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J SHERMAN TATE MD LTD NPI 1679631220


NPI Information

NPI: 1679631220
Provider Name: J SHERMAN TATE MD LTD

Doing Business As: IMANI HEALTH CARE ASSOCIATES PA

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
501 SOUTH RANCHO DRIVE
SUITE E-32
LAS VEGAS, NV
ZIP 89106
Phone: (701) 388-4292
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J SHERMAN TATE MD LTD is a surgery in Las Vegas, NV. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. J SHERMAN TATE MD LTD NPI is 1679631220. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Imani Health Care Associates Pa.

The provider's business location address is:

501 SOUTH RANCHO DRIVE
SUITE E-32
LAS VEGAS, NV
ZIP 89106-833
Phone: (701) 388-4292
Fax: (702) 388-2922

The provider's authorized official is James Sherman Tate .
The authorized official title is Ceo and has the following contact phone number (702) 388-4292.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 10/28/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0102XSurgerySurgical Critical CareNo
22086S0127XSurgeryTrauma SurgeryNo
3208600000XSurgeryYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100501136MEDICAIDNEVADA
234413MEDICARE ID-TYPE UNSPECIFIEDNEVADA

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: 4/28/2024

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