Active NPI
Emmanuel K Onwutuebe a Professional Corporation
- Internal Medicine Physician
- Las Vegas, NV
National Provider Identifier
1467518829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 10254
- Legal business name
- EMMANUEL K ONWUTUEBE A PROFESSIONAL CORPORATION
- Practice address
- 6970 W. Patrick Lane
Suite 140
Las Vegas, NV 89113-0270 - Phone
- (702) 450-1717
- Fax
- (702) 947-6740
- NPI assigned
- Dec 29, 2006
- 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
- Emmanuel K Onwutuebe, MD
- Title
- Medical Doctor
- Phone
- (702) 909-3300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 10254 | NV | Primary |
Addresses
Primary practice location
6970 W. Patrick Lane
Suite 140
Las Vegas, NV 89113-0270
Mailing address
6970 W. Patrick Lane
Suite 140
Las Vegas, NV 89113-0270
Phone (702) 450-1717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002018728 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3860 W Ann Rd
Ste 110
North Las Vegas, NV 89031
Phone (702) 909-3300
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1447224431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576540800000",
"number": "1467518829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6970 W. PATRICK LANE",
"address_2": "SUITE 140",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891130270",
"telephone_number": "702-450-1717",
"fax_number": "702-947-6740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6970 W. PATRICK LANE",
"address_2": "SUITE 140",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891130270",
"telephone_number": "702-450-1717",
"fax_number": "702-947-6740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMMANUEL K ONWUTUEBE A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-29",
"last_updated": "2019-12-17",
"certification_date": "2019-12-17",
"status": "A",
"authorized_official_last_name": "ONWUTUEBE",
"authorized_official_first_name": "EMMANUEL",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "702-909-3300",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NV",
"license": "10254",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002018728",
"state": "NV"
}
],
"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 Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.