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Pulmonary Specialist Group of Nevada

Organization Active NPI Pulmonary Disease Physician · Las Vegas, NV

NPI 1720108442 · NPPES record last updated Feb 5, 2015

Key facts

NPI
1720108442
Entity type
Organization (NPI type 2)
Primary specialty
Pulmonary Disease Physician 207RP1001X
Legal business name
PULMONARY SPECIALIST GROUP OF NEVADA
Practice address
9280 W Sunset Rd
Suite 312
Las Vegas, NV 89148-4860
Phone
(702) 737-5864
Fax
(702) 737-6885
NPI assigned
Mar 29, 2007
Organization subpart
No

Authorized official

Name
Mrs. Judith E. Baldis
Title
Operations Manager
Phone
(702) 737-5864

Practitioners 18

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

National Provider Directory

Locations

861 Coronado Center Dr
Ste 131
Henderson, NV 89052
Phone (702) 478-5111

3150 N Tenaya Way
Ste 125
Las Vegas, NV 89128
Phone (702) 737-5664

4220 S Maryland Pkwy
Ste 700
Las Vegas, NV 89119
Phone (702) 737-5864

3121 S Maryland Pkwy
Ste 502
Las Vegas, NV 89109
Phone (702) 731-9306

3101 S Maryland Pkwy
Ste 100
Las Vegas, NV 89109
Phone (702) 737-5864

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RC0200X
Pulmonary Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RP1001X Yes
Sleep Medicine (Internal Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RS0012X

Addresses

Primary practice location

9280 W Sunset Rd
Suite 312
Las Vegas, NV 89148-4860

Mailing address

9280 W Sunset Rd
Suite 312
Las Vegas, NV 89148-4860
Phone (702) 737-5864

Other names

  • The Lung Center of Nevada Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 5, 2015.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1720108442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9280 W SUNSET RD",
            "address_2": "SUITE 312",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484860",
            "telephone_number": "702-737-5864",
            "fax_number": "702-737-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9280 W SUNSET RD",
            "address_2": "SUITE 312",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484860",
            "telephone_number": "702-737-5864",
            "fax_number": "702-737-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY SPECIALIST GROUP OF NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "BALDIS",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "702-737-5864",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Lung Center of Nevada",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

All providers in Las Vegas, NV · Pulmonary Disease Physician in Nevada

Sources for this page

Verify at the official NPI Registry.