SPENCER NOORDA FOOT AND ANKLE L.L.C. (NPI# 1841790318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841790318 |
| Entity Type | Organization |
| Organization Name | SPENCER NOORDA FOOT AND ANKLE L.L.C. |
| Other Organization Name | SPENCER NOORDA |
| Practice Address |
68 N Pecos Rd Ste A Henderson NV 89074-7340 |
| Practice Telephone | 7024561441 |
| Mailing Telephone | 7024561441 |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |
| Authorized Official Name | SPENCER NOORDA (OWNER) |
| Authorized Official Telephone | 7024561441 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 2018 | NV | Podiatric Medicine & Surgery Service Providers |
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
2018 | NV | Podiatric Medicine & Surgery Service Providers |
| N | 213ER0200X |
Podiatrist Specialization: Radiology |
2018 | NV | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
2018 | NV | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
2018 | NV | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
2018 | NV | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Spencer Noorda | Doing Business As Name - Organization |
| Street Address |
68 N PECOS RD STE A |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074-7340 |
| 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 | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891343323 | Foot & Ankle Surgical Group, LLP | Podiatrist | 10561 Jeffreys St Ste 110, Henderson, NV 89052-4267 | 2019-08-28 |
| 1598210031 | Hasan Masood | Podiatrist | 880 Seven Hills Dr Ste 150, Henderson, NV 89052-4380 | 2016-08-24 |
| 1194068767 | Richard Lee Gardner II | Podiatrist | 2649 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052-4801 | 2013-04-02 |
| 1548252224 | Roger B Reed | Podiatrist | 2649 W Horizon Ridge Pkwy, Suite 100, Henderson, NV 89052-4801 | 2005-08-18 |
| 1063037950 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 451 Ruin Creek Rd Ste 202, Henderson, NC 27536-5920 | 2020-06-16 |
| 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 |
| 1083003891 | Roger B Reed Dpm PC | Podiatrist | 2649 W Horizon Ridge Pkwy, Suite 100, Henderson, NV 89052-4801 | 2015-01-16 |
| 1053722702 | Troy S. Mcarthur | Podiatrist | 10561 Jeffreys St, Suite 110, Henderson, NV 89052-4266 | 2014-05-15 |
| 1275876542 | Apache Foot and Ankle Specialists LLC | Podiatrist | 2980 Saint Rose Pkwy, Ste 140, Henderson, NV 89052-4451 | 2013-04-04 |
| Find all providers in HENDERSON | ||||
Please comment or provide details below to improve the information on SPENCER NOORDA FOOT AND ANKLE L.L.C..
| 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.