DR. JAMESON B NOORDA (NPI# 1811099609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811099609 |
| Entity Type | Individual |
| Full Name | DR. JAMESON B NOORDA |
| Credential | DPM |
| Practice Address |
68 N Pecos Rd Suite A Henderson NV 89074-7339 |
| Practice Telephone | 7024561441 |
| Practice Fax Number | 7024563901 |
| Mailing Telephone | 7024561441 |
| Mailing Fax Number | 7024563901 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2015-01-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 0505 | NV | Podiatric Medicine & Surgery Service Providers |
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
0505 | NV | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0505 | NV | Podiatric Medicine & Surgery Service Providers |
| Street Address |
68 N PECOS RD SUITE A |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074-7339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164465431 | Bernadette C Gervasi | Physical Therapist | 68 N Pecos Rd, Suite B, Henderson, NV 89074-7339 | 2006-06-14 |
| 1427597079 | Daniel L Hallman | Podiatrist | 68 N Pecos Rd, Suite A, Henderson, NV 89074-7340 | 2017-02-15 |
| 1073967022 | Affiliated Podiatry LLC | Podiatrist | 68 N Pecos Rd, Ste A, Henderson, NV 89074 | 2016-04-15 |
| 1669803193 | Spencer Keller Noorda | Podiatrist | 68 N Pecos Rd, Ste A, Henderson, NV 89074 | 2013-12-10 |
| 1851543557 | Tracy Kyle Leavitt | Podiatrist | 68 N Pecos Rd, Ste A, Henderson, NV 89074-7339 | 2008-10-14 |
| 1932397304 | Core Physical Therapy | Physical Therapist | 68 N Pecos Rd, Suite B, Henderson, NV 89074-7339 | 2007-10-10 |
| 1124234711 | Andrew J Rhodes, Md, LLC | Neurological Surgery | 68 N Pecos Rd, Henderson, NV 89074-7339 | 2007-05-14 |
| 1902926108 | Simpson Chiropractic Inc | Chiropractor | 68 N Pecos Rd, Henderson, NV 89074-7339 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349381 | Samuel Taylor Mulford | Physical Therapist | 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 | 2020-06-03 |
| 1407369127 | Brenda Thomas | Dental Hygienist | 234 Polar Morning Place, Henderson, NV 89074 | 2017-11-16 |
| 1174036479 | Gail E Evans Wade | Behavioral Analyst | 1445 Stone Lake Cove, Henderson, NV 89074 | 2017-11-08 |
| 1710400957 | Kimberley Houk | Behavioral Analyst | 20 Avenida Picasso, Henderson, NV 89074 | 2017-07-19 |
| 1760911846 | Colin Ono-moore | Physical Therapist | 3 Rising Sun Ct, Henderson, NV 89074 | 2017-06-12 |
| 1851825764 | Ralph Wieder | Dietitian, Registered | 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 | 2017-04-18 |
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1275994642 | Malyna Lavarias | Behavioral Analyst | 74 N Pecos Rd., Suite C, Henderson, NV 89074 | 2016-03-14 |
| 1144608290 | Matthew Roderick | Acupuncturist | 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 | 2015-05-08 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| Find all providers in zip 89074 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922238195 | Kenneth Ervine Fatkin | Podiatrist | 1485 W Warm Springs Rd Ste 102, Henderson, NV 89014-7632 | 2009-07-21 |
| 1851543557 | Tracy Kyle Leavitt | Podiatrist | 68 N Pecos Rd, Ste A, Henderson, NV 89074-7339 | 2008-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265050405 | Podiatry Lv LLC | Podiatrist | 6440 Sky Pointe Dr Ste 140-197, Las Vegas, NV 89131-4047 | 2020-07-13 |
| 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 |
| 1598890188 | Boulder Foot & Ankle Center, Ltd. | Podiatrist | 999 Adams Blvd, Ste 103, Boulder City, NV 89005-2244 | 2007-02-22 |
| 1245371392 | Wayne Adam Dunetz | Podiatrist | 5375 S Fort Apache Rd Ste 103, Las Vegas, NV 89148-7624 | 2007-02-10 |
| 1811945991 | David Frank Giles | Podiatrist | 1940 Spring Blossom Ct, Sparks, NV 89434-8096 | 2006-05-04 |
| 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 |
| 1598818296 | Keith Card | Podiatrist | 973 Mica Dr, Suite 201, Carson City, NV 89705-7255 | 2007-01-18 |
| Find all providers with the same taxonomy | ||||
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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.