health Aide | Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 | 2019-10-09 |
| 1083260046 | Araceli Rosas Vargas | Technician | 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 | 2019-08-15 |
| 1376197707 | Bristure Clayton | Technician | Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 | 2019-07-24 |
| 1457904534 | Carmen Laura Gonzalez Valenzuela | Chore Provider | 6725-1 S. Eastern Ave, Las Vegas, NV 89119 | 2019-07-18 |
| Find all providers in zip 89119 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265084073 | Trinoveon Corporation | Ophthalmology | 2700 Las Vegas Blvd S Unit 4105, Las Vegas, NV 89109-1174 | 2019-07-11 |
| 1558825687 | Eyecare Associates | Ophthalmology | 2010 Festival Plaza Dr Ste 195, Las Vegas, NV 89135-1455 | 2019-01-23 |
| 1164800827 | Tigran Kostanyan | Ophthalmology | 2110 E Flamingo Rd Ste 210, Las Vegas, NV 89119-5193 | 2015-05-14 |
| 1003251950 | Matthew Swanic M.d., Pllc | Ophthalmology | 9555 S Eastern Ave Ste 250, Las Vegas, NV 89123-8008 | 2013-05-06 |
| 1487914099 | Mazeyar Saboori | Ophthalmology | 5556 S Fort Apache Rd, Las Vegas, NV 89148-7696 | 2012-05-17 |
| 1417214313 | Wonchon Lin | Ophthalmology | 5380 S Rainbow Blvd Ste 108, Las Vegas, NV 89118-1878 | 2012-04-16 |
| 1679839690 | Janice E Eggert Md Ltd | Ophthalmology | 1771 E Flamingo Rd Ste 214a, Las Vegas, NV 89119-0850 | 2012-04-03 |
| 1497023105 | Leslie M Sims Md Pllc | Ophthalmology | 9360 W Flamingo Rd Ste 110, Las Vegas, NV 89147-6446 | 2011-12-08 |
| 1528299377 | Nelson Nerveza Lopez | Ophthalmology | 3100 W Charleston Blvd Ste 204, Las Vegas, NV 89102-1996 | 2009-07-28 |
| 1578791372 | Tyson S.j. Ward | Ophthalmology | 6980 Smoke Ranch Rd Ste 110, Las Vegas, NV 89128-8606 | 2009-06-30 |
| 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.