Active NPI
Samuel Myungjin Sohn, MD
- Plastic Surgery Physician
- Henderson, NV
National Provider Identifier
1164464285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 12434
- Practice address
- 60 N Pecos Rd
Henderson, NV 89074-7333 - Phone
- (702) 897-1330
- Fax
- (702) 897-9499
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 12434 | NV | Primary |
Addresses
Primary practice location
60 N Pecos Rd
Henderson, NV 89074-7333
Mailing address
60 N Pecos Rd
Henderson, NV 89074-7333
Phone (702) 897-1330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12434 | NV | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366156800000",
"number": "1164464285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 N PECOS RD",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747333",
"telephone_number": "702-897-1330",
"fax_number": "702-897-9499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 N PECOS RD",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747333",
"telephone_number": "702-897-1330",
"fax_number": "702-897-9499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOHN",
"first_name": "SAMUEL",
"middle_name": "MYUNGJIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2013-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NV",
"license": "12434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.