Organization Active NPI

Pahrump Internal Medicine

  • Internal Medicine Physician
  • Pahrump, NV
National Provider Identifier
1679119069
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PAHRUMP INTERNAL MEDICINE
Practice address
3370 S State Highway 160
Ste 10
Pahrump, NV 89048
Phone
(775) 771-7570
NPI assigned
Nov 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Authorized official

Name
Dr. Marianne Hazelitt, DO
Title
Physician
Phone
(775) 771-7570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3370 S State Highway 160
Ste 10
Pahrump, NV 89048

Mailing address

PO Box 1536
Pahrump, NV 89041-1536
Phone (775) 771-7570

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL UPDOX Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

3370 S Nevada Highway 160
Ste 10
Pahrump, NV 89048
Phone (775) 467-3711

NPI Registry JSON

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1679119069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1536",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890411536",
            "telephone_number": "775-771-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 S STATE HIGHWAY 160",
            "address_2": "STE 10",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "89048",
            "telephone_number": "775-771-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAHRUMP INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "HAZELITT",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "775-771-7570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "UPDOX",
            "affiliation": "N",
            "endpointDescription": "Virtual fax",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Virtual fax",
            "address_1": "3370 S State Highway 160",
            "address_2": "STE 10",
            "city": "Pahrump",
            "state": "NV",
            "country_code": "US",
            "postal_code": "89048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pahrump, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.

Verify at the official NPI Registry.