Omer Hamid Wharton-Ali, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

3863 Issued in NV

Practice address

1703 Civic Center Dr Ste 1B
N Las Vegas, NV 89030-7273

Phone

(702) 399-3404

Fax

(702) 399-1819

NPI assigned

Jan 4, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199404800000",
    "number": "1750566030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 364479",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890368479",
            "telephone_number": "702-399-3404",
            "fax_number": "702-399-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 CIVIC CENTER DR STE 1B",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890307273",
            "telephone_number": "702-399-3404",
            "fax_number": "702-399-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHARTON-ALI",
        "first_name": "OMER",
        "middle_name": "HAMID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NV",
            "license": "3863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in N Las Vegas, NV
• Providers in N Las Vegas, NV by specialty
• General Practice Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; 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.