Essential Medical Group LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

7546NV Issued in NV

Legal business name

ESSENTIAL MEDICAL GROUP LLC

Practice address

1485 E Flamingo Rd
Las Vegas, NV 89119-5256

Phone

(702) 734-8600

NPI assigned

Dec 2, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Vickie Pence, MS,PAC

Title

Director

Phone

(602) 881-8888

Specialties & licenses 2

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1336477355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 E FLAMINGO RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195256",
            "telephone_number": "702-734-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 E FLAMINGO RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195256",
            "telephone_number": "702-734-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-02",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "PENCE",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "602-881-8888",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS,PAC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NV",
            "license": "7546NV",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "965",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100510737",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083791313",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "I65290",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1336199363",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Essence Non Emergency Transportation LLC
• Essential Behavior & Skills
• Essential Care Nevada LLC
• Essential Care Nevada, Inc
• Essential Healthcare LLC
• Essential Medical Supplies, LLC
• Essential Speech and Language, LLC
• Essential Therapy and Wellness
• Essential Transformations Services LLC
• Essentials of Hope BHS

• Specialist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Specialist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.