NPIMap

Organization Active NPI

Copeland - Beajow Medical Institute, CHTD

Doing business as Internal Medicine Associates

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1871542530
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
COPELAND - BEAJOW MEDICAL INSTITUTE, CHTD
Doing business as
Internal Medicine Associates
Practice address
7365 Prairie Falcon Rd
Suite 150
Las Vegas, NV 89128-0808
Phone
(702) 792-4336
Fax
(702) 202-3455
NPI assigned
May 9, 2006
Last updated
Oct 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Authorized official

Name
Stephen Connors
Title
Credentialing Coordinator
Phone
(702) 792-4336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

7365 Prairie Falcon Rd
Suite 150
Las Vegas, NV 89128-0808

Mailing address

7365 Prairie Falcon Rd
Suite 150
Las Vegas, NV 89128-0808
Phone (702) 792-4336

Other names 1

  • Internal Medicine Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1175 American Pacific Dr
Ste F
Henderson, NV 89074

3006 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 369-5582

3150 N Tenaya Way
#120
Las Vegas, NV 89128
Phone (702) 228-4088

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1871542530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7365 PRAIRIE FALCON RD",
            "address_2": "SUITE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280808",
            "telephone_number": "702-792-4336",
            "fax_number": "702-202-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7365 PRAIRIE FALCON RD",
            "address_2": "SUITE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280808",
            "telephone_number": "702-792-4336",
            "fax_number": "702-202-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPELAND - BEAJOW MEDICAL INSTITUTE, CHTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "CONNORS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "702-792-4336"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.

Verify at the official NPI Registry.