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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | 2019927 | 05 |
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 |
Street Address |
6725 S EASTERN AVE STE 6 |
City | LAS VEGAS |
State | NV |
Zip Code | 89119-3949 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669089298 | Jennifer Chavon Cruse | Technician | [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 | 2020-09-28 |
1063024214 | Rosa Isela Martinez Gonzalez | Technician | 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 | 2020-08-19 |
1720697980 | Christian Scott | Social Worker | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
1245867159 | Starfruit Holdings, LLC | Skilled Nursing Facility | 4375 S Eastern Ave, Paradise, NV 89119 | 2020-03-23 |
1215562376 | Phyllis Eberechukwu Hunt | Adult Companion | 5160 Tamarus St Appt 17, Las Vegas, NV 89119 | 2020-03-10 |
1841832581 | Legna Carrillo | Adult Companion | 4325 South Bruce St Appt 63, Las Vegas, NV 89119 | 2019-10-15 |
1104468339 | Alma Leticia Salazar | Home Health Aide | Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 | 2019-10-09 |
1083260046 | Araceli Rosas Vargas | Technician | 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 | 2019-08-15 |
1376197707 | Bristure Clayton | Technician | Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 | 2019-07-24 |
1457904534 | Carmen Laura Gonzalez Valenzuela | Chore Provider | 6725-1 S. Eastern Ave, Las Vegas, NV 89119 | 2019-07-18 |
Find all providers in zip 89119 |
Taxonomy Code | 332900000X |
Grouping | Suppliers |
Classification | Non-Pharmacy Dispensing Site |
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] |
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 |
Find all providers in LAS VEGAS |
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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.