Fradkin Surgical Services PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

FRADKIN SURGICAL SERVICES PLLC

Practice address

9811 W Charleston Blvd Ste 2-366
Las Vegas, NV 89117-7528

Phone

(702) 538-9284

Fax

(702) 989-8444

NPI assigned

May 9, 2011

Organization subpart

No

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

Authorized official

Name

Kevin Fradkin, M.D.

Title

Managing Member

Phone

(702) 538-9284

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1356633424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9811 W CHARLESTON BLVD STE 2-366",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177528",
            "telephone_number": "702-538-9284",
            "fax_number": "702-989-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9811 W CHARLESTON BLVD STE 2-366",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177528",
            "telephone_number": "702-538-9284",
            "fax_number": "702-989-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRADKIN SURGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-09",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "FRADKIN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-538-9284",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwenda Foy
• Michelly Fraco
• Kevin Fraction
• Lorna Fradejas
• Maria D Frades Hernandez
• Emily Love Frady
• Hayden Frady
• Adisley Fraga Candelario
• Raiza Fraga Ortega
• Ania Fraga

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.

Verify at the official NPI Registry.