Organization Active NPI

Faylona, Gollard, Kaushal, Nyamuswa & Park LTD.

  • Specialist
  • Henderson, NV
National Provider Identifier
1477564631
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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

Updated by the provider on Jan 14, 2013

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
100509567MedicaidNV
CE1126OtherNVRAILROAD MEDICARE

Other names 1

  • Cancer & Blood Specialists of Nevada Doing business as

National Provider Directory

National Provider Directory

Member 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.

Verify at the official NPI Registry.