Nevada Plastic Surgery LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

NEVADA PLASTIC SURGERY LLC

Practice address

5550 Painted Mirage Rd
Suite 217
Las Vegas, NV 89149-4581

Phone

(702) 410-9800

Fax

(702) 924-1520

NPI assigned

Dec 21, 2015

Organization subpart

No

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

Authorized official

Name

Meagan Henderson

Title

Office Manager

Phone

(702) 410-9800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 2

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

• Brandon Reynolds, M.D.

  • Plastic Surgery Physician
  • Las Vegas, NV
  • NPI 1962616383
  Medicare reassignment
• Marvin Douglas Spann, M.D.

  • Plastic Surgery Physician
  • Las Vegas, NV
  • NPI 1407044399
  NPD

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450656000000",
    "number": "1801251608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 PAINTED MIRAGE RD",
            "address_2": "SUITE 217",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494581",
            "telephone_number": "702-410-9800",
            "fax_number": "702-924-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 PAINTED MIRAGE RD",
            "address_2": "SUITE 217",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494581",
            "telephone_number": "702-410-9800",
            "fax_number": "702-924-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2015-12-21",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "MEAGAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-410-9800"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nevada Personal Care Services Inc
• Nevada Personal Care Services Inc
• Nevada Physician Specialists Toy
• Nevada Physicians Ipa Ahmad Akbar PLLC
• Nevada Physicians Specialists Toy
• Nevada Preferred Home Health Care, LLC
• Nevada Premier Care, LLC
• Nevada Primary Physicians Group Nath MD
• Nevada Prime Care LLC
• Nevada Prime Care LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.