Pediatric Surgery Associates in Las Vegas - Pediatric Surgery
Pediatric Surgery Associates - NPI 1588784623
Pediatric Surgery Associates is a Pediatric Surgery in Las Vegas, Nevada. Pediatric Surgery Associates practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Pediatric Surgery Associates is 1588784623. The last update date is 2020-08-22.
Pediatric Surgery Associates's current location address is 653 N Town Center Dr, Las Vegas, Nevada. You can contact this provider via phone number 7022338101 and fax number 7022420726. The mailing address for Pediatric Surgery Associates is 653 N Town Center Dr, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Surgery Associates |
|---|---|
| Address | 653 N Town Center Dr, Las Vegas, Nevada |
| Phone Number | 7022338101 |
| Fax Number | 7022420726 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kogut A Kelly |
| Credentials | M.D. |
| Telephone Number | 7022338101 |
NPI Number Detail
| NPI Number | 1588784623 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 653 N Town Center Dr |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891440514 |
| Phone Number | 7022338101 |
| Fax Number | 7022420726 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Surgery |
|---|---|
| Taxonomy | 2086S0120X |
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Definition: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
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What is the unique identifier code issued to Pediatric Surgery Associates by the Centers for Medicare & Medicaid Services?
The Pediatric Surgery Associates has been assigned the NPI (National Provider Identifier) 1588784623. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Pediatric Surgery Associates located?
The Pediatric Surgery Associates is located at 653 N Town Center Dr, Las Vegas, NV 891440514.
What is Pediatric Surgery Associates's area of expertise and its corresponding taxonomy classification?
The Pediatric Surgery Associates's field of specialization is Pediatric Surgery, and it falls under the taxonomy code 2086S0120X, which categorizes healthcare providers based on their areas of practice.
On what date did the Pediatric Surgery Associates receive the assignment of its 1588784623 from the Centers for Medicare & Medicaid Services?
The Pediatric Surgery Associates was issued its 1588784623 by the Centers for Medicare & Medicaid Services on 2007-03-30.
As of what date were the Pediatric Surgery Associates's details last updated?
The information pertaining to the Pediatric Surgery Associates, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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