Individual provider Active NPI

Allen Robert Anes, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Henderson, NV
National Provider Identifier
1063675874
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
G46901 Issued in CA
Practice address
20 Anthem Pointe CT
Henderson, NV 89052-6605
Phone
(702) 458-6454
Fax
(702) 458-3838
NPI assigned
Jul 2, 2008
Last updated
Jul 2, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X G46901 CA Primary

Addresses

Primary practice location

20 Anthem Pointe CT
Henderson, NV 89052-6605

Mailing address

20 Anthem Pointe Court
Henderson, NV 89052-6605
Phone (702) 458-6454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160209001693 NV Order and Referring Only - PathologyPractitioner - Pathology 3779887989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G46901CAMDAnatomic Pathology & Clinical Pathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1063675874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ANTHEM POINTE COURT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890526605",
            "telephone_number": "702-458-6454",
            "fax_number": "702-458-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 ANTHEM POINTE CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890526605",
            "telephone_number": "702-458-6454",
            "fax_number": "702-458-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANES",
        "first_name": "ALLEN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "G46901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.