Active NPI
Jeffrey Joe, M.D.
- Internal Medicine Physician
- Las Vegas, NV
National Provider Identifier
1588770598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 10619
- Practice address
- 5850 Polaris Ave
Ste. 100
Las Vegas, NV 89118-3182 - Phone
- (702) 739-9957
- NPI assigned
- Aug 22, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 10619 | NV | Primary |
Addresses
Primary practice location
5850 Polaris Ave
Ste. 100
Las Vegas, NV 89118-3182
Mailing address
5850 Polaris Ave
Ste. 100
Las Vegas, NV 89118-3182
Phone (702) 739-9957
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321833600000",
"number": "1588770598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5850 POLARIS AVE",
"address_2": "STE. 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891183182",
"telephone_number": "702-739-9957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5850 POLARIS AVE",
"address_2": "STE. 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891183182",
"telephone_number": "702-739-9957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOE",
"first_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2011-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "10619",
"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 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.