DESERT ORTHOPAEDIC CENTER, LTD. (NPI# 1598087223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598087223 |
| Entity Type | Organization |
| Organization Name | DESERT ORTHOPAEDIC CENTER, LTD. |
| Practice Address |
2930 W Horizon Ridge Pkwy Suite #100 Henderson NV 89052-5058 |
| Practice Telephone | 7022639082 |
| Practice Fax Number | 7022639088 |
| Mailing Telephone | 7022639082 |
| Mailing Fax Number | 7022639088 |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2010-02-22 |
| Authorized Official Name | MICHAEL FRANCIS PENDLETON (ADMINISTRATOR) |
| Authorized Official Telephone | 7026977236 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972825602 | Desert Orthopaedic Center, Ltd. | Orthopaedic Surgery | 8402 Centennial Pkwy, Las Vegas, NV 89149-4792 | 2010-02-22 |
| 1548235302 | Desert Orthopaedic Center, Ltd. | Orthopaedic Surgery | 2800 E Desert Inn Rd, Suite #100, Las Vegas, NV 89121-3608 | 2006-02-22 |
| Street Address |
2930 W HORIZON RIDGE PKWY SUITE #100 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-5058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720286966 | Orthopedic Motion Inc | Prosthetic/Orthotic Supplier | 2930 W Horizon Ridge Pkwy, Henderson, NV 89052-5058 | 2007-07-10 |
| 1447880307 | Rebecca Holmes | Physical Therapist | 2930 W Horizon Ridge Pkwy, Henderson, NV 89052-5058 | 2020-01-20 |
| 1275885550 | Rachel Victoria Zatkovich | Physical Therapist | 2930 W Horizon Ridge Pkwy, Suite 100, Henderson, NV 89052-5058 | 2012-10-10 |
| 1649549064 | Brandon L Flippin | Physical Therapist | 2930 W Horizon Ridge Pkwy, 205, Henderson, NV 89052-5058 | 2011-12-14 |
| 1386887420 | Jennifer E Clemente | Physical Therapist | 2930 W Horizon Ridge Pkwy, 205, Henderson, NV 89052-5058 | 2009-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| Find all providers in zip 89052 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437531902 | Laura M. Bruse, M.d., P.C. | Orthopaedic Surgery | 1452 W. Horizon Ridge Pkwy #510, Henderson, NV 89012 | 2015-06-22 |
| 1396087623 | Carl Bradley Wallis | Orthopaedic Surgery | 10561 Jeffreys St Ste 230, Henderson, NV 89052-4268 | 2013-03-25 |
| 1124339676 | Mark Allen | Orthopaedic Surgery | 1505 Wigwam Pkwy Ste 330, Henderson, NV 89074 | 2010-06-30 |
| 1447480413 | Private Diagnostic Clinic, Pllc | Orthopaedic Surgery | 511 Ruin Road, Suite 106, Henderson, NC 27536-5919 | 2009-07-23 |
| 1588793533 | Caleb Ogden Pinegar | Orthopaedic Surgery | 2779 W Horizon Ridge Pkwy Ste 200, Henderson, NV 89052-4186 | 2007-03-05 |
| 1033269147 | Michael J Crovetti Jr. | Orthopaedic Surgery | 2779 W. Horizon Ridge Pkwy., Ste. 200, Henderson, NV 89052-4380 | 2007-01-11 |
| 1942243324 | Ronald Curtis Koe | Orthopaedic Surgery | 1710 W. Horizon Ridge Pkwy, Ste 120, Henderson, NV 89012 | 2006-06-14 |
| 1376500181 | Frederick Charles Balduini | Orthopaedic Surgery | 2779 W Horizon Ridge, Ste 200, Henderson, NV 89052-4380 | 2006-04-26 |
| 1104893031 | Frederick Charles Redfern | Orthopaedic Surgery | 1701 N Green Valley Pkwy Ste 4b, Henderson, NV 89074-5886 | 2006-02-28 |
| 1750371233 | John E Herr | Orthopaedic Surgery | 1701 N Green Valley Pkwy Ste 4c, Henderson, NV 89074-5886 | 2005-10-25 |
| Find all providers in HENDERSON | ||||
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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.