Organization Active NPI

Henri Wetselaar, MD, PC

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1124217245
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3432 Issued in NV
Legal business name
HENRI WETSELAAR, MD, PC
Practice address
2881 S Valley VW
Suite 16
Las Vegas, NV 89102-0175
Phone
(702) 480-9794
Fax
(702) 434-2047
NPI assigned
Oct 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Henri Wetselaar, MD
Title
Ceo
Phone
(702) 434-2028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 3432 NV Primary

Addresses

Primary practice location

2881 S Valley VW
Suite 16
Las Vegas, NV 89102-0175

Mailing address

3681 Forestcrest Dr
Las Vegas, NV 89121-4954
Phone (702) 480-9794

Other names 1

  • New Amsterdam Medcial Group Doing business as

National Provider Directory

National Provider Directory

Locations

4525 S Sandhill Rd
Ste 107
Las Vegas, NV 89121
Phone (702) 433-8100

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1124217245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3681 FORESTCREST DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214954",
            "telephone_number": "702-480-9794",
            "fax_number": "702-434-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2881 S VALLEY VW",
            "address_2": "SUITE 16",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020175",
            "telephone_number": "702-480-9794",
            "fax_number": "702-434-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRI WETSELAAR, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "WETSELAAR",
        "authorized_official_first_name": "HENRI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-434-2028",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "3432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Amsterdam Medcial Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 16, 2008; 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.