NPIMap

Organization Active NPI

Ageless Men'S Health NV, LLC

  • Urology Physician
  • Henderson, NV
National Provider Identifier
1326360686
Registry record updated Feb 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
4498 Issued in NV
Legal business name
AGELESS MEN'S HEALTH NV, LLC
Practice address
2821 W Horizon Ridge Pkwy
111
Henderson, NV 89052-4427
Phone
(702) 252-8378
Fax
(702) 242-0098
NPI assigned
Feb 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2010

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

Authorized official

Name
Miss Katie Lynn
Title
Business Manager
Phone
(702) 252-8378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 4498 NV Primary

Addresses

Primary practice location

2821 W Horizon Ridge Pkwy
111
Henderson, NV 89052-4427

Mailing address

2821 W Horizon Ridge Pkwy
111
Henderson, NV 89052-4427
Phone (702) 252-8378

National Provider Directory

National Provider Directory
Tax ID family
Ageless Men'S Health4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267142400000",
    "number": "1326360686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 W HORIZON RIDGE PKWY",
            "address_2": "111",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524427",
            "telephone_number": "702-252-8378",
            "fax_number": "702-242-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 W HORIZON RIDGE PKWY",
            "address_2": "111",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524427",
            "telephone_number": "702-252-8378",
            "fax_number": "702-242-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGELESS MEN'S HEALTH NV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-26",
        "last_updated": "2010-02-26",
        "status": "A",
        "authorized_official_last_name": "LYNN",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "702-252-8378",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NV",
            "license": "4498",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 26, 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.