Organization Active NPI

Michael S Levy DO Professional Corporation

  • Addiction Medicine (Family Medicine) Physician
  • Las Vegas, NV
National Provider Identifier
1346785151
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
725 Issued in NV
Legal business name
MICHAEL S LEVY DO PROFESSIONAL CORPORATION
Practice address
4445 S Jones Blvd Ste 3
Las Vegas, NV 89103-3371
Phone
(702) 873-7800
NPI assigned
Jan 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Authorized official

Name
Michael S Levy, DO
Title
President
Phone
(702) 873-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0401X 725 NV Primary

Addresses

Primary practice location

4445 S Jones Blvd Ste 3
Las Vegas, NV 89103-3371

Mailing address

4445 S Jones Blvd Ste 3
Las Vegas, NV 89103-3371
Phone (702) 873-7800

National Provider Directory

National Provider Directory

Locations

4445 S Jones Blvd
Ste 3
Las Vegas, NV 89103
Phone (702) 873-7800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1346785151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 S JONES BLVD STE 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033371",
            "telephone_number": "702-873-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 S JONES BLVD STE 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033371",
            "telephone_number": "702-873-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S LEVY DO PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-873-7800",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NV",
            "license": "725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.