Innovative Care Physicians

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INNOVATIVE CARE PHYSICIANS

Practice address

5506 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-7673

Phone

(702) 533-4484

NPI assigned

Jan 10, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Ivan Goldsmith, MDNPI 1073614095

Title

Owner

Phone

(702) 960-5762

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ivan Lee Goldsmith, MD

  • Internal Medicine Physician
  • Henderson, NV
  • NPI 1073614095
  NPD Authorized official

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1235843608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5375 S FORT APACHE RD STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891487624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5506 S FORT APACHE RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891487673",
            "telephone_number": "702-533-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE CARE PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A",
        "authorized_official_last_name": "GOLDSMITH",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-960-5762",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Innovation Behavioral Health Solutions, LLC
• Innovations in Home Care, LLC
• Innovations International Charter School of Nevada
• Innovative Behavioral Solutions Inc
• Innovative Behavioral Solutions Inc.
• Innovative Care Solutions
• Innovative Collaboration Support Services, LLC
• Innovative Healing LLC
• Innovative Healthcare Delivery, LLV
• Innovative Home Healthcare Solutions, LLC

• Internal Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.