Edward Outlaw, MD, PC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

10630 Issued in NV

Legal business name

EDWARD OUTLAW, MD, PC

Doing business as

Desert Peak Rehalbilitation & Pain Management

Practice address

9280 W Sunset Rd
Suite #412
Las Vegas, NV 89148-4860

Phone

(702) 592-0713

NPI assigned

Jul 21, 2006

Last updated

Aug 22, 2020By 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

Dr. Edward Michael Outlaw, M.D.

Title

President

Phone

(702) 592-0713

Specialties & licenses 1

Addresses

Other names 1

• Desert Peak Rehalbilitation & Pain Management Doing business as

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457372047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9280 W SUNSET RD",
            "address_2": "SUITE #412",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484860",
            "telephone_number": "702-592-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9280 W SUNSET RD",
            "address_2": "SUITE #412",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484860",
            "telephone_number": "702-592-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD OUTLAW, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OUTLAW",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-592-0713",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NV",
            "license": "10630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Peak Rehalbilitation & Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Edward K Tsai (Sierra Family Medicine)
• Edward S. Victoria, PLLC (Soluna Family Medicine)
• Corrine Gillen Edward, LPN
• Tania Nicole Edward
• Sonia Edwards Cruz
• Latoya Edwards-Lozano

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.