MARVIN D SPANN MD PLLC (NPI# 1558618710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558618710 |
| Entity Type | Organization |
| Organization Name | MARVIN D SPANN MD PLLC |
| Other Organization Name | COUTURE DERMATOLOGY AND PLASTIC SURGERY |
| Practice Address |
2615 Box Canyon Dr Las Vegas NV 89128-0450 |
| Mailing Address |
Po Box 35914 Las Vegas NV 89133-5914 |
| Practice Telephone | 7029989001 |
| Practice Fax Number | 7029988282 |
| Mailing Telephone | 7029989001 |
| Mailing Fax Number | 7029988282 |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2020-05-14 |
| Authorized Official Name | MARVIN DOUGLAS SPANN (OWNER) |
| Authorized Official Telephone | 7029989001 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | 13247 | NV | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | 13132 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | NPI | 1649205931 | 01 |
| NV | NPI | 1700964780 | 01 |
| NV | NPI | 1972750370 | 01 |
| NV | NPI | 1407044399 | 01 |
| NV | NPI | 1871964676 | 01 |
| Other Name | Type Code |
|---|---|
| Couture Dermatology and Plastic Surgery | Doing Business As Name - Organization |
| 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 |
| 1972750370 | Grace Kyung Kim | Dermatology | 2615 Box Canyon Dr, Las Vegas, NV 89128-0450 | 2008-08-27 |
| 1407044399 | Marvin Douglas Spann | Plastic Surgery | 2615 Box Canyon Dr, Las Vegas, NV 89128-0450 | 2007-10-04 |
| 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 | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538708573 | Skin Docs | Dermatology | 410 S Rancho Dr, Las Vegas, NV 89106-4802 | 2019-12-21 |
| 1609358886 | Jdr Dermatology Research, LLC. | Dermatology | 9080 W Post Rd Ste 100, Las Vegas, NV 89148 | 2018-09-04 |
| 1003310368 | Lenore S Kakita Md LLC | Dermatology | 9360 W Flamingo Rd Ste 110-325, Las Vegas, NV 89147-6410 | 2018-03-21 |
| 1619492378 | Fife Dermatology, PC 1 | Dermatology | 10080 West Alta Drive, Suite 120, Las Vegas, NV 89145-8651 | 2017-08-03 |
| 1194268987 | J H Daulat Do PC | Dermatology | 1875 S Nellis Blvd, Las Vegas, NV 89104-6215 | 2016-11-28 |
| 1396192761 | Craig Parson | Dermatology | 6850 N Durango Dr Ste 100, Las Vegas, NV 89149-4596 | 2016-05-16 |
| 1942565205 | Centennial Dermatology and Skin Cancer Inc | Dermatology | 5500 Painted Mirage Road, Suite 100, Las Vegas, NV 89149 | 2012-07-11 |
| 1760786552 | Edelstein Medical Group, Pllc | Dermatology | 8205 West Warm Springs Road, Las Vegas, NV 89113 | 2011-01-07 |
| 1043533383 | Healthcare Partners Medical Group Coats Ltd. | Dermatology | 700 E Warm Springs Rd Ste 230, Las Vegas, NV 89119-4324 | 2010-03-01 |
| 1457590150 | Taheri Chang Md PC | Dermatology | 5731 S Fort Apache Rd Ste C, Las Vegas, NV 89148-5620 | 2009-02-19 |
| 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.