Okan Medical Group Corp

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

OKAN MEDICAL GROUP CORP

Practice address

3365 E Flamingo Rd
Suite 4
Las Vegas, NV 89121-7440

Phone

(702) 454-7043

NPI assigned

Sep 25, 2007

Last updated

Sep 25, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pedro Marcuello

Title

President

Phone

(702) 454-7043

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1821284720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3365 E FLAMINGO RD",
            "address_2": "SUITE 4",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217440",
            "telephone_number": "702-454-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 E FLAMINGO RD",
            "address_2": "SUITE 4",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217440",
            "telephone_number": "702-454-7043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKAN MEDICAL GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "MARCUELLO",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-454-7043"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chidi Okafor, MD
• Okamoto PLLC (Spring Mountain Aesthetics)
• Rafael Okamoto, M.D.
• Bryan Masaru Okamura
• Okan Medical Center LLC
• Tes Okbamichael
• Fortuna Okbastion
• Rahwa Okbatsion
• Oznur Okcuoglu
• Chika Okechukwu, NP

• Urgent Care Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Urgent Care Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.