Snow Medical Center LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9875 Issued in NV

Legal business name

SNOW MEDICAL CENTER LLC

Practice address

4275 Burnham Ave
Suite 235
Las Vegas, NV 89119-5488

Phone

(702) 384-7669

Fax

(702) 385-7669

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Evangelina U Snow, M DNPI 1366423956

Title

President

Phone

(702) 384-7669

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Evangelina U Snow, M.D.

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1366423956
  NPD (past) Authorized official
• Yamilka Castillo Gongora, APRN

  • Adult Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1053690362
  NPD

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1356402143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35048",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335048",
            "telephone_number": "702-384-7669",
            "fax_number": "702-385-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 BURNHAM AVE",
            "address_2": "SUITE 235",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195488",
            "telephone_number": "702-384-7669",
            "fax_number": "702-385-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNOW MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "EVANGELINA",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-384-7669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "9875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100513342",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tori Beth Leader Snoad, MD
• Brandon Timothy Snook, MD
• Curtis Snook
• Denver Dean Snook
• Erik Jason Snoreen
• Ashley Marie Snow, RN
• Jacob L Snow, M.D.
• Christie M Snowden
• SNV Care of NV II, LLC
• SNV Care of NV, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.