FJW Incorporated

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FJW INCORPORATED

Practice address

2870 S Maryland Pkwy Ste 230S230
Las Vegas, NV 89109-5031

Phone

(702) 330-0530

Fax

(702) 476-9930

NPI assigned

Mar 30, 2023

Organization subpart

No

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

Authorized official

Name

Rita Kuhl

Title

Coo

Phone

(702) 330-0530

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• AXIS HEALTH OF NEVADA Doing business as

Locations

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1760186969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 S MARYLAND PKWY STE 230S230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891095031",
            "telephone_number": "702-330-0530",
            "fax_number": "702-476-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 S MARYLAND PKWY STE 230S230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891095031",
            "telephone_number": "702-330-0530",
            "fax_number": "702-476-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FJW INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "KUHL",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "702-330-0530"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250016271",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AXIS HEALTH OF NEVADA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.