Active NPI
Nevin W Wilson, M.D.
- Allergy & Immunology Physician
- Las Vegas, NV
National Provider Identifier
1518049873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 12229
- Practice address
- 3006 S Maryland Pkwy
Suite 315
Las Vegas, NV 89109-2218 - Phone
- (702) 992-6868
- Fax
- (702) 992-6860
- NPI assigned
- Oct 19, 2006
- Last updated
- Jul 28, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 12229 | NV | Primary |
Addresses
Primary practice location
3006 S Maryland Pkwy
Suite 315
Las Vegas, NV 89109-2218
Mailing address
1701 W Charleston Blvd
Suite 215
Las Vegas, NV 89102-2325
Phone (702) 671-2355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0107913000 | Medicaid | WV |
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 |
|---|---|---|---|
| 12229 | NV | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of NV School of Medicine Multi Specialty Group Practice So | Past | Accepting new patients |
Interoperability endpoints
- nwilson18758@direct.umcsn.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba MedSchool Associates South
- Otolaryngology Physician
- Las Vegas, NV
- NPI 1437282050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406505600000",
"number": "1518049873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 W CHARLESTON BLVD",
"address_2": "SUITE 215",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891022325",
"telephone_number": "702-671-2355",
"fax_number": "702-382-5388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3006 S MARYLAND PKWY",
"address_2": "SUITE 315",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891092218",
"telephone_number": "702-992-6868",
"fax_number": "702-992-6860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "NEVIN",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2014-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "NV",
"license": "12229",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0107913000",
"state": "WV"
}
],
"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 Jul 28, 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.