Spectrum Family Medical

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

476 Issued in NV

Legal business name

SPECTRUM FAMILY MEDICAL

Practice address

1120 Almond Tree LN
Suite 201
Las Vegas, NV 89104-3229

Phone

(702) 564-4224

NPI assigned

Oct 28, 2009

Last updated

Oct 28, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael F Karagiozis, D.O.

Title

President

Phone

(702) 686-3545

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1225364086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10624 S EASTERN AVE",
            "address_2": "SUITE A646",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522982",
            "telephone_number": "702-686-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 ALMOND TREE LN",
            "address_2": "SUITE 201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043229",
            "telephone_number": "702-564-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM FAMILY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-28",
        "last_updated": "2009-10-28",
        "status": "A",
        "authorized_official_last_name": "KARAGIOZIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-686-3545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NV",
            "license": "476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018209",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "476",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eugene Lewis Speck, M.D. PH. D.
• Jeri Speck
• Spectacle LTD (Spectacle)
• Kara Specter
• Spectra Health Professional LLC (Spectra Health)
• Spectrum Home Services
• Spectrum House LLC
• Spectrum Squad LLC
• Spectrum Squad LLC
• Spectrum Squad LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; 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.