Individual provider Active NPI

James E Tate, D.O.

  • Anesthesiology Physician
  • Henderson, NV
National Provider Identifier
1760474977
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
989 Issued in NV
Practice address
129 W Lake Mead Pkwy
B 18
Henderson, NV 89015-7055
Phone
(702) 564-4440
Fax
(702) 558-1522
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 989 NV Primary

Addresses

Primary practice location

129 W Lake Mead Pkwy
B 18
Henderson, NV 89015-7055

Mailing address

129 W Lake Mead Pkwy
B 18
Henderson, NV 89015-7055
Phone (702) 564-4440

Other identifiers 1

IdentifierTypeStateIssuer
100506413MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
989NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
John T Goodsell DO PC Gregory Linderer MD LTD Anesthesiology PastSince Nov 18, 2009 Accepting new patients
Anesthesia Healthcare Partners of Laredo, P. a. Anesthesiology Past Accepting new patients
NWH Anesthesia Support Anesthesiology Past Accepting new patients
Zanesville Anesthesia Physicians Inc Anesthesiology Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1760474977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 W LAKE MEAD PKWY",
            "address_2": "B 18",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157055",
            "telephone_number": "702-564-4440",
            "fax_number": "702-558-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W LAKE MEAD PKWY",
            "address_2": "B 18",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157055",
            "telephone_number": "702-564-4440",
            "fax_number": "702-558-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "JAMES",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506413",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.