Organization Active NPI

Sherif W Abdou MD Apc

  • Registered Nurse
  • Las Vegas, NV
National Provider Identifier
1720037765
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
SHERIF W ABDOU MD APC
Practice address
1776 E Warm Springs Rd
200
Las Vegas, NV 89119-4676
Phone
(702) 932-8547
Fax
(702) 932-8586
NPI assigned
May 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Authorized official

Name
Amir Bacchus, MD
Title
Partner
Phone
(702) 932-8582

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163W00000X Primary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

1776 E Warm Springs Rd
200
Las Vegas, NV 89119-4676

Mailing address

1776 E Warm Springs Rd
200
Las Vegas, NV 89119-4676
Phone (702) 932-8547

Other names 1

  • Summit Medical Group Doing business as

National Provider Directory

National Provider Directory

Locations

1776 E Warm Springs Rd
Ste 200
Las Vegas, NV 89119
Phone (702) 932-8547

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1720037765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 E WARM SPRINGS RD",
            "address_2": "200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891194676",
            "telephone_number": "702-932-8547",
            "fax_number": "702-932-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 E WARM SPRINGS RD",
            "address_2": "200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891194676",
            "telephone_number": "702-932-8547",
            "fax_number": "702-932-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIF W ABDOU MD APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "BACCHUS",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "702-932-8582",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 12, 2008; 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.