Active NPI
Cherubin Sumaway, M.D.
- Family Medicine Physician
- Las Vegas, NV
National Provider Identifier
1467576934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A13230
- Practice address
- 8205W Warm Springs Rd 210
Las Vegas, NV 89113-3646 - Phone
- (702) 616-7660
- Fax
- (702) 616-7713
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 57.012571 | OH | |
| Family Medicine Physician | 207Q00000X | A13230 | NV | Primary |
Addresses
Primary practice location
8205W Warm Springs Rd 210
Las Vegas, NV 89113-3646
Mailing address
8205W Warm Springs Rd 210
Las Vegas, NV 89113-3646
Phone (702) 616-7660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467576934 | Medicaid | NV |
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
| License | State | Type | Specialty |
|---|---|---|---|
| A13230 | NV | MD | Family Medicine Physician |
| 57.012571 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linda L. Johnson MD, LTD | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Adult Medicine Physician
- Henderson, NV
- NPI 1376838110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473811200000",
"number": "1467576934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8205W WARM SPRINGS RD 210",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891133646",
"telephone_number": "702-616-7660",
"fax_number": "702-616-7713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8205W WARM SPRINGS RD 210",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891133646",
"telephone_number": "702-616-7660",
"fax_number": "702-616-7713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMAWAY",
"first_name": "CHERUBIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2016-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "57.012571",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "A13230",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1467576934",
"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 Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.