Hope Pediatric Centers

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

10127 Issued in NV

Legal business name

HOPE PEDIATRIC CENTERS

Practice address

2610 West Horizion Ridge Parkway
Suite 200
Las Vegas, NV 89052

Phone

(702) 735-4673

NPI assigned

May 1, 2008

Last updated

May 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Gale Koch

Title

Co-Owner

Phone

(702) 492-0004

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1437325339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848330",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022848330",
            "telephone_number": "702-735-4673",
            "fax_number": "702-735-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 WEST HORIZION RIDGE PARKWAY",
            "address_2": "SUITE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89052",
            "telephone_number": "702-735-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE PEDIATRIC CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "GALE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "702-492-0004",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "10127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003102844",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018847",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hope Mental & Behavioral Health Supportive Services
• Hope Pain and Rehab Medical Center LLC
• Hope Pca, LLC.
• Hope Pca, LLC.
• Hope Pca, LLC.
• Hope Street LLC
• Hope Therapy LLC
• Cheryl Hope
• Megan Rachel Hope
• Montrese Nicole Hope

• Pediatrics Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pediatrics Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.