NPIMap

Organization Active NPI

Pahrump Gastroenterology LLC

  • Specialist
  • Pahrump, NV
National Provider Identifier
1164705547
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
NV20111561669 Issued in NV
Legal business name
PAHRUMP GASTROENTEROLOGY LLC
Practice address
360 S Lola LN
Pahrump, NV 89048-0884
Phone
(775) 751-7580
Fax
(775) 751-7820
NPI assigned
Sep 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Authorized official

Name
Dr. Osama Omar Haikal, M.D.
Title
Owner
Phone
(702) 734-0505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X NV20111561669 NV Primary

Addresses

Primary practice location

360 S Lola LN
Pahrump, NV 89048-0884

Mailing address

2136 E Desert Inn Rd
Ste a
Las Vegas, NV 89169-3247
Phone (702) 734-0505

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1164705547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2136 E DESERT INN RD",
            "address_2": "STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693247",
            "telephone_number": "702-734-0505",
            "fax_number": "702-734-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 S LOLA LN",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890480884",
            "telephone_number": "775-751-7580",
            "fax_number": "775-751-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAHRUMP GASTROENTEROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "HAIKAL",
        "authorized_official_first_name": "OSAMA",
        "authorized_official_middle_name": "OMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-734-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NV",
            "license": "NV20111561669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pahrump, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.