NPIMap

Organization Active NPI

University of NV School of Medicine Multi Specialty Group Practice So

Doing business as MedSchool Associates South

  • Clinical Cytogenetics Physician
  • Las Vegas, NV
National Provider Identifier
1417080839
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cytogenetics PhysicianTaxonomy code 207SC0300X
Legal business name
UNIVERSITY OF NV SCHOOL OF MEDICINE MULTI SPECIALTY GROUP PRACTICE SO
Doing business as
MedSchool Associates South
Practice address
1707 W Charleston Blvd
110B
Las Vegas, NV 89102-2351
Phone
(702) 968-4363
Fax
(702) 671-0193
NPI assigned
Mar 14, 2007
Last updated
Oct 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Authorized official

Name
Dr. Elissa J Palmer, MDNPI 1912959289
Title
President
Phone
(702) 992-6888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cytogenetics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207SC0300X Primary
Clinical Biochemical Genetics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207SG0202X
Clinical Molecular Genetics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207SG0203X
Ph.D. Medical Genetics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207SG0205X
Molecular Genetic Pathology (Medical Genetics) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207SM0001X
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

1707 W Charleston Blvd
110B
Las Vegas, NV 89102-2351

Mailing address

PO Box 29506
Las Vegas, NV 89126-9506
Phone (702) 968-4371

Other identifiers 1

IdentifierTypeStateIssuer
100500484MedicaidNV

Other names 1

  • MedSchool Associates South Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1417080839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29506",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891269506",
            "telephone_number": "702-968-4371",
            "fax_number": "702-671-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 W CHARLESTON BLVD",
            "address_2": "110B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022351",
            "telephone_number": "702-968-4363",
            "fax_number": "702-671-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF NV SCHOOL OF MEDICINE MULTI SPECIALTY GROUP PRACTICE SO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "ELISSA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-992-6888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207SC0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Clinical Cytogenetics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207SG0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Clinical Biochemical Genetics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207SG0203X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Clinical Molecular Genetics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207SG0205X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207SM0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Molecular Genetic Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100500484",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedSchool Associates South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.