Active NPI
Ira Michael Ward, PAC
- Pediatrics Physician
- Las Vegas, NV
National Provider Identifier
1366547549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 344
- Practice address
- 4441 South Eastern Ave
Las Vegas, NV 89119 - Phone
- (702) 734-7566
- Fax
- (702) 734-6677
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 344 | NV | Primary |
Addresses
Primary practice location
4441 South Eastern Ave
Las Vegas, NV 89119
Mailing address
4441 South Eastern Ave
Las Vegas, NV 89119
Phone (702) 734-7566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 344 | NV | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366547549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4441 SOUTH EASTERN AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89119",
"telephone_number": "702-734-7566",
"fax_number": "702-734-6677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4441 SOUTH EASTERN AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89119",
"telephone_number": "702-734-7566",
"fax_number": "702-734-6677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "IRA",
"middle_name": "MICHAEL",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NV",
"license": "344",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.