Active NPI
Nathan Ronald York, M.D., PH.D.
- Pediatrics Physician
- Las Vegas, NV
National Provider Identifier
1487979761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 14772
- Practice address
- 653 N Town Center Dr
Suite106
Las Vegas, NV 89144-0514 - Phone
- (702) 363-3000
- NPI assigned
- Mar 30, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 14772 | NV | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
653 N Town Center Dr
Suite106
Las Vegas, NV 89144-0514
Mailing address
653 N Town Center Dr
Suite106
Las Vegas, NV 89144-0514
Phone (702) 363-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164487930 | 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)
- Not enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14772 | NV | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine Valley Health Care-Wesley J. Robertson M.D. Prof. Corp. | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- nathan.york.1@15442.direct.athenahealth.com
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.
-
- Pediatrics Physician
- Las Vegas, NV
- NPI 1164487930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414540800000",
"number": "1487979761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "653 N TOWN CENTER DR",
"address_2": "SUITE106",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891440514",
"telephone_number": "702-363-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "653 N TOWN CENTER DR",
"address_2": "SUITE106",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891440514",
"telephone_number": "702-363-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YORK",
"first_name": "NATHAN",
"middle_name": "RONALD",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-30",
"last_updated": "2014-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NV",
"license": "14772",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1164487930",
"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 Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.