CHARLES H. TADLOCK, M.D. LTD


Address: 6725 S Eastern Ave Ste 6, Las Vegas, NV 89119-3949
Phone: 7024740200

CHARLES H. TADLOCK, M.D. LTD (NPI# 1962720078) 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) 1962720078
Entity Type Organization
Organization Name CHARLES H. TADLOCK, M.D. LTD
Practice Address 6725 S Eastern Ave Ste 6
Las Vegas
NV 89119-3949
Mailing Address 2980 N Beverly Glen Cir
Suite 301
Los Angeles
CA 90077-1726
Practice Telephone 7024740200
Mailing Telephone 3104749809
Enumeration Date 2010-05-13
Last Update Date 2011-03-01
Authorized Official Name CHARLES H TADLOCK (OWNER)
Authorized Official Telephone 7024740200
Authorized Official Credential M.D.
Is Organization Subpart Y
Parent Organization Name CHARLES H. TADLOCK, M.D. LTD

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332900000X Non-Pharmacy Dispensing Site Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NV 2019927 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1720292642 Charles H. Tadlock, M.d. Ltd Anesthesiology 6725 S. Eastern Ave., Suite 6, Las Vegas, NV 89119 2007-05-09

Office Location

Street Address 6725 S EASTERN AVE STE 6
City LAS VEGAS
State NV
Zip Code 89119-3949

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Taxonomy Information

Taxonomy Code 332900000X
Grouping Suppliers
Classification Non-Pharmacy Dispensing Site

Taxonomy Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902364920 Vaccine Hippo, Inc. Non-Pharmacy Dispensing Site 10040 W Cheyenne Ave Ste 170-146, Las Vegas, NV 89129-7719 2019-03-08
1952829673 Jonathan R. Sorelle, Md., Pllc Non-Pharmacy Dispensing Site 9080 W Post Rd # 200, Las Vegas, NV 89148-2419 2017-09-01
1437670122 Harold Zilberman Md Chartered Non-Pharmacy Dispensing Site 3201 S Maryland Pkwy Ste 608, Las Vegas, NV 89109-2428 2017-07-03
1558762120 Wealthwise Inc Non-Pharmacy Dispensing Site 8493 Indigo Harbor Ave, Las Vegas, NV 89117-9166 2014-09-14
1275957136 Pac Lp Non-Pharmacy Dispensing Site 9465 W Post Road, Suite 1068, Las Vegas, NV 89148-5786 2014-02-13
1831463041 Glimpse of Vegas Inc. Non-Pharmacy Dispensing Site 5990 S Rainbow Blvd, Las Vegas, NV 89118-4205 2012-03-06
1457434789 Larry Yee Md Non-Pharmacy Dispensing Site 7660 W Cheyenne Ave Ste 110, Las Vegas, NV 89129-6757 2006-10-23
1699786111 J Marshall Anthony Do Jd Ltd Non-Pharmacy Dispensing Site 3100 E Charleston Blvd, Ste 109, Las Vegas, NV 89104-6665 2006-08-10
1285255786 Artius Dermatology Associates PC Non-Pharmacy Dispensing Site 653 N Town Center Dr Ste 512, Las Vegas, NV 89144-0519 2020-05-06
1801383096 Premise Health of Nevada Medical Hinitt P C Non-Pharmacy Dispensing Site 4100 W Flamingo Rd Ste 2100, Las Vegas, NV 89103-3926 2018-04-13
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Competitor

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City LAS VEGAS
Zip Code 89119

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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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