Henderson Pediatrics, LLP

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

HENDERSON PEDIATRICS, LLP

Practice address

220 E Horizon Dr Ste a
Henderson, NV 89015-8001

Phone

(702) 566-0333

Fax

(702) 566-0315

NPI assigned

Sep 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Marcy A. Kulic, M.D.NPI 1114003498

Title

Physician

Phone

(702) 566-0333

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marcy A. Kulic, M.D.

  • Pediatric Adolescent Medicine Physician
  • Henderson, NV
  • NPI 1114003498
  NPD (past) Authorized official
• Thanya C. Lee, M.D.

  • Pediatrics Physician
  • Henderson, NV
  • NPI 1518927821
  NPD (past)
• Michael L. Levin, M.D.

  • Pediatric Adolescent Medicine Physician
  • Henderson, NV
  • NPI 1659457935
  NPD (past)
• Lior Mitnik

  • Pediatrics Physician
  • Henderson, NV
  • NPI 1326780388
  NPD (past)

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1518154491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E HORIZON DR STE A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890158001",
            "telephone_number": "702-566-0333",
            "fax_number": "702-566-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E HORIZON DR STE A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890158001",
            "telephone_number": "702-566-0333",
            "fax_number": "702-566-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON PEDIATRICS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "KULIC",
        "authorized_official_first_name": "MARCY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "702-566-0333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henderson OB/GYN LLC
• Henderson Operating Company LLC
• Henderson Pediatric Dentistry Hon DMD PC
• Henderson Pediatric Dentistry PC
• Henderson Pediatrics PLLC
• Henderson Pharmacy LLC
• Henderson Primary, Professional LLC
• Henderson Psychiatry Corporation
• Henderson Radiology, Inc.
• Henderson Senior Living

• Pediatrics Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Pediatrics Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.