LEO J SPACCAVENTO
Internal Medicine (Interventional Cardiology)

Address: 4275 Burnham Ave, Suite 220, Las Vegas, NV 89119-5488

LEO J SPACCAVENTO (NPI# 1982793287) 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) 1982793287
Entity Type Individual
Full Name LEO J SPACCAVENTO
Gender Male
Credential MD
Practice Address 4275 Burnham Ave
Suite 220
Las Vegas
NV 89119-5488
Practice Telephone 7027340808
Practice Fax Number 7027342650
Mailing Address 4275 Burnham Ave
Suite 220
Las Vegas
NV 89119-5488
Mailing Telephone 7027340808
Mailing Fax Number 7027342650
Certification Date 2020-08-25
Enumeration Date 2006-10-12
Last Update Date 2020-08-25
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
6187 NV Allopathic & Osteopathic Physicians

Other Provider Identifiers

Identifier State Issuer Type Code
002019086 NV MEDICAID

Physician Overview

PECOS Associate Control (PAC) ID 6002997947
by Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20100521000680
Last Name SPACCAVENTO
First Name LEO
Middle Name J
Organization Legal Name ADVANCED HEART CARE ASSOCIATES -PLON,SPACCAVENTO AND SHEHATA M.D.S. LT
Location 108 E Lake Mead Pkwy, Suite 302, Henderson, NV 89015-5536
Phone Number 7025664278
Medical School HAHNEMAN MEDICAL COLLEGE OF THE PACIFIC
Graduation Year 1978
Primary Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
Group Practice PAC ID 5991781866
Number of Group Practice Members 5

Office Location

Street Address 4275 BURNHAM AVE
SUITE 220
City LAS VEGAS
State NV
Zip Code 89119-5488

