Organization Active NPI

Roy M Margallo MD

  • Internal Medicine Physician
  • Henderson, NV
National Provider Identifier
1376973594
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14033 Issued in NV
Legal business name
ROY M MARGALLO MD
Practice address
10725 Prairie Wheat CT
Henderson, NV 89052-8688
Phone
(702) 921-6829
Fax
(702) 549-3203
NPI assigned
Nov 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

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

Authorized official

Name
Dr. Roy M Margallo, M.D
Title
M.D/Owner
Phone
(702) 921-6829

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 14033 NV Primary

Addresses

Primary practice location

10725 Prairie Wheat CT
Henderson, NV 89052-8688

Mailing address

10725 Prairie Wheat CT
Henderson, NV 89052-8688
Phone (702) 921-6829

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385337600000",
    "number": "1376973594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10725 PRAIRIE WHEAT CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890528688",
            "telephone_number": "702-921-6829",
            "fax_number": "702-549-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10725 PRAIRIE WHEAT CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890528688",
            "telephone_number": "702-921-6829",
            "fax_number": "702-549-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY M MARGALLO MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-11-25",
        "status": "A",
        "authorized_official_last_name": "MARGALLO",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "M.D/OWNER",
        "authorized_official_telephone_number": "702-921-6829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "14033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 25, 2013; 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.