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ANNETTE F MAYES MD A PROFESSIONAL CORPORATION NPI 1003295189


NPI Information

NPI: 1003295189
Provider Name: ANNETTE F MAYES MD A PROFESSIONAL CORPORATION
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
700 SHADOW LN
SUITE 165
LAS VEGAS, NV
ZIP 89106
Phone: (702) 522-9640
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ANNETTE F MAYES MD A PROFESSIONAL CORPORATION is a preferred provider organization in Las Vegas, NV. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. ANNETTE F MAYES MD A PROFESSIONAL CORPORATION NPI is 1003295189. The provider is registered as an organization entity type.

The provider's business location address is:

700 SHADOW LN
SUITE 165
LAS VEGAS, NV
ZIP 89106-126
Phone: (702) 522-9640

The provider's authorized official is Annette F Mayes .
The authorized official title is Physician, Owner and has the following contact phone number (702) 522-9640.

The enumeration date for this NPI number is 5/22/2015 and was last updated on 5/22/2015.


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 License Number License State Primary
1305R00000XPreferred Provider Organization7200NEVADAYes

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
1V35155OTHERNEVADAMEDICARE PTAN
22019271MEDICAIDNEVADA

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: 5/5/2024

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