EAR NOSE & THROAT SPECIALISTS OF SOUTHERN NEVADA INC (NPI# 1407002413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407002413 |
Entity Type | Organization |
Organization Name | EAR NOSE & THROAT SPECIALISTS OF SOUTHERN NEVADA INC |
Practice Address |
4275 Burnham Ave Suite 345 Las Vegas NV 89119-5488 |
Practice Telephone | 7027357668 |
Practice Fax Number | 7027351411 |
Mailing Telephone | 7027357668 |
Mailing Fax Number | 7027351411 |
Enumeration Date | 2008-08-10 |
Last Update Date | 2008-08-10 |
Authorized Official Name | DR. DONALD CHARLES MOHS (PRESIDENT) |
Authorized Official Telephone | 7027357668 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
8239 | NV | Allopathic & Osteopathic Physicians |
Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
8239 | NV | Allopathic & Osteopathic Physicians |
Street Address |
4275 BURNHAM AVE SUITE 345 |
City | LAS VEGAS |
State | NV |
Zip Code | 89119-5488 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164424867 | Victor Yea-tse Chou | Family Medicine | 4275 Burnham Ave, #365, Las Vegas, NV 89119-5488 | 2005-08-11 |
1174034482 | Elaine Dimalanta Guiang | Nurse Practitioner | 4275 Burnham Ave, Las Vegas, NV 89119 | 2017-10-13 |
1336486182 | Emily D Labonte | Registered Nurse | 4275 Burnham Ave, 255, Las Vegas, NV 89119-5488 | 2013-01-14 |
1912251687 | Ada N. Ndulaka | Nurse Practitioner | 4275 Burnham Ave, #255, Las Vegas, NV 89119-5488 | 2012-11-02 |
1083962856 | Mark A Perez, M.d., LLC | Family Medicine | 4275 Burnham Ave, Suite 235, Las Vegas, NV 89119-5488 | 2012-08-27 |
1750659157 | United Sleep Centers, Inc. | Clinical Medical Laboratory | 4275 Burnham Ave, Suite 355, Las Vegas, NV 89119-5488 | 2011-12-13 |
1750689113 | Good Shepherd Rehabilitations | Clinic/Center | 4275 Burnham Ave, Suite 255, Las Vegas, NV 89119-8204 | 2011-03-09 |
1487954129 | Ivy Viado | Physical Therapist | 4275 Burnham Ave, Las Vegas, NV 89119-5488 | 2010-10-28 |
1346496114 | Todd Richard Dukes | Family Medicine | 4275 Burnham Ave, Ste. 105, Las Vegas, NV 89119-5488 | 2008-08-13 |
1962661413 | Good Shepherd Rehabilitation Institute | Clinic/Center | 4275 Burnham Ave, Ste 255, Las Vegas, NV 89119-5488 | 2008-06-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669089298 | Jennifer Chavon Cruse | Technician | [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 | 2020-09-28 |
1063024214 | Rosa Isela Martinez Gonzalez | Technician | 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 | 2020-08-19 |
1720697980 | Christian Scott | Social Worker | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
1245867159 | Starfruit Holdings, LLC | Skilled Nursing Facility | 4375 S Eastern Ave, Paradise, NV 89119 | 2020-03-23 |
1215562376 | Phyllis Eberechukwu Hunt | Adult Companion | 5160 Tamarus St Appt 17, Las Vegas, NV 89119 | 2020-03-10 |
1841832581 | Legna Carrillo | Adult Companion | 4325 South Bruce St Appt 63, Las Vegas, NV 89119 | 2019-10-15 |
1104468339 | Alma Leticia Salazar | Home Health Aide | Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 | 2019-10-09 |
1083260046 | Araceli Rosas Vargas | Technician | 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 | 2019-08-15 |
1376197707 | Bristure Clayton | Technician | Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 | 2019-07-24 |
1457904534 | Carmen Laura Gonzalez Valenzuela | Chore Provider | 6725-1 S. Eastern Ave, Las Vegas, NV 89119 | 2019-07-18 |
Find all providers in zip 89119 |
Taxonomy Code | 207YX0007X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Plastic Surgery within the Head & Neck |
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700854122 | Robert James Troell | Otolaryngology | 7975w Sahara Ave 104, Las Vegas, NV 89117-7916 | 2006-03-10 |
1154883379 | Robert Chancellor Md Pllc | Otolaryngology | 5375 S Fort Apache Rd Ste 102, Las Vegas, NV 89148-7624 | 2019-04-05 |
1437282050 | University of Nv School of Medicine Multi Specialty Group Practice So | Otolaryngology | 5380 S Rainbow Blvd, Ste. 324, Las Vegas, NV 89118-1877 | 2007-03-13 |
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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.