Advanced Telemedicine Associates LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ADVANCED TELEMEDICINE ASSOCIATES LLC

Practice address

3195 Saint Rose Pkwy Ste 212
Henderson, NV 89052-3504

Phone

(702) 468-5905

NPI assigned

Dec 29, 2020

Last updated

Dec 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edward Makarewicz, MDNPI 1093057200

Title

Ceo

Phone

(575) 496-6142

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward Joseph Makarewicz Jr., M.D.

  • Internal Medicine Physician
  • Henderson, NV
  • NPI 1093057200
  Medicare reassignment Care Compare group NPD Authorized official
• Susil Sivaraman, M.D.

  • Internal Medicine Physician
  • North Las Vegas, NV
  • NPI 1437577327
  Medicare reassignment Care Compare group NPD
• Haider Alhaidari

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1639563083
  Medicare reassignment NPD
• Afshin A Khaiser, M.D.

  • Gastroenterology Physician
  • Galesburg, IL
  • NPI 1255630646

  Internal Medicine

  NPD

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1376130963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2654 W HORIZON RIDGE PKWY STE B5214",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522803",
            "telephone_number": "702-468-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 SAINT ROSE PKWY STE 212",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523504",
            "telephone_number": "702-468-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED TELEMEDICINE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-29",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "MAKAREWICZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "575-496-6142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Advanced Spine & Rehabilitation, LLC (Advanced Spine & Rehabilitation)
• Advanced Vascular Associates LLC
• Advanced Youth Counseling PLCC
• Aerocare, Inc.
• Affiliated Podiatry LLC
• Parisa Afghani

• Internal Medicine Physician in Henderson, NV
• Providers in Henderson, 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 Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.