THEODORE POTRUCH, MD (NPI# 1447390646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447390646 |
Entity Type | Organization |
Organization Name | THEODORE POTRUCH, MD |
Other Organization Name | BREASTCARE |
Practice Address |
2020 Goldring Ave #206 Las Vegas NV 89106-4000 |
Practice Telephone | 7023822273 |
Practice Fax Number | 7023859956 |
Mailing Telephone | 7023822273 |
Mailing Fax Number | 7023859956 |
Enumeration Date | 2007-02-07 |
Last Update Date | 2008-01-15 |
Authorized Official Name | DR. THEODORE POTRUCH (DIRECTOR) |
Authorized Official Telephone | 7023822273 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | BCBS | NV2969 | 01 |
NV | 0022702550 | 05 |
Other Name | Type Code |
---|---|
BreastCare | Doing Business As Name - Organization |
Street Address |
2020 GOLDRING AVE #206 |
City | LAS VEGAS |
State | NV |
Zip Code | 89106-4000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265407183 | Alan Jeffrey Sacks | Obstetrics & Gynecology | 2020 Goldring Ave, Suite 404, Las Vegas, NV 89106-4000 | 2006-02-22 |
1841733698 | Nicole Marie Duda | Registered Nurse | 2020 Goldring Ave, #504, Las Vegas, NV 89106-4000 | 2016-11-28 |
1780015925 | Lorenz Ophthalmology Center Limited | Durable Medical Equipment & Medical Supplies | 2020 Goldring Ave, #401, Las Vegas, NV 89106-4000 | 2013-12-12 |
1194009068 | Michael G. Valpiani Md Ltd | Pain Medicine | 2020 Goldring Ave, Suite 504, Las Vegas, NV 89106-4059 | 2011-10-10 |
1720362197 | Michael Gene Valpiani Md Ltd | Anesthesiology | 2020 Goldring Ave, Suite 504, Las Vegas, NV 89106-4059 | 2011-10-04 |
1235424979 | Cyndi Tran | Psychiatry & Neurology | 2020 Goldring Ave, Ste 202, Las Vegas, NV 89106-4055 | 2011-06-10 |
1831496306 | Maurice D Gregory Jr M D A Professional Corporation | General Practice | 2020 Goldring Ave, Suite 503, Las Vegas, NV 89106-4000 | 2011-02-18 |
1063606291 | Alan J. Sacks, M.d., Ltd, PC | Obstetrics & Gynecology | 2020 Goldring Ave, Suite 404, Las Vegas, NV 89106-4000 | 2007-08-30 |
1629192455 | John J. Dudek Jr. M.d. PC | Specialist | 2020 Goldring Ave, 506, Las Vegas, NV 89106-4060 | 2007-03-19 |
1396827440 | Austin Moody | General Practice | 2020 Goldring Ave, Suite 403, Las Vegas, NV 89106-4000 | 2006-10-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417555772 | Graciela Miranda Cocorpio | Technician | 820 Rancho Ln Suite #40, Las Vegas, NV 89106 | 2020-10-09 |
1679101679 | A Better You Wellness Center | Counselor | 320 W Monroe Street, Las Vegas, NV 89106 | 2020-03-27 |
1730725177 | Mariah La'neese Jones | Rehabilitation Practitioner | 400 Shadow Lane Ste 106, Las Vegas, NV 89106 | 2019-11-20 |
1417592841 | Lourdes Rita Apumayta-paredes | Technician | 820 Rancho Lane, Suite #40, Las Vegas, NV 89106 | 2019-11-08 |
1902456551 | Marisela Pena | Technician | 820 Rancho Ln., 25, Las Vegas, NV 89106 | 2019-09-16 |
1992368724 | Amber Nicole Mahajan | Nurse Practitioner | 2020 Wellness Way, Suite 300, Las Vegas, NV 89106 | 2019-04-17 |
1568924215 | Arlandrea Tarvins | Behavioral Analyst | 1048 Miller Ave, Las Vegas, NV 89106 | 2019-04-02 |
1427510361 | Erik Pennell | Student in an Organized Health Care Education/Training Program | 1542 Pinto Ln, 2nd Floor, Las Vegas, NV 89106 | 2019-04-01 |
1245702729 | Bruce Mark Babb | Technician | 820 Rancho Lane Ste #40, Las Vegas, NV 89106 | 2018-12-21 |
1639649213 | Antonio Ruiz Pelfort | Technician | 1951 Stella Lake St Suite 36, Las Vegas, NV 89106 | 2018-11-27 |
Find all providers in zip 89106 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316581663 | Lv Robotics | Surgery | 8954 Spanish Ridge Ave Ste 1, Las Vegas, NV 89148-1353 | 2019-10-30 |
1659834075 | Crossroads Saint LLC | Surgery | 1120 Shadow Ln Ste 120, Las Vegas, NV 89102-2342 | 2019-04-11 |
1629573555 | Talha Adil Rafeeqi | Surgery | 6655 S Cimarron Rd Ste 100, Las Vegas, NV 89113-2181 | 2018-03-23 |
1578090296 | Teddi Swidinsky | Surgery | 108 Legion Dr Ste B, Las Vegas, NM 87701-4898 | 2017-05-11 |
1700258712 | David Anthony Diorio | Surgery | 2221 Barchetta Dr, Las Vegas, NV 89134-6030 | 2015-10-29 |
1245602390 | Stem Cell Therapy of Las Vegas | Surgery | 2110 E Flamingo Rd Ste 333, Las Vegas, NV 89119-5190 | 2015-10-28 |
1588918205 | Joseph Thomas Carroll | Surgery | 1701 W Charleston Blvd Ste 400, Las Vegas, NV 89102 | 2012-11-02 |
1770850943 | Allan Macintyre Pllc | Surgery | 8872 S Eastern Ave, Suite 104, Las Vegas, NV 89123-4900 | 2011-11-16 |
1356633424 | Fradkin Surgical Services Pllc | Surgery | 9811 W Charleston Blvd Ste 2-366, Las Vegas, NV 89117-7528 | 2011-05-09 |
1386888147 | Shohrat Annaberdyev | Surgery | 6080 S Durango Dr Ste 105, Las Vegas, NV 89113-1778 | 2009-04-23 |
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.