Provider Type Icon

CENTENNIAL MEDICAL GROUP NPI 1598926677


NPI Information

NPI: 1598926677
Provider Name: CENTENNIAL MEDICAL GROUP

Doing Business As: CENTENNIAL UPRIGHT MRI

Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
4640 W CRAIG RD
N LAS VEGAS, NV
ZIP 89032
Phone: (702) 839-1203
Get Directions

CENTENNIAL MEDICAL GROUP is an interventional pain medicine pain medicine in N Las Vegas, NV. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. CENTENNIAL MEDICAL GROUP NPI is 1598926677. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Centennial Upright Mri.

The provider's business location address is:

4640 W CRAIG RD
N LAS VEGAS, NV
ZIP 89032-743
Phone: (702) 839-1203
Fax: (702) 507-0992

The provider's authorized official is Carla Sherwood .
The authorized official title is Operations Director and has the following contact phone number (702) 818-2825.

The enumeration date for this NPI number is 6/20/2008 and was last updated on 6/20/2008.


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
1208VP0014XPain MedicineInterventional Pain MedicineYes

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
1V103360OTHERNEVADAMEDICARE P-10

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.