Active NPI
Seth K Adjovu, MD PC
- Pediatrics Physician
- N Las Vegas, NV
National Provider Identifier
1124029715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 10335
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 10335 | NV | |
| Pediatrics Physician | 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
National Provider Directory
National Provider DirectoryNPI 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.