Organization Active NPI

Lone Mountain Medical Centre

Doing business as Goldsmith Healthcare, LTD

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1356389456
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
493 Issued in NV
Legal business name
LONE MOUNTAIN MEDICAL CENTRE
Doing business as
Goldsmith Healthcare, LTD
Practice address
4830 W Lone Mountain Rd
Las Vegas, NV 89130-2239
Phone
(702) 645-8126
Fax
(702) 645-2828
NPI assigned
Jun 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Weldon Eugene Bond, D.O.
Title
MD
Phone
(702) 645-8126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 493 NV Primary

Addresses

Primary practice location

4830 W Lone Mountain Rd
Las Vegas, NV 89130-2239

Mailing address

4830 W Lone Mountain Rd
Las Vegas, NV 89130-2239
Phone (702) 645-8126

Other identifiers 2

IdentifierTypeStateIssuer
CS13274OtherNVNV STATE BOARD OF PHARMAC
493OtherNVNV STATE BOARD OF OSTEOPA

Other names 1

  • GOLDSMITH HEALTHCARE, LTD Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Goldsmith Healthcare LTD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356389456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 W LONE MOUNTAIN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302239",
            "telephone_number": "702-645-8126",
            "fax_number": "702-645-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 W LONE MOUNTAIN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302239",
            "telephone_number": "702-645-8126",
            "fax_number": "702-645-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE MOUNTAIN MEDICAL CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "WELDON",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "702-645-8126",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV STATE BOARD OF PHARMAC",
            "identifier": "CS13274",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV STATE BOARD OF OSTEOPA",
            "identifier": "493",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOLDSMITH HEALTHCARE, LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.