Individual
THOMAS C ISAACSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10105 BANBURRY CROSS DR STE 250, LAS VEGAS, NV 89144-6648
(702) 360-7600
(702) 363-3814
Mailing address
PO BOX 98978, LAS VEGAS, NV 89193-8978
(702) 216-3346
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
32847
WI
207RC0000X
Cardiovascular Disease Physician
4664
SD
207RI0011X
Interventional Cardiology Physician
19546
NV
207RI0011X
Interventional Cardiology Physician
32847
WI
207RI0011X
Interventional Cardiology Physician
4664
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006848
SD BCBS
SD
05
—
0529776
—
IA
01
—
103715
UCARE
—
05
—
143763100
—
MN
01
—
25-00471
SELECTCARE
—
01
—
25118
IA BCBS
IA
01
—
35614
HEALTH PARTNERS
—
01
—
51B19IS
MN BCBS
MN
01
—
538R81IS
MN BLUE SHIELD
MN
05
—
60057719
—
SD
01
—
931451029037
PREFERRED ONE
—
Enumeration date
05/04/2006
Last updated
09/07/2021
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