Active NPI
Elrah F Gfeller, PA-C
- Medical Physician Assistant
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA910
- Practice address
- 9260 W Sunset Rd Ste 200
Las Vegas, NV 89148-4903 - Phone
- (702) 968-3240
- Fax
- (702) 862-8227
- NPI assigned
- Dec 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA910 | NV | Primary |
Addresses
Primary practice location
9260 W Sunset Rd Ste 200
Las Vegas, NV 89148-4903
Mailing address
6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133
Phone (702) 216-3346
Other practice location 1
2285 E Flamingo Rd
#105
Las Vegas, NV 89119-5100
Phone (702) 862-8226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003090614 | Medicaid | NV |
Other names 1
- Elrah O'Garro
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Holdings Nevada Inc | Current | Accepting new patients | |
| DMC Medical Clinic LTD | Past | Accepting new patients |
Locations
595 W Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 566-5500
6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881
4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554
1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Intermountain Health
- Internal Medicine Physician
- Henderson, NV
- NPI 1245997279
-
dba Intermountain Health Home Care
- Home Health Agency
- Las Vegas, NV
- NPI 1689882557
-
- Primary Care Nurse Practitioner
- Las Vegas, NV
- NPI 1699374256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1003090614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6355 S BUFFALO DR FL 3",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891132133",
"telephone_number": "702-216-3346",
"fax_number": "702-671-6883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9260 W SUNSET RD STE 200",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891484903",
"telephone_number": "702-968-3240",
"fax_number": "702-862-8227"
}
],
"practiceLocations": [
{
"address_1": "2285 E Flamingo Rd",
"address_2": "#105",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891195100",
"country_code": "US",
"telephone_number": "702-862-8226",
"fax_number": "702-862-8227",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GFELLER",
"first_name": "ELRAH",
"middle_name": "F",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-19",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NV",
"license": "PA910",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003090614",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELRAH",
"last_name": "O'GARRO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.