CKJK Group LLC

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

License

11935 Issued in NV

Legal business name

CKJK GROUP LLC

Doing business as

Falkner Gynecologic Cancer Care

Practice address

1397 Galleria Dr
Suite 203
Henderson, NV 89014-6661

Phone

(702) 476-3400

Fax

(702) 476-3500

NPI assigned

Nov 23, 2009

Organization subpart

No

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

Authorized official

Name

Camille A. Falkner, M. D.

Title

Owner

Phone

(702) 476-3400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Falkner Gynecologic Cancer Care Doing business as

Locations

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1528396967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29502",
            "address_2": "# 14970",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891269502",
            "telephone_number": "702-476-3400",
            "fax_number": "702-476-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 GALLERIA DR",
            "address_2": "SUITE 203",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146661",
            "telephone_number": "702-476-3400",
            "fax_number": "702-476-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CKJK GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-23",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "FALKNER",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-476-3400",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NV",
            "license": "11935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100510111",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Falkner Gynecologic Cancer Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Gynecologic Oncology Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Gynecologic Oncology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.