ATHLETE ADVANTAGE MEDICAL LLC NPI 1578180469

NPI Information

NPI: 1578180469
Provider Name: ATHLETE ADVANTAGE MEDICAL LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
6315 S RAINBOW BLVD STE 100
LAS VEGAS, NV
ZIP 89118
Phone: (800) 674-9515
Get Directions

ATHLETE ADVANTAGE MEDICAL LLC is a family medicine in Las Vegas, NV. 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. ATHLETE ADVANTAGE MEDICAL LLC NPI is 1578180469. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6315 S RAINBOW BLVD STE 100
LAS VEGAS, NV
ZIP 89118-217
Phone: (800) 674-9515
Fax: (702) 988-5154

The provider's authorized official is James Murphy .
The authorized official title is Owner and has the following contact phone number (702) 485-5493.

The enumeration date for this NPI number is 6/26/2020 and was last updated on 10/24/2022.

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	Primary
1	207P00000X	Emergency Medicine		No
2	207RS0010X	Internal Medicine	Sports Medicine	No
3	2084N0400X	Psychiatry & Neurology	Neurology	No
4	225100000X	Physical Therapist		No
5	207Q00000X	Family Medicine		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	Other Provider Identifier Issuer
1	100500132	MEDICAID	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: 4/28/2024

NPI Synchronization or Removal

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