Theodore M. Thorp M.D., Prof Corp.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

2979 Issued in NV

Legal business name

THEODORE M. THORP M.D., PROF CORP.

Practice address

500 S Rancho Dr
Suite D-13
Las Vegas, NV 89106-4844

Phone

(702) 385-1818

Fax

(702) 385-7181

NPI assigned

Jan 22, 2010

Organization subpart

No

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

Authorized official

Name

Theodore M Thorp, M.D

Title

President

Phone

(702) 385-1818

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1265763791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S RANCHO DR",
            "address_2": "SUITE D-13",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064844",
            "telephone_number": "702-385-1818",
            "fax_number": "702-385-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S RANCHO DR",
            "address_2": "SUITE D-13",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064844",
            "telephone_number": "702-385-1818",
            "fax_number": "702-385-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE M. THORP M.D., PROF CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "THORP",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-385-1818",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "NV",
            "license": "2979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002002078",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; 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.