R&R Medical Group, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E0271022011-6 Issued in NV

Legal business name

R&R MEDICAL GROUP, LLC

Practice address

655 S Green Valley Pkwy
Ste 100
Henderson, NV 89052-0404

Phone

(702) 431-7337

Fax

(702) 431-1738

NPI assigned

Jun 18, 2012

Organization subpart

No

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

Authorized official

Name

Susan Pudiwitr

Title

Administrator

Phone

(702) 306-4505

Specialties & licenses 1

Addresses

Other names 1

• Doctors Express Urgent Care Doing business as

Tax ID family

Doctors Express Urgent Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• R&R Medical Group, LLC

  • Urgent Care Clinic/Center
  • Henderson, NV
  • NPI 1033471941
  NPD tax ID

Locations

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1760745558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7732 BUTHERUS DR",
            "address_2": "HANGAR ONE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85260",
            "telephone_number": "702-431-7337",
            "fax_number": "702-431-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 S GREEN VALLEY PKWY",
            "address_2": "STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890520404",
            "telephone_number": "702-431-7337",
            "fax_number": "702-431-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R&R MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "PUDIWITR",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-306-4505"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "E0271022011-6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Express Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dejah Rabon, MEDICAL ASSISTANT
• Racear LLC

• Family Medicine Physician in Henderson, NV
• Providers in Henderson, 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 Jun 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.