APACHE FOOT AND ANKLE SPECIALISTS LLC (NPI# 1386709228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386709228 |
| Entity Type | Organization |
| Organization Name | APACHE FOOT AND ANKLE SPECIALISTS LLC |
| Practice Address |
4840 S Fort Apache Rd Ste 101 Las Vegas NV 89147-7967 |
| Practice Telephone | 7023622622 |
| Practice Fax Number | 7023620422 |
| Mailing Telephone | 7023622622 |
| Mailing Fax Number | 7023620422 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2014-06-23 |
| Authorized Official Name | DR. LEE AARON WITTENBERG (PRESIDENT) |
| Authorized Official Telephone | 7023622622 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0607 | NV | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100511040 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275876542 | Apache Foot and Ankle Specialists LLC | Podiatrist | 2980 Saint Rose Pkwy, Ste 140, Henderson, NV 89052-4451 | 2013-04-04 |
| Street Address |
4840 S FORT APACHE RD STE 101 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89147-7967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700868643 | Lee A Wittenberg | Podiatrist | 4840 S Fort Apache Rd, Suite 101, Las Vegas, NV 89147-7967 | 2005-11-16 |
| 1508961848 | Eric G Deurell | Pediatrics | 4840 S Fort Apache Rd, Suite 101, Las Vegas, NV 89147 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619593621 | Ata Group Lv | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 10170 W Tropicana Ave Ste 156-211, Las Vegas, NV 89147 | 2020-06-25 |
| 1104474022 | Jacklyn Siagatonu | Behavior Technician | 7125 Grand Montecito Parkway, Las Vegas Nv, N Las Vegas, NV 89147 | 2019-09-04 |
| 1700388253 | Pr Acquisition Corporation | Clinic/Center | 9892 W Flamingo Road, Las Vegas, NV 89147 | 2018-03-01 |
| 1629578836 | Jonathan Balagot Dizon | Optometrist | 4160 S Durango Dr, Las Vegas, NV 89147 | 2018-02-14 |
| 1346751526 | Ignite Teen Treatment, LLC | Clinic/Center | 3722 Lone Mesa Dr, Las Vegas, NV 89147 | 2017-10-16 |
| 1306365275 | Diversified Behavioral Health Services LLC | Community/Behavioral Health | 9636 W.cherokee Ave, Las Vegas, NV 89147 | 2017-09-12 |
| 1356874713 | A8a Personal Care Solution LLC | In Home Supportive Care | 8879 West Flamingo, Ste 101, Las Vegas, NV 89147 | 2017-04-04 |
| 1154782191 | Ma Leah Roble Maravillas | Behavioral Analyst | 9999 W Katie Ave Suite 1313, Las Vegas, NV 89147 | 2016-03-18 |
| 1285010959 | Samantha Lauren Pope | Specialist | 9353 W. Twain Ave, Apt 113, Las Vegas, NV 89147 | 2015-08-05 |
| 1215311980 | Daniel Dorado | Marriage & Family Therapist | 9848 Gallo Dr, Las Vegas, NV 89147 | 2015-07-13 |
| Find all providers in zip 89147 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720635535 | Usa Resources | Podiatrist | 2701 N Tenaya Way Ste 230, Las Vegas, NV 89128-0480 | 2019-08-26 |
| 1225569528 | Sun City Medical Center Pllc | Podiatrist | 9280 W Sunset Rd Ste 410, Las Vegas, NV 89148-4862 | 2017-03-27 |
| 1518316819 | Aniela Cordoba | Podiatrist | 3320 N Buffalo Dr Ste 107, Las Vegas, NV 89129-7410 | 2016-06-07 |
| 1154705689 | Lindsy Laura Kragt Allen | Podiatrist | 1608 7th St, Las Vegas, NM 87701 | 2015-07-14 |
| 1033593843 | Nahad Wassel | Podiatrist | 3662 E Sunset Rd Ste 115, Las Vegas, NV 89120-7224 | 2015-07-13 |
| 1912329202 | Allcare Foot and Ankle Clinic | Podiatrist | 7350 W Cheyenne Ave, Suite 110, Las Vegas, NV 89129-7445 | 2014-01-06 |
| 1417392481 | Benjamin Heber Bauer | Podiatrist | 3777 Pecos Mcleod Ste 103, Las Vegas, NV 89121-4265 | 2013-05-06 |
| 1588951834 | Christina Louise Hulsebos | Podiatrist | 1850 E Sahara Ave Ste 202, Las Vegas, NV 89104-3746 | 2011-07-07 |
| 1871889824 | Conan R Parke | Podiatrist | 2641 Box Canyon Dr Ste A, Las Vegas, NV 89128-0423 | 2011-06-28 |
| 1508158536 | Sunrise Foot and Ankle LLC | Podiatrist | 4580 S Eastern Ave Ste 30, Las Vegas, NV 89119-6100 | 2011-05-10 |
| 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.