Johanna S. Fricke, M.d., Llc - Las Vegas, NV

Johanna S. Fricke, M.d., Llc

Medical Specialty Clinic/Center in Las Vegas, Nevada

NPI 1790108264

Johanna S. Fricke, M.d., Llc is a Medical Specialty Clinic/Center based in Las Vegas, NV and is specialized in Medical Specialty. Johanna S. Fricke, M.d., Llc practices in Las Vegas, NV. The NPI Number for Johanna S. Fricke, M.d., Llc is 1790108264 and holds a License No. (Nevada).

The current practice location address for Johanna S. Fricke, M.d., Llc is 311 N Buffalo Dr, Las Vegas, NV and can be reached out via phone at 702-877-2520 and via fax at 702-877-2521.

Location: 311 N Buffalo Dr, Las Vegas, NV, 89117-7134

NPI Number

1790108264

Provider Name

Johanna S. Fricke, M.d., Llc

Credential

Provider Entity Type

Organization

Address

311 N Buffalo Dr, Las Vegas, NV, 89117-7134

Phone Number

702-877-2520

Fax Number

702-877-2521

Provider Enumeration Date

02/03/2014

Last Update Date

03/13/2024

Identifier	Type	State	Issuer
32876	01	NV	MEDICARE ID-TYPE UNSPECIFIED/MEDICARE
002002223	05	NV
CS09750	01	NV	STATE PHARMACY
003102223	01	NV	MEDICARE ID-TYPE UNSPECIFIED/NV MEDICAID

Address

311 N Buffalo Dr

City

Las Vegas

State

Nevada

Zip

89145-0375

Phone Number

702-877-2520

Fax Number

702-877-2521

Address

311 N Buffalo Dr

City

Las Vegas

State

Nevada

Zip

89145-0375

Phone Number

702-877-2520

Fax Number

702-877-2521

Type

Allopathic & Osteopathic Physicians

Classification

Pediatrics

Speciality

Developmental - Behavioral Pediatrics

Taxonomy

2080P0006X

License No.

(Nevada)

Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

Type

Ambulatory Health Care Facilities

Classification

Clinic/Center

Speciality

Developmental Disabilities

Taxonomy

261QD1600X

License No.

(Nevada)

Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

Type

Ambulatory Health Care Facilities

Classification

Clinic/Center

Speciality

Adolescent and Children Mental Health

Taxonomy

261QM0855X

License No.

(Nevada)

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Type

Ambulatory Health Care Facilities

Classification

Clinic/Center

Speciality

Medical Specialty

Taxonomy

261QM2500X

License No.

(Nevada)

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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