LAS VEGAS FOOT SPECIALIST, INC


Address: 109 Railroad Ave, Las Vegas, NM 87701-3853
Phone: 5054259491

LAS VEGAS FOOT SPECIALIST, INC (NPI# 1184632929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184632929
Entity Type Organization
Organization Name LAS VEGAS FOOT SPECIALIST, INC
Practice Address 109 Railroad Ave
Las Vegas
NM 87701-3853
Practice Telephone 5054259491
Practice Fax Number 5054548171
Mailing Telephone 5054259491
Mailing Fax Number 5054548171
Enumeration Date 2006-08-04
Last Update Date 2008-05-07
Authorized Official Name BRUCE A ANDERSEN (PRESIDENT)
Authorized Official Telephone 5054259491
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist 163 NM Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM Q2055 05
NM PHP 10478 01
NM BC/BS 5351 01

Office Location

Street Address 109 RAILROAD AVE
City LAS VEGAS
State NM
Zip Code 87701-3853

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609960699 Bruce A Andersen Podiatrist 109 Railroad Ave, Las Vegas, NM 87701 2006-10-03

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1013369222 Home Medical Equipment Specialists,llc Durable Medical Equipment & Medical Supplies 514 8th Street, Las Vegas, NM 87701 2016-07-12
1750730826 John Michael Tourangeau Social Worker 1920 7th Street, Las Vegas, NM 87701 2016-06-08
1154705689 Lindsy Laura Kragt Allen Podiatrist 1608 7th St, Las Vegas, NM 87701 2015-07-14
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Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346799640 Heller Podiatry LLC Podiatrist 9628 Gray Cap St, Las Vegas, NV 89123-5826 2016-09-27
1881077451 Desert Shores LLC Podiatrist 2235 N Rampart Blvd, Las Vegas, NV 89128-7640 2015-07-01
1770997405 Priya Samant Podiatrist 7135 W Sahara Ave Ste 201, Las Vegas, NV 89117 2014-06-20
1508152075 Hope C Markowitz Podiatrist 8021 Ryans Reef Ln, Las Vegas, NV 89128-6886 2011-06-23
1710129549 Mountain Podiatry Podiatrist 653 N Town Center Dr Ste 118, Las Vegas, NV 89144-0515 2009-03-25
1114182904 Ernest Louk Podiatrist 7601 Rockfield Dr, Las Vegas, NV 89128-7929 2008-07-22
1982883294 Sole To Soul Podiatry LLC Podiatrist 3815 S Jones Blvd Ste 6, Las Vegas, NV 89103 2007-11-02
1356481501 Anthony M. Ricciardi Jr. Ltd Inc. Podiatrist 7135 W. Sahara Ave., Suite 201, Las Vegas, NV 89117-2828 2007-02-07
1801962121 Jason W Rockwood Podiatrist 105 Mills Ave Ste 100, Las Vegas, NM 87701-4169 2006-11-28
1275619603 Charles Cody Cull Podiatrist 1717 Navajo Lake Way, Las Vegas, NV 89128-3283 2006-10-27
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Competitor

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City LAS VEGAS
Zip Code 87701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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