CASEY C BURCHILL (NPI# 1922437821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922437821 |
Entity Type | Individual |
Full Name | CASEY C BURCHILL |
Credential | DPM |
Practice Address |
4750 W Oakey Blvd Ste 1a Las Vegas NV 89102-1535 |
Mailing Address |
Po Box 35380 Las Vegas NV 89133-5380 |
Practice Telephone | 7028775199 |
Mailing Telephone | 7028775199 |
Enumeration Date | 2013-11-01 |
Last Update Date | 2020-05-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
2010 | NV | Podiatric Medicine & Surgery Service Providers |
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POD001237 | GA | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | 1922437821 | 05 |
Street Address |
4750 W OAKEY BLVD STE 1A |
City | LAS VEGAS |
State | NV |
Zip Code | 89102-1535 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235190281 | Suresh K Tawney | Internal Medicine | 4750 W Oakey Blvd Ste 1a, Las Vegas, NV 89102 | 2006-03-29 |
1760944870 | Aaron Richard Donze | Nurse Practitioner | 4750 W Oakey Blvd Ste 1a, Las Vegas, NV 89102-1535 | 2019-04-05 |
1518203512 | Daniel John Hering | Nurse Practitioner | 4750 W Oakey Blvd Ste 1a, Las Vegas, NV 89102-1535 | 2012-12-19 |
1952531378 | Justin Colarco | Podiatrist | 4750 W Oakey Blvd Ste 1a, Las Vegas, NV 89102-1535 | 2009-07-20 |
1972547206 | Robert M Lampert | Internal Medicine | 4750 W Oakey Blvd Ste 1a, Las Vegas, NV 89102-1535 | 2006-06-16 |
1700830015 | Jim Christensen | Allergy & Immunology | 4750 W Oakey Blvd Ste 1a, Las Vegas, NV 89102-1535 | 2006-05-20 |
1316991615 | Patricia Roberts | Allergy & Immunology | 4750 W Oakey Blvd Ste 1a, Las Vegas, NV 89102-1535 | 2006-05-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
Find all providers in zip 89102 |
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 |
1508158536 | Sunrise Foot and Ankle LLC | Podiatrist | 4580 S Eastern Ave Ste 30, Las Vegas, NV 89119-6100 | 2011-05-10 |
Find all providers in LAS VEGAS |
Please comment or provide details below to improve the information on CASEY C BURCHILL.
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.