Innovative Care Physicians

LBN: Goldsmith Healthcare, Ltd
Innovative Care Physicians is an health care organization with primary practice located at 5375 S Fort Apache Rd , Las Vegas NV 89148-7623. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Goldsmith Healthcare, Ltd can be contacted via phone (702) 367-0808, or through Goldsmith, Ivan Lee via phone (702) 367-0808.

Contact Information

Primary practice address
5375 S Fort Apache Rd Las Vegas NV 89148-7623
Phone: (702) 367-0808
Fax: (702) 367-1339
Website:
Map and Directions
Authorized official contact:
Name: Goldsmith, Ivan Lee Doctor of Medicine (MD)
Phone: (702) 367-0808

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 6116 Nevada
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 6116 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1149 Nevada

Profile Details

NPI number 1881651826
LBN Legal business name Goldsmith Healthcare, Ltd
DBA Doing business as Innovative Care Physicians
Authorized official Goldsmith, Ivan Lee Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2006
Last updated Aug 6th, 2014 - about 10 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 1881651826 NPPES
Nevada Other 6116 NV MEDICAL LICENSE
Nevada MEDICAID 2019160 NV MEDICAL LICENSE

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