Organization Active NPI

Triduum Health Care LLC

  • Health Service Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1740900059
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
TRIDUUM HEALTH CARE LLC
Practice address
2301 E Sunset Rd Ste 7
Las Vegas, NV 89119-4933
Phone
(725) 204-7533
Fax
(725) 214-7240
NPI assigned
Aug 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Authorized official

Name
Andinwoh Orock, PANPI 1154369619
Title
Physician Assistant/ Owner
Phone
(702) 292-3578

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

2301 E Sunset Rd Ste 7
Las Vegas, NV 89119-4933

Mailing address

2301 E Sunset Rd Ste 7
Las Vegas, NV 89119-4933
Phone (725) 204-7533

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL http://provider.kareo.com/andinwoh-orock Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230711002839 NV Part B Supplier - Clinic/Group Practice 0042679888 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

2301 E Sunset Rd
Ste 7
Las Vegas, NV 89119
Phone (702) 292-3578

2955 E Sunset Rd
Ste 108
Las Vegas, NV 89120

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1740900059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 E SUNSET RD STE 7",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891194933",
            "telephone_number": "725-204-7533",
            "fax_number": "725-214-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E SUNSET RD STE 7",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891194933",
            "telephone_number": "725-204-7533",
            "fax_number": "725-214-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIDUUM HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "OROCK",
        "authorized_official_first_name": "ANDINWOH",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT/ OWNER",
        "authorized_official_telephone_number": "702-292-3578",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://provider.kareo.com/andinwoh-orock",
            "affiliation": "N",
            "endpointDescription": "Kareo EMR patient/ link and online booking",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2301 E Sunset Rd Ste 7",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891194933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.