Organization Active NPI

Officium Vuthoori MD PLLC

  • Internal Medicine Physician
  • Henderson, NV
National Provider Identifier
1881215952
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
OFFICIUM VUTHOORI MD PLLC
Practice address
375 N Stephanie St Ste 1011
Henderson, NV 89014-8901
Phone
(702) 407-8241
Fax
(702) 492-1728
NPI assigned
Apr 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Authorized official

Name
Srinivas B Vuthoori, MD
Title
Ceo
Phone
(702) 407-8241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

375 N Stephanie St Ste 1011
Henderson, NV 89014-8901

Mailing address

861 Coronado Center Dr Ste 211
Henderson, NV 89052-3992
Phone (702) 407-8241

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL OfficiumPLLC

National Provider Directory

National Provider Directory
Tax ID family
Officium Vuthoori MD PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1881215952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 CORONADO CENTER DR STE 211",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523992",
            "telephone_number": "702-407-8241",
            "fax_number": "702-492-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 N STEPHANIE ST STE 1011",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890148901",
            "telephone_number": "702-407-8241",
            "fax_number": "702-492-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFFICIUM VUTHOORI MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-30",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "VUTHOORI",
        "authorized_official_first_name": "SRINIVAS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-407-8241",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "OfficiumPLLC",
            "affiliation": "N",
            "address_1": "375 N Stephanie St Ste 1011",
            "city": "Henderson",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890148901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.