Organization Active NPI

Timothy J Ladner MD Professional Corporation

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1982725941
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10562 Issued in NV
Legal business name
TIMOTHY J LADNER MD PROFESSIONAL CORPORATION
Practice address
2001 S Rainbow Blvd
Suite 160
Las Vegas, NV 89146-2990
Phone
(702) 315-4600
Fax
(702) 315-4607
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

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

Authorized official

Name
Dr. Timothy J Ladner, MD
Title
Owner
Phone
(702) 315-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 10562 NV Primary

Addresses

Primary practice location

2001 S Rainbow Blvd
Suite 160
Las Vegas, NV 89146-2990

Mailing address

2001 S Rainbow Blvd
Suite 160
Las Vegas, NV 89146-2990
Phone (702) 315-4600

National Provider Directory

National Provider Directory

Locations

2685 S Rainbow Blvd
Ste 101
Las Vegas, NV 89146
Phone (702) 315-4600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387756800000",
    "number": "1982725941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S RAINBOW BLVD",
            "address_2": "SUITE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891462990",
            "telephone_number": "702-315-4600",
            "fax_number": "702-315-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S RAINBOW BLVD",
            "address_2": "SUITE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891462990",
            "telephone_number": "702-315-4600",
            "fax_number": "702-315-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY J LADNER MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2013-12-23",
        "status": "A",
        "authorized_official_last_name": "LADNER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-315-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "10562",
            "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 Dec 23, 2013; 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.