Organization Active NPI

Breast Health Medical Services PLLC

  • Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1518037142
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
BREAST HEALTH MEDICAL SERVICES PLLC
Practice address
8285 W Arby Ave Ste 231
Las Vegas, NV 89113-2236
Phone
(702) 255-1133
Fax
(702) 255-0582
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2013

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

Authorized official

Name
Souzan Ezzat El-Eid, MD
Title
Physician
Phone
(702) 255-1133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

8285 W Arby Ave Ste 231
Las Vegas, NV 89113-2236

Mailing address

400 N Stephanie St
Suite 300
Henderson, NV 89014-6676
Phone (702) 255-1133

Other identifiers 1

IdentifierTypeStateIssuer
01739959MedicaidNY

National Provider Directory

National Provider Directory

Locations

8285 W Arby Ave
Ste 175
Las Vegas, NV 89113
Phone (702) 255-1133

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1518037142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N STEPHANIE ST",
            "address_2": "SUITE 300",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146676",
            "telephone_number": "702-255-1133",
            "fax_number": "702-255-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8285 W ARBY AVE STE 231",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132236",
            "telephone_number": "702-255-1133",
            "fax_number": "702-255-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAST HEALTH MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "EL-EID",
        "authorized_official_first_name": "SOUZAN",
        "authorized_official_middle_name": "EZZAT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "702-255-1133",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01739959",
            "state": "NY"
        }
    ],
    "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 Mar 29, 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.