Organization Active NPI

Professional Medical Management, Inc.

  • Critical Care Medicine (Anesthesiology) Physician
  • Las Vegas, NV
National Provider Identifier
1811226400
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Anesthesiology) PhysicianTaxonomy code 207LC0200X
License
010-1001168755 Issued in NV
Legal business name
PROFESSIONAL MEDICAL MANAGEMENT, INC.
Practice address
3230 E Flamingo Rd
334
Las Vegas, NV 89121-4320
Phone
(702) 454-8236
Fax
(702) 454-8279
NPI assigned
Dec 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Authorized official

Name
Mrs. Helen Chen
Title
Office Manager
Phone
(702) 454-8236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LC0200X 010-1001168755 NV Primary

Addresses

Primary practice location

3230 E Flamingo Rd
334
Las Vegas, NV 89121-4320

Mailing address

3230 E Flamingo Rd
334
Las Vegas, NV 89121-4320
Phone (702) 454-8236

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1811226400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 E FLAMINGO RD",
            "address_2": "334",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214320",
            "telephone_number": "702-454-8236",
            "fax_number": "702-454-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 E FLAMINGO RD",
            "address_2": "334",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214320",
            "telephone_number": "702-454-8236",
            "fax_number": "702-454-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL MEDICAL MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-454-8236",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "NV",
            "license": "010-1001168755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Dec 10, 2009; 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.