J Sherman Tate MD LTD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

J SHERMAN TATE MD LTD

Doing business as

Imani Health Care Associates PA

Practice address

501 South Rancho Drive
Suite E-32
Las Vegas, NV 89106-4833

Phone

(701) 388-4292

Fax

(702) 388-2922

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

James Sherman Tate Jr., MD

Title

Ceo

Phone

(702) 388-4292

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Imani Health Care Associates PA Doing business as

Locations

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319760000000",
    "number": "1679631220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270700",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891274700",
            "telephone_number": "702-388-4292",
            "fax_number": "702-388-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SOUTH RANCHO DRIVE",
            "address_2": "SUITE E-32",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064833",
            "telephone_number": "701-388-4292",
            "fax_number": "702-388-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J SHERMAN TATE MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2011-10-28",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "SHERMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-388-4292",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100501136",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imani Health Care Associates PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Surgery Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Surgery Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; 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.