Active NPI
Thomas S Pulice, MPA-C
- Physician Assistant
- Las Vegas, NV
National Provider Identifier
1740293810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA865
- Practice address
- 2245 Maple Rose Dr
Las Vegas, NV 89134-0190 - Phone
- (702) 363-4001
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA865 | NV | Primary |
Addresses
Primary practice location
2245 Maple Rose Dr
Las Vegas, NV 89134-0190
Mailing address
2245 Maple Rose Dr
Las Vegas, NV 89134-0190
Phone (702) 363-4001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA865 | NV | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740293810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2245 MAPLE ROSE DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891340190",
"telephone_number": "702-363-4001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2245 MAPLE ROSE DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891340190",
"telephone_number": "702-363-4001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULICE",
"first_name": "THOMAS",
"middle_name": "S",
"credential": "MPA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA865",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.