JEANNIE KHAVKIN MD PC (NPI# 1518273028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518273028 |
| Entity Type | Organization |
| Organization Name | JEANNIE KHAVKIN MD PC |
| Practice Address |
653 N Town Center Dr Ste 308 Las Vegas NV 89144-0517 |
| Practice Telephone | 7022423223 |
| Practice Fax Number | 7022703224 |
| Mailing Telephone | 7022423223 |
| Mailing Fax Number | 7022703224 |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2010-08-20 |
| Authorized Official Name | JEANNIE KHAVKIN (PRESIDENT) |
| Authorized Official Telephone | 7022423223 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
653 N TOWN CENTER DR STE 308 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89144-0517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659483444 | Sheldon Jay Freedman | Urology | 653 N Town Center Dr Ste 308, Las Vegas, NV 89144-0517 | 2006-08-31 |
| 1225493125 | Khavkin Medical Group Pllc | Neurological Surgery | 653 N Town Center Dr Ste 308, Las Vegas, NV 89144-0517 | 2015-12-18 |
| 1144470048 | Jeannie Khavkin | Otolaryngology | 653 N Town Center Dr Ste 308, Las Vegas, NV 89144-0517 | 2008-09-26 |
| 1982749396 | Sheldon Freedman Md Ltd | Urology | 653 N Town Center Dr Ste 308, Las Vegas, NV 89144-0517 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033609599 | Anila Naz | Technician | 1529 Waterton Drive, Las Vegas, NV 89144 | 2018-05-10 |
| 1467987487 | Judith L. Tan | Nurse Practitioner | Summerlin Hospital, 657 N Town Center Dr, Las Vegas, NV 89144 | 2017-04-27 |
| 1871049437 | Derek Anthony Smith | Physical Therapist | 89135, 10550 W Park Run Dr, Las Vegas, NV 89144 | 2016-09-01 |
| 1619324662 | Sydney Spoon | Dietitian, Registered | 624 Canyon Greens Dr, Las Vegas, NV 89144 | 2016-05-19 |
| 1629455985 | Md24 Nv, Inc. | Nurse Practitioner | 1180 North Town Center Dr, Ste 100, Las Vegas, NV 89144 | 2015-05-06 |
| 1053652628 | Melvin Lackey Jr. | Behavioral Analyst | 10708 Esk Dr, Las Vegas, NV 89144 | 2013-03-07 |
| 1740445667 | Jaydee R. Lumbad | Family Medicine | 1111 N Town Center Drive, Las Vegas, NV 89144 | 2008-07-21 |
| 1700053824 | Samim Enayat | Internal Medicine | 10105 Banburry Cross Dr Ste 130, Las Vegas, NV 89144 | 2008-05-08 |
| 1629252457 | Edmund Reyes Goroza | Pediatrics | 10105 Banburry Cross Dr Ste 170, Las Vegas, NV 89144 | 2007-12-28 |
| 1730375262 | H.l.greenberg M.d., Ltd. | Clinic/Center | 653 N. Town Center Drive, Ste #410, Las Vegas, NV 89144 | 2007-09-18 |
| Find all providers in zip 89144 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952485179 | Samir Pancholi | Otolaryngology | 6910 S Cimarron Rd Ste 150, Las Vegas, NV 89113-2280 | 2006-10-24 |
| 1598762759 | Miles B Fine | Otolaryngology | 1321 S Rainbow Blvd, Suite 220, Las Vegas, NV 89146-9066 | 2005-07-02 |
| 1962408179 | Vincent Peter Nalbone | Otolaryngology | 9111 W Russell Rd, Suite A, Las Vegas, NV 89148-1245 | 2005-06-22 |
| 1114059698 | Paul Victor Lanfranchi | Otolaryngology | 8985 S Eastern Ave, Suite #120, Las Vegas, NV 89123-4851 | 2007-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043216500 | Paul C Ludlow | Otolaryngology | 75 Pringle Way Ste 509, Reno, NV 89502-1469 | 2005-06-21 |
| 1114323763 | Ryan E. Mitchell Do Pllc | Otolaryngology | 54 N Pecos Rd, Suite C, Henderson, NV 89074-7329 | 2014-11-10 |
| 1245451913 | Alan Jones D.o. P.C. | Otolaryngology | 1301 Bertha Howe Ave, Ste 6, Mesquite, NV 89027-7502 | 2007-05-01 |
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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.