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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
9338 | NV | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | 002018507 | 05 |
Street Address |
653 N TOWN CENTER DR SUITE 507 |
City | LAS VEGAS |
State | NV |
Zip Code | 89144-0514 |
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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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 Code | 2086S0120X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Pediatric Surgery |
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. |
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 |
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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.