DR. CHARLES CODY CULL (NPI# 1275619603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275619603 |
| Entity Type | Individual |
| Full Name | DR. CHARLES CODY CULL |
| Credential | DPM |
| Practice Address |
1717 Navajo Lake Way Las Vegas NV 89128-3283 |
| Practice Telephone | 7025965589 |
| Practice Fax Number | 7252054844 |
| Mailing Telephone | 7025965589 |
| Mailing Fax Number | 7252054844 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2019-10-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 1201 | NV | Podiatric Medicine & Surgery Service Providers |
| N | 213E00000X | Podiatrist | 07000745A | IN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100407460 | 05 | |
| IN | CONTROLLED SUBSTANCE # | 07000745C | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1201 S 495 E, Lagrange, IN 467618975 | 2604639903 | 2604632708 |
| Street Address |
1717 NAVAJO LAKE WAY |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89128-3283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374256 | Dmc Medical Clinic Ltd | Family Medicine | 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 | 2020-10-23 |
| 1619589462 | Eldercare Services Lv, LLC | Technician | 8430 W. Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-08-21 |
| 1508477308 | Amneris Lizet Duran-brocato | Technician | 1150 North Buffalo Dr. Apt 2120, Las Vegas, NV 89128 | 2020-08-14 |
| 1366082612 | Ar Home Health Management LLC | Home Health | 7465 W Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-01-14 |
| 1114563731 | Leslie A Pasternack | Acupuncturist | Integrated Acupuncture of Southern Nevada, 7250 Peak Dr #106, Las Vegas, NV 89128 | 2019-11-19 |
| 1154977940 | Devora Susana Leon-lopez | Chore Provider | 7320 Smoke Ranch Rd. Ste. H, Las Vegas, NV 89128 | 2019-08-16 |
| 1659924884 | Blanca Estela Garnica-mendez | Chore Provider | 7320 Smoke Ranch Rd. Suite H, Suite H, Las Vegas, NV 89128 | 2019-07-17 |
| 1467913160 | Sherwin Necunazar Azad | Student in an Organized Health Care Education/Training Program | Mountainview Hospital Gme, 3100 N. Tenaya Way, Las Vegas, NV 89128 | 2019-03-26 |
| 1962963801 | Michael Richard Korczynski | Student in an Organized Health Care Education/Training Program | 3100 North Tenaya Way, Las Vegas, NV 89128 | 2019-03-25 |
| 1013477041 | Yuanlong Zhao | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way Graduate Medical Education, Las Vegas, NV 89128 | 2019-03-25 |
| Find all providers in zip 89128 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| 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. |
| 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 |
| 1073614798 | Todd Zang Dpm Ltd | Podiatrist | 3920 E Patrick Ln, Las Vegas, NV 89120-3927 | 2006-09-26 |
| Find all providers in LAS VEGAS | ||||
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| 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.