MEDICARE: TOURO UNIVERSITY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	10815	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831498526
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOURO UNIVERSITY

Provider Business Mailing Address
First Line	:	PO BOX 531730
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89053-1730
Country	:	US
Telephone Number	:	702-777-3138
Fax Number	:	702-777-2069

Provider Business Practice Location Address
First Line	:	3890 N. BUFFALO DRIVE
Second Line	:	WILLOW CREEK ASSISTED LIVING FAC,
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-8809
Country	:	US
Telephone Number	:	702-396-1700
Fax Number	:	702-777-4822

Authorized Official
Title or Position	:	VICE PRESIDENT FOR ADMINISTRATION
Name	:	CRAIG M SEIDEN
Credential	:	CPA
Telephone Number	:	702-777-4794

Provider Enumeration Date	:	03/21/2011
Last Update Date	:	03/21/2011

Similar Medicare Providers

1679454144 — ORANGEWOOD SENIOR LIVING, INC.
Practice Location Address:

3890 N BUFFALO DR
LAS VEGAS, NV
89129-8809

Practice Phone: 702-333-4346
Practice Fax:

1205975356 — SILVER TOWN INCORPORATED
Practice Location Address:

5540 SPRING MOUNTAIN RD
LAS VEGAS, NV
89146-8809

Practice Phone: 702-365-8882
Practice Fax: 702-365-0680

1760952402 — SILVER TOWN INCORPORATED
Practice Location Address:

5540 SPRING MOUNTAIN RD
LAS VEGAS, NV
89146-8809

Practice Phone: 702-365-8882
Practice Fax: 702-365-0680

1851998678 — TROY WAGER
Practice Location Address:

8809 MOUNT MIRA LOMA AVE
LAS VEGAS, NV
89178-7526

Practice Phone: 702-964-9449
Practice Fax:

1841133949 — MARIO MAYUBAY
Practice Location Address:

3301 N BUFFALO DR STE 180
LAS VEGAS, NV
89129-7449

Practice Phone: 702-932-3500
Practice Fax:

1174124333 — SHELLEE ANNE LUSUNG QUAGLIA
Practice Location Address:

7050 W CRAIG RD
LAS VEGAS, NV
89129-6563

Practice Phone: 702-233-7000
Practice Fax:

Directions to “TOURO UNIVERSITY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.