Active NPI
Susan Schwartz DO PC
- Otolaryngology/Facial Plastic Surgery Physician
- Henderson, NV
National Provider Identifier
1295959641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- Legal business name
- SUSAN SCHWARTZ DO PC
- Practice address
- 8985 S Pecos Rd Ste 3B
Henderson, NV 89074-7163 - Phone
- (702) 647-2900
- Fax
- (702) 440-6060
- NPI assigned
- Apr 13, 2007
- 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
- Susan E Schwartz, DO
- Title
- President
- Phone
- (702) 647-2900
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | Primary | ||
| Audiologist | 231H00000X |
Addresses
Primary practice location
8985 S Pecos Rd Ste 3B
Henderson, NV 89074-7163
Mailing address
2911 N Rampart # 187
Las Vegas, NV 89128
Phone (702) 647-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100512139 | Medicaid | NV |
Other names 1
- ENT VOICE & SINUS CENTER OF NEVADA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology/Facial Plastic Surgery Physician
- Henderson, NV
- NPI 1265411516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188432000000",
"number": "1295959641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2911 N RAMPART # 187",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89128",
"telephone_number": "702-647-2900",
"fax_number": "702-440-6060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8985 S PECOS RD STE 3B",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747163",
"telephone_number": "702-647-2900",
"fax_number": "702-440-6060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSAN SCHWARTZ DO PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-13",
"last_updated": "2007-08-30",
"status": "A",
"authorized_official_last_name": "SCHWARTZ",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "702-647-2900",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100512139",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ENT VOICE & SINUS CENTER OF NEVADA",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.