Ernest M Sussman MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

6328 Issued in NV

Legal business name

ERNEST M SUSSMAN MD

Practice address

2650 Lake Sahara Dr
Suite 100
Las Vegas, NV 89117-3451

Phone

(702) 293-0176

Fax

(702) 293-0938

NPI assigned

Aug 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ernest M Sussman, M.D.

Title

President

Phone

(702) 293-0176

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1922254887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 LAKE SAHARA DR",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173451",
            "telephone_number": "702-293-0176",
            "fax_number": "702-293-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 LAKE SAHARA DR",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173451",
            "telephone_number": "702-293-0176",
            "fax_number": "702-293-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNEST M SUSSMAN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "SUSSMAN",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-293-0176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NV",
            "license": "6328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalia Ermakova, APRN
• Agnes Ermi
• Lauren Elizabeth Ermi
• Ermocilla PC (Renaissance Medical Group)
• Carlos Ermocilla, M.D.
• Lakeitha Ernest
• Melissa Katheryn Ernest
• Ernesto a McCombs Chartered
• Ernesto Barbosa DMD, P.C.
• Desiree Nicole Ernst

• Specialist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Specialist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.