Active NPI
Andrew J Conlu MD PLLC
- Hospitalist Physician
- Winnemucca, NV
National Provider Identifier
1427480102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 6600
- Legal business name
- ANDREW J CONLU MD PLLC
- Practice address
- 118 E Haskell St
Winnemucca, NV 89445-3247 - Phone
- (775) 623-5222
- NPI assigned
- Aug 5, 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
- Lori Labrecque
- Title
- Accts MGR
- Phone
- (702) 453-3799
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 6600 | NV | |
| Hospitalist Physician | 208M00000X | 6600 | NV | Primary |
Addresses
Primary practice location
118 E Haskell St
Winnemucca, NV 89445-3247
Mailing address
PO Box 230545
Las Vegas, NV 89105-0545
Phone (702) 453-3799
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6600 | Other | NV | NV LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Gold Beach, OR
- NPI 1528018447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375660800000",
"number": "1427480102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 230545",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891050545",
"telephone_number": "702-453-3799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 E HASKELL ST",
"city": "WINNEMUCCA",
"state": "NV",
"postal_code": "894453247",
"telephone_number": "775-623-5222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDREW J CONLU MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-05",
"last_updated": "2013-08-05",
"status": "A",
"authorized_official_last_name": "LABRECQUE",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "ACCTS MGR",
"authorized_official_telephone_number": "702-453-3799"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NV",
"license": "6600",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": "NV",
"license": "6600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NV LICENSE",
"identifier": "6600",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winnemucca, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.