Advanced Medical Professionals LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

12070 Issued in NV

Legal business name

ADVANCED MEDICAL PROFESSIONALS LLC

Practice address

1151 S Buffalo Dr
Suite 130
Las Vegas, NV 89117-8313

Phone

(702) 800-4652

Fax

(702) 960-4008

NPI assigned

Jul 20, 2015

Last updated

Jul 20, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

CRETUS CONSULTING, LLCAs reported in NPPES

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

Authorized official

Name

Collin Prosser

Title

Office Manager

Phone

(702) 800-4652

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aleksandar Radovic, MD

  • Family Medicine Physician
  • Wilmette, IL
  • NPI 1053619676
  NPD (past)
• Victoria Wolfinger, PA-C

  • Physician Assistant
  • Chicago, IL
  • NPI 1043304694
  NPD (past)

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437350400000",
    "number": "1326423377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 S BUFFALO DR",
            "address_2": "SUITE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178313",
            "telephone_number": "702-800-4652",
            "fax_number": "702-960-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 S BUFFALO DR",
            "address_2": "SUITE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178313",
            "telephone_number": "702-800-4652",
            "fax_number": "702-960-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL PROFESSIONALS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CRETUS CONSULTING, LLC",
        "enumeration_date": "2015-07-20",
        "last_updated": "2015-07-20",
        "status": "A",
        "authorized_official_last_name": "PROSSER",
        "authorized_official_first_name": "COLLIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-800-4652"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "12070",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NV",
            "license": "13914",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced House Calls Inc (Advanced House Calls)
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• Advanced Manuel Therapy Institute 1 LLC
• Advanced Medical and Rehab of LV, Inc. (Federal Injury Centers)
• Advanced Medical Enterprises LP
• Advanced Molecular Pet Imaging LLC
• Advanced Neck and Back Care, LLC
• Advanced Neurodiagnostics, LLC
• Advanced Orthopaedic Surgery Center, LLC (Las Vegas Institute for Advanced Surgery)
• Advanced Pain Management and Addiction

• 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 Jul 20, 2015; 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.