NPIMap

Organization Active NPI

Ear Nose & Throat Specialists of Nevada

  • Otolaryngology Physician
  • Las Vegas, NV
National Provider Identifier
1255444568
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
EAR NOSE & THROAT SPECIALISTS OF NEVADA
Practice address
4275 So Burnham St
Suite 345
Las Vegas, NV 89119-5544
Phone
(702) 735-7668
Fax
(702) 735-1411
NPI assigned
Aug 17, 2006
Last updated
Feb 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Donald Charles Mohs Jr., MDNPI 1942385174
Title
President Owner
Phone
(702) 735-7668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

4275 So Burnham St
Suite 345
Las Vegas, NV 89119-5544

Mailing address

4275 So Burnham St
Suite 345
Las Vegas, NV 89119-5544
Phone (702) 735-7668

Other identifiers 1

IdentifierTypeStateIssuer
0B2002005MedicaidNV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1255444568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4275 SO BURNHAM ST",
            "address_2": "SUITE 345",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195544",
            "telephone_number": "702-735-7668",
            "fax_number": "702-735-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 SO BURNHAM ST",
            "address_2": "SUITE 345",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195544",
            "telephone_number": "702-735-7668",
            "fax_number": "702-735-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR NOSE & THROAT SPECIALISTS OF NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "MOHS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "702-735-7668",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0B2002005",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.