NPIMap

Organization Active NPI

Elizabeth R Jaffe MD Prof. Corp

Doing business as Altitude Family Medicine

  • Family Medicine Physician
  • Sparks, NV
National Provider Identifier
1356594840
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ELIZABETH R JAFFE MD PROF. CORP
Doing business as
Altitude Family Medicine
Practice address
2345 E Prater Way
Suite 215
Sparks, NV 89434-9600
Phone
(775) 356-1818
Fax
(775) 284-1203
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Elizabeth R Jaffe, M.D.NPI 1306809843
Title
Owner
Phone
(775) 356-1818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2345 E Prater Way
Suite 215
Sparks, NV 89434-9600

Mailing address

PO Box 660
Carson City, NV 89702-0660
Phone (775) 885-0919

Other names 1

  • Altitude Family Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

2345 E Prater Way
Ste 215
Sparks, NV 89434
Phone (775) 352-5301

Practitioners & affiliated clinicians

Practitioners 3

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": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1356594840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897020660",
            "telephone_number": "775-885-0919",
            "fax_number": "775-885-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 E PRATER WAY",
            "address_2": "SUITE 215",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349600",
            "telephone_number": "775-356-1818",
            "fax_number": "775-284-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH R JAFFE MD PROF. CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-356-1818",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Altitude Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.