Organization Active NPI

Physicians Urgent Care

  • Urgent Care Clinic/Center
  • Boulder City, NV
National Provider Identifier
1629474150
Registry record updated Apr 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
DO 1374 Issued in NV
Legal business name
PHYSICIANS URGENT CARE
Practice address
1651 Nevada Hwy
Boulder City, NV 89005-1909
Phone
(702) 997-9661
NPI assigned
Nov 11, 2014
Last updated
Apr 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2015

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

Authorized official

Name
Mr. Tony Burns, MBA,CASA,CSFA
Title
Administrator
Phone
(702) 622-0602

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X DO 1374 NV Primary
Family Medicine Physician 207Q00000X DO1374 NV

Addresses

Primary practice location

1651 Nevada Hwy
Boulder City, NV 89005-1909

Mailing address

1651 Nevada Hwy
Boulder City, NV 89005-1909

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428105600000",
    "number": "1629474150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 NEVADA HWY",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890051909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 NEVADA HWY",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890051909",
            "telephone_number": "702-997-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-11",
        "last_updated": "2015-04-04",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-622-0602",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA,CASA,CSFA"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NV",
            "license": "DO 1374",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO1374",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2015; 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.