DR. JOHN M MENEZES


Address: 1707 W Charleston Blvd, #190, Plastic Surgery Clinic, Las Vegas, NV 89102-2351
Phone: 7026715110

DR. JOHN M MENEZES (NPI# 1891773404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891773404
Entity Type Individual
Full Name DR. JOHN M MENEZES
Credential M.D.
Practice Address 1707 W Charleston Blvd
#190, Plastic Surgery Clinic
Las Vegas
NV 89102-2351
Mailing Address 3016 W Charleston Blvd
Ste 100, Credentialing Department
Las Vegas
NV 89102-1973
Practice Telephone 7026715110
Practice Fax Number 7026846592
Mailing Telephone 7027802311
Mailing Fax Number 7026716430
Enumeration Date 2006-01-04
Last Update Date 2020-05-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2082S0099X Plastic Surgery
Specialization: Plastic Surgery Within the Head and Neck
10200 NV Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NV DEA BM5170422 01
NV PHARMACY/CDS CS11260 01
NV 002018698 05

Office Location

Street Address 1707 W CHARLESTON BLVD
#190, PLASTIC SURGERY CLINIC
City LAS VEGAS
State NV
Zip Code 89102-2351

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750377693 Miracle Wangsuwana Psychiatry & Neurology 1707 W Charleston Blvd, Suite #220, Las Vegas, NV 89102-2351 2005-09-26
1073040127 Evan Drew Davis Student in an Organized Health Care Education/Training Program 1707 W Charleston Blvd, Las Vegas, NV 89102-2351 2017-05-19
1336674969 Bobby Karandeep Singh Brar Student in an Organized Health Care Education/Training Program 1707 W Charleston Blvd, Suite 120, Las Vegas, NV 89102-2351 2017-04-20
1497280036 Pooja Patil Student in an Organized Health Care Education/Training Program 1707 W Charleston Blvd, Suite 120, Las Vegas, NV 89102-2351 2017-04-20
1346772597 Angela Hui-chia Liu Student in an Organized Health Care Education/Training Program 1707 W Charleston Blvd, Suite 120, Las Vegas, NV 89102-2351 2017-03-28
1902345077 Ankita Raman Student in an Organized Health Care Education/Training Program 1707 W Charleston Blvd, Ste 120, Las Vegas, NV 89102-2351 2017-02-22
1669852513 Cameron Lasley Student in an Organized Health Care Education/Training Program 1707 W Charleston Blvd, Suite 290, Las Vegas, NV 89102-2351 2015-06-05
1043627508 Richard Witty Jr. Dentist 1707 W Charleston Blvd, Suite 290, Las Vegas, NV 89102-2351 2014-07-16
1346657285 Jacqueline Sanders Delaney Dentist 1707 W Charleston Blvd, Suite 290, Las Vegas, NV 89102-2351 2014-07-11
1710305156 Ali Osama Malik Internal Medicine 1707 W Charleston Blvd, Las Vegas, NV 89102-2351 2014-04-02
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851998397 Natasha Moore Technician 3210 W Charleston Suite 2, Las Vegas, NV 89102 2020-10-07
1568077113 Zulma Yaneth Tervizo Lopez Technician 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 2020-09-10
1922629765 Bianca Vaudreuil Religious Nonmedical Practitioner 3210 W Charleston Ste 2, Las Vegas, NV 89102 2020-05-04
1720608052 Angelica Gutierrez Technician Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 2020-04-16
1396370680 Juana Maria Hernandez Technician 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 2020-03-06
1609409648 Janie Washington Technician 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 2020-02-18
1447893185 Maria Josefina Castaneda Technician 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 2019-10-25
1427608777 Virginia Hernandez Tolentino Technician 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 2019-09-18
1972153872 Gladiola Cardoza Quinones Technician 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 2019-09-13
1801445572 Rafael Roberto Gonzalez Palomino Homemaker 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 2019-09-05
Find all providers in zip 89102

Taxonomy Information

Taxonomy Code 2082S0099X
Grouping Allopathic & Osteopathic Physicians
Classification Plastic Surgery
Specialization Plastic Surgery Within the Head and Neck

Taxonomy Definition

A plastic surgeon 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 surgery is practiced, there are many additional procedures which interface with them.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. A subspecialty certificate was approved by the ABMS in 2000. ACGME Accredited Residency Program Requirements: None.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1235314725 Jenny A Van Duyne Md Ltd Plastic Surgery 9770 S Mccarran Blvd, Reno, NV 89523 2008-01-03

Competitor

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City LAS VEGAS
Zip Code 89102

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Dataset Information

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.

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