Stephen W Gordon MD, PLLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

7986 Issued in NV

Legal business name

STEPHEN W GORDON MD, PLLC

Practice address

9101 W Sahara Ave # 105-54
Las Vegas, NV 89117-5772

Phone

(702) 242-6900

Fax

(702) 242-5107

NPI assigned

Jul 27, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Winslow Gordon, MD

Title

Managing Member

Phone

(702) 242-6900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1740767102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 W SAHARA AVE # 105-54",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175772",
            "telephone_number": "702-242-6900",
            "fax_number": "702-242-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 W SAHARA AVE # 105-54",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175772",
            "telephone_number": "702-242-6900",
            "fax_number": "702-242-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN W GORDON MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "WINSLOW",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-242-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NV",
            "license": "7986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ENTITY #",
            "identifier": "E0351002018-8",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen J Chiarello LTD
• Stephen L. Fair, D.C., LTD
• Stephen P Dubin MD Inc
• Stephen P Raps MD PC
• Stephen Vargo MD PC
• Stephen Wellness LLC
• Alphonsa M Stephen, M.D.
• Lance Stephen
• Steve Stephen, MD
• Alexis A Stephens

• Plastic and Reconstructive Surgery Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Plastic and Reconstructive Surgery Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.