Organization 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
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
7986 Issued in NV
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

Updated by the provider on Apr 10, 2018

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)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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"
        }
    ]
}

Other providers in Las Vegas, NV

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.

Verify at the official NPI Registry.