Nana K Ericsson MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11476 Issued in NV

Legal business name

NANA K ERICSSON MD PC

Practice address

2110 E Flamingo Rd
Suite 313
Las Vegas, NV 89119-5190

Phone

(702) 577-3221

Fax

(702) 517-5807

NPI assigned

Dec 7, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Nana K Ericsson, MD

Title

Owner/Physician

Phone

(702) 557-3221

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1124357967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 E FLAMINGO RD",
            "address_2": "SUITE 313",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195190",
            "telephone_number": "702-577-3221",
            "fax_number": "702-517-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 E FLAMINGO RD",
            "address_2": "SUITE 313",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195190",
            "telephone_number": "702-577-3221",
            "fax_number": "702-517-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANA K ERICSSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "ERICSSON",
        "authorized_official_first_name": "NANA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "702-557-3221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "11476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sirithon Namboonruang
• Barbara Nameth, BSW
• Nami Southern Nevada
• Marla-Ann Namnama
• Shoumin Nan
• Nihar Nana
• Nikita Yatin Nana
• Rishi Kumar Nanda, DO
• Karunakar R Nandalur, M.D.
• Deepak Kumar Nandikanti, MD

• Family Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.