| Kozmary Center For Pain Management | |
|
2851 El Camino Ave Ste 101 Las Vegas NV 89102 | |
| (702) 380-3210 | |
| (702) 380-3212 |
| Full Name | Kozmary Center For Pain Management |
|---|---|
| Speciality | Clinic/Center |
| Location | 2851 El Camino Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Steven V Kozmary (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7023803210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kozmary Center For Pain Management 2851 El Camino Ave Ste 101 Las Vegas NV 89102-4266 Ph: (702) 380-3210 | Kozmary Center For Pain Management 2851 El Camino Ave Ste 101 Las Vegas NV 89102 Ph: (702) 380-3210 |
| NPI Number | 1063579803 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 05/18/2018 |
| Medicare PECOS PAC ID | 5294802831 |
|---|---|
| Medicare Enrollment ID | O20080923000499 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063579803 | NPI | - | NPPES |
| 002002438 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QP3300X | Clinic/center - Pain | (* (Not Available)) | Secondary |
| Provider Name | Steven Kozmary |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1659337459 PECOS PAC ID: 8325039290 Enrollment ID: I20040519001460 |
| Provider Name | Luciana T Arntson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851316525 PECOS PAC ID: 9830102433 Enrollment ID: I20140902000114 |
| Provider Name | Javier M Torres |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1013091461 PECOS PAC ID: 1153363080 Enrollment ID: I20170417001891 |
| Provider Name | Theresa Lee Peacock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083736755 PECOS PAC ID: 0547484545 Enrollment ID: I20180813000928 |
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