Michael T Kimura (NPI# 1306231501, PAC ID# 8820344872) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1306231501 |
| PAC ID by PECOS | 8820344872 |
| Professional Enrollment ID | I20180703003272 |
| Full Name | Michael T Kimura |
| Organization Legal Name | SHADOW EMERGENCY PHYSICIANS PLLC |
| Address |
657 N Town Ctr Dr Las Vegas NV 89144-6367 |
| Phone Number | 7022337033 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 2860667375 |
| Number of Group Practice Members | 72 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 290021 | VALLEY HOSPITAL MEDICAL CENTER |
| 290057 | HENDERSON HOSPITAL |
| 290041 | SUMMERLIN HOSPITAL MEDICAL CENTER |
| 290046 | SPRING VALLEY HOSPITAL MEDICAL CENTER |
| 290054 | CENTENNIAL HILLS HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 657 N Town Ctr Dr, Las Vegas, NV 89144-6367 | 7022337033 | SHADOW EMERGENCY PHYSICIANS PLLC |
| Organization Legal Name | SHADOW EMERGENCY PHYSICIANS PLLC |
| Physicians | 91 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clayton Wu | Emergency Medicine | Shadow Emergency Physicians Pllc | 1150 Galleria Dr, Las Vegas, NV 89011 |
| Jann S Pickens | Nurse Practitioner | Shadow Emergency Physicians Pllc | 620 Shadow Ln, Las Vegas, NV 89106-4119 |
| Tammy L Green | Nurse Practitioner | Shadow Emergency Physicians Pllc | 620 Shadow Ln, Las Vegas, NV 89106-4119 |
| Timothy E Vanduzer | Emergency Medicine | Shadow Emergency Physicians Pllc | 620 Shadow Ln, Las Vegas, NV 89106-4119 |
| Christopher J Pitotti | Emergency Medicine | Shadow Emergency Physicians Pllc | 620 Shadow Ln, Las Vegas, NV 89106-4119 |
| Kelly B Morgan | Emergency Medicine | Shadow Emergency Physicians Pllc | 620 Shadow Ln, Las Vegas, NV 89106-4119 |
| Amanda Melcher | Nurse Practitioner | Shadow Emergency Physicians Pllc | 620 Shadow Ln, Las Vegas, NV 89106-4119 |
| Samuel B Wright | Emergency Medicine | Shadow Emergency Physicians Pllc | 620 Shadow Ln, Las Vegas, NV 89106-4119 |
| Nathan D Heaps | Emergency Medicine | Shadow Emergency Physicians Pllc | 620 Shadow Ln, Las Vegas, NV 89106-4119 |
| Kevin George | Emergency Medicine | Shadow Emergency Physicians Pllc | 620 Shadow Ln, Las Vegas, NV 89106-4119 |
| Street Address |
657 N TOWN CTR DR |
| City | LAS VEGAS |
| State | NV |
| Zip | 89144-6367 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald Mason Jr. | Anesthesiology | Anesthesia and Intensive Care Specialists LLP | 657 N Town Ctr Dr, Las Vegas, NV 89144-6367 |
| Zheng Kun Liu | Internal Medicine | 657 N Town Ctr Dr, Las Vegas, NV 89144-6367 | |
| Sathyaseelan Subramaniam | Emergency Medicine | Shadow Emergency Physicians Pllc | 657 N Town Ctr Dr, Las Vegas, NV 89144-6367 |
| Robert D Wilkinson | Pediatric Medicine | Shadow Emergency Physicians Pllc | 657 N Town Ctr Dr, Las Vegas, NV 89144-6367 |
| Vishal Gandotra | Gastroenterology | Vishal Gandotra Md Inc | 657 N Town Ctr Dr, Las Vegas, NV 89144-6367 |
| Joseph T Lo | Emergency Medicine | Shadow Emergency Physicians Pllc | 657 N Town Ctr Dr, Las Vegas, NV 89144-6367 |
| Santiago Rojas Paez | Anesthesiology | Anesthesia and Intensive Care Specialists LLP | 657 N Town Ctr Dr, Las Vegas, NV 89144-6367 |
| Sandra W Horning | Pediatric Medicine | Shadow Emergency Physicians Pllc | 657 N Town Ctr Dr, Las Vegas, NV 89144-6367 |
| Michelle Conners | Nurse Practitioner | Shadow Emergency Physicians Pllc | 657 N Town Ctr Dr, Las Vegas, NV 89144-6367 |
| Joshua E Pascoe | Emergency Medicine | Shadow Emergency Physicians Pllc | 657 N Town Ctr Dr, Las Vegas, NV 89144-6367 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George R Mcmickle | Ophthalmology | 653 N Town Ctr Dr, Suite 318, Las Vegas, NV 89144-0503 | |
| Andrew Hsuanyeh Hwang | Urology | 653 N Town Ctr Dr, Suite 407, Las Vegas, NV 89144-0505 | |
| Molouk F Rahnema | Endocrinology | 653 N Town Ctr Dr, Suite 504, Las Vegas, NV 89144-0514 | |
| Thomas T Chen | Internal Medicine | 653 N Town Ctr Dr, Suite 404, Las Vegas, NV 89144-0514 | |
| Sundeep Singh | Family Medicine | Bacchus Wakefield Kahan PC | 653 N Town Ctr Dr, Suite 106, Las Vegas, NV 89144-0515 |
| Jennifer A Leepard | Family Medicine | Bacchus Wakefield Kahan PC | 653 N Town Ctr Dr, Suite 106, Las Vegas, NV 89144-0515 |
| Cameron I Earl | Plastic and Reconstructive Surgery | 653 N Town Ctr Dr, Suite 108, Las Vegas, NV 89144-0515 | |
| Lawrence S Copeland | Internal Medicine | 653 N Town Ctr Dr, Suite 101, Las Vegas, NV 89144-0515 | |
| Julia Vivien D Navalta | Nurse Practitioner | Bacchus Wakefield Kahan PC | 653 N Town Ctr Dr, Suite 106, Las Vegas, NV 89144-0515 |
| Jodi S Politz | Podiatry | 653 N Town Ctr Dr, Suite 118, Las Vegas, NV 89144-0515 | |
| Find all physicians in zip 89144 | |||
| City | LAS VEGAS |
| Zip Code | 89144 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | LAS VEGAS + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Michael T Kimura.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.