Provider Demographics
NPI:1285838920
Name:JOHN M NOWINS MD LTD
Entity Type:Organization
Organization Name:JOHN M NOWINS MD LTD
Other - Org Name:NOWINS MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:NOWINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-791-3260
Mailing Address - Street 1:3380 S EASTERN AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89169-3313
Mailing Address - Country:US
Mailing Address - Phone:702-791-3260
Mailing Address - Fax:702-791-3912
Practice Address - Street 1:3380 S EASTERN AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89169-3313
Practice Address - Country:US
Practice Address - Phone:702-791-3260
Practice Address - Fax:702-791-3912
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOHN M NOWINS MD LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-06-14
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVVWQBBDMedicare PIN