Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shadow Emergency Physicians PLLC

Organization Emergency Medicine Physician · NPI 1043030919

Shadow Emergency Physicians PLLC is an Emergency Medicine Physician in Las Vegas, Nevada. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10290 W Flamingo Rd
Las Vegas, NV 89135-2652
Phone: (954) 939-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1043030919
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edwin Homansky — Authorized Official · (469) 401-2386
NPI enumeratedOctober 15, 2024
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026
Mailing addressPo Box 848252, Los Angeles, CA 90084-8252

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