Organization Active NPI

Faylona, Gollard, Kaushal, Nyamuswa & Park LTD

  • Specialist
  • Las Vegas, NV
National Provider Identifier
1134568074
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
FAYLONA, GOLLARD, KAUSHAL, NYAMUSWA & PARK LTD
Practice address
3150 N Tenaya Way
Ste 200
Las Vegas, NV 89128-0443
Phone
(702) 822-2000
Fax
(702) 938-2237
NPI assigned
Jun 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Russell Gollard, MD
Title
Physician/Partner
Phone
(702) 822-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

3150 N Tenaya Way
Ste 200
Las Vegas, NV 89128-0443

Mailing address

2460 W Horizon Ridge Pkwy
Henderson, NV 89052-2648
Phone (702) 822-2000

Other identifiers 1

IdentifierTypeStateIssuer
100509567MedicaidNV

Other names 1

  • Cancer & Blood Specialists of Nevada Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1134568074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 W HORIZON RIDGE PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522648",
            "telephone_number": "702-822-2000",
            "fax_number": "702-938-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N TENAYA WAY",
            "address_2": "STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280443",
            "telephone_number": "702-822-2000",
            "fax_number": "702-938-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYLONA, GOLLARD, KAUSHAL, NYAMUSWA & PARK LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-24",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "GOLLARD",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "PHYSICIAN/PARTNER",
        "authorized_official_telephone_number": "702-822-2000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100509567",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cancer & Blood Specialists of Nevada",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.