CMS-1500 Box 24J / 33a • NPI
1932338258
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
207YX0602X (CMS 04)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Otolaryngic Allergy
Box 32 Service Location & ZIP+4
6850 N DURANGO DR, SUITE 314, LAS VEGAS, NV, 89149-4595
✓ 9-Digit EDI 837 ZIP+4 (89149-4595)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1932338258 (ADVANCED EAR NOSE & THROAT-HEAD AND NECK SURGERY LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1932338258 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ADVANCED EAR NOSE & THROAT-HEAD AND NECK SURGERY LLC |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Otolaryngic Allergy NUCC Code: 207YX0602X (Otolaryngology, Otolaryngic Allergy) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 6850 N DURANGO DR, SUITE 314, LAS VEGAS, NV, 89149-4595 |
| Practice Telephone / Fax | Tel: (702) 834-5886 | Fax: (702) 834-5752 |
| Administrative Mailing Address | 6955 N DURANGO DR STE 1115-363, LAS VEGAS, NV, 89149-4411 |
| Enumeration & Last Sync | Enumerated: 2009-07-08 | CMS Record Updated: 2025-09-02 |
| Authorized Official | JESSICA SKELTON (Office Manager) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207YX0602X)
What Does Taxonomy Code 207YX0602X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207YX0602X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Otolaryngic Allergy"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ADVANCED EAR NOSE & THROAT-HEAD AND NECK SURGERY LLC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207YX0007X — Otolaryngology, Plastic Surgery within the Head & NeckPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Plastic Surgery within the Head & Neck | State: N/A | License: Verified | Primary: Secondary |
207YX0602X — Otolaryngology, Otolaryngic AllergyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Otolaryngic Allergy | State: NV | License: do1487 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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