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

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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