ONLYTELEMED LLC NPI 1104491471

NPI Information

  • NPI: 1104491471
  • Provider Name: ONLYTELEMED, LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 2445 FIRE MESA ST STE 190
    LAS VEGAS, NV
    ZIP 89128
  • Phone: (813) 967-3770

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NPI Details

ONLYTELEMED, LLC is a general practice in Las Vegas, NV. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee ONLYTELEMED, LLC NPI is 1104491471. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2445 FIRE MESA ST STE 190
LAS VEGAS, NV
ZIP 89128-015
Phone: (813) 967-3770
Fax: (702) 920-8848

The provider's authorized official is Richard Moore .
The authorized official title is Cfo and has the following contact phone number (702) 970-2103.

The enumeration date for this NPI number is 5/20/2021 and was last updated on 5/20/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

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: 3/30/2025

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