Active NPI
A Complete Cosmetic Surgery Center PLLC
Doing business as Stephen W. Gordon MD
- Plastic and Reconstructive Surgery Physician
- Las Vegas, NV
National Provider Identifier
1871090423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 7986
- Legal business name
- A COMPLETE COSMETIC SURGERY CENTER PLLC
- Doing business as
- Stephen W. Gordon MD
- Practice address
- 7710 W Sahara Ave Ste 102
Las Vegas, NV 89117-2712 - Phone
- (702) 242-6900
- Fax
- (702) 242-5107
- NPI assigned
- Apr 10, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen Winslow Gordon, MD
- Title
- Ceo/ Owner
- Phone
- (702) 242-6900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 7986 | NV | Primary |
Addresses
Primary practice location
7710 W Sahara Ave Ste 102
Las Vegas, NV 89117-2712
Mailing address
7710 W Sahara Ave Ste 102
Las Vegas, NV 89117-2712
Phone (702) 242-6900
Other names 1
- Stephen W. Gordon MD
National Provider Directory
National Provider DirectoryLocations
7710 W Sahara Ave
Ste 102
Las Vegas, NV 89117
Phone (702) 242-6900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523318400000",
"number": "1871090423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7710 W SAHARA AVE STE 102",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891172712",
"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": "7710 W SAHARA AVE STE 102",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891172712",
"telephone_number": "702-242-6900",
"fax_number": "702-242-5107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A COMPLETE COSMETIC SURGERY CENTER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-10",
"last_updated": "2018-04-10",
"status": "A",
"authorized_official_last_name": "GORDON",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "WINSLOW",
"authorized_official_title_or_position": "CEO/ OWNER",
"authorized_official_telephone_number": "702-242-6900",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "NV",
"license": "7986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Stephen W. Gordon MD",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.