Active NPI
Stephanie a Wishnev MD LTD
- Colon & Rectal Surgery Physician
- Las Vegas, NV
National Provider Identifier
1891735304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- Legal business name
- STEPHANIE A WISHNEV MD LTD
- Practice address
- 6020 S Jones Blvd
Las Vegas, NV 89118 - Phone
- (702) 739-6467
- Fax
- (702) 733-1689
- NPI assigned
- Jun 7, 2006
- 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
- Stephanie A Wishnev, MD
- Title
- Owner
- Phone
- (702) 739-6467
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | Primary |
Addresses
Primary practice location
6020 S Jones Blvd
Las Vegas, NV 89118
Mailing address
6020 S Jones Blvd
Las Vegas, NV 89118-2619
Phone (702) 739-6467
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002002280 | Medicaid | NV |
Other names 1
- Nevada Surgery & Cancer Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3121 S Maryland Pkwy
Ste 600
Las Vegas, NV 89109
Phone (702) 732-3215
6020 S Jones Blvd
Las Vegas, NV 89118
Phone (702) 737-5021
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Colon & Rectal Surgery Physician
- Las Vegas, NV
- NPI 1043219686
-
- Colon & Rectal Surgery Physician
- Las Vegas, NV
- NPI 1902910052
-
- Physician Assistant
- Las Vegas, NV
- NPI 1730318908
-
- Gynecologic Oncology Physician
- Henderson, NV
- NPI 1568481828
-
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Henderson, NV
- NPI 1659333615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767312000000",
"number": "1891735304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6020 S JONES BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891182619",
"telephone_number": "702-739-6467",
"fax_number": "702-733-1689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6020 S JONES BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89118",
"telephone_number": "702-739-6467",
"fax_number": "702-733-1689"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHANIE A WISHNEV MD LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-07",
"last_updated": "2026-01-02",
"certification_date": "2026-01-02",
"status": "A",
"authorized_official_last_name": "WISHNEV",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-739-6467",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Colon & Rectal Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002002280",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Nevada Surgery & Cancer Care",
"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 Jan 2, 2026; 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.