MR. GEORGE MCMICKLE


Address: 653 N Town Center Dr, Ste #318, Las Vegas, NV 89144-0514
Phone: 7022156950

MR. GEORGE MCMICKLE (NPI# 1912935065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912935065
Entity Type Individual
Full Name MR. GEORGE MCMICKLE
Credential MD
Practice Address 653 N Town Center Dr
Ste #318
Las Vegas
NV 89144-0514
Mailing Address 653 N Town Center Dr
Suite 318
Las Vegas
NV 89144-0514
Practice Telephone 7022156950
Practice Fax Number 7022153377
Mailing Telephone 7022156950
Enumeration Date 2006-06-29
Last Update Date 2013-10-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology NV9367 NV Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NV 2018497 05

Office Location

Street Address 653 N TOWN CENTER DR
STE #318
City LAS VEGAS
State NV
Zip Code 89144-0514

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457356461 Luis Leon Diaz Specialist 653 N Town Center Dr, Ste 312, Las Vegas, NV 89144-0520 2005-06-16
1689151326 Latitia Joann Robinson Social Worker 653 N Town Center Dr, Las Vegas, NV 89144-0514 2018-07-25
1518418193 Stahl Wellness Screening, P.C. Internal Medicine 653 N Town Center Dr, #400, Las Vegas, NV 89144-0514 2016-10-19
1265989800 Laura Leigh Deleon Nurse Practitioner 653 N Town Center Dr, Ste. 317, Las Vegas, NV 89144-0514 2016-09-01
1952783920 Mountain Podiatry Podiatrist 653 N Town Center Dr, Suite #118, Las Vegas, NV 89144-0514 2015-06-25
1477951770 Andrew H Hwang Md Prof LLC Urology 653 N Town Center Dr, Suite 407, Las Vegas, NV 89144-0514 2014-12-18
1326479759 Lords of Lond Family Medicine 653 N Town Center Dr, 114, Las Vegas, NV 89144-0514 2013-12-11
1972931426 George R Mcmickle M D P C Clinic/Center 653 N Town Center Dr, Suite 318, Las Vegas, NV 89144-0514 2013-10-18
1164857488 Maria L Burgess Nurse Practitioner 653 N Town Center Dr, Suite 504, Las Vegas, NV 89144-0514 2013-09-05
1487097739 Muir Summerlin Pain Clinic Ltd Pain Medicine 653 N Town Center Dr, Suite 210, Las Vegas, NV 89144-0514 2013-04-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033609599 Anila Naz Technician 1529 Waterton Drive, Las Vegas, NV 89144 2018-05-10
1467987487 Judith L. Tan Nurse Practitioner Summerlin Hospital, 657 N Town Center Dr, Las Vegas, NV 89144 2017-04-27
1871049437 Derek Anthony Smith Physical Therapist 89135, 10550 W Park Run Dr, Las Vegas, NV 89144 2016-09-01
1619324662 Sydney Spoon Dietitian, Registered 624 Canyon Greens Dr, Las Vegas, NV 89144 2016-05-19
1629455985 Md24 Nv, Inc. Nurse Practitioner 1180 North Town Center Dr, Ste 100, Las Vegas, NV 89144 2015-05-06
1053652628 Melvin Lackey Jr. Behavioral Analyst 10708 Esk Dr, Las Vegas, NV 89144 2013-03-07
1740445667 Jaydee R. Lumbad Family Medicine 1111 N Town Center Drive, Las Vegas, NV 89144 2008-07-21
1700053824 Samim Enayat Internal Medicine 10105 Banburry Cross Dr Ste 130, Las Vegas, NV 89144 2008-05-08
1629252457 Edmund Reyes Goroza Pediatrics 10105 Banburry Cross Dr Ste 170, Las Vegas, NV 89144 2007-12-28
1730375262 H.l.greenberg M.d., Ltd. Clinic/Center 653 N. Town Center Drive, Ste #410, Las Vegas, NV 89144 2007-09-18
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265084073 Trinoveon Corporation Ophthalmology 2700 Las Vegas Blvd S Unit 4105, Las Vegas, NV 89109-1174 2019-07-11
1558825687 Eyecare Associates Ophthalmology 2010 Festival Plaza Dr Ste 195, Las Vegas, NV 89135-1455 2019-01-23
1164800827 Tigran Kostanyan Ophthalmology 2110 E Flamingo Rd Ste 210, Las Vegas, NV 89119-5193 2015-05-14
1003251950 Matthew Swanic M.d., Pllc Ophthalmology 9555 S Eastern Ave Ste 250, Las Vegas, NV 89123-8008 2013-05-06
1487914099 Mazeyar Saboori Ophthalmology 5556 S Fort Apache Rd, Las Vegas, NV 89148-7696 2012-05-17
1417214313 Wonchon Lin Ophthalmology 5380 S Rainbow Blvd Ste 108, Las Vegas, NV 89118-1878 2012-04-16
1679839690 Janice E Eggert Md Ltd Ophthalmology 1771 E Flamingo Rd Ste 214a, Las Vegas, NV 89119-0850 2012-04-03
1497023105 Leslie M Sims Md Pllc Ophthalmology 9360 W Flamingo Rd Ste 110, Las Vegas, NV 89147-6446 2011-12-08
1528299377 Nelson Nerveza Lopez Ophthalmology 3100 W Charleston Blvd Ste 204, Las Vegas, NV 89102-1996 2009-07-28
1578791372 Tyson S.j. Ward Ophthalmology 6980 Smoke Ranch Rd Ste 110, Las Vegas, NV 89128-8606 2009-06-30
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Competitor

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City LAS VEGAS
Zip Code 89144

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Dataset Information

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.

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