Ear Nose & Throat Specialists of Southern Nevada Inc

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

License

8239 Issued in NV

Legal business name

EAR NOSE & THROAT SPECIALISTS OF SOUTHERN NEVADA INC

Practice address

4275 Burnham Ave
Suite 345
Las Vegas, NV 89119-5488

Phone

(702) 735-7668

Fax

(702) 735-1411

NPI assigned

Aug 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Donald Charles Mohs, MD

Title

President

Phone

(702) 735-7668

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1218326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218326400000",
    "number": "1407002413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4275 BURNHAM AVE",
            "address_2": "SUITE 345",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195488",
            "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 BURNHAM AVE",
            "address_2": "SUITE 345",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195488",
            "telephone_number": "702-735-7668",
            "fax_number": "702-735-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR NOSE & THROAT SPECIALISTS OF SOUTHERN NEVADA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-10",
        "last_updated": "2008-08-10",
        "status": "A",
        "authorized_official_last_name": "MOHS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-735-7668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NV",
            "license": "8239",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "NV",
            "license": "8239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Eakin
• Latanesha Ealy-Woods
• Thomas Harry Ealy III, PHARMD
• Eancare LLC
• Ear Nose & Throat Specialists of Nevada
• Ear Nose and Throat Surgery Center LLC
• Ear Nose Throat Surgery Center
• Ear, Nose & Throat Associates
• Earl Plastic Surgery, P.C.
• Angeleia Shele Earl

• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.