NPIMap

Organization Active NPI

Heart Medical Group

  • Adolescent Medicine (Internal Medicine) Physician
  • Las Vegas, NV
National Provider Identifier
1962050716
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
Legal business name
HEART MEDICAL GROUP
Practice address
1210 S Valley View Blvd
Unit 102
Las Vegas, NV 89102
Phone
(702) 235-5778
NPI assigned
Aug 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Authorized official

Name
Vivian Owyong
Title
Agent
Phone
(702) 235-5778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RA0000X Primary

Addresses

Primary practice location

1210 S Valley View Blvd
Unit 102
Las Vegas, NV 89102

Mailing address

1210 S Valley View Blvd
Unit 102
Las Vegas, NV 89102
Phone (702) 235-5778

Other names 1

  • Heart Medical Group Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL AmazingCharts Direct

National Provider Directory

National Provider Directory

Locations

1210 S Valley View Blvd
Ste 102
Las Vegas, NV 89102
Phone (702) 235-5778

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1962050716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 S VALLEY VIEW BLVD",
            "address_2": "UNIT 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89102",
            "telephone_number": "702-235-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 S VALLEY VIEW BLVD",
            "address_2": "UNIT 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89102",
            "telephone_number": "702-235-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "OWYONG",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "702-235-5778"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "AmazingCharts",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "1210 S Valley View Blvd",
            "address_2": "Unit 102",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "89102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Heart Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heart Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 30, 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.