Kevin D Fradkin, MD, PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

KEVIN D FRADKIN, MD, PLLC

Doing business as

Nevada Endosurgery

Practice address

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

Phone

(702) 836-3636

Fax

(702) 946-0836

NPI assigned

Jul 9, 2008

Organization subpart

No

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

Authorized official

Name

Kevin D Fradkin, MD

Title

Managing Member

Phone

(702) 836-3636

Specialties & licenses 1

Addresses

Other names 1

• NEVADA ENDOSURGERY Doing business as

Locations

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304726400000",
    "number": "1609039635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9811 W CHARLESTON BLVD # 2-366",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177528",
            "telephone_number": "702-836-3636",
            "fax_number": "702-946-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9811 W CHARLESTON BLVD # 2-366",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177528",
            "telephone_number": "702-836-3636",
            "fax_number": "702-946-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN D FRADKIN, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2011-05-07",
        "status": "A",
        "authorized_official_last_name": "FRADKIN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-836-3636",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEVADA ENDOSURGERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Latonya J. Ketchup, LMSW
• Laquisa Ketrell
• Anna M Ketron, OTR/L
• Daniel Rafael Keuchkarian
• Kevin Bernstein MD LLC
• Kevin L Kaldy DC PC (The Las Vegas Pain and Wellness Center)
• Kevin L. White
• Kevin P. Debiparshad PLLC (Synergy Spine & Orthopedics)
• Kevin P. Sinai DO LTD
• Kevin Rayls, M.D., Professional Corporation (Mountain West Surgical)

• 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 May 7, 2011; 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.