Theodore Potruch (NPI# 1649225293, PAC ID# 7012017825) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1649225293 |
| PAC ID by PECOS | 7012017825 |
| Professional Enrollment ID | I20080226000335 |
| Full Name | Theodore Potruch |
| Organization Legal Name | ANGELES MEDICAL CENTERS LLC |
| Address |
2123 Civic Ctr Dr North Las Vegas NV 89030-6327 |
| Phone Number | 7023330110 |
| Gender | M |
| Graduation Year | 1962 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 9830472372 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2123 Civic Ctr Dr, North Las Vegas, NV 89030-6327 | 7023330110 | ANGELES MEDICAL CENTERS LLC |
| Organization Legal Name | ANGELES MEDICAL CENTERS LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Noemi Cabrera | Nurse Practitioner | Angeles Medical Centers LLC | 2123 Civic Ctr Dr, North Las Vegas, NV 89030-6327 |
| Mijung Kim | Nurse Practitioner | Angeles Medical Centers LLC | 840 N Decatur Blvd, Suite A, Las Vegas, NV 89107-1932 |
| Mae B Guerrero | Nurse Practitioner | Angeles Medical Centers LLC | 840 N Decatur Blvd, Suite A, Las Vegas, NV 89107-1932 |
| Street Address |
2123 CIVIC CTR DR |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip | 89030-6327 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Noemi Cabrera | Nurse Practitioner | Angeles Medical Centers LLC | 2123 Civic Ctr Dr, North Las Vegas, NV 89030-6327 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan Galvin | Family Medicine | 4357 Corporate Ctr Dr, Suite 450, North Las Vegas, NV 89030-0226 | |
| Heather Pickett | Family Practice | Hope Christian Health Center Corp | 4357 Corporate Ctr Dr, North Las Vegas, NV 89030-0226 |
| Aura Cynthia Truelove | Nurse Practitioner | Healthcare Partners Medical Group Coats Ltd | 3960 W Craig Rd, 102 Healthcare Partners W Craig, N. Las Vegas, NV 89030-2750 |
| Lara C Wenner | Family Medicine | Healthcare Partners Medical Group Coats Ltd | 3960 W Craig Rd, 102 Healthcare Partners W Craig, N. Las Vegas, NV 89030-2750 |
| Herbert Cordero Yordan | Cardiovascular Disease (cardiology) | Healthcare Partners Medical Group Coats Ltd | 3960 W Craig Rd, 102 Healthcare Partners W Craig, N. Las Vegas, NV 89030-2750 |
| Donna M Hufana | Internal Medicine | Healthcare Partners Medical Group Coats Ltd | 3960 W Craig Rd, 102 Healthcare Partners W Craig, N. Las Vegas, NV 89030-2750 |
| Angelo N Lambos | Internal Medicine | American Current Care Pa | 151 W Brooks Ave, North Las Vegas, NV 89030-3901 |
| Bernard O Lubin | Physical Therapy | Rehab Directives LLC | 2860 E Cheyenne Ave, North Las Vegas, NV 89030-4234 |
| Hitesh Goel | Internal Medicine | Inpatient Consultants of Nevada, Inc. A Medical Corporation | 2856 E Cheyanne Ave, College Park Rehab, N Las Vegas, NV 89030-4234 |
| Jeanine Manubay | Physical Therapy | Rehab Directives LLC | 2860 E Cheyenne Ave, North Las Vegas, NV 89030-4234 |
| Find all physicians in zip 89030 | |||
| City | NORTH LAS VEGAS |
| Zip Code | 89030 |
| Specialty | GENERAL SURGERY |
| City + Specialty | NORTH LAS VEGAS + GENERAL SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.