Advanced Adolescent Pediatric Gastroenterology

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

License

11214 Issued in NV

Legal business name

ADVANCED ADOLESCENT PEDIATRIC GASTROENTEROLOGY

Practice address

8630 W Cheyenne Ave
Las Vegas, NV 89129-7260

Phone

(702) 851-9383

Fax

(702) 851-9380

NPI assigned

Aug 29, 2007

Last updated

Sep 30, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ajaz A Sheikh, M.D.NPI 1730173204

Title

President

Phone

(702) 851-9383

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Ajaz A. Sheikh, M.D.

  • Pediatric Gastroenterology Physician
  • Las Vegas, NV
  • NPI 1730173204
  Authorized official Same address or phone
• Shadi Usefi-Moridani, APN

  • Pediatric Nurse Practitioner
  • No. Las Vegas, NV
  • NPI 1104920206

  Pediatric Gastroenterology

  NPD (past)

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1649464975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36009",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891336009",
            "telephone_number": "702-851-9383",
            "fax_number": "702-851-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 W CHEYENNE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297260",
            "telephone_number": "702-851-9383",
            "fax_number": "702-851-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ADOLESCENT PEDIATRIC GASTROENTEROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "SHEIKH",
        "authorized_official_first_name": "AJAZ",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-851-9383",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "NV",
            "license": "11214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649464975",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Gastroenterology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pediatric Gastroenterology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.