# NOMMIS CONSULTANTS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841613650
- **Authorized official:** SIMMON WILCOX MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (702) 785-4114

## Contact information

- **Practice address:** 4550 E CHARLESTON BLVD, LAS VEGAS, NV 89104-5525
- **Practice address phone:** (702) 785-4114
- **Mailing address:** 6421 ABERDEEN LN, LAS VEGAS, NV 89107-1268

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 2009007880 | MO | — |
| 207QA0505X | Adult Medicine Physician | 11588 | NV | Yes |
| 207QA0505X | Adult Medicine Physician | 6968998-1205 | UT | — |
| 207QA0505X | Adult Medicine Physician | MD033724E | PA | — |
| 208VP0000X | Pain Medicine Physician | 11588 | NV | — |

## Other

- **Enumeration date:** 01/30/2014
- **Last updated:** 01/30/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000185023 | HIGHMARK BC/BS | PA |
| 05 | — | 100510116 | — | NV |
