Tatiana Stephanoff, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

11489 Issued in NV

Practice address

6301 Mountain Vista St Ste 205
Henderson, NV 89014-2366

Phone

(702) 614-5437

Fax

(702) 990-9922

NPI assigned

Sep 21, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southern Hills Medical Center, LLC

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1457306359
  NPD (past)
• Spring Valley Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1346230323
  NPD (past)
• Spring Valley Medical Center

  • Rehabilitation Hospital Unit
  • Las Vegas, NV
  • NPI 1568439693
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053410639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 MOUNTAIN VISTA ST STE 205",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142366",
            "telephone_number": "702-614-5437",
            "fax_number": "702-990-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 MOUNTAIN VISTA ST STE 205",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142366",
            "telephone_number": "702-614-5437",
            "fax_number": "702-990-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHANOFF",
        "first_name": "TATIANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "11489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Stella, D.C.
• Lisa Steng, CCC-SLP
• Mardiros Y Stepanian, DDS
• Stepanida Freeman MD PC
• Corinna Stephan
• Stephen a Gephardt MD LTD
• Stephen P Hahn DDS PC Inc
• Grace E Stephens
• Tami Stephens
• Cassandria Claudine Stephenson, NP

• Pediatrics Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Pediatrics Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.