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PRIMARY CARE OF SOUTHERN NEVADA
NPI 1821026824
Internal Medicine in Henderson, NV

Active since June 29, 2006
2225 VILLAGE WALK DR, SUITE 270, HENDERSON, NV 89052(702) 993-0333(702) 990-0336 Get Directions Write a Review

NPPES record last updated: October 23, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Primary Care Of Southern Nevada NPPES

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

PRIMARY CARE OF SOUTHERN NEVADA (NPI 1821026824) is a healthcare organization registered as an internal medicine in Henderson, Nevada and active in the NPI registry since June 2006. The organization lists Kelly Elan Van Wagner, Owner, as its authorized official.

NPPES Registry Identity

NPI1821026824
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRIMARY CARE OF SOUTHERN NEVADA
Location Address2225 VILLAGE WALK DR, SUITE 270Henderson, NV 89052-5679
Mailing Address2225 Village Walk Dr, Suite 270Henderson, NV 89052-5679 · (702) 993-0333 · Fax (702) 990-0336
Phone(702) 993-0333
Fax(702) 990-0336
Organization SubpartNo
Authorized OfficialKelly Elan Van WagnerOwner · (702) 990-0333
Enumeration DateJune 29, 2006
Last NPPES UpdateOctober 23, 2007
✔ NPI 1821026824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2225 VILLAGE WALK DR, Henderson, NV 89052
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Other Identifiers 1

Medicare PINV33715NV

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEVADA TENDONITIS CLINIC LLC
Physical Medicine & Rehabilitation (Sports Medicine)
2225 VILLAGE WALK DR, SUITE 280
HENDERSON, NV 89052
Clark County (702) 617-2995

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Primary Care Of Southern Nevada's NPI number?

The NPI number for Primary Care Of Southern Nevada is 1821026824. It was assigned to this organization in the NPPES registry on June 29, 2006.

Where is Primary Care Of Southern Nevada located?

Primary Care Of Southern Nevada is located at 2225 Village Walk Dr Suite 270, Henderson, NV 89052. The listed phone number is (702) 993-0333.

What is Primary Care Of Southern Nevada's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Primary Care Of Southern Nevada was last updated on October 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.