Organization Active NPI

Robert J Karl MD LTD

  • Family Medicine Physician
  • Henderson, NV
National Provider Identifier
1255516357
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11077 Issued in NV
Legal business name
ROBERT J KARL MD LTD
Practice address
2847 Saint Rose Pkwy Ste 150
Henderson, NV 89052-4845
Phone
(702) 213-4848
Fax
(702) 213-5885
NPI assigned
Jan 8, 2008
Last updated
Sep 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Authorized official

Name
Clarissa Barrettoko, DO
Title
Partner
Phone
(702) 213-4848

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 11077 NV Primary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

2847 Saint Rose Pkwy Ste 150
Henderson, NV 89052-4845

Mailing address

2847 Saint Rose Pkwy Ste 150
Henderson, NV 89052-4845
Phone (702) 213-4848

Other identifiers 1

IdentifierTypeStateIssuer
100506136MedicaidNV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599782400000",
    "number": "1255516357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2847 SAINT ROSE PKWY STE 150",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524845",
            "telephone_number": "702-213-4848",
            "fax_number": "702-213-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2847 SAINT ROSE PKWY STE 150",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524845",
            "telephone_number": "702-213-4848",
            "fax_number": "702-213-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J KARL MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "BARRETTOKO",
        "authorized_official_first_name": "CLARISSA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "702-213-4848",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "11077",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506136",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 11, 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.