1639349418 NPI number — UNIVERSITY OF NEVADA SCHOOL OF MEDICINE MULTI SPECIALTY GROUP SOUTH

NPI Number: 1639349418
Health Care Provider/Practitioner: UNIVERSITY OF NEVADA SCHOOL OF MEDICINE MULTI SPECIALTY GROUP SOUTH

NPI Number : 1639349418 – XML Data Format

                    
<?xml version="1.0" encoding="UTF-8"?>
<Npi>
	<NPI>
		1639349418
	</NPI>
	<EntityType>
		Organization
	</EntityType>
	<ReplacementNPI/>
	<EIN/>
	<IsSoleProprietor/>
	<IsOrgSubpart>
		N
	</IsOrgSubpart>
	<ParentOrgLBN/>
	<ParentOrgTIN/>
	<OrgName>
		UNIVERSITY OF NEVADA SCHOOL OF MEDICINE MULTI SPECIALTY GROUP SOUTH
	</OrgName>
	<LastName/>
	<FirstName/>
	<MiddleName/>
	<NamePrefix/>
	<NameSuffix/>
	<Credential/>
	<OtherOrgName/>
	<OtherOrgNameTypeCode>
		6
	</OtherOrgNameTypeCode>
	<OtherLastName/>
	<OtherFirstName/>
	<OtherMiddleName/>
	<OtherNamePrefix/>
	<OtherNameSuffix/>
	<OtherCredential/>
	<OtherLastNameTypeCode/>
	<FirstLineMailingAddress>
		PO BOX 98528
	</FirstLineMailingAddress>
	<SecondLineMailingAddress/>
	<MailingAddressCityName>
		LAS VEGAS
	</MailingAddressCityName>
	<MailingAddressStateName>
		NV
	</MailingAddressStateName>
	<MailingAddressPostalCode>
		89193-8528
	</MailingAddressPostalCode>
	<MailingAddressCountryCode>
		US
	</MailingAddressCountryCode>
	<MailingAddressTelephoneNumber>
		702-671-6423
	</MailingAddressTelephoneNumber>
	<MailingAddressFaxNumber>
		702-671-2331
	</MailingAddressFaxNumber>
	<FirstLinePracticeLocationAddress>
		880 SEVEN HILLS DR
	</FirstLinePracticeLocationAddress>
	<SecondLinePracticeLocationAddress>
		STE 200
	</SecondLinePracticeLocationAddress>
	<PracticeLocationAddressCityName>
		HENDERSON
	</PracticeLocationAddressCityName>
	<PracticeLocationAddressStateName>
		NV
	</PracticeLocationAddressStateName>
	<PracticeLocationAddressPostalCode>
		89052-4371
	</PracticeLocationAddressPostalCode>
	<PracticeLocationAddressCountryCode>
		US
	</PracticeLocationAddressCountryCode>
	<PracticeLocationAddressTelephoneNumber>
		702-671-5070
	</PracticeLocationAddressTelephoneNumber>
	<PracticeLocationAddressFaxNumber>
		702-385-3932
	</PracticeLocationAddressFaxNumber>
	<EnumerationDate>
		03/07/2008
	</EnumerationDate>
	<LastUpdateDate>
		03/07/2008
	</LastUpdateDate>
	<NPIDeactivationReasonCode/>
	<NPIDeactivationReason/>
	<NPIDeactivationDate/>
	<NPIReactivationDate/>
	<GenderCode/>
	<Gender/>
	<AuthorizedOfficialLastName>
		ZAMBONI
	</AuthorizedOfficialLastName>
	<AuthorizedOfficialFirstName>
		WILLIAM
	</AuthorizedOfficialFirstName>
	<AuthorizedOfficialMiddleName>
		A
	</AuthorizedOfficialMiddleName>
	<AuthorizedOfficialTitle>
		PRESIDENT
	</AuthorizedOfficialTitle>
	<AuthorizedOfficialNamePrefix/>
	<AuthorizedOfficialNameSuffix/>
	<AuthorizedOfficialCredential>
		MD
	</AuthorizedOfficialCredential>
	<AuthorizedOfficialTelephoneNumber>
		702-671-2278
	</AuthorizedOfficialTelephoneNumber>
	<Taxonomies>
		<Taxonomy>
			<TaxonomyCode>
				2084P0805X
			</TaxonomyCode>
			<TaxonomyName>
				Geriatric Psychiatry Physician
			</TaxonomyName>
			<LicenseNumber/>
			<LicenseNumberStateCode>
				NV
			</LicenseNumberStateCode>
			<PrimaryTaxonomySwitch>
				N
			</PrimaryTaxonomySwitch>
		</Taxonomy>
		<Taxonomy>
			<TaxonomyCode>
				2084P2900X
			</TaxonomyCode>
			<TaxonomyName>
				Pain Medicine (Psychiatry &amp; Neurology) Physician
			</TaxonomyName>
			<LicenseNumber/>
			<LicenseNumberStateCode>
				NV
			</LicenseNumberStateCode>
			<PrimaryTaxonomySwitch>
				N
			</PrimaryTaxonomySwitch>
		</Taxonomy>
		<Taxonomy>
			<TaxonomyCode>
				2084P0802X
			</TaxonomyCode>
			<TaxonomyName>
				Addiction Psychiatry Physician
			</TaxonomyName>
			<LicenseNumber/>
			<LicenseNumberStateCode>
				NV
			</LicenseNumberStateCode>
			<PrimaryTaxonomySwitch>
				N
			</PrimaryTaxonomySwitch>
		</Taxonomy>
		<Taxonomy>
			<TaxonomyCode>
				2084A0401X
			</TaxonomyCode>
			<TaxonomyName>
				Addiction Medicine (Psychiatry &amp; Neurology) Physician
			</TaxonomyName>
			<LicenseNumber/>
