Aaron a Adaoag MD LTD
Organization Active NPI Family Medicine Physician · Las Vegas, NV
NPI 1295904027 · NPPES record last updated Dec 9, 2014
Key facts
- NPI
- 1295904027
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 11256 (NV)
- Legal business name
- AARON A ADAOAG MD LTD
- Practice address
- 9816 Gilespie St
Suite 550
Las Vegas, NV 89183-7602 - Phone
- (702) 202-6336
- Fax
- (702) 202-6318
- NPI assigned
- Feb 26, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Aaron A Adaoag, MD
- Title
- President
- Phone
- (702) 202-6336
Practitioners 2
-
Aaron A Adaoag, MD
-
Aric Pedro Adaoag, FNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080311000040 | NV | Part B Supplier - Clinic/Group Practice | 0042395485 |
Receives reassigned benefits from 2 practitioners Practice locations: Las Vegas, NV |
National Provider Directory
Locations
9816 Gilespie St
Ste 550
Las Vegas, NV 89183
Phone (702) 202-6336
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 11256 | NV | Yes |
Addresses
Primary practice location
9816 Gilespie St
Suite 550
Las Vegas, NV 89183-7602
Mailing address
9816 Gilespie St
Suite 550
Las Vegas, NV 89183-7602
Phone (702) 202-6336
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100508146 | Medicaid | NV |
Other names
- ALOHA MEDICAL CENTER
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All providers in Las Vegas, NV · Family Medicine Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.