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LAS VEGAS PAIN INSTITUTE AND MEDICAL CENTER LLC NPI 1659431443


NPI Information

NPI: 1659431443
Provider Name: LAS VEGAS PAIN INSTITUTE AND MEDICAL CENTER, LLC

Doing Business As: LAS VEGAS PAIN INSTITUTE AND MEDICAL CENTER

Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 29D2076068

Address:
3835 S JONES BLVD STE 104
LAS VEGAS, NV
ZIP 89103
Phone: (702) 880-4193
Get Directions

LAS VEGAS PAIN INSTITUTE AND MEDICAL CENTER, LLC is a pain medicine anesthesiology in Las Vegas, NV. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. LAS VEGAS PAIN INSTITUTE AND MEDICAL CENTER, LLC NPI is 1659431443. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Las Vegas Pain Institute And Medical Center.

The provider's business location address is:

3835 S JONES BLVD STE 104
LAS VEGAS, NV
ZIP 89103-283
Phone: (702) 880-4193
Fax: (702) 880-4197

The provider's authorized official is Godwin O Maduka .
The authorized official title is Medical Director and has the following contact phone number (702) 880-4193.

The CLIA number assigned to this NPI record is 29D2076068 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 10/22/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorNo
2225100000XPhysical TherapistNo
3363A00000XPhysician AssistantNo
4363L00000XNurse PractitionerNo
5207LP2900XAnesthesiologyPain Medicine2000268 650NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100509710MEDICAIDNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.