Active NPI
Advanced Medical Weight
- Obesity Medicine (Family Medicine) Physician
- Henderson, NV
National Provider Identifier
1881863538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity Medicine (Family Medicine) Physician
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- Admired Medical and Psychiatric Care L.L.C.
- Christine Grace Monieno Adol, PMHNP-BC
- Aubre Adoree
- Advanced Care Options LLC
- Advanced Manuel Therapy Institute 1 LLC
- Advanced Paincare LLP (Advanced Paincare)
- Advanced Prosthetics and Orthotics, Inc
- Advanced Psychological Care, Inc.
- Advanced Rheumatology Associates Nevada PLLC
- Advanced Rheumatology Associates of Nevada Modjinou PLLC
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.