| NPI | 1184748212 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2007-03-16 |
| Last Updated | 2018-02-27 |
| Mailing Address | Po Box 516558 Los Angeles, CA 90051-0596 United States Phone: (702) 671-2391 | Fax: (702) 895-4014 📍 View Map |
| Primary Practice Address | 1707 W Charleston Blvd, #160 Las Vegas, NV 89102-2351 United States Phone: (702) 671-5150 | Fax: (702) 384-6493 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | NV | 1184748212 | - |
| Other (non-Medicare) | NV | V51698 | PTAN |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 208600000X – Surgery | NV | 12653 |
| Yes | 2086X0206X – Surgery, Surgical Oncology | NV | 12653 |
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About NPI 1184748212
Jennifer Lynn Baynosa MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1184748212. The primary specialty listed is Surgery, Surgical Oncology. The provider is located in Las Vegas, NV. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-03-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1184748212?
NPI 1184748212 belongs to Jennifer Lynn Baynosa MD, a Surgery, Surgical Oncology in Las Vegas, NV. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1184748212 active?
The current status of NPI 1184748212 in the NPPES registry is Active. The record was last updated on 2018-02-27.
What specialty is NPI 1184748212?
NPI 1184748212 is classified under the taxonomy Surgery, Surgical Oncology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1184748212?
You can verify NPI 1184748212 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1184748212?
The primary practice address on file for NPI 1184748212 is 1707 W Charleston Blvd, Las Vegas, NV 89102-2351. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1184748212 issued?
NPI 1184748212 was first issued (enumerated) on 2007-03-16. The NPPES record was last updated on 2018-02-27.
Practice Location Map
Jennifer Lynn Baynosa is located at 1707 W Charleston Blvd, Las Vegas, NV. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Jennifer Lynn Baynosa. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1184748212. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Surgery | 12653 | NV |
| Surgery, Surgical Oncology | 12653 | NV |