Active NPI
Hugo Robert Paulson, M.D.
- Dermatopathology Physician
- Las Vegas, NV
National Provider Identifier
1871917260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology Physician
- License
- 630
- Practice address
- 2650 N. Tenaya Way
Ste. 208
Las Vegas, NV 89128-1104 - Phone
- (702) 853-7451
- Fax
- (909) 557-1924
- NPI assigned
- Feb 6, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology Physician | 207ND0900X | 630 | NV | Primary |
Addresses
Primary practice location
2650 N. Tenaya Way
Ste. 208
Las Vegas, NV 89128-1104
Mailing address
2285 Corporate Cir
Ste 200
Henderson, NV 89074-7759
Phone (702) 360-2763
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 630 | NV | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J. Robert West, M.D., 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.
-
- Dermatology Physician
- Phoenix, AZ
- NPI 1114567997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458086400000",
"number": "1871917260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2285 CORPORATE CIR",
"address_2": "STE 200",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747759",
"telephone_number": "702-360-2763",
"fax_number": "949-783-2880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 N. TENAYA WAY",
"address_2": "STE. 208",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891281104",
"telephone_number": "702-853-7451",
"fax_number": "909-557-1924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULSON",
"first_name": "HUGO",
"middle_name": "ROBERT",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-06",
"last_updated": "2016-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "NV",
"license": "630",
"primary": true
}
],
"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 Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.