INTERMOUNTAIN MEDICAL HOLDING NEVADA, INC. – NPI #1164541512
Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
INTERMOUNTAIN MEDICAL HOLDING NEVADA, INC. is a provider located in LAS VEGAS, NV. NPPES has assigned the NPI number 1164541512 to INTERMOUNTAIN MEDICAL HOLDING NEVADA, INC. on March 28, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology
The NPI profile was last updated on Jan 14, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INTERMOUNTAIN MEDICAL HOLDING NEVADA, INC. below.
NPI Profile for
INTERMOUNTAIN MEDICAL HOLDING NEVADA, INC.
(more than 19 years ago)
All associated names:
Tenaya Clinic- Hematology Oncology
LAS VEGAS, NV 89128 Phone: (702) 735-7154 Fax: (702) 869-8103
LAS VEGAS, NV 89113-2133 Phone: (702) 216-3346 Fax:
REGION PRESIDENT
Phone: (702) 216-3346
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for INTERMOUNTAIN MEDICAL HOLDING NEVADA, INC.
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | NV | 1164541512 | |
| medicaid | NV | 1043533383 | |
| medicaid | NV | 1245997279 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207RH0003X - Internal Medicine / Hematology & Oncology (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.