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ROBERT B GRZYWACZ DPM A PROFESSIONAL CORPORATION NPI 1053305862


NPI Information

NPI: 1053305862
Provider Name: ROBERT B GRZYWACZ DPM A PROFESSIONAL CORPORATION

Doing Business As: DESERT PODIATRY

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
3221 E WARM SPRINGS RD
LAS VEGAS, NV
ZIP 89120
Phone: (702) 733-7617
Get Directions

ROBERT B GRZYWACZ DPM A PROFESSIONAL CORPORATION is a podiatrist in Las Vegas, NV. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. ROBERT B GRZYWACZ DPM A PROFESSIONAL CORPORATION NPI is 1053305862. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Desert Podiatry.

The provider's business location address is:

3221 E WARM SPRINGS RD
LAS VEGAS, NV
ZIP 89120-157
Phone: (702) 733-7617
Fax: (702) 733-1732

The provider's authorized official is Robert B Grzywacz .
The authorized official title is Owner and has the following contact phone number (702) 733-7617.

The enumeration date for this NPI number is 9/7/2005 and was last updated on 5/23/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist793965375NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P00058662OTHERNEVADARAILROAD MEDICARE
2=========OTHERPGBA
34968930001MEDICARE NSCNEVADA
437963OTHERMEDICARE CLAIMS
5V37963OTHERMEDICARE CLAIMS
6T67226MEDICARE UPIN
7V37962OTHERGEHA
837963OTHERMEDICARE SECONDARY
937962MEDICARE PINNEVADA
10137141EQOTHERPREFERRED CARE
11=========0000EOTHERGEHA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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