SHADOW EMERGENCY PHYSICIANS PLLC
NPI 1043030919
Emergency Medicine in Las Vegas, NV

Active since October 15, 2024
10290 W FLAMINGO RD, LAS VEGAS, NV 89135(954) 939-5000 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2026, Sep 10, 2025 (2 updates tracked since 2025).

About Shadow Emergency Physicians Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHADOW EMERGENCY PHYSICIANS PLLC (NPI 1043030919) is a healthcare organization registered as an emergency medicine in Las Vegas, Nevada and active in the NPI registry since October 2024. The organization lists Edwin Homansky, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1043030919
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameSHADOW EMERGENCY PHYSICIANS PLLC
Location Address10290 W FLAMINGO RDLas Vegas, NV 89135-2652
Mailing AddressPo Box 848252Los Angeles, CA 90084-8252 · (954) 939-5000 · Fax (877) 250-6889
Organization SubpartNo
Authorized OfficialEdwin HomanskyAuthorized Official · (469) 401-2386
Enumeration DateOctober 15, 2024
Last NPPES UpdateApril 14, 20262 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
NPI 1043030919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
10290 W FLAMINGO RD, Las Vegas, NV 89135

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shadow Emergency Physicians PLLC's NPI number?

The NPI number for Shadow Emergency Physicians PLLC is 1043030919. It was assigned to this organization in the NPPES registry on October 15, 2024.

Where is Shadow Emergency Physicians PLLC located?

Shadow Emergency Physicians PLLC is located at 10290 W Flamingo Rd, Las Vegas, NV 89135. The listed phone number is (954) 939-5000.

What is Shadow Emergency Physicians PLLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Shadow Emergency Physicians PLLC was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.