NPI 1245997279 · live from the CMS NPI Registry
Intermountain Medical Holdings Nevada INC
Internal Medicine in Henderson, NV. National Provider Identifier 1245997279, active.
NPI record
| NPI | 1245997279 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 595 W Lake Mead Pkwy, Henderson, NV 89015 |
| Practice phone | 702-566-5500 |
| Mailing address | 6355 S Buffalo Dr, Las Vegas, NV 89113 |
| Enumerated | November 24, 2021 |
| Last updated | November 5, 2024 |
| Authorized official | Mitch Cloward, Nevada Region President |
| Other names | Intermountain Health |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | — |
| Family Medicine | 207Q00000X | — |
| Internal Medicine primary | 207R00000X | — |
| Internal Medicine, Endocrinology, Diabetes & Metabolism | 207RE0101X | — |
| Internal Medicine, Geriatric Medicine | 207RG0300X | — |
| Internal Medicine, Hematology & Oncology | 207RH0003X | — |
| Internal Medicine, Interventional Cardiology | 207RI0011X | — |
| Internal Medicine, Medical Oncology | 207RX0202X | — |
| Nuclear Medicine, Nuclear Cardiology | 207UN0901X | — |
| Obstetrics & Gynecology | 207V00000X | — |
| Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery | 207VF0040X | — |
| Pediatrics | 208000000X | — |
| Physical Medicine & Rehabilitation, Sports Medicine | 2081S0010X | — |
| 2085R0001X | — | |
| Hospitalist | 208M00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.