KELLY ANN KOGUT


Address: 653 N Town Center Dr, Suite 507, Las Vegas, NV 89144-0514
Phone: 7022338101

KELLY ANN KOGUT (NPI# 1881694719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881694719
Entity Type Individual
Full Name KELLY ANN KOGUT
Other Name KELLY ANN KOGUT
Credential M.D., P.C.
Practice Address 653 N Town Center Dr
Suite 507
Las Vegas
NV 89144-0514
Practice Telephone 7022338101
Practice Fax Number 7022420726
Mailing Telephone 7022338101
Mailing Fax Number 7022420726
Enumeration Date 2005-07-21
Last Update Date 2008-01-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0120X Surgery
Specialization: Pediatric Surgery
9338 NV Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NV 002018507 05

Office Location

Street Address 653 N TOWN CENTER DR
SUITE 507
City LAS VEGAS
State NV
Zip Code 89144-0514

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457356461 Luis Leon Diaz Specialist 653 N Town Center Dr, Ste 312, Las Vegas, NV 89144-0520 2005-06-16
1689151326 Latitia Joann Robinson Social Worker 653 N Town Center Dr, Las Vegas, NV 89144-0514 2018-07-25
1518418193 Stahl Wellness Screening, P.C. Internal Medicine 653 N Town Center Dr, #400, Las Vegas, NV 89144-0514 2016-10-19
1265989800 Laura Leigh Deleon Nurse Practitioner 653 N Town Center Dr, Ste. 317, Las Vegas, NV 89144-0514 2016-09-01
1952783920 Mountain Podiatry Podiatrist 653 N Town Center Dr, Suite #118, Las Vegas, NV 89144-0514 2015-06-25
1477951770 Andrew H Hwang Md Prof LLC Urology 653 N Town Center Dr, Suite 407, Las Vegas, NV 89144-0514 2014-12-18
1326479759 Lords of Lond Family Medicine 653 N Town Center Dr, 114, Las Vegas, NV 89144-0514 2013-12-11
1972931426 George R Mcmickle M D P C Clinic/Center 653 N Town Center Dr, Suite 318, Las Vegas, NV 89144-0514 2013-10-18
1164857488 Maria L Burgess Nurse Practitioner 653 N Town Center Dr, Suite 504, Las Vegas, NV 89144-0514 2013-09-05
1487097739 Muir Summerlin Pain Clinic Ltd Pain Medicine 653 N Town Center Dr, Suite 210, Las Vegas, NV 89144-0514 2013-04-16
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2086S0120X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Pediatric Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437395407 Erik Gregory Pearson Surgery 653 N Town Center Dr Ste 412, Las Vegas, NV 89144-0518 2008-12-22
1295873297 Gregory M. Organ Surgery 9212 Tesoras Dr, Suite 301, Las Vegas, NV 89144-1569 2007-02-02
1184777120 Stephanie Jones Surgery 3121 S Maryland Pkwy Ste 400, Las Vegas, NV 89109-2309 2007-01-22
1598003014 Unsom Multispecialty Group Practice South, Inc Surgery 3121 S Maryland Pkwy, Suite 400, Las Vegas, NV 89109-2307 2013-01-17
1285826594 Margo Hendrickson Md Inc Surgery 3006 S Maryland Pkwy, Suite 770, Las Vegas, NV 89109-2218 2007-08-10
1588784623 Pediatric Surgery Associates Surgery 653 N Town Center Dr, Suite 507, Las Vegas, NV 89144-0514 2007-03-30
1033245949 Center for Children's Surgery Surgery 3121 S Maryland Pkwy, Suite 400, Las Vegas, NV 89109-2307 2007-02-26
1760470777 Margo Hendrickson Surgery 3006 S Maryland Pkwy, 770, Las Vegas, NV 89109-2218 2005-10-12
1588664437 Michael Gerard Scheidler Surgery 3121 S Maryland Pkwy, Suite 400, Las Vegas, NV 89109-2307 2005-07-21
1962401893 Nicholas Francis Fiore Surgery 653 N Town Center Dr, Suite 507, Las Vegas, NV 89144-0514 2005-07-21
Find all providers in LAS VEGAS

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City LAS VEGAS
Zip Code 89144

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Dataset Information

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.

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