MEDICARE: SCOTT A. SLAVIS, M.D., P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	5898	NV
2	204F00000X	Transplant Surgery Physician	5898	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164430005
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCOTT A. SLAVIS, M.D., P.C.

Provider Business Mailing Address
First Line	:	3121 S MARYLAND PKWY
Second Line	:	420
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-2309
Country	:	US
Telephone Number	:	702-796-8669
Fax Number	:	702-796-9517

Provider Business Practice Location Address
First Line	:	3121 S MARYLAND PKWY
Second Line	:	420
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-2309
Country	:	US
Telephone Number	:	702-796-8669
Fax Number	:	702-796-9517

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. DAVID A KOPASZ
Credential	:
Telephone Number	:	702-369-9814

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	09/11/2025

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