Active NPI
Frederick Eagles Pope, M.D.
- Psychiatry Physician
- Las Vegas, NV
National Provider Identifier
1093874992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- NV 3146
- Practice address
- 2980 S Rainbow Blvd
Suite 210 G
Las Vegas, NV 89146-6531 - Phone
- (702) 401-5471
- Fax
- (702) 233-8919
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | NV 3146 | NV | Primary |
Addresses
Primary practice location
2980 S Rainbow Blvd
Suite 210 G
Las Vegas, NV 89146-6531
Mailing address
2712 Baycliff CT
Unit 1
Las Vegas, NV 89117-1709
Phone (702) 401-5471
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NV 3146 | NV | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1093874992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2712 BAYCLIFF CT",
"address_2": "UNIT 1",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891171709",
"telephone_number": "702-401-5471",
"fax_number": "702-233-8919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2980 S RAINBOW BLVD",
"address_2": "SUITE 210 G",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891466531",
"telephone_number": "702-401-5471",
"fax_number": "702-233-8919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPE",
"first_name": "FREDERICK",
"middle_name": "EAGLES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NV",
"license": "NV 3146",
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.