Active NPI
Sydney Harasym, PA
- Physician Assistant
- Las Vegas, NV
National Provider Identifier
1598190084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA1841
- Practice address
- 2831 Business Park CT Ste 120
Las Vegas, NV 89128-9010 - Phone
- (702) 844-8143
- NPI assigned
- Sep 4, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA1841 | NV | Primary |
Addresses
Primary practice location
2831 Business Park CT Ste 120
Las Vegas, NV 89128-9010
Mailing address
2831 Business Park CT Ste 120
Las Vegas, NV 89128-9010
Phone (702) 844-8143
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y0K1N | Other | FL | FL BLUE CROSS/BLUE SHIELD |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA1841 | NV | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556236800000",
"number": "1598190084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2831 BUSINESS PARK CT STE 120",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891289010",
"telephone_number": "702-844-8143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2831 BUSINESS PARK CT STE 120",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891289010",
"telephone_number": "702-844-8143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARASYM",
"first_name": "SYDNEY",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-04",
"last_updated": "2019-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA1841",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL BLUE CROSS/BLUE SHIELD",
"identifier": "Y0K1N",
"state": "FL"
}
],
"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 Apr 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.