Healthcare Provider Details

I. General information

NPI: 1740177849
Provider Name (Legal Business Name): NEVADA ONCOLOGY SPECIALISTS TOY GOODMAN SAMLOWSKI PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2025
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2050 PINTO LN STE 200
LAS VEGAS NV
89106-4019
US

IV. Provider business mailing address

192 WEBSTER WAY
HENDERSON NV
89074-0622
US

V. Phone/Fax

Practice location:
  • Phone: 702-604-5274
  • Fax: 702-725-4348
Mailing address:
  • Phone: 702-604-5274
  • Fax: 702-604-5274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: SUSAN L TRANQUILLO
Title or Position: DIRECTOR/ADMINISTRATOR
Credential:
Phone: 702-604-5274