Vegas Valley Medical Center, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11112 Issued in NV

Legal business name

VEGAS VALLEY MEDICAL CENTER, LLC

Practice address

4830 W Lone Mountain Rd
Las Vegas, NV 89130-2239

Phone

(702) 645-8555

Fax

(702) 645-2828

NPI assigned

May 25, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ronald Jay Kohn, M.D.

Title

Physician

Phone

(702) 645-8555

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194936658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 W LONE MOUNTAIN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302239",
            "telephone_number": "702-645-8555",
            "fax_number": "702-645-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 W LONE MOUNTAIN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302239",
            "telephone_number": "702-645-8555",
            "fax_number": "702-645-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEGAS VALLEY MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOHN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "702-645-8555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "11112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vegas Valley Behavioral Health
• Vegas Valley Behavioral Health LLC
• Vegas Valley Billing Company LLC
• Vegas Valley Comprehensive Counseling, LLC
• Vegas Valley Eye and Vision
• Vegas Valley Medical LLC
• Vegas Valley Perosnal Care
• Vegas Valley Personal Care
• Vegas Valley Primary Care
• Vegas Valley Rehabilitation

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.