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SPECTRUM FAMILY MEDICAL NPI 1225364086


NPI Information

NPI: 1225364086
Provider Name: SPECTRUM FAMILY MEDICAL
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
1120 ALMOND TREE LN
SUITE 201
LAS VEGAS, NV
ZIP 89104
Phone: (702) 564-4224
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SPECTRUM FAMILY MEDICAL is an adult medicine family medicine in Las Vegas, NV. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. SPECTRUM FAMILY MEDICAL NPI is 1225364086. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1120 ALMOND TREE LN
SUITE 201
LAS VEGAS, NV
ZIP 89104-229
Phone: (702) 564-4224

The provider's authorized official is Michael F Karagiozis .
The authorized official title is President and has the following contact phone number (702) 686-3545.

The enumeration date for this NPI number is 10/28/2009 and was last updated on 10/28/2009.


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
1207QA0505XFamily MedicineAdult Medicine476NEVADAYes

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
1002018209MEDICAIDNEVADA
2G90811MEDICARE UPIN
3476OTHERLICENSE#
4V40712MEDICARE PIN

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: 4/28/2024

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.