DR. MARVIN DOUGLAS SPANN (NPI# 1407044399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407044399 |
| Entity Type | Individual |
| Full Name | DR. MARVIN DOUGLAS SPANN |
| Credential | M.D. |
| Practice Address |
2615 Box Canyon Dr Las Vegas NV 89128-0450 |
| Mailing Address |
Po Box 35914 Las Vegas NV 89133-5914 |
| Practice Telephone | 7029988486 |
| Practice Fax Number | 7029988282 |
| Mailing Telephone | 7029988486 |
| Mailing Fax Number | 7029988282 |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2012-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 13247 | NV | Allopathic & Osteopathic Physicians |
| N | 208200000X | Plastic Surgery | 6664375-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
2615 BOX CANYON DR |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89128-0450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518993260 | Carol Lynn Tanko | Nurse Anesthetist, Certified Registered | 2615 Box Canyon Dr, Las Vegas, NV 89128-0450 | 2006-06-24 |
| 1871964676 | Kasie Palmer | Physician Assistant | 2615 Box Canyon Dr, Las Vegas, NV 89128-0450 | 2015-10-19 |
| 1558618710 | Marvin D Spann Md Pllc | Plastic Surgery | 2615 Box Canyon Dr, Las Vegas, NV 89128-0450 | 2012-08-07 |
| 1972750370 | Grace Kyung Kim | Dermatology | 2615 Box Canyon Dr, Las Vegas, NV 89128-0450 | 2008-08-27 |
| 1700964780 | Candace Thornton Spann | Dermatology | 2615 Box Canyon Dr, Las Vegas, NV 89128-0450 | 2006-11-01 |
| 1770667081 | Cynthia Rydzewski Fitzgerald | Nurse Anesthetist, Certified Registered | 2615 Box Canyon Dr, Las Vegas, NV 89128-0450 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374256 | Dmc Medical Clinic Ltd | Family Medicine | 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 | 2020-10-23 |
| 1619589462 | Eldercare Services Lv, LLC | Technician | 8430 W. Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-08-21 |
| 1508477308 | Amneris Lizet Duran-brocato | Technician | 1150 North Buffalo Dr. Apt 2120, Las Vegas, NV 89128 | 2020-08-14 |
| 1366082612 | Ar Home Health Management LLC | Home Health | 7465 W Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-01-14 |
| 1114563731 | Leslie A Pasternack | Acupuncturist | Integrated Acupuncture of Southern Nevada, 7250 Peak Dr #106, Las Vegas, NV 89128 | 2019-11-19 |
| 1154977940 | Devora Susana Leon-lopez | Chore Provider | 7320 Smoke Ranch Rd. Ste. H, Las Vegas, NV 89128 | 2019-08-16 |
| 1659924884 | Blanca Estela Garnica-mendez | Chore Provider | 7320 Smoke Ranch Rd. Suite H, Suite H, Las Vegas, NV 89128 | 2019-07-17 |
| 1467913160 | Sherwin Necunazar Azad | Student in an Organized Health Care Education/Training Program | Mountainview Hospital Gme, 3100 N. Tenaya Way, Las Vegas, NV 89128 | 2019-03-26 |
| 1962963801 | Michael Richard Korczynski | Student in an Organized Health Care Education/Training Program | 3100 North Tenaya Way, Las Vegas, NV 89128 | 2019-03-25 |
| 1013477041 | Yuanlong Zhao | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way Graduate Medical Education, Las Vegas, NV 89128 | 2019-03-25 |
| Find all providers in zip 89128 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851787691 | Richards Cosmetic Surgery, Inc | Plastic Surgery | 6020 S Rainbow Blvd, Bldg C, Las Vegas, NV 89118-2545 | 2015-04-08 |
| 1346509171 | Joshua J Goldman | Plastic Surgery | 1701 W Charleston Blvd Ste 190, Las Vegas, NV 89102-2312 | 2012-05-14 |
| 1689841421 | Bryson Gibbs Richards | Plastic Surgery | 6020 S. Rainbow Blvd, Bldg C, Las Vegas, NV 89118 | 2008-05-12 |
| 1982779526 | Lane Fielding Smith | Plastic Surgery | 8871 W Sahara Ave, Las Vegas, NV 89117-5865 | 2006-11-21 |
| 1528132057 | Raymond B Mccann | Plastic Surgery | 8685 W Sahara Ave, #180, Las Vegas, NV 89117-5880 | 2006-11-17 |
| 1568540219 | Frank Louis Stile | Plastic Surgery | 8954 Spanish Ridge Avenue, Las Vegas, NV 89148 | 2006-11-01 |
| 1043391410 | Michael C Edwards | Plastic Surgery | 8530 W. Sunset Road, Suite 130, Las Vegas, NV 89113 | 2006-10-18 |
| 1932109212 | Jeffrey Joseph Roth | Plastic Surgery | 9280 W Sunset Rd Ste 236, Las Vegas, NV 89148-4861 | 2005-07-28 |
| 1528679578 | Rachel Mason Plastic Surgery Pllc | Plastic Surgery | 5864 S Durango Dr, 105, Las Vegas, NV 89113 | 2020-08-13 |
| 1346702784 | Eric Krantz | Plastic Surgery | 2020 Wellness Way Ste 504, Las Vegas, NV 89106-4145 | 2019-04-04 |
| Find all providers in LAS VEGAS | ||||
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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.