NPIMap

Organization Active NPI

Georges Tannoury MD Professional Corporation

Doing business as Specialty Medical Center

  • Internal Medicine Physician
  • Pahrump, NV
National Provider Identifier
1013929843
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GEORGES TANNOURY MD PROFESSIONAL CORPORATION
Doing business as
Specialty Medical Center
Practice address
1280 E Calvada Blvd
Pahrump, NV 89048-5693
Phone
(775) 751-3377
Fax
(775) 751-2323
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2009

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

Authorized official

Name
Georges Y Tannoury, MD
Title
Owner
Phone
(775) 751-3377

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X

Addresses

Primary practice location

1280 E Calvada Blvd
Pahrump, NV 89048-5693

Mailing address

8550 W Desert Inn Rd
Ste 102-105
Las Vegas, NV 89117-4401
Phone (775) 751-3377

Other identifiers 1

IdentifierTypeStateIssuer
100506247MedicaidNV

Other names 1

  • SPECIALTY MEDICAL CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

8550 W Desert Inn Rd
Ste 102105
Las Vegas, NV 89117

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1013929843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 W DESERT INN RD",
            "address_2": "STE 102-105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891174401",
            "telephone_number": "775-751-3377",
            "fax_number": "775-751-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 E CALVADA BLVD",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890485693",
            "telephone_number": "775-751-3377",
            "fax_number": "775-751-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGES TANNOURY MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "TANNOURY",
        "authorized_official_first_name": "GEORGES",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-751-3377",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506247",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPECIALTY MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pahrump, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; 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.