Active NPI
Miriam Bar-on, MD
- Pediatrics Physician
- Las Vegas, NV
National Provider Identifier
1376517771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 12118
- Practice address
- 3006 S Maryland Pkwy Ste 315
Las Vegas, NV 89109-6205 - Phone
- (702) 992-6868
- Fax
- (702) 992-6860
- NPI assigned
- Feb 14, 2006
- Last updated
- Mar 18, 2020
- Sex
- Female
- 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 | 12118 | NV | Primary |
Addresses
Primary practice location
3006 S Maryland Pkwy Ste 315
Las Vegas, NV 89109-6205
Mailing address
101 E Olney Ave
Ste 400
Philadelphia, PA 19120-2470
Phone (215) 456-1825
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12118 | Other | NV | MEDICAL LICENSE |
| 35.051373 | Other | IL | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12118 | NV | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of NV School of Medicine Multi Specialty Group Practice So | Past | Accepting new patients |
Interoperability endpoints
- mbaron18578@direct.umcsn.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba MedSchool Associates South
- Otolaryngology Physician
- Las Vegas, NV
- NPI 1437282050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584489600000",
"number": "1376517771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E OLNEY AVE",
"address_2": "STE 400",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191202470",
"telephone_number": "215-456-1825",
"fax_number": "215-456-5926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3006 S MARYLAND PKWY STE 315",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891096205",
"telephone_number": "702-992-6868",
"fax_number": "702-992-6860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAR-ON",
"first_name": "MIRIAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-14",
"last_updated": "2020-03-18",
"certification_date": "2020-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NV",
"license": "12118",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "12118",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "35.051373",
"state": "IL"
}
],
"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 Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.