JACK ANSTANDIG MD PROFESSIONAL CORPORATION (NPI# 1992038152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992038152 |
| Entity Type | Organization |
| Organization Name | JACK ANSTANDIG MD PROFESSIONAL CORPORATION |
| Other Organization Name | BODYLOGICMD OF LAS VEGAS |
| Practice Address |
8475 S Eastern Ave Suite 202 Las Vegas NV 89123-2862 |
| Practice Telephone | 8669725182 |
| Practice Fax Number | 8669725183 |
| Mailing Telephone | 8669725182 |
| Mailing Fax Number | 8669725183 |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2009-09-04 |
| Authorized Official Name | JACK ANSTANDIG (DIRECTOR) |
| Authorized Official Telephone | 8669725182 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 13232 | NV | Other Service Providers |
| Other Name | Type Code |
|---|---|
| BodyLogicMD of Las vegas | Doing Business As Name - Organization |
| Street Address |
8475 S EASTERN AVE SUITE 202 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89123-2862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710984497 | Terri A Dymeck | Nurse Practitioner | 8475 S Eastern Ave, Suite 204, Las Vegas, NV 89123-2862 | 2005-07-07 |
| 1114415171 | Jeffrey Darin Prince | Chiropractor | 8475 S Eastern Ave, Las Vegas, NV 89123-2862 | 2018-04-25 |
| 1568754075 | Family Doctors Ramanathan, Pllc | Non-Pharmacy Dispensing Site | 8475 S Eastern Ave, Ste 204, Las Vegas, NV 89123-2862 | 2011-05-03 |
| 1255457396 | Jane Mary Salem | Chiropractor | 8475 S Eastern Ave, Suite 101, Las Vegas, NV 89123-2862 | 2007-03-21 |
| 1225154305 | Lewis M Etcoff | Psychologist | 8475 S Eastern Ave, Suite 205, Las Vegas, NV 89123-2862 | 2007-03-21 |
| 1972629053 | Stephen A Alexander | Chiropractor | 8475 S Eastern Ave, Suite 101, Las Vegas, NV 89123-2862 | 2007-03-21 |
| 1871667436 | Sheryl Lynn Hiller | Nurse Practitioner | 8475 S Eastern Ave, Suite 204, Las Vegas, NV 89123-2862 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894096 | Jpn Holdings Corp | Home Health Aide | 8275 S Eastern Ave Ste 246, Las Vegas, NV 89123 | 2020-09-03 |
| 1104463488 | Rafaat Yousif Rafael | Technician | 8365 Montgomery St, Las Vegas, NV 89123 | 2019-12-05 |
| 1386287357 | Nadhc At Eastern, Inc | Respite Care | 8695 Eastern Ave., Las Vegas, NV 89123 | 2019-10-23 |
| 1619523677 | Nadhc At Eastern, Inc | Clinic/Center | 8695 S. Eastern Ave., Las Vegas, NV 89123 | 2019-08-15 |
| 1437714995 | Vladimir Jose Pedraza | Technician | 8330 Collado St, Las Vegas, NV 89123 | 2019-05-09 |
| 1174026017 | Jenni Das | Behavior Technician | 62 E Serene Ave Unit 129, Las Vegas, NV 89123 | 2018-03-16 |
| 1134621717 | Catherine Domingo Leanu | Technician | 9490 Bermuda Road, Apt 1121, Las Vegas, NV 89123 | 2018-02-28 |
| 1801397583 | Titus Aldea | Technician | 8419 Yamhill St, Las Vegas, NV 89123 | 2018-02-27 |
| 1699291997 | Angel's Touch Home Care LLC | In Home Supportive Care | 8382 Marcasel Dr, Las Vegas, NV 89123 | 2017-08-17 |
| 1427578152 | Adrianna Jones | Rehabilitation Practitioner | 1901 S. Jones Blvd., Las Vegas, NV 89123 | 2017-06-23 |
| Find all providers in zip 89123 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710503305 | Michelle Mong Chan | Specialist | 5250 S Rainbow Blvd Unit 1138, Las Vegas, NV 89118-0630 | 2020-06-19 |
| 1821627878 | Anita Sidhu | Specialist | 9916 Pipestone St, Las Vegas, NV 89141-8667 | 2020-04-02 |
| 1316571144 | Jessica Lynn Bosch | Specialist | 2452 Desert Glen Dr, Las Vegas, NV 89134-8871 | 2020-03-02 |
| 1255963229 | Samantha Muro | Specialist | 4400 S Jones Blvd Unit 1017, Las Vegas, NV 89103-3336 | 2020-02-07 |
| 1417431024 | Misnelli Diaz-osorio | Specialist | 4714 E Flamingo Rd, Las Vegas, NV 89121-4709 | 2018-09-19 |
| 1265920011 | Mike Henley | Specialist | 8220 W Charleston Blvd, Las Vegas, NV 89117-1219 | 2018-04-27 |
| 1811485691 | George Alan Wheeler | Specialist | 2750 S Durango Dr Apt 2058, Las Vegas, NV 89117-2645 | 2018-04-26 |
| 1477082261 | Stephanie Staub | Specialist | 929 Boulder Mesa Dr Unit 102, Las Vegas, NV 89128-4151 | 2017-06-06 |
| 1124562327 | Medical Massage Rehab, LLC | Specialist | 945 Falconhead Ln Unit 202, Las Vegas, NV 89128-0332 | 2016-12-07 |
| 1396296323 | Kori Jeffries | Specialist | 8625 Dollhouse Dr, Las Vegas, NV 89145-4839 | 2016-10-14 |
| Find all providers in LAS VEGAS | ||||
Please comment or provide details below to improve the information on JACK ANSTANDIG MD PROFESSIONAL CORPORATION.
| 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.