NPIMap

Organization Active NPI

Faylona Gollard Kaushal Nyamuswa & Park LTD

  • Specialist
  • Bullhead City, AZ
National Provider Identifier
1487665667
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
FAYLONA GOLLARD KAUSHAL NYAMUSWA & PARK LTD
Practice address
2020 Silver Creek Rd
BLDG a #103
Bullhead City, AZ 86442
Phone
(928) 758-0135
Fax
(928) 758-0175
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2020 Silver Creek Rd
BLDG a #103
Bullhead City, AZ 86442

Mailing address

2460 W Horizon Ridge Pkwy
Henderson, NV 89052-2736
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": "1425340800000",
    "number": "1487665667",
    "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": "702-938-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 SILVER CREEK RD",
            "address_2": "BLDG A #103",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "86442",
            "telephone_number": "928-758-0135",
            "fax_number": "928-758-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYLONA GOLLARD KAUSHAL NYAMUSWA & PARK LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2015-03-03",
        "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_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cancer & Blood Specialists of Nevada",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.