GEORGE R MCMICKLE M D P C (NPI# 1972931426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972931426 |
| Entity Type | Organization |
| Organization Name | GEORGE R MCMICKLE M D P C |
| Other Organization Name | SOUTHWESTERN EYE ASSOCIATES |
| Practice Address |
653 N Town Center Dr Suite 318 Las Vegas NV 89144-0514 |
| Practice Telephone | 7022156950 |
| Practice Fax Number | 7022153377 |
| Mailing Telephone | 7022156950 |
| Mailing Fax Number | 7022153377 |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2013-10-18 |
| Authorized Official Name | GEORGE R MCMICKLE (PRESIDENT) |
| Authorized Official Telephone | 7022156950 |
| Authorized Official Credential | M D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
NV9367 | NV | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 2018497 | 05 |
| Other Name | Type Code |
|---|---|
| SOUTHWESTERN EYE ASSOCIATES | Doing Business As Name - Organization |
| Street Address |
653 N TOWN CENTER DR SUITE 318 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89144-0514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457356461 | Luis Leon Diaz | Specialist | 653 N Town Center Dr, Ste 312, Las Vegas, NV 89144-0520 | 2005-06-16 |
| 1689151326 | Latitia Joann Robinson | Social Worker | 653 N Town Center Dr, Las Vegas, NV 89144-0514 | 2018-07-25 |
| 1518418193 | Stahl Wellness Screening, P.C. | Internal Medicine | 653 N Town Center Dr, #400, Las Vegas, NV 89144-0514 | 2016-10-19 |
| 1265989800 | Laura Leigh Deleon | Nurse Practitioner | 653 N Town Center Dr, Ste. 317, Las Vegas, NV 89144-0514 | 2016-09-01 |
| 1952783920 | Mountain Podiatry | Podiatrist | 653 N Town Center Dr, Suite #118, Las Vegas, NV 89144-0514 | 2015-06-25 |
| 1477951770 | Andrew H Hwang Md Prof LLC | Urology | 653 N Town Center Dr, Suite 407, Las Vegas, NV 89144-0514 | 2014-12-18 |
| 1326479759 | Lords of Lond | Family Medicine | 653 N Town Center Dr, 114, Las Vegas, NV 89144-0514 | 2013-12-11 |
| 1164857488 | Maria L Burgess | Nurse Practitioner | 653 N Town Center Dr, Suite 504, Las Vegas, NV 89144-0514 | 2013-09-05 |
| 1487097739 | Muir Summerlin Pain Clinic Ltd | Pain Medicine | 653 N Town Center Dr, Suite 210, Las Vegas, NV 89144-0514 | 2013-04-16 |
| 1679825483 | Khavkin Clinic Pllc | Anesthesiology | 653 N Town Center Dr, Ste. 602, Las Vegas, NV 89144-0514 | 2012-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033609599 | Anila Naz | Technician | 1529 Waterton Drive, Las Vegas, NV 89144 | 2018-05-10 |
| 1467987487 | Judith L. Tan | Nurse Practitioner | Summerlin Hospital, 657 N Town Center Dr, Las Vegas, NV 89144 | 2017-04-27 |
| 1871049437 | Derek Anthony Smith | Physical Therapist | 89135, 10550 W Park Run Dr, Las Vegas, NV 89144 | 2016-09-01 |
| 1619324662 | Sydney Spoon | Dietitian, Registered | 624 Canyon Greens Dr, Las Vegas, NV 89144 | 2016-05-19 |
| 1629455985 | Md24 Nv, Inc. | Nurse Practitioner | 1180 North Town Center Dr, Ste 100, Las Vegas, NV 89144 | 2015-05-06 |
| 1053652628 | Melvin Lackey Jr. | Behavioral Analyst | 10708 Esk Dr, Las Vegas, NV 89144 | 2013-03-07 |
| 1740445667 | Jaydee R. Lumbad | Family Medicine | 1111 N Town Center Drive, Las Vegas, NV 89144 | 2008-07-21 |
| 1700053824 | Samim Enayat | Internal Medicine | 10105 Banburry Cross Dr Ste 130, Las Vegas, NV 89144 | 2008-05-08 |
| 1629252457 | Edmund Reyes Goroza | Pediatrics | 10105 Banburry Cross Dr Ste 170, Las Vegas, NV 89144 | 2007-12-28 |
| 1730375262 | H.l.greenberg M.d., Ltd. | Clinic/Center | 653 N. Town Center Drive, Ste #410, Las Vegas, NV 89144 | 2007-09-18 |
| Find all providers in zip 89144 | ||||
| Taxonomy Code | 261QS0132X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ophthalmologic Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154876795 | The Cataract Vision Institute LLC | Clinic/Center | 7501 W Lake Mead Blvd, Suite 104, Las Vegas, NV 89128-0275 | 2016-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609862341 | Western Nevada Surgical Center Inc | Clinic/Center | 1299 Mountain St, Carson City, NV 89703-3816 | 2005-09-27 |
Please comment or provide details below to improve the information on GEORGE R MCMICKLE M D P C.
| 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.