Active NPI
Nommis Consultants
- Adult Medicine Physician
- Las Vegas, NV
National Provider Identifier
1841613650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 11588
- Legal business name
- NOMMIS CONSULTANTS
- Practice address
- 4550 E Charleston Blvd
Las Vegas, NV 89104-5525 - Phone
- (702) 785-4114
- NPI assigned
- Jan 30, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Simmon Wilcox, MD
- Title
- Medical Director
- Phone
- (702) 785-4114
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2009007880 | MO | |
| Adult Medicine Physician | 207QA0505X | MD033724E | PA | |
| Adult Medicine Physician | 207QA0505X | 11588 | NV | Primary |
| Adult Medicine Physician | 207QA0505X | 6968998-1205 | UT | |
| Pain Medicine Physician | 208VP0000X | 11588 | NV |
Addresses
Primary practice location
4550 E Charleston Blvd
Las Vegas, NV 89104-5525
Mailing address
6421 Aberdeen LN
Las Vegas, NV 89107-1268
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100510116 | Medicaid | NV | |
| 000185023 | Other | PA | HIGHMARK BC/BS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391040000000",
"number": "1841613650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6421 ABERDEEN LN",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891071268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4550 E CHARLESTON BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891045525",
"telephone_number": "702-785-4114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOMMIS CONSULTANTS",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-30",
"last_updated": "2014-01-30",
"status": "A",
"authorized_official_last_name": "WILCOX",
"authorized_official_first_name": "SIMMON",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "702-785-4114",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "MO",
"license": "2009007880",
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": "PA",
"license": "MD033724E",
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": "NV",
"license": "11588",
"primary": true
},
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": "UT",
"license": "6968998-1205",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "NV",
"license": "11588",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100510116",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BC/BS",
"identifier": "000185023",
"state": "PA"
}
],
"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 Jan 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.