OrganizationActive
Shadow Emergency Physicians PLLC
NPI 1649059809 · Emergency Medicine Physician · North Las Vegas, NV
Provider details
- NPI number
- 1649059809
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Edwin Homansky, Authorized Official(469) 401-2386
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6625 N 5th St
North Las Vegas, NV 89084-1341
Phone: (702) 388-4000
Street-level locationGet directions
Mailing address
Po Box 848252
Los Angeles, CA 90084-8252
Registry dates
- Enumerated
- 2023-09-27
- Last updated
- 2026-04-15
- Certified
- 2026-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.