Pikeville Medical Center Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PIKEVILLE MEDICAL CENTER INC

Practice address

2255 Spruce Goose St Unit 518
Las Vegas, NV 89135-2647

Phone

(606) 430-3500

NPI assigned

Apr 3, 2024

Organization subpart

No

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

Authorized official

Name

Michelle Hagy

Title

Cfo

Phone

(606) 430-3519

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Tax ID family

Pikeville Med Center Inc57 organizations share this tax ID, including this one

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Hsiang Wang, MD

  • Vascular & Interventional Radiology Physician
  • North Las Vegas, NV
  • NPI 1003203902
  Medicare reassignment NPD

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1407608458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 432",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415020432",
            "telephone_number": "606-430-3500",
            "fax_number": "606-432-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 SPRUCE GOOSE ST UNIT 518",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891352647",
            "telephone_number": "606-430-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKEVILLE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "HAGY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "606-430-3519"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Pigao, MS, LAT, ATC
• Valencia Piggee
• Holly Nicole Pignato
• Michael Pigrum
• Tyresha Pigrum
• David Pikula
• Kristi Pikyavit, FNP
• Erika Jane Pilapil
• Eleanor Pilares
• Brittaney Pilcher, RBT

• Multi-Specialty Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Multi-Specialty Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.