Active NPI
Tony Alamo MD LTD
- Internal Medicine Physician
- Henderson, NV
National Provider Identifier
1215969050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 7151
- Legal business name
- TONY ALAMO MD LTD
- Practice address
- 56 N Pecos Road
Suite a
Henderson, NV 89074 - Phone
- (702) 456-4011
- Fax
- (702) 454-5224
- NPI assigned
- Jul 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Antonio Tadeo Alamo, MD
- Title
- Physician Owner
- Phone
- (702) 456-4011
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 7151 | NV | Primary |
| Internal Medicine Physician | 207R00000X | 10327 | NV |
Addresses
Primary practice location
56 N Pecos Road
Suite a
Henderson, NV 89074
Mailing address
56 N Pecos Road
Suite a
Henderson, NV 89074
Phone (702) 456-4011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215969050 | Medicaid | NV |
Other names 2
- Alamo Medical Clinic
- Antonio T. Alamo
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 29D0966290 | Alamo Medical Clinic | Certificate of waiver | Oct 11, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719705600000",
"number": "1215969050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 N PECOS ROAD",
"address_2": "SUITE A",
"city": "HENDERSON",
"state": "NV",
"postal_code": "89074",
"telephone_number": "702-456-4011",
"fax_number": "702-454-5224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 N PECOS ROAD",
"address_2": "SUITE A",
"city": "HENDERSON",
"state": "NV",
"postal_code": "89074",
"telephone_number": "702-456-4011",
"fax_number": "702-454-5224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TONY ALAMO MD LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-06",
"last_updated": "2024-06-30",
"certification_date": "2024-06-30",
"status": "A",
"authorized_official_last_name": "ALAMO",
"authorized_official_first_name": "ANTONIO",
"authorized_official_middle_name": "TADEO",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "702-456-4011",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NV",
"license": "7151",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NV",
"license": "10327",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1215969050",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Alamo Medical Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Antonio T. Alamo",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.