Organization Active NPI

Faylona Gollard Kaushal Nyamuswa & Park LTD

Doing business as Cancer & Blood Specialists of Nevada

  • Specialist
  • Las Vegas, NV
National Provider Identifier
1346251519
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
FAYLONA GOLLARD KAUSHAL NYAMUSWA & PARK LTD
Doing business as
Cancer & Blood Specialists of Nevada
Practice address
701 Shadow LN
#300
Las Vegas, NV 89106
Phone
(702) 822-2000
Fax
(702) 938-2238
NPI assigned
Aug 11, 2006
Last updated
Apr 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Russell Gollard, MD
Title
Owner Partner
Phone
(702) 822-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

701 Shadow LN
#300
Las Vegas, NV 89106

Mailing address

58 N Pecos Rd
Henderson, NV 89074-7319
Phone (702) 822-2000

Other names 1

  • Cancer & Blood Specialists of Nevada Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1346251519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 N PECOS RD",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747319",
            "telephone_number": "702-822-2000",
            "fax_number": "702-938-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SHADOW LN",
            "address_2": "#300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89106",
            "telephone_number": "702-822-2000",
            "fax_number": "702-938-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYLONA GOLLARD KAUSHAL NYAMUSWA & PARK LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "GOLLARD",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER PARTNER",
        "authorized_official_telephone_number": "702-822-2000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cancer & Blood Specialists of Nevada",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 1, 2008; 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.