Organization Active NPI

Ingham Neuroscience Group LLC

  • Neurology Physician
  • Las Vegas, NV
National Provider Identifier
1437443934
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
8804 Issued in NV
Legal business name
INGHAM NEUROSCIENCE GROUP LLC
Practice address
2940 S Jones Blvd Ste E
Las Vegas, NV 89146-5630
Phone
(702) 227-6947
Fax
(702) 247-4319
NPI assigned
Jun 2, 2011
Last updated
Jan 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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

Authorized official

Name
Robert H Ingham, M.D.NPI 1851358410
Title
Manager
Phone
(702) 227-6947

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 10462 NV
Neurology Physician 2084N0400X 8804 NV Primary

Addresses

Primary practice location

2940 S Jones Blvd Ste E
Las Vegas, NV 89146-5630

Mailing address

2940 S Jones Blvd Ste E
Las Vegas, NV 89146-5630
Phone (702) 227-6947

National Provider Directory

National Provider Directory

Locations

2725 S Jones Blvd
Ste 102
Las Vegas, NV 89146
Phone (702) 227-6947

2940 S Jones Blvd
#102
Las Vegas, NV 89146

2940 S Jones Blvd
Ste 102
Las Vegas, NV 89146

2832 E Lake Mead Blvd
Ste F
North Las Vegas, NV 89030
Phone (702) 369-7222

Practitioners & affiliated clinicians

Practitioners 1

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": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547164800000",
    "number": "1437443934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 S JONES BLVD STE E",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465630",
            "telephone_number": "702-227-6947",
            "fax_number": "702-247-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 S JONES BLVD STE E",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465630",
            "telephone_number": "702-227-6947",
            "fax_number": "702-247-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGHAM NEUROSCIENCE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2019-01-11",
        "status": "A",
        "authorized_official_last_name": "INGHAM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-227-6947",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NV",
            "license": "10462",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NV",
            "license": "8804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 11, 2019; 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.