Onlytelemed, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ONLYTELEMED, LLC

Practice address

2445 Fire Mesa St Ste 190
Las Vegas, NV 89128-9015

Phone

(813) 967-3770

Fax

(702) 920-8848

NPI assigned

May 20, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Richard Moore

Title

Cfo

Phone

(702) 970-2103

Specialties & licenses 1

Addresses

Other names 1

• Injury Center of Nevada Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1104491471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 FIRE MESA ST STE 190",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891289015",
            "telephone_number": "813-967-3770",
            "fax_number": "702-920-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 FIRE MESA ST STE 190",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891289015",
            "telephone_number": "813-967-3770",
            "fax_number": "702-920-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONLYTELEMED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "702-970-2103",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "injurycentrerlv.com",
            "affiliation": "N",
            "endpointDescription": "injurycenterlv.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2445 Fire Mesa St Ste 190",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891289015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Injury Center of Nevada",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vy Ong, NP
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• Tomoya Ono, PA-C
• Uju Clara Onowu, NP-C
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• Onsight Movement, LLC
• Onsite 3D Imgaing

• General Practice Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.