Provider Demographics
NPI:1114015229
Name:PASIMIO, EDMUND REX (MD)
Entity Type:Individual
Prefix:DR
First Name:EDMUND
Middle Name:REX
Last Name:PASIMIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:840 S RANCHO DR
Mailing Address - Street 2:SUITE #4-338
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-3837
Mailing Address - Country:US
Mailing Address - Phone:702-386-0909
Mailing Address - Fax:702-386-0707
Practice Address - Street 1:601 S RANCHO DR
Practice Address - Street 2:SUITE #A-6
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-4899
Practice Address - Country:US
Practice Address - Phone:702-386-0909
Practice Address - Fax:702-386-0707
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8581208100000X, 2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002018060Medicaid
NV36466Medicare ID - Type Unspecified
NV002018060Medicaid