Eldora Medical Associates LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

6821 Issued in NV

Legal business name

ELDORA MEDICAL ASSOCIATES LLC

Practice address

6039 Eldora Ave Ste E
Las Vegas, NV 89146-5611

Phone

(702) 228-4900

Fax

(702) 228-1177

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Robert M Peprah, MDNPI 1699794529

Title

President Owner

Phone

(702) 228-4900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert M Peprah, MD

  • Psychiatry Physician
  • Las Vegas, NV
  • NPI 1699794529
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1194804039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6039 ELDORA AVE STE E",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465611",
            "telephone_number": "702-228-4900",
            "fax_number": "702-228-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6039 ELDORA AVE STE E",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465611",
            "telephone_number": "702-228-4900",
            "fax_number": "702-228-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDORA MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "PEPRAH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "702-228-4900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "6821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Elder, APRN
• Shaudeya Elder
• Eldercare Healthcare Services LLC
• Eldercare Services LV LLC
• Eldercare Services LV, LLC
• Jenni Gael Eldridge
• Joseph C Eldridge, APRN, FNP
• Marie Esther Eldridge
• Ana Mirabilia Ele
• Eleanor Health Professional TX, PLLC

• Psychiatry Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychiatry Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.

Verify at the official NPI Registry.