Active NPI
Martinmd, Mavroidismd, Dhudshiamd, & Feikesmd, Cardiovascular Surgical
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Las Vegas, NV
National Provider Identifier
1275152522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Legal business name
- MARTINMD, MAVROIDISMD, DHUDSHIAMD, & FEIKESMD, CARDIOVASCULAR SURGICAL
- Practice address
- 7488 W Sahara Ave
Las Vegas, NV 89117-2740 - Phone
- (702) 737-3808
- NPI assigned
- Apr 15, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jenna Hall
- Title
- Credentialing Specialist
- Phone
- (702) 719-8952
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | Primary |
Addresses
Primary practice location
7488 W Sahara Ave
Las Vegas, NV 89117-2740
Mailing address
5320 S Rainbow Blvd Ste 282
Las Vegas, NV 89118-1896
Phone (702) 737-3808
Other practice location 1
5320 S Rainbow Blvd Ste 282
Las Vegas, NV 89118-1896
Phone (702) 737-3808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100503336 | Medicaid | NV |
National Provider Directory
National Provider Directory- Tax ID family
- Cardiovascular Surgery of Southern Nevada
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1598001786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586908800000",
"number": "1275152522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5320 S RAINBOW BLVD STE 282",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891181896",
"telephone_number": "702-737-3808",
"fax_number": "702-737-7364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7488 W SAHARA AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891172740",
"telephone_number": "702-737-3808"
}
],
"practiceLocations": [
{
"address_1": "5320 S Rainbow Blvd Ste 282",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891181896",
"country_code": "US",
"telephone_number": "702-737-3808",
"fax_number": "702-737-7364",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MARTINMD, MAVROIDISMD, DHUDSHIAMD, & FEIKESMD, CARDIOVASCULAR SURGICAL",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-15",
"last_updated": "2020-04-15",
"certification_date": "2020-04-15",
"status": "A",
"authorized_official_last_name": "HALL",
"authorized_official_first_name": "JENNA",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "702-719-8952"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100503336",
"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 Apr 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.