NPIMap

Organization Active NPI

Linda L. Johnson MD, LTD

Doing business as SMA Convenient Care

  • Adult Medicine Physician
  • Henderson, NV
National Provider Identifier
1376838110
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
LINDA L. JOHNSON MD, LTD
Doing business as
SMA Convenient Care
Practice address
300 E Lake Mead Pkwy
Henderson, NV 89015-5576
Phone
(702) 560-2915
NPI assigned
Jun 9, 2011
Last updated
Jul 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Authorized official

Name
Linda L Johnson
Title
Sma President
Phone
(702) 560-2886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207QA0505X NV Primary

Addresses

Primary practice location

300 E Lake Mead Pkwy
Henderson, NV 89015-5576

Mailing address

2720 N Tenaya Way
Las Vegas, NV 89128-0424
Phone (702) 560-2889

Other identifiers 1

IdentifierTypeStateIssuer
1376838110MedicaidNV

Other names 1

  • SMA Convenient Care Doing business as

National Provider Directory

National Provider Directory

Locations

2826 Siena HTS Dr
Henderson, NV 89052

2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330

4895 Boulder Hwy
Ste 101
Las Vegas, NV 89121
Phone (702) 435-1411

6330 W Flamingo Rd
Las Vegas, NV 89103
Phone (702) 796-5505

650 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 459-7424

8660 W Cheyenne Ave
#8680
Las Vegas, NV 89129

1445 W Craig Rd
#101
North Las Vegas, NV 89032

1807 W Craig Rd
North Las Vegas, NV 89032
Phone (702) 399-1141

807 W Craig Rd
North Las Vegas, NV 89032

Practitioners & affiliated clinicians

Practitioners 122

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 122

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343174400000",
    "number": "1376838110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 N TENAYA WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280424",
            "telephone_number": "702-560-2889",
            "fax_number": "702-560-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E LAKE MEAD PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890155576",
            "telephone_number": "702-560-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA L. JOHNSON MD, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-09",
        "last_updated": "2012-07-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SMA PRESIDENT",
        "authorized_official_telephone_number": "702-560-2886"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376838110",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMA Convenient Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.