ORTHOPEDIC FOOT AND ANKLE INSTITUTE, LLC (NPI# 1497059240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497059240 |
| Entity Type | Organization |
| Organization Name | ORTHOPEDIC FOOT AND ANKLE INSTITUTE, LLC |
| Other Organization Name | COMPREHENSIVE PROSTHETICS AND ORTHOTICS |
| Practice Address |
3175 Saint Rose Pkwy Suite 320 Henderson NV 89052-3506 |
| Practice Telephone | 7029979833 |
| Practice Fax Number | 7026660413 |
| Mailing Telephone | 7029979833 |
| Mailing Fax Number | 7026660413 |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2012-12-20 |
| Authorized Official Name | ROMAN SIBEL (OWNER) |
| Authorized Official Telephone | 7029979833 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Comprehensive Prosthetics and Orthotics | Doing Business As Name - Organization |
| Street Address |
3175 SAINT ROSE PKWY SUITE 320 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-3506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164424206 | Annette P Leon | Physical Therapist | 3175 Saint Rose Pkwy, Ste 331, Henderson, NV 89052-3506 | 2005-06-01 |
| 1477089746 | Hospitality Group | Surgery | 3175 Saint Rose Pkwy, Suite 230, Henderson, NV 89052-3506 | 2017-05-05 |
| 1679028526 | New Century Rehabilitation, LLC | Physical Therapist | 3175 Saint Rose Pkwy, Suite 331, Henderson, NV 89052-3506 | 2016-08-22 |
| 1053739268 | Unsom Multi-spec Grp Pract S | Family Medicine | 3175 Saint Rose Pkwy, Suite 200, Henderson, NV 89052-3506 | 2014-04-03 |
| 1376979120 | Tracie Dunton | Occupational Therapist | 3175 Saint Rose Pkwy, #331, Henderson, NV 89052-3506 | 2013-09-24 |
| 1831523356 | Maiesha N'tasha Jackson | Physical Therapist | 3175 Saint Rose Pkwy, Ste 331, Henderson, NV 89052-3506 | 2013-09-03 |
| 1992019418 | Angela Aureen Bestwick | Physical Therapist | 3175 Saint Rose Pkwy, #331, Henderson, NV 89052-3500 | 2010-07-27 |
| 1235453846 | Wilfredo A Torres | Obstetrics & Gynecology | 3175 Saint Rose Pkwy, #200, Henderson, NV 89052-3506 | 2010-03-25 |
| 1871746453 | Anthony M Ricciardi Jr Ltd Inc. | Durable Medical Equipment & Medical Supplies | 3175 Saint Rose Pkwy, Suite 320, Henderson, NV 89052-3506 | 2008-10-28 |
| 1295985729 | Ryan J. Grabow, Md, Ltd | Orthopaedic Surgery | 3175 Saint Rose Pkwy, Suite 330, Henderson, NV 89052-3506 | 2008-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| Find all providers in zip 89052 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255619177 | Holman Chan | Orthopaedic Surgery | 1505 Wigwam Pkwy, #330, Henderson, NV 89074-8194 | 2011-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073720678 | Jaymes D Granata | Orthopaedic Surgery | 7455 W Washington Ave Ste 460, Las Vegas, NV 89128-4338 | 2007-05-16 |
| 1316380959 | Gustavo Osei Garcia | Orthopaedic Surgery | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121 | 2013-04-13 |
| 1114008984 | Mark S. Hsiao | Orthopaedic Surgery | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121 | 2006-10-18 |
| 1780662817 | Troy Shannun Watson | Orthopaedic Surgery | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2006-01-09 |
| 1770561961 | Abdolreza Raissi | Orthopaedic Surgery | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2006-01-06 |
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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.