Organization 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
Registry record updated Dec 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
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

Updated by the provider on Dec 21, 2017

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)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.