Annette F Mayes MD a Professional Corporation

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

7200 Issued in NV

Legal business name

ANNETTE F MAYES MD A PROFESSIONAL CORPORATION

Practice address

700 Shadow LN
Suite 165
Las Vegas, NV 89106-4126

Phone

(702) 522-9640

NPI assigned

May 22, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Annette F Mayes, MDNPI 1144271933

Title

Physician, Owner

Phone

(702) 522-9640

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Annette F Mayes, MD

  • Obstetrics & Gynecology Physician
  • Las Vegas, NV
  • NPI 1144271933
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1003295189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SHADOW LANE",
            "address_2": "SUITE 165",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89106",
            "telephone_number": "702-522-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SHADOW LN",
            "address_2": "SUITE 165",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064126",
            "telephone_number": "702-522-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNETTE F MAYES MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "MAYES",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PHYSICIAN, OWNER",
        "authorized_official_telephone_number": "702-522-9640",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NV",
            "license": "7200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "V35155",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019271",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Marie Mallory Aprn, PLLC
• Ann Nichols and Associates
• Anna Marie Grace Ramos Kastner Pmhnp PLLC
• Jamal Annayeva
• Linda Lee Annerino
• Annette F Mayes MD a Professional Corporation
• Annette Zaro DC PC
• John Vartan Anooshian, MD
• Anoush H. Tacvorian DO LLC
• Harmony Ansari

• All providers in Las Vegas, NV
• Preferred Provider Organization in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.