LEO J SPACCAVENTO


Address: 4275 Burnham Ave, Suite 220, Las Vegas, NV 89119-5488
Phone: 7027340808

LEO J SPACCAVENTO (NPI# 1982793287) 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) 1982793287
Entity Type Individual
Full Name LEO J SPACCAVENTO
Credential MD
Practice Address 4275 Burnham Ave
Suite 220
Las Vegas
NV 89119-5488
Practice Telephone 7027340808
Practice Fax Number 7027342650
Mailing Telephone 7027340808
Mailing Fax Number 7027342650
Enumeration Date 2006-10-12
Last Update Date 2020-08-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
6187 NV Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NV 002019086 05

Office Location

Street Address 4275 BURNHAM AVE
SUITE 220
City LAS VEGAS
State NV
Zip Code 89119-5488

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164424867 Victor Yea-tse Chou Family Medicine 4275 Burnham Ave, #365, Las Vegas, NV 89119-5488 2005-08-11
1174034482 Elaine Dimalanta Guiang Nurse Practitioner 4275 Burnham Ave, Las Vegas, NV 89119 2017-10-13
1336486182 Emily D Labonte Registered Nurse 4275 Burnham Ave, 255, Las Vegas, NV 89119-5488 2013-01-14
1912251687 Ada N. Ndulaka Nurse Practitioner 4275 Burnham Ave, #255, Las Vegas, NV 89119-5488 2012-11-02
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1487954129 Ivy Viado Physical Therapist 4275 Burnham Ave, Las Vegas, NV 89119-5488 2010-10-28
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1407002413 Ear Nose & Throat Specialists of Southern Nevada Inc Allergy & Immunology 4275 Burnham Ave, Suite 345, Las Vegas, NV 89119-5488 2008-08-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1841832581 Legna Carrillo Adult Companion 4325 South Bruce St Appt 63, Las Vegas, NV 89119 2019-10-15
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Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962901801 Cardiac Cin of Las Vegas LLC Internal Medicine 5550 Painted Mirage Rd Ste 320-a186, Las Vegas, NV 89149-4581 2018-02-06
1497267587 Jeoffrey Tinapay Internal Medicine 3041 E. Flamingo Rd. #a, Las Vegas, NV 89121 2017-10-30
1972503878 Syed T Zaidi Internal Medicine 9280 W Sunset Rd, Suite 320, Las Vegas, NV 89148-4860 2005-07-21
1144782947 Cnv Care of Nv II, LLC Internal Medicine 5550 Painted Mirage Rd Ste 320-a38, Las Vegas, NV 89149-4581 2019-04-02
1073075776 Cnv Care of Nv, LLC Internal Medicine 5550 Painted Mirage Rd Ste 320-a38, Las Vegas, NV 89149-4581 2019-04-02
1831353739 Lambert Cardiology Specialist of Nv Internal Medicine 2010 Goldring Ave, Suite 308, Las Vegas, NV 89106-4002 2008-07-10
1366623308 Ram K Singh Md Ltd Internal Medicine 4432 S Eastern Ave, Las Vegas, NV 89119-7825 2007-11-19
1366531667 Marina Plon Internal Medicine 4275 Burnham Ave, Suite 220, Las Vegas, NV 89119-5488 2006-10-12
1720013006 Advanced Heart Care Associates -plon,spaccavento & Shehata M.d.s. Ltd Internal Medicine 4275 Burnham Ave, Suite 220, Las Vegas, NV 89119-5488 2006-07-12
1528027729 Adel R Shehata Internal Medicine 4275 Burnham Ave, Suite 220, Las Vegas, NV 89119-5488 2006-03-17
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Competitor

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City LAS VEGAS
Zip Code 89119

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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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