			<LicenseNumberStateCode>
				NV
			</LicenseNumberStateCode>
			<PrimaryTaxonomySwitch>
				N
			</PrimaryTaxonomySwitch>
		</Taxonomy>
		<Taxonomy>
			<TaxonomyCode>
				2084D0003X
			</TaxonomyCode>
			<TaxonomyName>
				Diagnostic Neuroimaging (Psychiatry &amp; Neurology) Physician
			</TaxonomyName>
			<LicenseNumber/>
			<LicenseNumberStateCode>
				NV
			</LicenseNumberStateCode>
			<PrimaryTaxonomySwitch>
				N
			</PrimaryTaxonomySwitch>
		</Taxonomy>
		<Taxonomy>
			<TaxonomyCode>
				2084N0600X
			</TaxonomyCode>
			<TaxonomyName>
				Clinical Neurophysiology Physician
			</TaxonomyName>
			<LicenseNumber/>
			<LicenseNumberStateCode>
				NV
			</LicenseNumberStateCode>
			<PrimaryTaxonomySwitch>
				N
			</PrimaryTaxonomySwitch>
		</Taxonomy>
		<Taxonomy>
			<TaxonomyCode>
				2084N0400X
			</TaxonomyCode>
			<TaxonomyName>
				Neurology Physician
			</TaxonomyName>
			<LicenseNumber/>
			<LicenseNumberStateCode>
				NV
			</LicenseNumberStateCode>
			<PrimaryTaxonomySwitch>
				Y
			</PrimaryTaxonomySwitch>
		</Taxonomy>
	</Taxonomies>
	<HealthcareProviderTaxonomyGroups>
		<HealthcareProviderTaxonomyGroup>
			<HealthcareProviderTaxonomyGroupName>
				193200000X MULTI-SPECIALTY GROUP
			</HealthcareProviderTaxonomyGroupName>
			<HealthcareProviderTaxonomyGroupDescription>
				Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization.
			</HealthcareProviderTaxonomyGroupDescription>
		</HealthcareProviderTaxonomyGroup>
		<HealthcareProviderTaxonomyGroup>
			<HealthcareProviderTaxonomyGroupName>
				193200000X MULTI-SPECIALTY GROUP
			</HealthcareProviderTaxonomyGroupName>
			<HealthcareProviderTaxonomyGroupDescription>
				Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization.
			</HealthcareProviderTaxonomyGroupDescription>
		</HealthcareProviderTaxonomyGroup>
		<HealthcareProviderTaxonomyGroup>
			<HealthcareProviderTaxonomyGroupName>
				193200000X MULTI-SPECIALTY GROUP
			</HealthcareProviderTaxonomyGroupName>
			<HealthcareProviderTaxonomyGroupDescription>
				Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization.
			</HealthcareProviderTaxonomyGroupDescription>
		</HealthcareProviderTaxonomyGroup>
		<HealthcareProviderTaxonomyGroup>
			<HealthcareProviderTaxonomyGroupName>
				193200000X MULTI-SPECIALTY GROUP
			</HealthcareProviderTaxonomyGroupName>
			<HealthcareProviderTaxonomyGroupDescription>
				Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization.
			</HealthcareProviderTaxonomyGroupDescription>
		</HealthcareProviderTaxonomyGroup>
		<HealthcareProviderTaxonomyGroup>
			<HealthcareProviderTaxonomyGroupName>
				193200000X MULTI-SPECIALTY GROUP
			</HealthcareProviderTaxonomyGroupName>
			<HealthcareProviderTaxonomyGroupDescription>
				Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization.
			</HealthcareProviderTaxonomyGroupDescription>
		</HealthcareProviderTaxonomyGroup>
		<HealthcareProviderTaxonomyGroup>
			<HealthcareProviderTaxonomyGroupName>
				193200000X MULTI-SPECIALTY GROUP
			</HealthcareProviderTaxonomyGroupName>
			<HealthcareProviderTaxonomyGroupDescription>
				Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization.
			</HealthcareProviderTaxonomyGroupDescription>
		</HealthcareProviderTaxonomyGroup>
		<HealthcareProviderTaxonomyGroup>
			<HealthcareProviderTaxonomyGroupName>
				193200000X MULTI-SPECIALTY GROUP
			</HealthcareProviderTaxonomyGroupName>
			<HealthcareProviderTaxonomyGroupDescription>
				Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization.
			</HealthcareProviderTaxonomyGroupDescription>
		</HealthcareProviderTaxonomyGroup>
	</HealthcareProviderTaxonomyGroups>
</Npi>

                    
                

NPI Number XSD (XML Schema Definition)

                
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                                                               <xs:element name="PrimaryTaxonomySwitch" type="xs:string"></xs:element>
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