FOOT & ANKLE SURGICAL GROUP, LLP (NPI# 1891748471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891748471 |
| Entity Type | Organization |
| Organization Name | FOOT & ANKLE SURGICAL GROUP, LLP |
| Practice Address |
10561 Jeffreys St #110 Henderson NV 89052-4266 |
| Practice Telephone | 7024563668 |
| Practice Fax Number | 7024566688 |
| Mailing Telephone | 7024563668 |
| Mailing Fax Number | 7024566688 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2014-02-04 |
| Authorized Official Name | GERALD TORGESEN (GENERAL PARTNER) |
| Authorized Official Telephone | 7024563668 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332900000X | Non-Pharmacy Dispensing Site | 8601 | NV | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 38610 | NV | Suppliers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 2990162 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891343323 | Foot & Ankle Surgical Group, LLP | Podiatrist | 10561 Jeffreys St Ste 110, Henderson, NV 89052-4267 | 2019-08-28 |
| 1194938936 | Foot & Ankle Surgical Group, LLP | Durable Medical Equipment & Medical Supplies | 999 Adams Blvd, #104, Boulder City, NV 89005-2244 | 2007-05-08 |
| Street Address |
10561 JEFFREYS ST #110 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-4266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396744082 | Henry A Banzon | Physical Therapist | 10561 Jeffreys St, Suite 200, Henderson, NV 89052-4179 | 2005-07-15 |
| 1386182970 | Joshua Nunezdelprado | Specialist/Technologist, Other | 10561 Jeffreys St, Ste 230, Henderson, NV 89052-4266 | 2017-02-03 |
| 1548706542 | Daisy Castro | Specialist/Technologist, Other | 10561 Jeffreys St, #230, Henderson, NV 89052-4266 | 2017-01-13 |
| 1649655515 | Parkway Surgery Center, LLC | Clinic/Center | 10561 Jeffreys St, Suite 130, Henderson, NV 89052-4266 | 2015-07-21 |
| 1235521709 | Keshia Ricamona | Specialist/Technologist, Other | 10561 Jeffreys St, Ste 230, Henderson, NV 89052-4266 | 2015-02-20 |
| 1053722702 | Troy S. Mcarthur | Podiatrist | 10561 Jeffreys St, Suite 110, Henderson, NV 89052-4266 | 2014-05-15 |
| 1003238908 | Gabriel Garma | Specialist/Technologist, Other | 10561 Jeffreys St, Ste 230, Henderson, NV 89052-4266 | 2014-01-10 |
| 1912243619 | Bryce Tyler Nelson | Physician Assistant | 10561 Jeffreys St, #230, Henderson, NV 89052-4266 | 2012-12-27 |
| 1255676961 | Grayce Lee Malavasic | Specialist/Technologist, Other | 10561 Jeffreys St, Ste 230, Henderson, NV 89052-4266 | 2012-12-06 |
| 1639432511 | Marisa L Calderon | Counselor | 10561 Jeffreys St, #230, Henderson, NV 89052-4266 | 2012-06-16 |
| 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 | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891343323 | Foot & Ankle Surgical Group, LLP | Podiatrist | 10561 Jeffreys St Ste 110, Henderson, NV 89052-4267 | 2019-08-28 |
| 1598210031 | Hasan Masood | Podiatrist | 880 Seven Hills Dr Ste 150, Henderson, NV 89052-4380 | 2016-08-24 |
| 1194068767 | Richard Lee Gardner II | Podiatrist | 2649 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052-4801 | 2013-04-02 |
| 1548252224 | Roger B Reed | Podiatrist | 2649 W Horizon Ridge Pkwy, Suite 100, Henderson, NV 89052-4801 | 2005-08-18 |
| 1063037950 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 451 Ruin Creek Rd Ste 202, Henderson, NC 27536-5920 | 2020-06-16 |
| 1427597079 | Daniel L Hallman | Podiatrist | 68 N Pecos Rd, Suite A, Henderson, NV 89074-7340 | 2017-02-15 |
| 1073967022 | Affiliated Podiatry LLC | Podiatrist | 68 N Pecos Rd, Ste A, Henderson, NV 89074 | 2016-04-15 |
| 1083003891 | Roger B Reed Dpm PC | Podiatrist | 2649 W Horizon Ridge Pkwy, Suite 100, Henderson, NV 89052-4801 | 2015-01-16 |
| 1053722702 | Troy S. Mcarthur | Podiatrist | 10561 Jeffreys St, Suite 110, Henderson, NV 89052-4266 | 2014-05-15 |
| 1275876542 | Apache Foot and Ankle Specialists LLC | Podiatrist | 2980 Saint Rose Pkwy, Ste 140, Henderson, NV 89052-4451 | 2013-04-04 |
| 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.