MR. ROBERT ANTHONY GAIMARO PAC NPI 1114950805

NPI Information

NPI: 1114950805
Provider Name: MR. ROBERT ANTHONY GAIMARO, PAC
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
4270 S DECATUR BLVD STE A-1A
LAS VEGAS, NV
ZIP 89103
Phone: (702) 798-7770
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MR. Robert Anthony Gaimaro, PAC is a medical physician assistant in Las Vegas, NV. MR. Robert Anthony Gaimaro, PAC NPI is 1114950805. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4270 S DECATUR BLVD STE A-1A
LAS VEGAS, NV
ZIP 89103-800
Phone: (702) 798-7770
Fax: (702) 895-7776

The NPI 1114950805 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 4/24/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA978	NEVADA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1114950805	MEDICAID	NEVADA
2	V54591	OTHER	NEVADA	MEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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