NPIMap

Organization Active NPI

Unsom Multispecialty Group Practice South, Inc

  • Pediatric Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1598003014
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
Legal business name
UNSOM MULTISPECIALTY GROUP PRACTICE SOUTH, INC
Practice address
3121 S Maryland Pkwy
Suite 400
Las Vegas, NV 89109-2307
Phone
(702) 650-2500
Fax
(702) 650-2220
NPI assigned
Jan 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Joanne Hansen
Title
Credentialing Specialist
Phone
(702) 671-2395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0120X Primary

Addresses

Primary practice location

3121 S Maryland Pkwy
Suite 400
Las Vegas, NV 89109-2307

Mailing address

1701 W Charleston Blvd
Suite 490
Las Vegas, NV 89102-2325
Phone (702) 671-2278

Other identifiers 1

IdentifierTypeStateIssuer
1184601239OtherNVGROUP NPI

Other names 1

  • MedSchool Associates South Doing business as

National Provider Directory

National Provider Directory
Tax ID family
University of NV School of Medicine Multi-Specialty Group South13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1598003014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W CHARLESTON BLVD",
            "address_2": "SUITE 490",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022325",
            "telephone_number": "702-671-2278",
            "fax_number": "702-671-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 S MARYLAND PKWY",
            "address_2": "SUITE 400",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092307",
            "telephone_number": "702-650-2500",
            "fax_number": "702-650-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNSOM MULTISPECIALTY GROUP PRACTICE SOUTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "702-671-2395",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Pediatric Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1184601239",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedSchool Associates South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 3, 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.

Verify at the official NPI Registry.