Danka K Michaels M D Prof Corp

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DANKA K MICHAELS M D PROF CORP

Practice address

3320 N Buffalo Dr
Ste. 106
Las Vegas, NV 89129-7443

Phone

(702) 869-6190

Fax

(702) 869-6199

NPI assigned

Jan 12, 2007

Organization subpart

No

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

Authorized official

Name

Christie Wanamaker

Title

Billing, Credentialing

Phone

(702) 869-6190

Specialties & licenses 1

Addresses

Other names 1

• BluePoint Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 5

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

• Roberto Cortez Carillo Jr., APN

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1790916575
  Medicare reassignment Care Compare group NPD
• Danka K Michaels, MD

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1730151044
  Medicare reassignment Care Compare group NPD
• Brenda Michelle Simmons, NP

  • Nurse Practitioner
  • Las Vegas, NV
  • NPI 1285814954
  Medicare reassignment Care Compare group NPD
• Teresa T Charniga, MD

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1609805373
  Medicare reassignment NPD
• Ira H Copeland, MD

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1487627915
  Medicare reassignment NPD

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424390400000",
    "number": "1679623276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 N BUFFALO DR",
            "address_2": "STE. 106",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297443",
            "telephone_number": "702-869-6190",
            "fax_number": "702-869-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 N BUFFALO DR",
            "address_2": "STE. 106",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297443",
            "telephone_number": "702-869-6190",
            "fax_number": "702-869-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANKA K MICHAELS M D PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2015-02-20",
        "status": "A",
        "authorized_official_last_name": "WANAMAKER",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_title_or_position": "BILLING, CREDENTIALING",
        "authorized_official_telephone_number": "702-869-6190"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BluePoint Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Danielyan
• Inna Danielyants
• Irina Danielyants
• Danilo Jatavata MD
• Danilo M Duenas M D LTD
• Abigail Dana Danlag
• Bradford Alan Danley, AGACNP-BC
• Elisia Danley
• Ikaikaolahui Danner
• Julie Danner

• Internal Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, 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 Feb 20, 2015; 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.