Organization Active NPI

Cardiovascular Consultants of Nevada

  • Cardiovascular Disease Physician
  • Henderson, NV
National Provider Identifier
1225196447
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOVASCULAR CONSULTANTS OF NEVADA
Practice address
2865 Siena Heights Dr
Suite 331-a
Henderson, NV 89052-4167
Phone
(702) 731-8224
Fax
(702) 990-8738
NPI assigned
Dec 4, 2006
Last updated
Mar 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Authorized official

Name
Luann M Fillion, 7026919110
Title
Credentialing Specialist
Phone
(702) 691-9110

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X NU

Addresses

Primary practice location

2865 Siena Heights Dr
Suite 331-a
Henderson, NV 89052-4167

Mailing address

2865 Siena Heights Dr
Suite 331-a
Henderson, NV 89052-4167
Phone (702) 731-8224

Other identifiers 1

IdentifierTypeStateIssuer
100508591MedicaidNV

National Provider Directory

National Provider Directory

Locations

2755 Silver Creek Rd
Bldg D133
Bullhead City, AZ 86442
Phone (928) 704-6000

2300 Corporate Cir
Ste 100
Henderson, NV 89074
Phone (702) 487-5576

2865 Siena Heights Dr
Ste 331A
Henderson, NV 89052
Phone (702) 407-0110

2010 Goldring Ave
Ste 100
Las Vegas, NV 89106
Phone (702) 366-1655

3131 La Canada St
Ste 200
Las Vegas, NV 89169
Phone (702) 369-5582

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1225196447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 SIENA HEIGHTS DR",
            "address_2": "SUITE 331-A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524167",
            "telephone_number": "702-731-8224",
            "fax_number": "702-990-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 SIENA HEIGHTS DR",
            "address_2": "SUITE 331-A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524167",
            "telephone_number": "702-731-8224",
            "fax_number": "702-990-8738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR CONSULTANTS OF NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "FILLION",
        "authorized_official_first_name": "LUANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "702-691-9110",
        "authorized_official_credential": "7026919110"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100508591",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.