Active NPI
Annette F Mayes MD a Professional Corporation
- Obstetrics & Gynecology Physician
- Las Vegas, NV
National Provider Identifier
1063783280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 7200
- Legal business name
- ANNETTE F MAYES MD A PROFESSIONAL CORPORATION
- Practice address
- 700 Shadow Lane
Suite #165
Las Vegas, NV 89106 - Phone
- (702) 522-9640
- Fax
- (702) 522-9641
- NPI assigned
- Jan 19, 2012
- Last updated
- Feb 27, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Annette F. Mayes, M.D.
- Title
- Physician, Owner
- Phone
- (702) 522-9640
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 7200 | NV | Primary |
Addresses
Primary practice location
700 Shadow Lane
Suite #165
Las Vegas, NV 89106
Mailing address
700 Shadow Lane
Suite #165
Las Vegas, NV 89106
Phone (702) 522-9640
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002019271 | Medicaid | NV |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Obstetrics & Gynecology Physician
- Las Vegas, NV
- NPI 1144271933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488153600000",
"number": "1063783280",
"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",
"fax_number": "702-522-9641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"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",
"fax_number": "702-522-9641"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANNETTE F MAYES MD A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-19",
"last_updated": "2017-02-27",
"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": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "NV",
"license": "7200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002019271",
"state": "NV"
}
],
"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 Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.