DR. MAC LEE MACHAN (NPI# 1649505496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649505496 |
| Entity Type | Individual |
| Full Name | DR. MAC LEE MACHAN |
| Credential | M.D. |
| Practice Address |
6460 Medical Center St Ste 350 Las Vegas NV 89148-2423 |
| Practice Telephone | 7022556647 |
| Practice Fax Number | 7029331444 |
| Mailing Telephone | 7022556647 |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2014-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
15220 | NV | Allopathic & Osteopathic Physicians |
| Street Address |
6460 MEDICAL CENTER ST STE 350 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89148-2423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790707073 | Steven Hawkes | Physician Assistant | 6460 Medical Center St Ste 350, Las Vegas, NV 89148-2423 | 2006-07-24 |
| 1538707393 | Patrick Scott Jameson | Physician Assistant | 6460 Medical Center St Ste 350, Las Vegas, NV 89148-2423 | 2019-12-11 |
| 1841789807 | Chloe Banning | Physician Assistant | 6460 Medical Center St Ste 350, Las Vegas, NV 89148-2423 | 2018-05-05 |
| 1760878029 | Kara Pretzlaff | Dermatology | 6460 Medical Center St Ste 350, Las Vegas, NV 89148-2423 | 2015-04-13 |
| 1215364674 | Nathan Devearl Morgan | Physician Assistant | 6460 Medical Center St Ste 350, Las Vegas, NV 89148-2423 | 2013-10-01 |
| 1306103148 | Spencer Reed Meier | Physician Assistant | 6460 Medical Center St Ste 350, Las Vegas, NV 89148-2423 | 2012-04-18 |
| 1093726028 | Elizabeth Ann Langford | Dermatology | 6460 Medical Center St Ste 350, Las Vegas, NV 89148-2423 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293777 | Miguel Angel Umpierre | Technician | 9889 Overlook Ridge Ave, Las Vegas, NV 89148 | 2020-10-21 |
| 1689280588 | Santos Nunez | Technician | 7950 Mcginnis Ave, Las Vegas, NV 89148 | 2020-09-17 |
| 1861007734 | Daniel D Forro | Occupational Therapist | 10164 Phelps Lake Ct, Las Vegas, NV 89148 | 2020-09-08 |
| 1568098309 | Moinca R Ponce | Dentist | 9450 West Russell Rd, Suite #103, Las Vegas, NV 89148 | 2020-03-12 |
| 1689214876 | Mama Dukes Healthcare Services LLC | Rehabilitation Counselor | 9908 Masterpeice Drive, Las Vegas, NV 89148 | 2020-01-15 |
| 1720621865 | Building Hope Nevada | Community/Behavioral Health | 8936 Spanish Ridge, Las Vegas, NV 89148 | 2019-10-22 |
| 1790343721 | Maretes Godinez | Case Manager/Care Coordinator | 6070 S Fort Apache Rd., Suite 110, Las Vegas, NV 89148 | 2019-06-04 |
| 1295393601 | United Medical Group Pllc | Pharmacist | 9205 W. Russell Road, Building 3, Ste 240, Las Vegas, NV 89148 | 2019-05-31 |
| 1609358886 | Jdr Dermatology Research, LLC. | Dermatology | 9080 W Post Rd Ste 100, Las Vegas, NV 89148 | 2018-09-04 |
| 1902393929 | Hogue Healing Health and Hope, Pllc Dba H3, Pllc | Social Worker | 9205 W. Russell Rd Ste 240 Bldg 3, Las Vegas, NV 89148 | 2018-04-16 |
| Find all providers in zip 89148 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598323362 | Fife Dermatology PC | Dermatology | 2110 E Flamingo Rd # 213, Las Vegas, NV 89119-5190 | 2019-06-05 |
| 1407992217 | Daniel Taheri Md PC | Dermatology | 5731 S Fort Apache Rd Ste 130, Las Vegas, NV 89148-5666 | 2007-01-29 |
| 1083636369 | James Del Rosso | Dermatology | 9097 W Post Rd Ste 100, Las Vegas, NV 89148-2417 | 2006-07-24 |
| 1174923221 | F. Victor Rueckl Dermatology, Pllc | Dermatology | 8861 W Sahara Ave Ste 290, Las Vegas, NV 89117-4808 | 2014-08-26 |
| 1740516699 | Fife Dermatology, P.C. | Dermatology | 6460 Medical Center St, Ste 350, Las Vegas, NV 89148-2406 | 2009-10-28 |
| 1972750370 | Grace Kyung Kim | Dermatology | 2615 Box Canyon Dr, Las Vegas, NV 89128-0450 | 2008-08-27 |
| 1730101023 | Douglas Thomas | Dermatology | 9097 W Post Rd, Suite 100, Las Vegas, NV 89148-2411 | 2006-07-24 |
| 1134147853 | Lucius Blanchard | Dermatology | 4488 S Pecos Rd, Las Vegas, NV 89121-5030 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821569138 | Fife Dermatology, P.C. | Dermatology | 1736 W. Horizon Ridge Parkway, Henderson, NV 89012 | 2018-12-13 |
| 1073820536 | Lauren Michelle Lee | Dermatology | 276 Kingsbury Grade Ste 101, Stateline, NV 89449-9804 | 2010-09-04 |
| 1063595924 | Martin E. Salm, M.d., Ltd. | Dermatology | 276 Kingsbury Grade, Suite 101, Stateline, NV 89449-5910 | 2006-10-23 |
| 1003905001 | Skin Cancer and Dermatology Institute | Dermatology | 3950 Gs Richards Blvd, Carson City, NV 89703-8457 | 2006-10-11 |
| 1740633015 | Mountain West Derm - Blackhart Pllc | Dermatology | 3950 Gs Richards Blvd, Carson City, NV 89703-8457 | 2016-07-21 |
| 1780856559 | Martin E. Salm, M.d., Ltd | Dermatology | 276 Kingsbury Grade, Suite 101, Stateline, NV 89449-5910 | 2008-04-01 |
| 1780852368 | Clemmensen, Adams, & Tack Psc | Dermatology | 1100 S Carson St, Carson City, NV 89701-5232 | 2008-02-15 |
| 1841214632 | Ruth Elizabeth Adams | Dermatology | 1100 S Carson St, Carson Dematology, Carson City, NV 89701-5232 | 2006-07-26 |
| 1053314708 | Dan E Rowe | Dermatology | 640 W Moana Ln, Reno, NV 89509-4857 | 2005-05-24 |
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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.