NPIMap

Organization Active NPI

Eddiepmd Inc

  • Physical Medicine & Rehabilitation Physician
  • Las Vegas, NV
National Provider Identifier
1699226274
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
8581 Issued in NV
Legal business name
EDDIEPMD INC
Practice address
601 S Rancho Dr
Ste 6
Las Vegas, NV 89106-4899
Phone
(702) 386-0909
Fax
(702) 386-0707
NPI assigned
Oct 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Authorized official

Name
Larry Robinson
Title
Office Manager
Phone
(702) 386-0909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 8581 NV Primary

Addresses

Primary practice location

601 S Rancho Dr
Ste 6
Las Vegas, NV 89106-4899

Mailing address

601 S Rancho Dr
Ste 6
Las Vegas, NV 89106-4899
Phone (702) 386-0909

National Provider Directory

National Provider Directory
Tax ID family
Eddiepmd Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

601 S Rancho Dr
Ste 6
Las Vegas, NV 89106
Phone (702) 386-0909

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542153600000",
    "number": "1699226274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S RANCHO DR",
            "address_2": "STE 6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064899",
            "telephone_number": "702-386-0909",
            "fax_number": "702-386-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S RANCHO DR",
            "address_2": "STE 6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064899",
            "telephone_number": "702-386-0909",
            "fax_number": "702-386-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDDIEPMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2018-11-14",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-386-0909"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NV",
            "license": "8581",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 14, 2018; 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.