Tri City Medical Specialists LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

11397 Issued in NV

Legal business name

TRI CITY MEDICAL SPECIALISTS LLC

Practice address

2365 Reynolds Avenue
BLDG C 2ND Floor
N Las Vegas, NV 89030

Phone

(702) 588-7070

Fax

(702) 839-0149

NPI assigned

Jun 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Darren Randolph Swenson, M.D.NPI 1942274170

Title

Chief Executive Officer

Phone

(702) 839-0946

Specialties & licenses 1

Addresses

Practitioners 1

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

• Darren R Swenson, MD

  • Internal Medicine Physician
  • Knoxville, TN
  • NPI 1942274170
  NPD (past) Authorized official

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366488470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10777 W TWAIN AVENUE",
            "address_2": "SUITE 225",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89135",
            "telephone_number": "702-839-0946",
            "fax_number": "702-839-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 REYNOLDS AVENUE",
            "address_2": "BLDG C 2ND FLOOR",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "89030",
            "telephone_number": "702-588-7070",
            "fax_number": "702-839-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI CITY MEDICAL SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWENSON",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "RANDOLPH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "702-839-0946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "11397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Treasure Health System
• Treasure Health System
• Brenda Trejo-Trejo
• Tri City Medical Hospitalists LLC
• Tri City Medical Internists LLC
• Aura Cynthia Truelove, APRN, FNP-C
• Daisy Trujillo
• Christian Truss
• Yaw-Jong Tsai, PA-C
• Sherricka Tucker

• Internal Medicine Physician in N Las Vegas, NV
• Providers in N Las Vegas, NV by specialty
• Internal Medicine Physician in Nevada

• 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.