Active NPI
Elizabeth S Ehama, D.O.
- Obstetrics Physician
- Las Vegas, NV
National Provider Identifier
1205095403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- DO2456
- Practice address
- 2011 Pinto LN
Las Vegas, NV 89106-4004 - Phone
- (702) 382-3200
- Fax
- (702) 382-3575
- NPI assigned
- Jun 3, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 46723 | CO | |
| Gynecology Physician | 207VG0400X | DR-46723 | CO | |
| Obstetrics Physician | 207VX0000X | DO2456 | NV | Primary |
Addresses
Primary practice location
2011 Pinto LN
Las Vegas, NV 89106-4004
Mailing address
2011 Pinto LN
Las Vegas, NV 89106-4004
Phone (702) 382-3200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03705854 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 2003
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2011 Pinto LN
Suite 200
Las Vegas, NV 89106-4007
Phone (702) 382-3200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46723 | CO | MD | Obstetrics & Gynecology Physician |
| DR-46723 | CO | MD | Gynecology Physician |
| DO2456 | NV | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iriye Medical Group PLLC | Current | Accepting new patients | |
| Sunrise Hospital and Medical Center, LLC | Past | Accepting new patients |
Locations
2011 Pinto Ln
Ste 200
Las Vegas, NV 89106
Phone (702) 382-3200
2011 Pinto Ln
Las Vegas, NV 89106
Phone (702) 382-3200
9970 W Cheyenne Ave
Ste 100
Las Vegas, NV 89129
Phone (702) 978-8900
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Maternal & Fetal Medicine Physician
- Las Vegas, NV
- NPI 1467496240
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1861439952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681948800000",
"number": "1205095403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 PINTO LN",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064004",
"telephone_number": "702-382-3200",
"fax_number": "702-382-3575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 PINTO LN",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064004",
"telephone_number": "702-382-3200",
"fax_number": "702-382-3575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EHAMA",
"first_name": "ELIZABETH",
"middle_name": "S",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-03",
"last_updated": "2023-04-20",
"certification_date": "2023-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CO",
"license": "46723",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CO",
"license": "DR-46723",
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "NV",
"license": "DO2456",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03705854",
"state": "CO"
}
],
"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 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.