Organization Active NPI

Maria Stella Gaerlan MD PC

  • Physical Medicine & Rehabilitation Physician
  • Las Vegas, NV
National Provider Identifier
1295798221
Registry record updated Apr 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
8282 Issued in NV
Legal business name
MARIA STELLA GAERLAN MD PC
Practice address
2810 W Charleston Blvd Ste 48
Las Vegas, NV 89102-1905
Phone
(702) 870-2213
NPI assigned
Apr 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2014

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

Authorized official

Name
Dr. Maria Stella Gaerlan, MD
Title
Owner
Phone
(702) 870-2213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 8282 NV Primary

Addresses

Primary practice location

2810 W Charleston Blvd Ste 48
Las Vegas, NV 89102-1905

Mailing address

PO Box 28077
Las Vegas, NV 89126-2077
Phone (702) 870-2213

Other identifiers 1

IdentifierTypeStateIssuer
002019873MedicaidNV

National Provider Directory

National Provider Directory

Locations

2810 W Charleston Blvd
Ste 48
Las Vegas, NV 89102
Phone (701) 870-2213

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397174400000",
    "number": "1295798221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28077",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891262077",
            "telephone_number": "702-870-2213",
            "fax_number": "702-870-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 W CHARLESTON BLVD STE 48",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021905",
            "telephone_number": "702-870-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA STELLA GAERLAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2014-04-11",
        "status": "A",
        "authorized_official_last_name": "GAERLAN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "STELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-870-2213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NV",
            "license": "8282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019873",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 11, 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.