Provider Type Icon

EAR NOSE & THROAT SPECIALISTS OF SOUTHERN NEVADA INC NPI 1407002413


NPI Information

NPI: 1407002413
Provider Name: EAR NOSE & THROAT SPECIALISTS OF SOUTHERN NEVADA INC
Classification: Otolaryngology - 207YX0007X
Entity Type: Organization

Specialization: Plastic Surgery within the Head & Neck

Address:
4275 BURNHAM AVE
SUITE 345
LAS VEGAS, NV
ZIP 89119
Phone: (702) 735-7668
Get Directions

EAR NOSE & THROAT SPECIALISTS OF SOUTHERN NEVADA INC is a plastic surgery within the head and neck otolaryngology in Las Vegas, NV. The provider is an otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. EAR NOSE & THROAT SPECIALISTS OF SOUTHERN NEVADA INC NPI is 1407002413. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4275 BURNHAM AVE
SUITE 345
LAS VEGAS, NV
ZIP 89119-488
Phone: (702) 735-7668
Fax: (702) 735-1411

The provider's authorized official is Donald Charles Mohs .
The authorized official title is President and has the following contact phone number (702) 735-7668.

The enumeration date for this NPI number is 8/10/2008 and was last updated on 8/10/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207KA0200XAllergy & ImmunologyAllergy8239NEVADANo
2207YX0007XOtolaryngologyPlastic Surgery within the Head & Neck8239NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G66812MEDICARE UPINNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.