Active NPI
Nathan Ibe Ozobia MD Chartered
- Specialist
- Las Vegas, NV
National Provider Identifier
1538491964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 3239
- Legal business name
- NATHAN IBE OZOBIA MD CHARTERED
- Practice address
- 5701 W Charleston Blvd
Suite 105
Las Vegas, NV 89146-1217 - Phone
- (702) 643-0500
- Fax
- (702) 471-1049
- NPI assigned
- Feb 10, 2010
- Last updated
- Sep 25, 2014
- Organization subpart
- Yes
- Parent organization
- NATHAN IBE OZOBIA MD FICS CHARTERED
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nathan Ibezimako Ozobia, MD FACS
- Title
- President
- Phone
- (702) 643-0500
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 3239 | NV | |
| Specialist | 174400000X | 3239 | NV | Primary |
Addresses
Primary practice location
5701 W Charleston Blvd
Suite 105
Las Vegas, NV 89146-1217
Mailing address
PO Box 27619
Las Vegas, NV 89126-1619
Phone (702) 643-0500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CS969A | Other | NV | MEDICARE PTAN |
National Provider Directory
National Provider Directory- Part of
- Nathan I Ozobia MD CHTD
Locations
5701 W Charleston Blvd
Las Vegas, NV 89146
Phone (702) 643-0500
5701 W Charleston Blvd
Ste 100
Las Vegas, NV 89146
Phone (702) 877-9514
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Las Vegas, NV
- NPI 1760377063
-
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1689381998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265760000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1411603200000",
"number": "1538491964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27619",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891261619",
"telephone_number": "702-643-0500",
"fax_number": "702-471-1049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 W CHARLESTON BLVD",
"address_2": "SUITE 105",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891461217",
"telephone_number": "702-643-0500",
"fax_number": "702-471-1049"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATHAN IBE OZOBIA MD CHARTERED",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NATHAN IBE OZOBIA MD FICS CHARTERED",
"enumeration_date": "2010-02-10",
"last_updated": "2014-09-25",
"status": "A",
"authorized_official_last_name": "OZOBIA",
"authorized_official_first_name": "NATHAN",
"authorized_official_middle_name": "IBEZIMAKO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "702-643-0500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD FACS"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NV",
"license": "3239",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NV",
"license": "3239",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "CS969A",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
- Nateovation Institute of Safety and Vocational Training (NateOvation.com Institute of Safety and Vocational Training)
- Josefina Natera, BS CADC INTERN LBSW
- Aadithya Nath
- Manoj Nath, M.D.
- Nathan Adelson Hospice Inc
- Edward Mark Nathan
- Phoebe Nathan, CSW-INTERN
- Telicia A Nathan
- Nathu Compassionate Care CHTD
- Rakesh Magan Nathu, MEDICAL DOCTOR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.