Paragon Outpatient Therapy Services,LLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

PARAGON OUTPATIENT THERAPY SERVICES,LLC

Practice address

1655 W. Horizon Ridge Pkwy.
Suite 100
Henderson, NV 89012-3494

Phone

(702) 914-2790

Fax

(702) 914-5984

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Michele Victoria McKiernan, MHA

Title

Chief Administrator

Phone

(702) 914-2790

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PARAGON HEALTHCARE Doing business as

Tax ID family

Kramer Chiropractic Wellness Center PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kramer Chiropractic Wellness Center PLLC

  • Health Service Clinic/Center
  • Montgomery, MN
  • NPI 1093043929
  NPD tax ID

Locations

Practitioners 2

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

• John William Foresee, BS RRT

  • General Care Registered Respiratory Therapist
  • Pahrump, NV
  • NPI 1831390731
  NPD (past)
• Karin M Scott, RRT

  • Registered Respiratory Therapist
  • Henderson, NV
  • NPI 1205107000
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1821162710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 W. HORIZON RIDGE PKWY.",
            "address_2": "SUITE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890123494",
            "telephone_number": "702-914-2790",
            "fax_number": "702-914-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 W. HORIZON RIDGE PKWY.",
            "address_2": "SUITE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890123494",
            "telephone_number": "702-914-2790",
            "fax_number": "702-914-5984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON OUTPATIENT THERAPY SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "MCKIERNAN",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATOR",
        "authorized_official_telephone_number": "702-914-2790",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100501129",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARAGON HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Ellen Ruiz Papin, DPT
• Theodore K Pappageorge
• Michelle Pappy, M.D.
• Paradise Dreams Enterprises, LLC.
• Paragon Outpatient Therapy Services
• Kathryn Paramo
• Nora-Jo Paramo
• Natalie Victoria Parc, PHARM.D.
• Pauline Deniece Maratas Parco, MFT-I
• Nicole Pardillo

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Henderson, NV
• Providers in Henderson, NV by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; 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.