APACHE FOOT & ANKLE SPECIALIST LLC NPI 1386709228

NPI Information

NPI: 1386709228
Provider Name: APACHE FOOT & ANKLE SPECIALIST LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2901 N TENAYA WAY STE 200
LAS VEGAS, NV
ZIP 89128
Phone: (702) 362-2622
Get Directions

APACHE FOOT & ANKLE SPECIALIST LLC is a foot and ankle surgery podiatrist in Las Vegas, NV. APACHE FOOT & ANKLE SPECIALIST LLC NPI is 1386709228. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2901 N TENAYA WAY STE 200
LAS VEGAS, NV
ZIP 89128-404
Phone: (702) 362-2622
Fax: (702) 362-0422

The provider's authorized official is Lee Aaron Wittenberg .
The authorized official title is President and has the following contact phone number (702) 362-2622.

The enumeration date for this NPI number is 12/22/2006 and was last updated on 5/13/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	0607	NEVADA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100511040	MEDICAID	NEVADA

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

NPI Synchronization or Removal

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