BERNARD K. ADDO-QUAYE M.D. NPI 1922009208

NPI Information

NPI: 1922009208
Provider Name: BERNARD K. ADDO-QUAYE, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: JINGLE CHING KAVINTA PLLC

PECOS Registration: Yes

Address:
1815 E LAKE MEAD BLVD
SUITE 210
N LAS VEGAS, NV
ZIP 89030
Phone: (702) 657-6365
Get Directions

Bernard K. Addo-quaye, M.D. is a family medicine in N Las Vegas, NV with 26 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Bernard K. Addo-quaye, M.D. NPI is 1922009208. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1815 E LAKE MEAD BLVD
SUITE 210
N LAS VEGAS, NV
ZIP 89030-187
Phone: (702) 657-6365
Fax: (702) 657-6704

The NPI 1922009208 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/9/2005 and was last updated on 3/15/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		M5999	TEXAS	No
2	207Q00000X	Family Medicine		9413	NEVADA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	002018398	MEDICAID	NEVADA
2	H20411	MEDICARE UPIN	NEVADA
3	003102438	MEDICAID	NEVADA
4	34643	MEDICARE ID-TYPE UNSPECIFIED	NEVADA

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

NPI Synchronization or Removal

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