MIO M STIKOVAC (NPI# 1134205735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134205735 |
| Entity Type | Individual |
| Full Name | MIO M STIKOVAC |
| Other Name | MIODRAG STIKOVAC |
| Credential | M.D. |
| Practice Address |
4700 Las Vegas Blvd N Nellis Afb NV 89191 |
| Practice Telephone | 7026533257 |
| Mailing Telephone | 7026533257 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2018-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
01049387A | IN | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
30015 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | RAILROAD MEDICARE | 060052923 | 01 |
| KY | PASSPORT-CTS | 50065353 | 01 |
| KY | UNITED HEALTHCARE | 25-00439 | 01 |
| BCBS TENNESSEE | 3121962 | 01 | |
| CHA PROVIDER NETWORK | 1169908 | 01 | |
| KY | ANTHEM BCBS | 000000052136 | 01 |
| KY | MEDICARE RR-CTS | P01333108 | 01 |
| KY | ANTHEM-CTS | 000000867525 | 01 |
| RAILROAD MEDICARE TVILLE | 060052920 | 01 | |
| IN | 200059360 | 05 | |
| PASSPORT HEALTH PLAN | 1079152 | 01 | |
| FIRST HEALTH | 835778 | 01 | |
| KY | SIHO-CTS | 159683 | 01 |
| FEDERAL BLACK LUNG PROGRA | 299856 | 01 | |
| IN | RAILROAD MEDICARE/MADISON | 060057636 | 01 |
| CIGNA | 2552053001 | 01 | |
| ANTHEM SR. ADVANTAGE | 6113371060A11 | 01 | |
| KY | 64300155 | 05 | |
| IN | SIHO | 415633P | 01 |
| Street Address |
4700 LAS VEGAS BLVD N |
| City | NELLIS AFB |
| State | NV |
| Zip Code | 89191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366445389 | Frank J Andriola | Internal Medicine | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2005-05-23 |
| 1245837392 | Cameron Springer | Military Health Care Provider | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-10-01 |
| 1063026474 | Haley Suzanne Emery | Physician Assistant | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-09-02 |
| 1033729991 | Brock Shaw | Dentist | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-08-05 |
| 1801404397 | Madelyn Danielle Golden | Military Health Care Provider | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-07-21 |
| 1114544103 | Jami Myong Reece | Family Medicine | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-06-25 |
| 1225654296 | Leah Corr | Physician Assistant | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-06-24 |
| 1821614405 | Aubrey Amanda Blanchette | Student in an Organized Health Care Education/Training Program | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-06-19 |
| 1346866290 | Shelbi Diane Duncan | Physician Assistant | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-06-17 |
| 1235751538 | Howard Luong | Physician Assistant | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225662687 | Ashley Raye Roth-garcia | Student in an Organized Health Care Education/Training Program | 99th Medical Group 4700 Las Vegas Blvd North, Nellis Afb, NV 89191 | 2020-02-25 |
| 1427553734 | Christopher Robert Weisgarber | Student in an Organized Health Care Education/Training Program | Mike O'callaghan Military Medical Center, 4700 Las Vegas Blvd North Bldg 1300, Las Vegas, NV 89191 | 2018-03-28 |
| 1912345448 | Austin Joseph Ladner | Dentist | 99th Air Base Wing Public Affairs, Fpo, AA 89191 | 2013-06-06 |
| 1528329018 | Mayer M Jeppson | Psychologist | 4700 Las Vegas Blvd. N, Nellis Afb, NV 89191 | 2012-05-31 |
| 1255560462 | Jordan Lawrence | Military Health Care Provider | 1579 Malmstrom Avenue, Nellis Afb, NV 89191 | 2009-07-09 |
| 1225263072 | Adrienne L Clark | Military Health Care Provider | 5154 Ellsworth Ave, Suite 61690, Las Vegas, NV 89191 | 2009-05-22 |
| 1568634335 | Eleanor C Basilio | Registered Nurse | 4700 Las Vegas Blvd., Nellis Afb, NV 89191 | 2008-04-01 |
| 1316137037 | Sarah Rachel Glick | Pediatrics | 4700 N. Las Vegas Blvd., Mike O'callaghan Federal Medical Center, 99 Mdos/sgoc, Nellis Afb, NV 89191 | 2007-07-30 |
| 1619181302 | Ben Carter Robinson | Orthopaedic Surgery | 4700 N. Las Vegas Blvd, Nellis Afb-mofh Nellis Orthopedics, Las Vegas, NV 89191 | 2007-05-10 |
| 1609992205 | Conrad Lochner IIi, Odpc | Optometrist | 5691 Rickenbacker Road, Bldg. 431, Las Vegas, NV 89191 | 2007-03-22 |
| Find all providers in zip 89191 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386715837 | Bryan Matthew White | Internal Medicine | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730659749 | Beyogluticaaret LLC | Internal Medicine | 330 S Lola Ln Ste 200, Pahrump, NV 89048-0879 | 2018-12-03 |
| 1164909396 | Nevada Heart and Vascular Center, (resh) LLP. | Internal Medicine | 2839 St. Rose Pkwy., Ste. 160, Henderson, NV 89052-4849 | 2018-07-20 |
| 1548747793 | Nevada Heart and Vascular Center, (resh) LLP. | Internal Medicine | 7455 W. Washington Ave., Ste. 420, Las Vegas, NV 89128-4337 | 2018-07-20 |
| 1255823571 | Ram K Singh Md Ltd | Internal Medicine | 10410 S Eastern Ave Ste 210, Henderson, NV 89052-4195 | 2018-06-01 |
| 1265941587 | Tann Choice Cardiovascular Pllc | Internal Medicine | 2814 N Carson St, Carson City, NV 89706-0177 | 2017-09-29 |
| 1629434949 | City of Hope Cardiovascular Care and Therapeutics | Internal Medicine | 840 S Rancho Dr # 4-340, Las Vegas, NV 89106-3837 | 2016-01-04 |
| 1851780241 | Beaver Medical Incorporated | Internal Medicine | 5000 Smithridge Dr Ste D11, Reno, NV 89502-5654 | 2015-01-22 |
| 1164859120 | Cavallini LLC | Internal Medicine | 7575 Norman Rockwell Ln, Ste 110, Las Vegas, NV 89143-6014 | 2013-10-03 |
| 1558705004 | Dalia Farouk Hawwass | Internal Medicine | 700 E Silverado Ranch Blvd Ste 170, Las Vegas, NV 89183-7518 | 2013-04-25 |
| 1659680635 | Silver State Cardiology, LLC | Internal Medicine | 4200 W Charleston Blvd Bldg A, Las Vegas, NV 89102-1625 | 2010-09-24 |
| Find all providers with the same taxonomy | ||||
| City | NELLIS AFB |
| Zip Code | 89191 |
Please comment or provide details below to improve the information on MIO M STIKOVAC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.