Active NPI
Roy M Margallo MD
- Internal Medicine Physician
- Henderson, NV
National Provider Identifier
1376973594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 14033
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryNPI 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.