WADE HENDERSHOT (NPI# 1770946246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770946246 |
| Entity Type | Individual |
| Full Name | WADE HENDERSHOT |
| Credential | DPM |
| Practice Address |
2800 E Desert Inn Rd Ste 100 Las Vegas NV 89121 |
| Mailing Address |
2800 E Desert Inn Rd Ste 100 Las Vegas NV 89121-3609 |
| Practice Telephone | 7027311616 |
| Practice Fax Number | 7027344900 |
| Mailing Telephone | 7027311616 |
| Mailing Fax Number | 7027344900 |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2019-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
2050 | NV | Podiatric Medicine & Surgery Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1770946246 | 05 | |
| NV | NV PODIATRY LICENSE | 2050 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2930 W Horizon Ridge Pkwy, Henderson, NV 890525058 | 7022639082 | 7022639088 |
| 8205 W Warm Springs Rd Ste 250, Las Vegas, NV 891133646 | 7022272152 | 7022520369 |
| 8402 Centennial Pkwy, Las Vegas, NV 891494792 | 7028693486 | 7028693542 |
| Street Address |
2800 E DESERT INN RD STE 100 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306845649 | Russell T. Nevins | Orthopaedic Surgery | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2005-07-19 |
| 1548871551 | Riley Madison Brashear | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2020-08-13 |
| 1841838570 | Jordan Christensen | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2019-12-12 |
| 1881232635 | Christopher Cummings | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2019-12-11 |
| 1508331083 | Abby Sue Fink | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2018-10-10 |
| 1942788575 | Briannon Marie Yadrick | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2018-08-06 |
| 1326532037 | Janika Sullivan | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2018-06-16 |
| 1427564806 | Elizabeth Ashley Hanks | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2017-12-20 |
| 1629592811 | Alysse A Thummel | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2017-07-28 |
| 1558809079 | Candice D Cliatt | Registered Nurse | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2017-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379117 | Western State Behavioral Health and Psychiatric Services | Psychologist | 3910 Pecos-mcleod Interconnect, Las Vegas, NV 89121 | 2020-09-01 |
| 1962025155 | Arieste Diaz Perez | Clinic/Center | 3777 Pecos-mcleod Interconnect, Suite 101, Las Vegas, NV 89121 | 2020-05-21 |
| 1366071904 | Vanesa Silva | Behavior Technician | 4714 Flamigo Rd, Las Vegas, NV 89121 | 2020-04-06 |
| 1053955732 | Valente Solis Santiago | Technician | 2785 E. Desert Inn Rd Ste. 240, Las Vegas, NV 89121 | 2019-11-05 |
| 1750938981 | Ken Ernst | Rehabilitation Practitioner | Primary Solutions Medical Billing, 4525 S. Sandhill Rd Ste #112, Las Vegas, NV 89121 | 2019-08-22 |
| 1902450455 | Tracey Anora Henry | Counselor | 3675 Pecos Mecleod Ste 900, Las Vegas, NV 89121 | 2019-08-01 |
| 1679127096 | Wilma Guadalupe Nunez | Chore Provider | 2860 East Flamingo, Suite C, Las Vegas, NV 89121 | 2019-07-25 |
| 1487213807 | Karla Susana Ayala | Chore Provider | 2860 E. Flamingo Rd Ste K., Las Vegas, NV 89121 | 2019-06-10 |
| 1447819164 | Jovita Garcia-perez | Chore Provider | 2860 E. Flamingo Suite C, Suite C, Las Vegas, NV 89121 | 2019-06-06 |
| 1164081972 | Maria Isabel Castellanos Gonzalez | Chore Provider | 2860 E. Flamingo Rd Ste K, Las Vegas, NV 89121 | 2019-06-06 |
| Find all providers in zip 89121 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720635535 | Usa Resources | Podiatrist | 2701 N Tenaya Way Ste 230, Las Vegas, NV 89128-0480 | 2019-08-26 |
| 1225569528 | Sun City Medical Center Pllc | Podiatrist | 9280 W Sunset Rd Ste 410, Las Vegas, NV 89148-4862 | 2017-03-27 |
| 1518316819 | Aniela Cordoba | Podiatrist | 3320 N Buffalo Dr Ste 107, Las Vegas, NV 89129-7410 | 2016-06-07 |
| 1154705689 | Lindsy Laura Kragt Allen | Podiatrist | 1608 7th St, Las Vegas, NM 87701 | 2015-07-14 |
| 1033593843 | Nahad Wassel | Podiatrist | 3662 E Sunset Rd Ste 115, Las Vegas, NV 89120-7224 | 2015-07-13 |
| 1912329202 | Allcare Foot and Ankle Clinic | Podiatrist | 7350 W Cheyenne Ave, Suite 110, Las Vegas, NV 89129-7445 | 2014-01-06 |
| 1417392481 | Benjamin Heber Bauer | Podiatrist | 3777 Pecos Mcleod Ste 103, Las Vegas, NV 89121-4265 | 2013-05-06 |
| 1588951834 | Christina Louise Hulsebos | Podiatrist | 1850 E Sahara Ave Ste 202, Las Vegas, NV 89104-3746 | 2011-07-07 |
| 1871889824 | Conan R Parke | Podiatrist | 2641 Box Canyon Dr Ste A, Las Vegas, NV 89128-0423 | 2011-06-28 |
| 1508158536 | Sunrise Foot and Ankle LLC | Podiatrist | 4580 S Eastern Ave Ste 30, Las Vegas, NV 89119-6100 | 2011-05-10 |
| 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.