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558555714 Robert Joseph Vadovic Nurse Practitioner - Adult Health 4275 Burnham Ave, Suite 105, Las Vegas, NV 89119-5488 2007-08-30
1003022633 Sheila Acosta Marquez · Sheila Acosta Marquez Occupational Therapist 4275 Burnham Ave, Ste. 225 Desert Springs Therapy Clinic, Las Vegas, NV 89119-5488 2007-05-14
1376739896 Patel Cardiology Ltd · Las Vegas Heart Associates Internal Medicine - Cardiovascular Disease 4275 Burnham Ave, Suite 335, Las Vegas, NV 89119-5488 2007-09-18
1336486182 Emily D Labonte Registered Nurse 4275 Burnham Ave, 255, Las Vegas, NV 89119-5488 2013-01-14
1700924297 John S Hou Internal Medicine 4275 Burnham Ave, Suite 220, Las Vegas, NV 89119-5488 2007-02-05
1912251687 Ada N. Ndulaka · Ada N. Emenuga Nurse Practitioner - Family 4275 Burnham Ave, #255, Las Vegas, NV 89119-5488 2012-11-02
1801063748 Sharon L Mckinnis Respiratory Therapist, Certified 4275 Burnham Ave, Ste 255, Las Vegas, NV 89119-5488 2008-05-09
1750659157 United Sleep Centers, Inc. Clinical Medical Laboratory 4275 Burnham Ave, Suite 355, Las Vegas, NV 89119-5488 2011-12-13
1821277062 Arturo Estevan Marchand Jr. M.d., PC. · Nevada Heart and Vascular Center Internal Medicine - Cardiovascular Disease 4275 Burnham Ave, Suite 100, Las Vegas, NV 89119-5488 2007-10-24
1154457521 Sikisam Ali Magoyag PC Internal Medicine 4275 Burnham Ave, Suite 235, Las Vegas, NV 89119-5488 2007-02-27
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Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1457904534 Carmen Laura Gonzalez Valenzuela Chore Provider 6725-1 S. Eastern Ave, Las Vegas, NV 89119 2019-07-18
1669089298 Jennifer Chavon Cruse Technician - Personal Care Attendant Safeathomecaregiver@gmail.com, 1775 East Tropicana Avenue 16-B, Las Vegas, NV 89119 2020-09-28
1841832581 Legna Carrillo Adult Companion 4325 South Bruce St Appt 63, Las Vegas, NV 89119 2019-10-15
1982183877 Lazaro Mario Sotolongo Technician - Attendant Care Provider 6725 S. Eastern Ave Suite 1, Las Vegas, NV 89119 2018-08-10
1104468339 Alma Leticia Salazar Home Health Aide Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-B, Las Vegas, NV 89119 2019-10-09
1225524960 Regal Management · Regal Dentistry Dentist 5642 S Eastern Ave Ste F, Las Vegas, NV 89119 2018-07-05
1639737216 Tierra Topps Home Health Aide Maxim Healthcare, 1771 E Flamingo Rd Suite 220a, Las Vegas, NV 89119 2019-05-30
1295207249 Laura Katherine Havins Nurse Practitioner 4141 Swenson St., Las Vegas, NV 89119 2018-12-31
1003463910 Daniel Lugo Chore Provider 6725-1 S Eastern Ave, Las Vegas, NV 89119 2019-08-26
1902307499 Lamarcus Watson Chore Provider 6725 S Eastern Avenue, 1, Las Vegas, NV 89119 2018-02-21
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Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497267587 Jeoffrey Tinapay Internal Medicine - Interventional Cardiology 3041 E. Flamingo Rd. #a, Las Vegas, NV 89121 2017-10-30
1831353739 Lambert Cardiology Specialist of Nv Internal Medicine - Interventional Cardiology 2010 Goldring Ave, Suite 308, Las Vegas, NV 89106-4002 2008-07-10
1366531667 Marina Plon Internal Medicine - Interventional Cardiology 4275 Burnham Ave, Suite 220, Las Vegas, NV 89119-5488 2006-10-12
1720013006 Advanced Heart Care Associates -Plon,Spaccavento & Shehata M.d.s. Ltd · Advanced Heart Care Associates Internal Medicine - Interventional Cardiology 4275 Burnham Ave, Suite 220, Las Vegas, NV 89119-5488 2006-07-12
1528027729 Adel R Shehata Internal Medicine - Interventional Cardiology 4275 Burnham Ave, Suite 220, Las Vegas, NV 89119-5488 2006-03-17
1972503878 Syed T Zaidi Internal Medicine - Interventional Cardiology 9280 W Sunset Rd, Suite 320, Las Vegas, NV 89148-4860 2005-07-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063047736 Acv Nevada Bernstein Pllc Internal Medicine - Interventional Cardiology 2031 Mcdaniel St Ste 170, North Las Vegas, NV 89030-6325 2020-03-03
1750868089 Vilv Zeetser Pllc · Vascular Institute of Las Vegas Internal Medicine - Interventional Cardiology 375 N Stephanie St Ste 1011, Henderson, NV 89014-8901 2018-07-19
1083678486 Consulting Interventional Cardiology LLC Internal Medicine - Interventional Cardiology 112 S Water St, #108, Henderson, NV 89015-2312 2006-04-13
1396391868 Sarc Nevada LLC Internal Medicine - Interventional Cardiology 1500 Avenue H, Ely, NV 89301-2615 2019-08-12
1891271581 Vih Zeetser Pllc · Vascular Institute of Henderson Internal Medicine - Interventional Cardiology 375 N Stephanie St Ste 1011, Henderson, NV 89014-8901 2018-07-16
1891291902 Vascular Institute of Henderson, PC Internal Medicine - Interventional Cardiology 375 N Stephanie St Ste 1011, Henderson, NV 89014-8901 2018-04-05
1972038412 University of Utah Adult Services · Elko, Interventional Cardiology Internal Medicine - Interventional Cardiology 976 Mountian City Hwy, A Plus Total Care, Elko, NV 89801-2728 2017-04-21
1467734285 Abhilash Akinapelli Internal Medicine - Interventional Cardiology 1500 E 2nd St Ste 400, Reno, NV 89502 2011-09-19
1831490796 Umakanthan Cardiology Group Pllc Internal Medicine - Interventional Cardiology 98 E Lake Mead Pkwy, Suite # 305, Henderson, NV 89015-5540 2010-11-09
1932363132 Amr Mohsen Internal Medicine - Interventional Cardiology 2385 E Prater Way, Suite 302, Sparks, NV 89434-9629 2008-07-16
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Competitor

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City LAS VEGAS
Zip Code 89119

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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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