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Contact Information

GOLDSMITH HEALTHCARE, LTD
5375 S FORT APACHE RD
LAS VEGAS, NV89148-7623
 Phone: 702-367-0808
 Fax: 702-367-1339
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for GOLDSMITH HEALTHCARE, LTD

NPI Number 1881651826
LBN Legal business name GOLDSMITH HEALTHCARE, LTD
Authorized official IVAN GOLDSMITH - (OWNER/DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/26/2006
Last updated 08/06/2014 - About 12 years ago
Identifiers
NV License # 6116
NV License # PA1149
NV Medicaid 2019160
NV Other 6116 NV MEDICAL LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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