Active NPI
Mary Ann K Allison, MD
- Hematology & Oncology Physician
- Henderson, NV
National Provider Identifier
1952317794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 6754
- Practice address
- 2460 W Horizon Ridge Pkwy
Henderson, NV 89052 - Phone
- (702) 822-2000
- Fax
- (702) 938-2237
- NPI assigned
- Aug 1, 2006
- Last updated
- May 29, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 6754 | NV | Primary |
Addresses
Primary practice location
2460 W Horizon Ridge Pkwy
Henderson, NV 89052
Mailing address
400 N Stephanie St Ste 300
Henderson, NV 89014-6692
Phone (702) 952-3350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002019486 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6754 | NV | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527552000000",
"number": "1952317794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N STEPHANIE ST STE 300",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890146692",
"telephone_number": "702-952-3350",
"fax_number": "702-952-3365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2460 W HORIZON RIDGE PKWY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "89052",
"telephone_number": "702-822-2000",
"fax_number": "702-938-2237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLISON",
"first_name": "MARY ANN",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2018-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NV",
"license": "6754",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002019486",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
- Allied Center for Special Surgery, Las Vegas, LLC (St. Michael's Center for Special Surgery. Las Vegas)
- Allied Hand & Orthopedics Las Vegas (Brown Hand Center Las Vegas)
- Allies Autism Services
- Annie Allison
- Daneisha Allison, LMSW
- Sandra L Allsup
- Allura Orthodontics
- Emil Almachar, ACNPC-AG
- Vicenta Almada
- Israel Almaguer
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.