Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tamara Leibovich

Individual provider Physician Assistant · NPI 1083262232

Tamara Leibovich is a Physician Assistant in Henderson, Nevada. Qualified in 2018, 8 years ago. Practices with Southern Nevada Surgery Specialists Ltd, a 15-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
8
Licensed in
NV
In the registry since
2019
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Practice location Address checks out

10001 S Eastern Ave Ste 310
Henderson, NV 89052-3908
Phone: (702) 914-2420
Fax: (702) 914-6653
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA0450 (NV)

Record details

NPI number1083262232
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 30, 2019
Last updated in NPPESMarch 28, 2023
Certification dateMarch 28, 2023
Mailing address10001 S Eastern Ave Ste 310, Henderson, NV 89052-3908

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Southern Nevada Surgery Specialists Ltd — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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