Las Vegas Gastroenterology Associate LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

LAS VEGAS GASTROENTEROLOGY ASSOCIATE LLC

Practice address

3150 N Tenaya Way Ste 525
Las Vegas, NV 89128-0465

Phone

(702) 641-4220

Fax

(702) 966-2440

NPI assigned

Nov 15, 2012

Organization subpart

No

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

Authorized official

Name

Adedayo Mokuolou, MD

Title

Managing Member

Phone

(702) 641-4220

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JCIGAA

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1851635783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 LAS VEGAS BLVD S UNIT 3201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091169",
            "telephone_number": "702-641-4200",
            "fax_number": "702-966-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N TENAYA WAY STE 525",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280465",
            "telephone_number": "702-641-4220",
            "fax_number": "702-966-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS VEGAS GASTROENTEROLOGY ASSOCIATE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "MOKUOLOU",
        "authorized_official_first_name": "ADEDAYO",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-641-4220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Gastroenterology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.