1598770471 NPI number — ALLISON CURTIS KINGSLEY MEOZ MICHAEL & SANCHEZ PC

Table of content: (NPI 1598770471)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598770471 NPI number — ALLISON CURTIS KINGSLEY MEOZ MICHAEL & SANCHEZ PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALLISON CURTIS KINGSLEY MEOZ MICHAEL & SANCHEZ PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
COMPREHENSIVE CANCER CENTERS OF NEVADA
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598770471
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/23/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
400 N STEPHANIE ST STE 300
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HENDERSON
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89014-6692
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-952-3350
Provider Business Mailing Address Fax Number:
702-952-3365

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3730 S EASTERN AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89169-3321
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-952-3400
Provider Business Practice Location Address Fax Number:
702-952-3461
Provider Enumeration Date:
07/29/2006

Additional Information

Authorized Official

Authorized Official Last Name:
COHEN
Authorized Official First Name:
ANDREW
Authorized Official Middle Name:
M
Authorized Official Title or Position:
PRESIDENT PHYSICIAN
Authorized Official Telephone Number:
702-952-3350

Provider Taxonomy Codes

  • Taxonomy code: 207RH0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RH0003X , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207RP1001X , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RX0202X , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0001X , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363A00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 201962000 , issued by the state of ( NV ) . This identifiers is of the category "MEDICAID".
  • Identifier: CR1048 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: DW2302 . This is a "RAILROAD MEDICARE (AZ)" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".




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