Internal Medicine Consultants

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

6283 Issued in NV

Legal business name

INTERNAL MEDICINE CONSULTANTS

Practice address

6726 Coley Ave
Las Vegas, NV 89146-6514

Phone

(702) 252-0670

NPI assigned

Nov 18, 2010

Organization subpart

No

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

Authorized official

Name

Michael John Petruso, M.D.

Title

Owner

Phone

(702) 252-0670

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1144522418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 S RANCHO DR # 4-336",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063837",
            "telephone_number": "702-252-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6726 COLEY AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466514",
            "telephone_number": "702-252-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "PETRUSO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-252-0670",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "6283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Intermountain Medical Holdings Nevada Inc (Intermountain Health Home Care)
• Internal Medicine
• Internal Medicine Associates Laboratory
• Internal Medicine Associates of Southern Nevada, Inc.
• Internal Medicine Clinic Banerji LTD
• Internal Medicine Spec of Southern NV Grossman Panikkar Ghadishah Whi (Internal Medicine Specialists of Southern Nevada)
• Internal Vitality, LLC (Internal Vitality Health, LLC)
• International Adult Day Care
• International Adult Day Care
• International Behavioral Health LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.