SOLE TO SOUL PODIATRY LLC (NPI# 1982883294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982883294 |
Entity Type | Organization |
Organization Name | SOLE TO SOUL PODIATRY LLC |
Practice Address |
3815 S Jones Blvd Ste 6 Las Vegas NV 89103 |
Mailing Address |
Po Box 30236 Las Vegas NV 89173-0236 |
Practice Telephone | 7022281162 |
Practice Fax Number | 7023123932 |
Mailing Telephone | 7022281162 |
Mailing Fax Number | 7023123932 |
Enumeration Date | 2007-11-02 |
Last Update Date | 2018-06-28 |
Authorized Official Name | DR. KELLEY J WOODS (DPM) |
Authorized Official Telephone | 7022281162 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | 9905 | NV | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | 002102010 | 05 |
Street Address |
3815 S JONES BLVD STE 6 |
City | LAS VEGAS |
State | NV |
Zip Code | 89103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043821671 | New Directions LLC | Counselor | 3651 S Lindell Dr, Ste D15 B, Las Vegas, NV 89103 | 2020-08-17 |
1396356929 | A-plus Community Counseling Services LLC | Counselor | 3651 S Lindell Dr Ste D15, Las Vegas, NV 89103 | 2020-08-17 |
1437798931 | Las Vegas Diagnostic & Treatment LLC | Neuromusculoskeletal Medicine & OMM | Dpm, 5650 W Flamingo Rd Ste A, Las Vegas, NV 89103 | 2019-12-31 |
1033769385 | Maria Yemi Centeno | Technician | 4674 Via Torino, Las Vegas, NV 89103 | 2019-09-18 |
1750847869 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3821 W Flamingo Rd, Las Vegas, NV 89103 | 2019-02-13 |
1447741905 | Adgold Medical Corp | Durable Medical Equipment & Medical Supplies | 3651 Lindell Rd Ste D536, Las Vegas, NV 89103 | 2018-05-21 |
1184138620 | Kiley Ballew | Social Worker | 4425 South Jones, Suite D3, Las Vegas, NV 89103 | 2017-11-20 |
1396275988 | Karen Walton | Technician | 5419 W. Tropicana Ave. A2803, Las Vegas, NV 89103 | 2017-06-15 |
1760923643 | Shannon-dorothy Austria | Social Worker | 4425 S. Jones, Suite D3, Las Vegas, NV 89103 | 2017-03-13 |
1306260583 | Ladonna Smith | Behavioral Analyst | 1126 Tamerck Ave, Las Vegas, NV 89103 | 2014-02-10 |
Find all providers in zip 89103 |
Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346799640 | Heller Podiatry LLC | Podiatrist | 9628 Gray Cap St, Las Vegas, NV 89123-5826 | 2016-09-27 |
1881077451 | Desert Shores LLC | Podiatrist | 2235 N Rampart Blvd, Las Vegas, NV 89128-7640 | 2015-07-01 |
1770997405 | Priya Samant | Podiatrist | 7135 W Sahara Ave Ste 201, Las Vegas, NV 89117 | 2014-06-20 |
1508152075 | Hope C Markowitz | Podiatrist | 8021 Ryans Reef Ln, Las Vegas, NV 89128-6886 | 2011-06-23 |
1710129549 | Mountain Podiatry | Podiatrist | 653 N Town Center Dr Ste 118, Las Vegas, NV 89144-0515 | 2009-03-25 |
1114182904 | Ernest Louk | Podiatrist | 7601 Rockfield Dr, Las Vegas, NV 89128-7929 | 2008-07-22 |
1356481501 | Anthony M. Ricciardi Jr. Ltd Inc. | Podiatrist | 7135 W. Sahara Ave., Suite 201, Las Vegas, NV 89117-2828 | 2007-02-07 |
1801962121 | Jason W Rockwood | Podiatrist | 105 Mills Ave Ste 100, Las Vegas, NM 87701-4169 | 2006-11-28 |
1275619603 | Charles Cody Cull | Podiatrist | 1717 Navajo Lake Way, Las Vegas, NV 89128-3283 | 2006-10-27 |
1073614798 | Todd Zang Dpm Ltd | Podiatrist | 3920 E Patrick Ln, Las Vegas, NV 89120-3927 | 2006-09-26 |
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.