Active NPI
Sheldon W Paul, MD PC
- Specialist
- Las Vegas, NV
National Provider Identifier
1225379274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 9007
- Legal business name
- SHELDON W PAUL, MD PC
- Practice address
- 517 Rose St
Las Vegas, NV 89106-4020 - Phone
- (702) 438-4692
- NPI assigned
- Mar 14, 2013
- 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
- Kim Baker
- Title
- Office Manager
- Phone
- (702) 438-4692
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 9007 | NV | Primary |
Addresses
Primary practice location
517 Rose St
Las Vegas, NV 89106-4020
Mailing address
517 Rose St
Las Vegas, NV 89106-4020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2018263 | Medicaid | NV | |
| 33313 | Other | NV | MEDICARE PROVIDER ID |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363219200000",
"number": "1225379274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 ROSE ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 ROSE ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064020",
"telephone_number": "702-438-4692"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHELDON W PAUL, MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-14",
"last_updated": "2013-03-14",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "702-438-4692"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NV",
"license": "9007",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2018263",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER ID",
"identifier": "33313",
"state": "NV"
}
],
"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 Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.