Organization Active NPI

Nevada Association of Critical Care Surgeons, LTD

  • Trauma Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1184796054
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
5717 Issued in NV
Legal business name
NEVADA ASSOCIATION OF CRITICAL CARE SURGEONS, LTD
Practice address
501 S Rancho Dr
Suite E 32
Las Vegas, NV 89106-4833
Phone
(702) 382-5343
Fax
(702) 388-2922
NPI assigned
Nov 15, 2006
Last updated
Apr 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Authorized official

Name
James Sherman Tate Jr., MD
Title
Ceo
Phone
(702) 382-5343

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5717 NV
Surgical Critical Care Physician 2086S0102X 5717 NV
Trauma Surgery Physician 2086S0127X 5717 NV Primary

Addresses

Primary practice location

501 S Rancho Dr
Suite E 32
Las Vegas, NV 89106-4833

Mailing address

PO Box 270609
Las Vegas, NV 89127-4609
Phone (702) 382-5343

Other names 1

  • NACCS Other name

National Provider Directory

National Provider Directory

Locations

501 S Rancho Dr
Ste E32
Las Vegas, NV 89106
Phone (702) 382-5343

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1184796054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270609",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891274609",
            "telephone_number": "702-382-5343",
            "fax_number": "702-388-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S RANCHO DR",
            "address_2": "SUITE E 32",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064833",
            "telephone_number": "702-382-5343",
            "fax_number": "702-388-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA ASSOCIATION OF CRITICAL CARE SURGEONS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "SHERMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-382-5343",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NV",
            "license": "5717",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NV",
            "license": "5717",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "NV",
            "license": "5717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NACCS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 14, 2008; 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.