Organization Active NPI

Caesars Palace Medical Clinic

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1053485409
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1867 Issued in MI
Legal business name
CAESARS PALACE MEDICAL CLINIC
Practice address
3570 Las Vegas Blvd S
Las Vegas, NV 89109-8924
Phone
(702) 731-7372
Fax
(702) 735-2272
NPI assigned
Nov 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joseph L Fink, M.D.
Title
Owner
Phone
(702) 731-7372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 1867 MI Primary

Addresses

Primary practice location

3570 Las Vegas Blvd S
Las Vegas, NV 89109-8924

Mailing address

3570 Las Vegas Blvd S
Las Vegas, NV 89109-8924
Phone (702) 731-7372

National Provider Directory

National Provider Directory

Locations

3570 Las Vegas Blvd S
Las Vegas, NV 89109
Phone (702) 731-7372

NPI Registry JSON

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

{
    "created_epoch": "1163894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053485409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 LAS VEGAS BLVD S",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891098924",
            "telephone_number": "702-731-7372",
            "fax_number": "702-735-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 LAS VEGAS BLVD S",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891098924",
            "telephone_number": "702-731-7372",
            "fax_number": "702-735-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAESARS PALACE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FINK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-731-7372",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "1867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 22, 2020; 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.