Keith S Blum DO PC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

KEITH S BLUM DO PC

Doing business as

Las Vegas Neurosurgery Associates P.C.

Practice address

7271 W Sahara Ave Ste 100
Las Vegas, NV 89117-2862

Phone

(702) 240-4090

Fax

(702) 240-4091

NPI assigned

Aug 30, 2007

Last updated

Feb 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keith S Blum, D.O.NPI 1558417345

Title

President

Phone

(702) 240-4091

Specialties & licenses 1

Addresses

Other names 1

• Las Vegas Neurosurgery Associates P.C. Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Tax ID family

Keith S Blum DO PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Keith S Blum DO PC

  • Speech-Language Pathologist
  • Las Vegas, NV
  • NPI 1457590366
  NPD tax ID
• Keith S Blum DO PC

  • Neurological Surgery Physician
  • Las Vegas, NV
  • NPI 1912857871
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keith S Blum, DO

  • Neurological Surgery Physician
  • Las Vegas, NV
  • NPI 1558417345
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1730373010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7271 W SAHARA AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172862",
            "telephone_number": "702-240-4090",
            "fax_number": "702-240-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7271 W SAHARA AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172862",
            "telephone_number": "702-240-4090",
            "fax_number": "702-240-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH S BLUM DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-240-4091",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Las Vegas Neurosurgery Associates P.C.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Las Vegas Neurosurgery Associates P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mariama Keita
• Siriman Keita
• Scott Keiter-Charles
• Keith a Kohorst OD
• Keith S Blum DO PC
• Keith S Blum DO PC
• Ashley Keith
• Ciandra Keith
• David Keith
• Elena Lynn Keith, DO

• Neurological Surgery Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Neurological Surgery Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.