Organization Active NPI

Seth K Adjovu, MD PC

  • Pediatrics Physician
  • N Las Vegas, NV
National Provider Identifier
1124029715
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
10335 Issued in NV
Legal business name
SETH K ADJOVU, MD PC
Doing business as
Providence Medical Associates
Practice address
1815 E Lake Mead Blvd
Suite 204
N Las Vegas, NV 89030-7187
Phone
(702) 798-1233
Fax
(702) 531-1233
NPI assigned
Aug 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Seth K. Adjovu, M. D.
Title
President/Owner
Phone
(702) 798-1233

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 10335 NV
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 10335 NV Primary

Addresses

Primary practice location

1815 E Lake Mead Blvd
Suite 204
N Las Vegas, NV 89030-7187

Mailing address

1815 E Lake Mead Blvd
Suite 204
N Las Vegas, NV 89030-7187
Phone (702) 798-1233

Other names 1

  • Providence Medical Associates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1124029715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 E LAKE MEAD BLVD",
            "address_2": "SUITE 204",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890307187",
            "telephone_number": "702-798-1233",
            "fax_number": "702-531-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 E LAKE MEAD BLVD",
            "address_2": "SUITE 204",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890307187",
            "telephone_number": "702-798-1233",
            "fax_number": "702-531-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETH K ADJOVU, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ADJOVU",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "702-798-1233",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "10335",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "10335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in N Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.