Organization Active NPI

Lynda O. Tirao, M.D. a Prof Corp

  • Cardiovascular Disease Physician
  • Las Vegas, NV
National Provider Identifier
1982808903
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
8221 Issued in NV
Legal business name
LYNDA O. TIRAO, M.D. A PROF CORP
Practice address
3585 S Eastern Ave
Las Vegas, NV 89169-3344
Phone
(702) 733-9300
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Authorized official

Name
Dr. Lynda O Tirao, M.D.NPI 1174601645
Title
Cardiologist
Phone
(702) 733-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 8221 NV Primary

Addresses

Primary practice location

3585 S Eastern Ave
Las Vegas, NV 89169-3344

Mailing address

3585 S Eastern Ave
Las Vegas, NV 89169-3344
Phone (702) 733-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040225000510 NV Part B Supplier - Clinic/Group Practice 2961398003 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

4275 Burnham Ave
Ste 335
Las Vegas, NV 89119
Phone (702) 731-5510

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": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1982808903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3585 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693344",
            "telephone_number": "702-733-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693344",
            "telephone_number": "702-733-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNDA O. TIRAO, M.D. A PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "TIRAO",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CARDIOLOGIST",
        "authorized_official_telephone_number": "702-733-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NV",
            "license": "8221",
            "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 Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.