SUNRISE FOOT AND ANKLE LLC (NPI# 1508158536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508158536 |
| Entity Type | Organization |
| Organization Name | SUNRISE FOOT AND ANKLE LLC |
| Practice Address |
4580 S Eastern Ave Ste 30 Las Vegas NV 89119-6100 |
| Practice Telephone | 7027313338 |
| Practice Fax Number | 7027313341 |
| Mailing Telephone | 7027313338 |
| Mailing Fax Number | 7027313341 |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2012-04-26 |
| Authorized Official Name | DR. JEREMY WAYNE WOOD (DOCTOR) |
| Authorized Official Telephone | 7027313338 |
| 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 |
0307 | NV | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100503070 | 05 |
| Street Address |
4580 S EASTERN AVE STE 30 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89119-6100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598016255 | James Alan Averett | Podiatrist | 4580 S Eastern Ave Ste 30, Las Vegas, NV 89119-6100 | 2012-09-20 |
| 1255609749 | Richard Craig Lamb | Counselor | 4580 S Eastern Ave Ste 30, Las Vegas, NV 89119-6100 | 2011-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089298 | Jennifer Chavon Cruse | Technician | [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 | 2020-09-28 |
| 1063024214 | Rosa Isela Martinez Gonzalez | Technician | 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 | 2020-08-19 |
| 1720697980 | Christian Scott | Social Worker | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
| 1245867159 | Starfruit Holdings, LLC | Skilled Nursing Facility | 4375 S Eastern Ave, Paradise, NV 89119 | 2020-03-23 |
| 1215562376 | Phyllis Eberechukwu Hunt | Adult Companion | 5160 Tamarus St Appt 17, Las Vegas, NV 89119 | 2020-03-10 |
| 1841832581 | Legna Carrillo | Adult Companion | 4325 South Bruce St Appt 63, Las Vegas, NV 89119 | 2019-10-15 |
| 1104468339 | Alma Leticia Salazar | Home Health Aide | Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 | 2019-10-09 |
| 1083260046 | Araceli Rosas Vargas | Technician | 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 | 2019-08-15 |
| 1376197707 | Bristure Clayton | Technician | Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 | 2019-07-24 |
| 1457904534 | Carmen Laura Gonzalez Valenzuela | Chore Provider | 6725-1 S. Eastern Ave, Las Vegas, NV 89119 | 2019-07-18 |
| Find all providers in zip 89119 | ||||
| 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 |
| 1316258817 | Foot and Leg Centers of Nevada | Podiatrist | 2251 S Fort Apache Rd, Suite Number 2154, Las Vegas, NV 89117-5758 | 2010-06-29 |
| 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.