Organization Active NPI

Pulmonary Specialist Group of Nevada

Doing business as The Lung Center of Nevada

  • Pulmonary Disease Physician
  • Las Vegas, NV
National Provider Identifier
1720108442
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
PULMONARY SPECIALIST GROUP OF NEVADA
Doing business as
The Lung Center 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
Last updated
Feb 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary
Sleep Medicine (Internal Medicine) PhysicianGroup: 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 1

  • The Lung Center of Nevada Doing business as

National Provider Directory

National Provider Directory

Locations

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

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

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

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

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.