Organization Active NPI

Southern Nevada Physicians LLP

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1992816896
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SOUTHERN NEVADA PHYSICIANS LLP
Practice address
3535 Las Vegas Blvd S
8TH Floor
Las Vegas, NV 89109-8921
Phone
(702) 309-5144
Fax
(702) 309-5344
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joseph Boateng III, M.D.NPI 1194833038
Title
President
Phone
(702) 309-5144

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X NV Primary

Addresses

Primary practice location

3535 Las Vegas Blvd S
8TH Floor
Las Vegas, NV 89109-8921

Mailing address

3535 Las Vegas Blvd S
8TH Floor
Las Vegas, NV 89109-8921
Phone (702) 309-5144

National Provider Directory

National Provider Directory

Locations

3535 Las Vegas Blvd S
Fl 8
Las Vegas, NV 89109
Phone (702) 309-5144

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992816896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 LAS VEGAS BLVD S",
            "address_2": "8TH FLOOR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891098921",
            "telephone_number": "702-309-5144",
            "fax_number": "702-309-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 LAS VEGAS BLVD S",
            "address_2": "8TH FLOOR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891098921",
            "telephone_number": "702-309-5144",
            "fax_number": "702-309-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN NEVADA PHYSICIANS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOATENG",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-309-5144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": null,
            "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 22, 2020; 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.