Organization Active NPI

Patients First Medical LLC

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1174757041
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10568 Issued in NV
Legal business name
PATIENTS FIRST MEDICAL LLC
Practice address
10511 Broadhead CT
Las Vegas, NV 89135-2323
Phone
(775) 250-6161
Fax
(702) 382-5388
NPI assigned
May 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2009

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

Authorized official

Name
Iyad G Houshan, MD
Title
Sold MBR
Phone
(775) 250-6161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 10568 NV Primary

Addresses

Primary practice location

10511 Broadhead CT
Las Vegas, NV 89135-2323

Mailing address

10511 Broadhead CT
Las Vegas, NV 89135
Phone (775) 250-6161

Other identifiers 1

IdentifierTypeStateIssuer
1497773287MedicaidNV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241654400000",
    "number": "1174757041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10511 BROADHEAD CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89135",
            "telephone_number": "775-250-6161",
            "fax_number": "702-382-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10511 BROADHEAD CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891352323",
            "telephone_number": "775-250-6161",
            "fax_number": "702-382-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENTS FIRST MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-07",
        "last_updated": "2009-05-07",
        "status": "A",
        "authorized_official_last_name": "HOUSHAN",
        "authorized_official_first_name": "IYAD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SOLD MBR",
        "authorized_official_telephone_number": "17752506161",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "10568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497773287",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 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.