MR. DEWITT J. PAUL III (NPI# 1598038945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598038945 |
| Entity Type | Individual |
| Full Name | MR. DEWITT J. PAUL III |
| Credential | C. PED |
| Practice Address |
10520 S Eastern Ave # 100 Henderson NV 89052-3900 |
| Practice Telephone | 7028388111 |
| Practice Fax Number | 7028388115 |
| Mailing Telephone | 7028388111 |
| Mailing Fax Number | 7028388115 |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2012-02-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | MP00225 | NV | Suppliers |
| N | 335E00000X | Prosthetic/Orthotic Supplier | MP00225 | NV | Suppliers |
| Street Address |
10520 S EASTERN AVE # 100 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-3900 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969885 | Aircare Health Inc | Durable Medical Equipment & Medical Supplies | 12231 S Eastern Ave, Henderson, NV 89052-4414 | 2020-07-10 |
| 1124675848 | Nevada Limb & Brace LLC | Durable Medical Equipment & Medical Supplies | 1505 Wigwam Pkwy Suite 141, Henderson, NV 89074-8195 | 2019-08-19 |
| 1003377953 | Hearing Centers of Nevada | Durable Medical Equipment & Medical Supplies | 76 W Horizon Ridge Pkwy Ste 125, Henderson, NV 89012-5330 | 2019-03-25 |
| 1437603958 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 2910 Bicentennial Pkwy, Henderson, NV 89044-4477 | 2016-08-12 |
| 1568828655 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 190 N Boulder Hwy, Henderson, NV 89015-5308 | 2016-01-06 |
| 1699174862 | Deaconess Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 2202 Us Highway 41 N, Unit B, Henderson, KY 42420-2399 | 2014-08-13 |
| 1881009199 | Williams Bros. Health Care Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 426 E. Elm Street, Henderson, KY 42420-2932 | 2014-06-25 |
| 1669758660 | Ipower Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 375 N Stephanie St Ste 1411, Henderson, NV 89014-8909 | 2011-10-24 |
| 1841596129 | Ideal Diabetic Supplies LLC | Durable Medical Equipment & Medical Supplies | 3031 Scenic Valley Way, Henderson, NV 89052-3092 | 2011-02-02 |
| 1154635878 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 7665 Commercial Way, Suite H, Henderson, NV 89011-6629 | 2010-08-05 |
| Find all providers in HENDERSON | ||||
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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.