Active NPI
Triduum Health Care LLC
- Health Service Clinic/Center
- Las Vegas, NV
National Provider Identifier
1740900059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andinwoh Orock, PA
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physician Assistant
- Henderson, NV
- NPI 1154369619
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.