Active NPI
R&D Medical Group, LLC
Doing business as Pain Management of Las Vegas
- Pain Medicine Physician
- Las Vegas, NV
National Provider Identifier
1447760954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- R&D MEDICAL GROUP, LLC
- Doing business as
- Pain Management of Las Vegas
- Practice address
- 4270 S Decatur Blvd Ste A2
Las Vegas, NV 89103-6840 - Phone
- (702) 722-6593
- NPI assigned
- Oct 10, 2017
- 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
- Elma Zenarosa
- Title
- Credentialing Specialist
- Phone
- (702) 324-9547
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | Primary |
Addresses
Primary practice location
4270 S Decatur Blvd Ste A2
Las Vegas, NV 89103-6840
Mailing address
4270 S Decatur Blvd Ste A2
Las Vegas, NV 89103-6840
Other names 1
- Pain Management of Las Vegas
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1513814400000",
"number": "1447760954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4270 S DECATUR BLVD STE A2",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891036840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4270 S DECATUR BLVD STE A2",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891036840",
"telephone_number": "702-722-6593"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "R&D MEDICAL GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-10",
"last_updated": "2017-12-21",
"status": "A",
"authorized_official_last_name": "ZENAROSA",
"authorized_official_first_name": "ELMA",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "702-324-9547"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pain Management of Las Vegas",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Pain Management of Las Vegas",
"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 Dec 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.