Organization Active NPI

Advanced Ear Nose & Throat-Head and Neck Surgery LLC

Doing business as Advanced Ear Nose & Throat - Head and Neck Surgeon

  • Otolaryngic Allergy Physician
  • Las Vegas, NV
National Provider Identifier
1932338258
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X
License
DO1487 Issued in NV
Legal business name
ADVANCED EAR NOSE & THROAT-HEAD AND NECK SURGERY LLC
Doing business as
Advanced Ear Nose & Throat - Head and Neck Surgeon
Practice address
6850 N Durango Dr
Suite 314
Las Vegas, NV 89149-4595
Phone
(702) 834-5886
Fax
(702) 834-5752
NPI assigned
Jul 8, 2009
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Jessica A Skelton
Title
Office Manager
Phone
(702) 834-5886

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X
Otolaryngic Allergy Physician 207YX0602X DO1487 NV Primary

Addresses

Primary practice location

6850 N Durango Dr
Suite 314
Las Vegas, NV 89149-4595

Mailing address

6955 N Durango Dr Ste 1115-363
Las Vegas, NV 89149-4411
Phone (702) 834-5886

Other names 1

  • Advanced Ear Nose & Throat - Head and Neck Surgeon Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240320002253 NV Part B Supplier - Clinic/Group Practice 7911344460 Receives reassigned benefits from 3 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

6850 N Durango Dr
Ste 314
Las Vegas, NV 89149
Phone (702) 834-5886

6955 N Durango Dr
Ste 1115363
Las Vegas, NV 89149

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDIEBA

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1932338258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6955 N DURANGO DR STE 1115-363",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494411",
            "telephone_number": "702-834-5886",
            "fax_number": "702-834-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 N DURANGO DR",
            "address_2": "SUITE 314",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494595",
            "telephone_number": "702-834-5886",
            "fax_number": "702-834-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED EAR NOSE & THROAT-HEAD AND NECK SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-08",
        "last_updated": "2025-09-02",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "SKELTON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-834-5886"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "NV",
            "license": "DO1487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Ear Nose & Throat - Head and Neck Surgeon",
            "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 Sep 2, 2025; 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.

Verify at the official NPI Registry.