NPIMap

Organization Active NPI

Germin Clinical Neurology West

  • Neurology Physician
  • Las Vegas, NV
National Provider Identifier
1265507271
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
7866 Issued in NV
Legal business name
GERMIN CLINICAL NEUROLOGY WEST
Practice address
7751 W Flamingo Rd
#A100
Las Vegas, NV 89147-4399
Phone
(702) 804-6555
Fax
(702) 804-1222
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Authorized official

Name
Mr. Leo Germin, M.D.NPI 1013928886
Title
Medical Director
Phone
(702) 804-1212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 7866 NV Primary

Addresses

Primary practice location

7751 W Flamingo Rd
#A100
Las Vegas, NV 89147-4399

Mailing address

PO Box 530786
Henderson, NV 89053-0786
Phone (702) 804-6555

Other identifiers 1

IdentifierTypeStateIssuer
002019758MedicaidNV

Other names 1

  • Clinical Neurology Specialists West Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070314000019 NV Part B Supplier - Clinic/Group Practice 7810090784 Receives reassigned benefits from 8 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

1321 S Rainbow Blvd
Ste 240
Las Vegas, NV 89146
Phone (702) 826-3219

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1265507271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530786",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890530786",
            "telephone_number": "702-804-6555",
            "fax_number": "702-804-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7751 W FLAMINGO RD",
            "address_2": "#A100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891474399",
            "telephone_number": "702-804-6555",
            "fax_number": "702-804-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERMIN CLINICAL NEUROLOGY WEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "GERMIN",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "702-804-1212",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NV",
            "license": "7866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019758",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinical Neurology Specialists West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.