Metabolic Medicine

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

METABOLIC MEDICINE

Practice address

5495 S Rainbow Blvd
Suite 202
Las Vegas, NV 89118-1871

Phone

(702) 254-7444

NPI assigned

Mar 26, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Timothy John Sak

Title

Dir of Operations

Phone

(912) 414-4946

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1458950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1285096487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5495 S RAINBOW BLVD",
            "address_2": "SUITE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181871",
            "telephone_number": "702-254-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5495 S RAINBOW BLVD",
            "address_2": "SUITE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181871",
            "telephone_number": "702-254-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METABOLIC MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-26",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "SAK",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DIR OF OPERATIONS",
        "authorized_official_telephone_number": "912-414-4946",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarra Messina
• Kelsie Taylor Messineo, LAT,ATC
• Marilyn Messmore, CNS
• Lilia Mesta
• Meta Pharmacy Services, LLC
• Metabolic Restoration LLC
• Birhane Tadesse Metaferria
• Nicholas Ronald Metallo
• Seblework M Metaw
• Geraldine Metayer

• Primary Care Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Primary Care Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.