Active NPI
Susan Ruth Parker, M.D.
- Internal Medicine Physician
- Las Vegas, NV
National Provider Identifier
1861632838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 6525
- Practice address
- 901 Rancho LN
Suite 200
Las Vegas, NV 89106-3836 - Phone
- (702) 636-3000
- NPI assigned
- Mar 3, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 6525 | NV | Primary |
| Internal Medicine Physician | 207R00000X | 932674161205 | UT |
Addresses
Primary practice location
901 Rancho LN
Suite 200
Las Vegas, NV 89106-3836
Mailing address
901 Rancho LN
Suite 200
Las Vegas, NV 89106-3836
Phone (702) 636-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6525 | NV | MD | Internal Medicine Physician |
| 932674161205 | UT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Institute of Nevada, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pain Clinic/Center
- Las Vegas, NV
- NPI 1376571331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256428800000",
"number": "1861632838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 RANCHO LN",
"address_2": "SUITE 200",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891063836",
"telephone_number": "702-636-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 RANCHO LN",
"address_2": "SUITE 200",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891063836",
"telephone_number": "702-636-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "SUSAN",
"middle_name": "RUTH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-03",
"last_updated": "2009-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "6525",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "UT",
"license": "932674161205",
"primary": false
}
],
"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 Oct 25, 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.