Organization Active NPI

Advanced Medical Weight

  • Obesity Medicine (Family Medicine) Physician
  • Henderson, NV
National Provider Identifier
1881863538
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X
Legal business name
ADVANCED MEDICAL WEIGHT
Practice address
76 W Horizon Ridge
Suite 125
Henderson, NV 89012
Phone
(702) 897-9797
Fax
(702) 897-9795
NPI assigned
Feb 27, 2008
Last updated
Feb 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Mr. Sherman E Baker III
Title
President
Phone
(702) 897-9797

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X NU
Obesity Medicine (Family Medicine) Physician 207QB0002X NU Primary

Addresses

Primary practice location

76 W Horizon Ridge
Suite 125
Henderson, NV 89012

Mailing address

76 W Horizon Ridge
Suite 125
Henderson, NV 89012
Phone (702) 897-9797

National Provider Directory

National Provider Directory

Locations

76 W Horizon Ridge Pkwy
Ste 125
Henderson, NV 89012
Phone (702) 897-9797

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1881863538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 W HORIZON RIDGE",
            "address_2": "SUITE 125",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89012",
            "telephone_number": "702-897-9797",
            "fax_number": "702-897-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 W HORIZON RIDGE",
            "address_2": "SUITE 125",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89012",
            "telephone_number": "702-897-9797",
            "fax_number": "702-897-9795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL WEIGHT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "SHERMAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-897-9797",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Feb 27, 2008; 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.