Jeannie Khavkin, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

13577 Issued in NV

Practice address

653 N Town Center Dr Ste 308
Las Vegas, NV 89144-0517

Phone

(702) 242-3223

Fax

(702) 270-3224

NPI assigned

Sep 26, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jeannie Linton Former name

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Khavkin Clinic PLLC

  • Neurological Surgery Physician
  • Las Vegas, NV
  • NPI 1679825483
  Medicare reassignment
• Randall T Weingarten MD PC

  dba Dupage ENT

  • Otolaryngology Physician
  • Henderson, NV
  • NPI 1972609618
  NPD (past)

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1144470048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 N TOWN CENTER DR",
            "address_2": "STE 602",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440520",
            "telephone_number": "702-888-1188",
            "fax_number": "702-673-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 N TOWN CENTER DR STE 308",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440517",
            "telephone_number": "702-242-3223",
            "fax_number": "702-270-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAVKIN",
        "first_name": "JEANNIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-26",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NV",
            "license": "13577",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NV",
            "license": "13577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNIE",
            "last_name": "LINTON",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pramila Khatri Thapa, CNP
• Adam Mohammad Khattak
• Khavkin Clinic PLLC
• Khavkin Medical Group PLLC
• Albert Khavkin, D.O
• Yevgeniy A Khavkin, M.D.
• Wong Yu Khaw, M.D.
• Amna Khawaja
• Hasan S Khawaja, MD
• Rana Kheir

• Otolaryngology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Otolaryngology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.