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DR. GREGORY J WASTEK M.D. PH.D. NPI 1508833930


NPI Information

NPI: 1508833930
Provider Name: DR. GREGORY J WASTEK, M.D., PH.D.
Classification: Dermatology - 207N00000X
Entity Type: Individual
Address:
6850 N DURANGO DR
SUITE 100
LAS VEGAS, NV
ZIP 89149
Phone: (702) 589-3100
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DR. Gregory J Wastek, M.D., PH.D. is a dermatology in Las Vegas, NV. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. DR. Gregory J Wastek, M.D., PH.D. NPI is 1508833930. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6850 N DURANGO DR
SUITE 100
LAS VEGAS, NV
ZIP 89149-595
Phone: (702) 589-3100
Fax: (702) 851-7725

The enumeration date for this NPI number is 3/3/2006 and was last updated on 2/1/2013.


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
1207N00000XDermatologyG59991CALIFORNIANo
2207ND0101XDermatologyMOHS-Micrographic Surgery6905NEVADANo
3207ND0101XDermatologyMOHS-Micrographic SurgeryG59991CALIFORNIANo
4207NP0225XDermatologyPediatric Dermatology6905NEVADANo
5207NP0225XDermatologyPediatric DermatologyG55591CALIFORNIANo
6207NS0135XDermatologyProcedural Dermatology6905NEVADANo
7207NS0135XDermatologyProcedural DermatologyG59991CALIFORNIANo
8207N00000XDermatology6905NEVADAYes

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
12019476MEDICAIDNEVADA
2070014199OTHERNEVADARAILROAD MEDICARE
3GO532ZMEDICARE PINNEVADA
4V32893MEDICARE PINNEVADA
5E47414MEDICARE UPINNEVADA
6NV6905MEDICARE PINNEVADA

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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