NPIMap

Organization Active NPI

University of Nevada School of Medicine Multi-Spec GRP Pract So

Doing business as MedSchool Associates South

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1013316165
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
UNIVERSITY OF NEVADA SCHOOL OF MEDICINE MULTI-SPEC GRP PRACT SO
Doing business as
MedSchool Associates South
Practice address
2231 W Charleston Blvd
1St Floor
Las Vegas, NV 89102-2254
Phone
(702) 676-3650
Fax
(702) 676-3635
NPI assigned
Aug 14, 2014
Last updated
Aug 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Authorized official

Name
Mrs. Joanne Hansen
Title
Credentialing Specialist
Phone
(702) 671-2395

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary
Surgery Physician 208600000X NU

Addresses

Primary practice location

2231 W Charleston Blvd
1St Floor
Las Vegas, NV 89102-2254

Mailing address

1701 W Charleston Blvd
Suite 110
Las Vegas, NV 89102-2325
Phone (702) 671-2211

Other identifiers 1

IdentifierTypeStateIssuer
100500484MedicaidNV

Other names 1

  • MedSchool Associates South Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Unsom Multispecialty Group Practice South Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1701 W Charleston Blvd
Ste 110
Las Vegas, NV 89102
Phone (702) 671-2395

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1013316165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W CHARLESTON BLVD",
            "address_2": "SUITE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022325",
            "telephone_number": "702-671-2211",
            "fax_number": "702-380-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 W CHARLESTON BLVD",
            "address_2": "1ST FLOOR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022254",
            "telephone_number": "702-676-3650",
            "fax_number": "702-676-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF NEVADA SCHOOL OF MEDICINE MULTI-SPEC GRP PRACT SO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "702-671-2395",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100500484",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedSchool Associates South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.