Organization Active NPI

G. Timothy Kelly MD

  • Rheumatology Physician
  • Las Vegas, NV
National Provider Identifier
1891347613
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
G. TIMOTHY KELLY MD
Practice address
7200 Cathedral Rock Dr Ste 110
Las Vegas, NV 89128-0439
Phone
(702) 341-5444
NPI assigned
Jul 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Authorized official

Name
Dr. G. Timothy Kelly, MD
Title
President
Phone
(702) 341-5444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

7200 Cathedral Rock Dr Ste 110
Las Vegas, NV 89128-0439

Mailing address

7200 Cathedral Rock Dr Ste 110
Las Vegas, NV 89128-0439
Phone (702) 341-5444

National Provider Directory

National Provider Directory
Tax ID family
G Timothy Kelly2 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.

Locations

7200 Cathedral Rock Dr
Ste 110
Las Vegas, NV 89128
Phone (702) 341-5444

NPI Registry JSON

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1891347613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 CATHEDRAL ROCK DR STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280439",
            "telephone_number": "702-341-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 CATHEDRAL ROCK DR STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280439",
            "telephone_number": "702-341-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. TIMOTHY KELLY MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "G.",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-341-5444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "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 Jul 11, 2019; 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.