KHAVKIN MEDICAL GROUP PLLC (NPI# 1225493125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225493125 |
| Entity Type | Organization |
| Organization Name | KHAVKIN MEDICAL GROUP PLLC |
| Practice Address |
653 N Town Center Dr Ste 308 Las Vegas NV 89144-0517 |
| Mailing Address |
Po Box 30102 Salt Lake City UT 84130-0102 |
| Practice Telephone | 3109149150 |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2015-12-29 |
| Authorized Official Name | DR. YEVGENIY KHAVKIN (MEDICAL DOCTOR) |
| Authorized Official Telephone | 3109149150 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 13271 | NV | Allopathic & Osteopathic Physicians |
| Street Address |
653 N TOWN CENTER DR STE 308 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89144-0517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659483444 | Sheldon Jay Freedman | Urology | 653 N Town Center Dr Ste 308, Las Vegas, NV 89144-0517 | 2006-08-31 |
| 1518273028 | Jeannie Khavkin Md PC | Otolaryngology | 653 N Town Center Dr Ste 308, Las Vegas, NV 89144-0517 | 2010-08-20 |
| 1144470048 | Jeannie Khavkin | Otolaryngology | 653 N Town Center Dr Ste 308, Las Vegas, NV 89144-0517 | 2008-09-26 |
| 1982749396 | Sheldon Freedman Md Ltd | Urology | 653 N Town Center Dr Ste 308, Las Vegas, NV 89144-0517 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033609599 | Anila Naz | Technician | 1529 Waterton Drive, Las Vegas, NV 89144 | 2018-05-10 |
| 1467987487 | Judith L. Tan | Nurse Practitioner | Summerlin Hospital, 657 N Town Center Dr, Las Vegas, NV 89144 | 2017-04-27 |
| 1871049437 | Derek Anthony Smith | Physical Therapist | 89135, 10550 W Park Run Dr, Las Vegas, NV 89144 | 2016-09-01 |
| 1619324662 | Sydney Spoon | Dietitian, Registered | 624 Canyon Greens Dr, Las Vegas, NV 89144 | 2016-05-19 |
| 1629455985 | Md24 Nv, Inc. | Nurse Practitioner | 1180 North Town Center Dr, Ste 100, Las Vegas, NV 89144 | 2015-05-06 |
| 1053652628 | Melvin Lackey Jr. | Behavioral Analyst | 10708 Esk Dr, Las Vegas, NV 89144 | 2013-03-07 |
| 1740445667 | Jaydee R. Lumbad | Family Medicine | 1111 N Town Center Drive, Las Vegas, NV 89144 | 2008-07-21 |
| 1700053824 | Samim Enayat | Internal Medicine | 10105 Banburry Cross Dr Ste 130, Las Vegas, NV 89144 | 2008-05-08 |
| 1629252457 | Edmund Reyes Goroza | Pediatrics | 10105 Banburry Cross Dr Ste 170, Las Vegas, NV 89144 | 2007-12-28 |
| 1730375262 | H.l.greenberg M.d., Ltd. | Clinic/Center | 653 N. Town Center Drive, Ste #410, Las Vegas, NV 89144 | 2007-09-18 |
| Find all providers in zip 89144 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841581527 | Efrem Michael Cox | Neurological Surgery | 8530 W Sunset Rd Ste 250, Las Vegas, NV 89113-2245 | 2011-04-28 |
| 1528399680 | Gmf Group Inc | Neurological Surgery | 3540 W Sahara Ave Ste 832, Las Vegas, NV 89102-5816 | 2010-01-28 |
| 1730373010 | Keith S Blum Do PC | Neurological Surgery | 7271 W Sahara Ave Ste 100, Las Vegas, NV 89117-2862 | 2007-08-30 |
| 1558417345 | Keith S Blum | Neurological Surgery | 7271 West Sahara, Suite 100, Las Vegas, NV 89117 | 2007-01-26 |
| 1710069042 | Debra Nelson | Neurological Surgery | 8285 W. Arby Avenue, Ste. 220, Las Vegas, NV 89113 | 2006-10-19 |
| 1902988249 | Aurangzeb Nafees Nagy | Neurological Surgery | 2471 Professional Ct, Las Vegas, NV 89128 | 2006-10-19 |
| 1063594315 | Gary Michael Flangas | Neurological Surgery | 8285 W Arby Ave Ste 220, Las Vegas, NV 89113-2236 | 2006-10-19 |
| 1891734075 | Michael Ira Schneier | Neurological Surgery | 10105 Banburry Cross Dr Ste 445, Las Vegas, NV 89144 | 2006-06-05 |
| 1093772204 | Agata-venger Partnership | Neurological Surgery | 3061 S. Maryland Parkway, Suite #200, Las Vegas, NV 89109-6227 | 2006-05-01 |
| 1669438792 | Julio Aljure | Neurological Surgery | 4700 No. Las Vegas Boulevard, Dept of Veter Affairs, Mofh, Nellis Afb, Las Vegas, NV 89191 | 2006-04-26 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.