NPIMap

Organization Active NPI

Visiting Medical Specialists of Nevada, Inc

  • Family Medicine Physician
  • Henderson, NV
National Provider Identifier
1114262185
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14254 Issued in NV
Legal business name
VISITING MEDICAL SPECIALISTS OF NEVADA, INC
Practice address
871 Coronado Center Dr
Suite 260
Henderson, NV 89052-3977
Phone
(702) 952-2861
NPI assigned
Dec 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Authorized official

Name
Ms. Svetlana Stahl, NPCNPI 1376821058
Title
Owner
Phone
(419) 699-1907

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 14254 NV Primary

Addresses

Primary practice location

871 Coronado Center Dr
Suite 260
Henderson, NV 89052-3977

Mailing address

2718 Centennial Rd
Toledo, OH 43617-1829
Phone (419) 517-8858

Other practice location 1

10220 Grand Blvd Unit A
Luna Pier, MI 48157-9772
Phone (000) 000-0000

Other practice location 2

2718 Centennial Rd
Toledo, OH 43617-1829
Phone (419) 517-8858

National Provider Directory

National Provider Directory

Locations

871 Coronado Center Dr
Ste 260
Henderson, NV 89052
Phone (702) 952-2861

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1114262185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 CENTENNIAL RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171829",
            "telephone_number": "419-517-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 CORONADO CENTER DR",
            "address_2": "SUITE 260",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523977",
            "telephone_number": "702-952-2861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10220 Grand Blvd Unit A",
            "address_purpose": "LOCATION",
            "city": "Luna Pier",
            "state": "MI",
            "postal_code": "481579772",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2718 Centennial Rd",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436171829",
            "country_code": "US",
            "telephone_number": "419-517-8858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VISITING MEDICAL SPECIALISTS OF NEVADA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "STAHL",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-699-1907",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NPC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "14254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.