KELLY ROBIN JACKSON-KING (NPI# 1497726806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497726806 |
| Entity Type | Individual |
| Full Name | KELLY ROBIN JACKSON-KING |
| Credential | MD |
| Practice Address |
3196 S Maryland Pkwy Las Vegas NV 89109-2305 |
| Practice Telephone | 7022553547 |
| Mailing Telephone | 7022553547 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2015-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | ME125609 | FL | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | 9540 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | MEDICAID | 3102659 | 01 |
| NV | 2018359 | 05 |
| Street Address |
3196 S MARYLAND PKWY |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89109-2305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497739601 | Howard I Baron | Pediatrics | 3196 S Maryland Pkwy, Suite 309, Las Vegas, NV 89109-2314 | 2005-12-01 |
| 1215382387 | Hughes & Sanders, LLC | Dentist | 3196 S Maryland Pkwy, Suite 307, Las Vegas, NV 89109-2305 | 2016-04-26 |
| 1750792990 | Healthy Kids Pediatrics LLC | Pediatrics | 3196 S Maryland Pkwy, 400, Las Vegas, NV 89109-2305 | 2014-05-09 |
| 1437429842 | Sharon Schaffer | Pediatrics | 3196 S Maryland Pkwy, Suite 309, Las Vegas, NV 89109-2305 | 2012-01-03 |
| 1386872265 | Christopher Richardson | Surgery | 3196 S Maryland Pkwy, Suite 101, Las Vegas, NV 89109-2305 | 2009-06-30 |
| 1134354350 | Teresa R Carroll | Nurse Practitioner | 3196 S Maryland Pkwy, #309, Las Vegas, NV 89109-2305 | 2009-05-18 |
| 1770607871 | Matthew S Johnson | Surgery | 3196 S Maryland Pkwy, Suite 101-a, Las Vegas, NV 89109-2305 | 2007-03-16 |
| 1104959782 | University of Nv School of Medicine Multi Specialty Group Practice So | Obstetrics & Gynecology | 3196 S Maryland Pkwy, #209, Las Vegas, NV 89109-2305 | 2007-03-13 |
| 1811085459 | Gastrointestinal Diagnostic Clinic | Clinic/Center | 3196 S Maryland Pkwy, Suite 207, Las Vegas, NV 89109-2305 | 2006-10-10 |
| 1932294980 | Ernest M. Sussman | Urology | 3196 S Maryland Pkwy, Ste. 410, Las Vegas, NV 89109-2305 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820816 | Vivian Latoza Villasfer | Technician | 2770 South Maryland Parkway, Suite 205b, Las Vegas, NV 89109 | 2020-04-21 |
| 1235758236 | Happy Life Home Health Services Inc | Chore Provider | 2770 S Maryland Pkwy Suite 205-b, Las Vegas, NV 89109 | 2020-04-10 |
| 1346890662 | Jaylin Armour | Technician | 2770 S Maryland Pkwy Suite 108b Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-18 |
| 1104475003 | Jasmine Thomas | Technician | 2770 S Maryland Pkwy Suite 108 B-g Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-04 |
| 1982258331 | Melanee Gregory | Technician | 2770 S Maryland Okey Suite 108b, Suite 108b, Las Vegas, NV 89109 | 2019-07-24 |
| 1851877583 | Eric Darnell Thompson Jr. | Community/Behavioral Health | 2556 Shrewood Street, Unit 21, Las Vegas, NV 89109 | 2018-07-16 |
| 1144717117 | Emerging Vision Inc | Technician/Technologist | Mirage Hotel, 3400 Las Vegas Blvd S, Mirage Hotel, Las Vegas, NV 89109 | 2018-04-16 |
| 1013404110 | Emerging Vision Inc | Technician/Technologist | Mandalay Bay Resort (lobby), 3950 Las Vegas Blvd S, Mandalay Bay Resort (lobby), Las Vegas, NV 89109 | 2018-04-16 |
| 1750881736 | Amirelys Hernandez Diaz | Technician | 2770 S. Maryland Pkwy, Ste 108b-g, Las Vegas, NV 89109 | 2018-02-16 |
| 1972036663 | Ashley Murray | Registered Nurse | 2700 S Las Vegas Blvd #1506, Las Vegas, NV 89109 | 2017-04-10 |
| Find all providers in zip 89109 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124664115 | Planned Parenthood of The Rocky Mountains | Obstetrics & Gynecology | 3300 E Flamingo Rd Ste 25, Las Vegas, NV 89121-4398 | 2019-11-25 |
| 1578912515 | Heather Hyland Madden | Obstetrics & Gynecology | 3196 S Maryland Pkwy Ste 410, Las Vegas, NV 89109-2315 | 2016-06-10 |
| 1679937031 | Sarah Amarylis Roadhouse | Obstetrics & Gynecology | 9120 W Post Rd Ste 200, Las Vegas, NV 89148-2427 | 2016-04-11 |
| 1134583727 | Erica Renee Davenport | Obstetrics & Gynecology | 2880 N Tenaya Way Ste 310, Las Vegas, NV 89128-0642 | 2016-04-08 |
| 1346638491 | Kevin Tran | Obstetrics & Gynecology | 1707 W Charleston Blvd Ste 220, Las Vegas, NV 89102-2353 | 2014-12-23 |
| 1679975361 | Wellhealth Medical Group, PC | Obstetrics & Gynecology | 9260 W Sunset Rd Ste 102, Las Vegas, NV 89148-4858 | 2014-09-24 |
| 1245644475 | Javier Humberto Cajina | Obstetrics & Gynecology | 2040 W Charleston Blvd Ste 200, Las Vegas, NV 89102-2248 | 2014-06-16 |
| 1619302684 | Leanne Almario | Obstetrics & Gynecology | 2851 N Tenaya Way Ste 208, Las Vegas, NV 89128-0453 | 2013-09-10 |
| 1316389455 | James Kenneth Hedges | Obstetrics & Gynecology | 805 Noahs Star St, Las Vegas, NV 89145-8609 | 2013-07-17 |
| 1477896702 | Philip Gordon Mclemore Jr. | Obstetrics & Gynecology | 6850 North Durango Drive #401, Las Vegas, NV 89149 | 2013-04-04 |
| Find all providers in LAS VEGAS | ||||
Please comment or provide details below to improve the information on KELLY ROBIN JACKSON-KING.
| 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.