Organization Active NPI

Annette F Mayes MD a Professional Corporation

  • Obstetrics & Gynecology Physician
  • Las Vegas, NV
National Provider Identifier
1063783280
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
7200 Issued in NV
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Authorized official

Name
Annette F. Mayes, M.D.NPI 1144271933
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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
002019271MedicaidNV

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.