NPIMap

Organization Active NPI

Seasons Healthcare, Inc.

  • Hospitalist Physician
  • Las Vegas, NV
National Provider Identifier
1902403793
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
SEASONS HEALTHCARE, INC.
Practice address
6467 Carmel Creek Ave
Las Vegas, NV 89139-7021
Phone
(248) 974-1350
Fax
(702) 947-5352
NPI assigned
Oct 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Jill Levy
Title
Credentialing Manager
Phone
(702) 899-4509

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X
Hospitalist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208M00000X Primary

Addresses

Primary practice location

6467 Carmel Creek Ave
Las Vegas, NV 89139-7021

Mailing address

PO Box 778413
Henderson, NV 89077-8413
Phone (702) 357-8811

National Provider Directory

National Provider Directory

Locations

330 Madison St
Ste 200
Joliet, IL 60435
Phone (630) 901-4143

NPI Registry JSON

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1902403793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 778413",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890778413",
            "telephone_number": "702-357-8811",
            "fax_number": "702-947-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6467 CARMEL CREEK AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891397021",
            "telephone_number": "248-974-1350",
            "fax_number": "702-947-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASONS HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "702-899-4509"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "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 May 1, 2023; 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.