Shadow Emergency Physicians Pllc

LBN: Shadow Emergency Physicians Pllc
Shadow Emergency Physicians Pllc is an health care organization with primary practice located at 620 Shadow Ln , Las Vegas NV 89106-4119. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty. Shadow Emergency Physicians Pllc can be contacted via phone (702) 388-4500, or through Vaughn, Karen via phone (404) 450-4684.

Contact Information

Primary practice address
620 Shadow Ln Las Vegas NV 89106-4119
Phone: (702) 388-4500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vaughn, Karen
Phone: (404) 450-4684

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X Nevada
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1184795874
LBN Legal business name Shadow Emergency Physicians Pllc
DBA Doing business as
Authorized official Vaughn, Karen
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2006
Last updated Sep 26th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184795874 NPPES
Nevada MEDICAID 201875000

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