Organization Active NPI

South Hills Gastroenterology LLP

Doing business as South Hills Gastroenterology

  • Gastroenterology Physician
  • Henderson, NV
National Provider Identifier
1982876744
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
8613 Issued in NV
Legal business name
SOUTH HILLS GASTROENTEROLOGY LLP
Doing business as
South Hills Gastroenterology
Practice address
2625 Wigwam Pkwy
Suite 112
Henderson, NV 89074-7325
Phone
(702) 858-9328
Fax
(702) 202-3455
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Carmelo Herrero, MD
Title
Member
Phone
(702) 858-9328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 8613 NV Primary

Addresses

Primary practice location

2625 Wigwam Pkwy
Suite 112
Henderson, NV 89074-7325

Mailing address

7365 Prairie Falcon Rd
Suite 140
Las Vegas, NV 89128-0807
Phone (702) 202-3431

Other identifiers 1

IdentifierTypeStateIssuer
1007181745OtherNVBUSINESS LICENSE

Other names 1

  • South Hills Gastroenterology Doing business as

National Provider Directory

National Provider Directory

Locations

2625 Wigwam Pkwy
Ste 122
Henderson, NV 89074

Practitioners & affiliated clinicians

Practitioners 5

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": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1982876744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7365 PRAIRIE FALCON RD",
            "address_2": "SUITE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280807",
            "telephone_number": "702-202-3431",
            "fax_number": "702-202-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 WIGWAM PKWY",
            "address_2": "SUITE 112",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747325",
            "telephone_number": "702-858-9328",
            "fax_number": "702-202-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HILLS GASTROENTEROLOGY LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "HERRERO",
        "authorized_official_first_name": "CARMELO",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "702-858-9328",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NV",
            "license": "8613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "1007181745",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Hills Gastroenterology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.