Active NPI
Mary Laine Khine-Stickler, M.D.
- Maternal & Fetal Medicine Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 22253
- Practice address
- 5761 South Fort Apache Road
Las Vegas, NV 89148-5506 - Phone
- (702) 341-6610
- Fax
- (702) 341-6961
- NPI assigned
- Mar 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 25MA07354000 | NJ | |
| Maternal & Fetal Medicine Physician | 207VM0101X | 22253 | NV | Primary |
Addresses
Primary practice location
5761 South Fort Apache Road
Las Vegas, NV 89148-5506
Mailing address
5761 South Fort Apache Road
Las Vegas, NV 89148-5506
Phone (702) 341-6610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Undefined Physician Type (Specify)
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5761 S Fort Apache Rd
BLDG 8
Las Vegas, NV 89148-5506
Phone (702) 341-6610
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07354000 | NJ | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adashek and Wilkes LLP | Maternal & Fetal Medicine | Current | Accepting new patients |
| Practice Associates,Inc | Past | Accepting new patients | |
| Specialty Care of Practice Associates,PA | Past | Accepting new patients |
Locations
3001 W Horizon Ridge Pkwy
Henderson, NV 89052
Phone (702) 341-6610
10105 Banburry Cross Dr
Ste 430
Las Vegas, NV 89144
Phone (702) 341-6610
600 S Rancho Dr
Ste 106
Las Vegas, NV 89106
5761 S Fort Apache Rd
Las Vegas, NV 89148
Phone (702) 341-6610
5761 S Fort Apache Rd
Bldg 8
Las Vegas, NV 89148
Phone (702) 341-6610
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Maternal & Fetal Medicine Physician
- Las Vegas, NV
- NPI 1336148543
-
- Physician Assistant
- Morristown, NJ
- NPI 1699733907
-
- Specialist
- Morristown, NJ
- NPI 1215985908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693353600000",
"number": "1891762571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5761 SOUTH FORT APACHE ROAD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891485506",
"telephone_number": "702-341-6610",
"fax_number": "702-341-6961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5761 SOUTH FORT APACHE ROAD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891485506",
"telephone_number": "702-341-6610",
"fax_number": "702-341-6961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHINE-STICKLER",
"first_name": "MARY",
"middle_name": "LAINE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-02",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "NJ",
"license": "25MA07354000",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "NV",
"license": "22253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.