NPIMap

Individual provider Active NPI

Pamela Lynn Stclair, M.D.

  • Pediatrics Physician
  • Las Vegas, NV
National Provider Identifier
1467575332
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
15247 Issued in NV
Practice address
4185 Vegas Valley Dr Ste C
Las Vegas, NV 89121-2522
Phone
(702) 463-9066
Fax
(702) 463-9067
NPI assigned
Apr 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 15247 NV Primary

Addresses

Primary practice location

4185 Vegas Valley Dr Ste C
Las Vegas, NV 89121-2522

Mailing address

400 N Stephanie St Ste 260
Henderson, NV 89014-6800
Phone (702) 463-9066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15247NVMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson Hospital Past Accepting new patients
Sanjay Kandoth MD PC Pediatrics Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients
Sanjay Kandoth MD PC Pediatrics Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1566/brand/2/csg/41/fhir/r4

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1467575332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N STEPHANIE ST STE 260",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146800",
            "telephone_number": "702-463-9066",
            "fax_number": "702-463-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4185 VEGAS VALLEY DR STE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891212522",
            "telephone_number": "702-463-9066",
            "fax_number": "702-463-9067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STCLAIR",
        "first_name": "PAMELA",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-07",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "15247",
            "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 Nov 9, 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.