# POKROY MEDICAL GROUP OF NEVADA, LTD.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pediatrix Medical Group of Nevada, Ltd.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235890062
- **Authorized official:** KRISTINA DEETER MD (OWNER)
- **Authorized official phone:** (775) 982-6169

## Contact information

- **Practice address:** 3001 SAINT ROSE PKWY, HENDERSON, NV 89052-3839
- **Practice address phone:** (702) 616-5000
- **Mailing address:** FILE 50978, LOS ANGELES, CA 90074-0001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | — |
| 207W00000X | Ophthalmology Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | NULL | Yes |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | — | Yes |
| 2080P0203X | Pediatric Critical Care Medicine Physician | — | NULL | — |
| 2080P0203X | Pediatric Critical Care Medicine Physician | — | — | — |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | — | NULL | — |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | — | — | — |
| 363LP0200X | Pediatric Nurse Practitioner | — | NULL | — |
| 363LP0200X | Pediatric Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/04/2022
- **Last updated:** 01/04/2022