SUSAN A MIKO (NPI# 1982667697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982667697 |
| Entity Type | Individual |
| Full Name | SUSAN A MIKO |
| Credential | DO |
| Practice Address |
657 N Town Center Dr Las Vegas NV 89144-6367 |
| Mailing Address |
1500 Marbella Ridge Ct Las Vegas NV 89117-1488 |
| Practice Telephone | 7022337200 |
| Mailing Telephone | 7022542720 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2010-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 1212 | NV | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 1212 | NV | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 1212 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AZ BC/BS | AZ0201750 | 01 |
| AZ | 020537 | 05 | |
| NV | 100505930 | 05 |
| Street Address |
657 N TOWN CENTER DR |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89144-6367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912995283 | Sikisam Magoyag | Internal Medicine | 657 N Town Center Dr, Las Vegas, NV 89144-6367 | 2005-10-11 |
| 1033747555 | Monica Patricia Gomez Lopez | Student in an Organized Health Care Education/Training Program | 657 N Town Center Dr, Las Vegas, NV 89144-6367 | 2020-03-30 |
| 1376170324 | Narindra Khalikaprasad | Student in an Organized Health Care Education/Training Program | 657 N Town Center Dr, Las Vegas, NV 89144-6367 | 2020-03-26 |
| 1679132344 | Timothy Joseph Keene | Family Medicine | 657 N Town Center Dr, Las Vegas, NV 89144-6367 | 2019-06-06 |
| 1669968566 | Sylvia Cruz | Nurse Practitioner | 657 N Town Center Dr, Las Vegas, NV 89144-6367 | 2018-07-03 |
| 1558859413 | Michelle Susan Conners | Nurse Practitioner | 657 N Town Center Dr, Las Vegas, NV 89144-6367 | 2018-04-26 |
| 1497209787 | Jeffrey Schlaack | Internal Medicine | 657 N Town Center Dr, Las Vegas, NV 89144-6367 | 2016-08-04 |
| 1093181406 | Carey J Roselee | Nurse Practitioner | 657 N Town Center Dr, Las Vegas, NV 89144-6367 | 2015-08-19 |
| 1942629134 | Gary Struck Mclaughlin | Emergency Medicine | 657 N Town Center Dr, Las Vegas, NV 89144-6367 | 2014-04-15 |
| 1093099400 | Ahunna Chituru Okoye | Pharmacist | 657 N Town Center Dr, Las Vegas, NV 89144-6367 | 2011-10-04 |
| Find all providers in the same location | ||||
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624592 | Brookes Pediatrics LLC | Pediatrics | 8440 W Lake Mead Blvd Ste 104, Las Vegas, NV 89128-7648 | 2020-06-19 |
| 1972079937 | Ching's Pediatrics, Pllc. | Pediatrics | 9260 W Sunset Rd Ste 205, Las Vegas, NV 89148-4903 | 2018-10-17 |
| 1912429093 | Rock & Rowles Pediatrics PC | Pediatrics | 2380 N Buffalo Dr Ste 145, Las Vegas, NV 89128-4807 | 2017-07-11 |
| 1104280783 | Aadil Mohammed Rahman | Pediatrics | 3186 S. Maryland Parkway, Las Vegas, NV 89109-2317 | 2016-04-08 |
| 1508257676 | Susan R Fernandez PC | Pediatrics | 6843 W Tropicana Ave, Suite 100, Las Vegas, NV 89103-4922 | 2015-02-11 |
| 1447592506 | Tina Vikki Desai | Pediatrics | 2040 W Charleston Blvd Ste 402, Las Vegas, NV 89102-2250 | 2013-03-26 |
| 1699014365 | Bond Pediatrics Ltd | Pediatrics | 5751 S Fort Apache Rd Ste A, Las Vegas, NV 89148-5624 | 2013-01-31 |
| 1891057519 | Rabbi Zia | Pediatrics | 10105 Banburry Cross Dr Ste 370, Las Vegas, NV 89144-6649 | 2012-06-08 |
| 1730445099 | William Edward Bannen | Pediatrics | 10 Wild Dunes Court, Las Vegas, NV 89113-1332 | 2012-04-11 |
| 1255622577 | Sanjay Kandoth Md PC | Pediatrics | 7875 S Rainbow Blvd, Suite 102, Las Vegas, NV 89139-6469 | 2011-04-20 |
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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.