Ims of Las Vegas Hospitalist, LTD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

9051 Issued in NV

Legal business name

IMS OF LAS VEGAS HOSPITALIST, LTD

Practice address

2010 Goldring Ave
100
Las Vegas, NV 89106-4002

Phone

(702) 588-7373

Fax

(702) 588-7748

NPI assigned

Nov 4, 2011

Organization subpart

Yes

Parent organization

INTERNAL MEDICINE SPECIALIST OF LAS VEGASAs reported in NPPES

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

Authorized official

Name

Mark E McKenzie, M.D.

Title

Owner

Phone

(702) 588-7373

Specialties & licenses 1

Addresses

Part of

D and D Milne LTD

Locations

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1427335470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 GOLDRING AVE",
            "address_2": "100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064002",
            "telephone_number": "702-588-7373",
            "fax_number": "702-588-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 GOLDRING AVE",
            "address_2": "100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064002",
            "telephone_number": "702-588-7373",
            "fax_number": "702-588-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMS OF LAS VEGAS HOSPITALIST, LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERNAL MEDICINE SPECIALIST OF LAS VEGAS",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-588-7373",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NV",
            "license": "9051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Medicine (Internal Medicine) Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Geriatric Medicine (Internal Medicine) Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.