NPIMap

Organization Active NPI

Turntable Health

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1740689579
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TURNTABLE HEALTH
Practice address
701 E Bridger Ave
Suite 150
Las Vegas, NV 89101-5554
Phone
(702) 749-1515
NPI assigned
Aug 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Authorized official

Name
Rushika Fernandopulle, MD
Title
Ceo
Phone
(617) 454-4672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

701 E Bridger Ave
Suite 150
Las Vegas, NV 89101-5554

Mailing address

101 Tremont Street 6TH Floor
Boston, MA- MASSACHUSETTS 02108
UM
Phone (617) 454-4672

National Provider Directory

National Provider Directory
Tax ID family
Culinary Extra Clinic3 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.

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1740689579",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "101 TREMONT STREET 6TH FLOOR",
            "city": "BOSTON",
            "state": "MA- MASSACHUSETTS",
            "postal_code": "02108",
            "telephone_number": "617-454-4672",
            "fax_number": "617-701-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E BRIDGER AVE",
            "address_2": "SUITE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891015554",
            "telephone_number": "702-749-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TURNTABLE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "FERNANDOPULLE",
        "authorized_official_first_name": "RUSHIKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-454-4672",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 Sep 14, 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.