Washington Medical

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WASHINGTON MEDICAL

Practice address

4440 E Washington Ave Ste 109
2670 N.Las Vegas Blvd Suite 109, N.Las Vegas ,NV 89030
Las Vegas, NV 89110-5793

Phone

(702) 332-9577

Fax

(702) 255-8199

NPI assigned

Mar 13, 2012

Organization subpart

No

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

Authorized official

Name

Armine Matinyan

Title

Manager

Phone

(702) 332-9577

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1265707061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31056",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891731056",
            "telephone_number": "702-332-9577",
            "fax_number": "702-255-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 E WASHINGTON AVE STE 109",
            "address_2": "2670 N.LAS VEGAS BLVD SUITE 109, N.LAS VEGAS ,NV 89030",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105793",
            "telephone_number": "702-332-9577",
            "fax_number": "702-255-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "MATINYAN",
        "authorized_official_first_name": "ARMINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-332-9577"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Alexander Wasczenski, RN
• Chad Wasden
• James Patrick Washabaugh, DPT
• Franklyn Bunker Washburn, D.M.D.
• Robin Washburn
• A'Shanti Washington
• Agnes Washington
• Airion Washington
• Akia Washington
• Aleathea Washington

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.