NPIMap

Organization Active NPI

Jeffrey Ta Liu MD LLC

  • Obstetrics & Gynecology Physician
  • Las Vegas, NV
National Provider Identifier
1184087611
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
7490 Issued in NV
Legal business name
JEFFREY TA LIU MD LLC
Practice address
3040 W Charleston Blvd
Las Vegas, NV 89102-1944
Phone
(702) 477-0707
Fax
(702) 207-4972
NPI assigned
Apr 1, 2016
Last updated
Apr 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Authorized official

Name
Jeffrey Ta Liu, MDNPI 1023051117
Title
Provider
Phone
(702) 477-0707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 7490 NV Primary

Addresses

Primary practice location

3040 W Charleston Blvd
Las Vegas, NV 89102-1944

Mailing address

3040 W Charleston Blvd
Las Vegas, NV 89102-1944
Phone (702) 477-0707

National Provider Directory

National Provider Directory

Locations

3040 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 477-0101

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1184087611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021944",
            "telephone_number": "702-477-0707",
            "fax_number": "702-207-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021944",
            "telephone_number": "702-477-0707",
            "fax_number": "702-207-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY TA LIU MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "TA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "702-477-0707",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "7490",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 1, 2016; 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.