PODIATRY LV LLC (NPI# 1265050405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265050405 |
| Entity Type | Organization |
| Organization Name | PODIATRY LV LLC |
| Practice Address |
6440 Sky Pointe Dr Ste 140-197 Las Vegas NV 89131-4047 |
| Practice Telephone | 7252242020 |
| Mailing Telephone | 7252242020 |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |
| Authorized Official Name | DR. PAUL FAWSON (OWNER) |
| Authorized Official Telephone | 7252242020 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
Podiatric Medicine & Surgery Service Providers |
| Street Address |
6440 SKY POINTE DR STE 140-197 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89131-4047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013497973 | Vivian Matti | Technician | 7155 Royal Melbourne Dr, Las Vegas, NV 89131 | 2018-08-20 |
| 1235656810 | Yolonda Chantelle Johnson | Massage Therapist | 8400 Farm Road #150, Las Vegas, NV 89131 | 2017-08-24 |
| 1528581865 | Nevada Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8491 Farm Rd, Las Vegas, NV 89131 | 2017-07-19 |
| 1992252522 | Brittany Ann Brumfield | Behavioral Analyst | 7580 Splashing Rock Drive, Las Vegas, NV 89131 | 2016-09-01 |
| 1144682220 | Integrative Health & Wellness Practices LLC | Chiropractor | 6628 Skypointe Drive Suite 113, Las Vegas, NV 89131 | 2016-03-28 |
| 1659747137 | Daniel Leiner | Pharmacist | 8410 W. Farm Road, Las Vegas, NV 89131 | 2015-08-19 |
| 1669860938 | Adrienne K Stauffer-snell | Chiropractor | 8400 Farm Road, Suite 150, Las Vegas, NV 89131 | 2015-01-08 |
| 1568897874 | Arturo Hernandez | Physical Therapist | 6535 N Buffalo Dr Ste 120, Las Vegas, NV 89131 | 2013-09-05 |
| 1750727996 | Sheppards Health Education &psychiatric Services | Counselor | 5827 Falling Stream Street, Las Vegas, NV 89131 | 2013-05-15 |
| 1962748038 | Phases of Me, Inc. | Counselor | 6624 Sky Pointe Drive, Las Vegas, NV 89131 | 2012-12-18 |
| Find all providers in zip 89131 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588011258 | Mobile Podiatry Management Inc | Podiatrist | 6127 Trevino Ave, Las Vegas, NV 89131-5926 | 2016-05-23 |
| 1801251095 | 24/7 Foot Doctor | Podiatrist | 10134 Neville Ct, Las Vegas, NV 89183-4270 | 2015-12-15 |
| 1992085682 | Boulder Foot & Ankle Center, Ltd. | Podiatrist | 3150 N Tenaya Way Ste 215, Las Vegas, NV 89128-0444 | 2011-08-25 |
| 1245371392 | Wayne Adam Dunetz | Podiatrist | 5375 S Fort Apache Rd Ste 103, Las Vegas, NV 89148-7624 | 2007-02-10 |
| 1952783920 | Mountain Podiatry | Podiatrist | 653 N Town Center Dr, Suite #118, Las Vegas, NV 89144-0514 | 2015-06-25 |
| 1982883989 | Z and Z Podiatry Ltd | Podiatrist | 3930 E Patrick Ln, Las Vegas, NV 89120-4924 | 2007-10-26 |
| 1538145693 | Wesley Warren Lyon | Podiatrist | 3150 N Tenaya Way, Suite 215, Las Vegas, NV 89128-0443 | 2005-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922238195 | Kenneth Ervine Fatkin | Podiatrist | 1485 W Warm Springs Rd Ste 102, Henderson, NV 89014-7632 | 2009-07-21 |
| 1598890188 | Boulder Foot & Ankle Center, Ltd. | Podiatrist | 999 Adams Blvd, Ste 103, Boulder City, NV 89005-2244 | 2007-02-22 |
| 1811945991 | David Frank Giles | Podiatrist | 1940 Spring Blossom Ct, Sparks, NV 89434-8096 | 2006-05-04 |
| 1851543557 | Tracy Kyle Leavitt | Podiatrist | 68 N Pecos Rd, Ste A, Henderson, NV 89074-7339 | 2008-10-14 |
| 1598818296 | Keith Card | Podiatrist | 973 Mica Dr, Suite 201, Carson City, NV 89705-7255 | 2007-01-18 |
Please comment or provide details below to improve the information on PODIATRY LV LLC.
| 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.