SMA CONVENIENT CARE - NPI 1376838110 - Family Medicine in Henderson, NV

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207QA0505X and a focus in Adult Medicine.

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About Sma Convenient Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SMA CONVENIENT CARE (NPI 1376838110) is a healthcare organization registered as an adult medicine in Henderson, Nevada and active in the NPI registry since June 2011. The organization lists Linda L Johnson, Sma President, as its authorized official.

NPPES Registry Identity

NPI1376838110

Entity TypeOrganization

Primary Taxonomy207QA0505X

Legal Business NameLINDA L. JOHNSON MD, LTD

Location Address300 E LAKE MEAD PKWYHenderson, NV 89015-5576

Mailing Address2720 N Tenaya WayLas Vegas, NV 89128-0424 · (702) 560-2889 · Fax (702) 560-2928

Phone(702) 560-2915

Organization SubpartNo

Authorized OfficialLinda L JohnsonSma President · (702) 560-2886

Enumeration DateJune 9, 2011

Last NPPES UpdateJuly 25, 2012

✔ NPI 1376838110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

300 E LAKE MEAD PKWY, Henderson, NV 89015

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Other Names 1

Doing Business AsSma Convenient Care

Other Identifiers 2

Medicaid1376838110NV

Medicare PINFL430ANV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP