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NPI Code Detail

MEDICARE: DR. MATTHEW KAMINSKY M.D.

MEDICARE: DR. MATTHEW KAMINSKY M.D.
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
1208600000XSurgery Physician29611NV
2207RC0200XCritical Care Medicine (Internal Medicine) Physician036.129769IL
32086S0127XTrauma Surgery Physician036.129769IL
42086S0127XTrauma Surgery Physician29611NV
5208600000XSurgery Physician036.129769IL

General Provider Information

NPI Number : 1316292386
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW KAMINSKY M.D.
Provider Business Mailing Address
First Line : 3016 W CHARLESTON BLVD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1973
Country : US
Telephone Number : 702-671-5150
Fax Number : 702-384-6493
Provider Business Practice Location Address
First Line : 1707 W CHARLESTON BLVD STE 160
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2354
Country : US
Telephone Number : 702-671-5150
Fax Number : 702-895-4014
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2012
Last Update Date : 06/01/2026

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