Fort Apache Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

754266 Issued in NV

Legal business name

FORT APACHE MEDICAL CENTER

Practice address

6061 S Fort Apache Rd
Suite 120
Las Vegas, NV 89148-5540

Phone

(702) 736-0049

Fax

(702) 736-0095

NPI assigned

Aug 27, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Anush Davtyan

Title

Owner

Phone

(702) 736-0049

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1376736934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6061 S FORT APACHE RD",
            "address_2": "SUITE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485540",
            "telephone_number": "702-736-0049",
            "fax_number": "702-736-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6061 S FORT APACHE RD",
            "address_2": "SUITE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485540",
            "telephone_number": "702-736-0049",
            "fax_number": "702-736-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT APACHE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "DAVTYAN",
        "authorized_official_first_name": "ANUSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-736-0049",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "754266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Forster
• Matthew Forster, RPH
• Andrea Forsyth, M.ED, BCBA, LBA
• Anitra J Forsyth
• Bobby Joe Forsyth, D.C.
• Fort Apache Surgery Center, LLC
• Fort Freedom, LLC
• Fort Peace
• Skylar Simone Fort
• Trejon Fort

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.

Verify at the official NPI Registry.