Active NPI
Faylona, Gollard, Kaushal, Nyamuswa & Park LTD.
- Specialist
- Henderson, NV
National Provider Identifier
1477564631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- FAYLONA, GOLLARD, KAUSHAL, NYAMUSWA & PARK LTD.
- Practice address
- 2460 W Horizon Ridge Pkwy
Henderson, NV 89052-2736 - Phone
- (702) 822-2000
- Fax
- (702) 938-2238
- NPI assigned
- Aug 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Russell Gollard, M.D.
- Title
- Partner
- Phone
- (702) 822-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
2460 W Horizon Ridge Pkwy
Henderson, NV 89052-2736
Mailing address
2460 W Horizon Ridge Pkwy
Henderson, NV 89052-2736
Phone (702) 822-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100509567 | Medicaid | NV | |
| CE1126 | Other | NV | RAILROAD MEDICARE |
Other names 1
- Cancer & Blood Specialists of Nevada
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the 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": "1358121600000",
"number": "1477564631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2460 W HORIZON RIDGE PKWY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890522736",
"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": "2460 W HORIZON RIDGE PKWY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890522736",
"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": "2013-01-14",
"status": "A",
"authorized_official_last_name": "GOLLARD",
"authorized_official_first_name": "RUSSELL",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "702-822-2000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100509567",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CE1126",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cancer & Blood Specialists of Nevada",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.