DR. CHARLES HENRY TADLOCK M.D. NPI 1861487878

NPI Information

NPI: 1861487878
Provider Name: DR. CHARLES HENRY TADLOCK, M.D.
Classification: Anesthesiology - 207LP2900X
Entity Type: Individual

Specialization: Pain Medicine

Address:
6725 S. EASTERN AVE. #6
LAS VEGAS, NV
ZIP 89119
Phone: (702) 474-0200
Get Directions

DR. Charles Henry Tadlock, M.D. is a pain medicine anesthesiology in Las Vegas, NV. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. DR. Charles Henry Tadlock, M.D. NPI is 1861487878. 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:

6725 S. EASTERN AVE. #6
LAS VEGAS, NV
ZIP 89119
Phone: (702) 474-0200
Fax: (702) 474-7165

The enumeration date for this NPI number is 9/15/2005 and was last updated on 10/19/2011.

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	207LP2900X	Anesthesiology	Pain Medicine	26067	ARIZONA	No
2	207LP2900X	Anesthesiology	Pain Medicine	G62878	CALIFORNIA	No
3	207LP2900X	Anesthesiology	Pain Medicine	5937479-1205	UTAH	No
4	207LP2900X	Anesthesiology	Pain Medicine	8402	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	EN880Y	OTHER	NEVADA	JULIE BROWN, FNP MEDICARE PIN
2	35665	MEDICARE PIN	NEVADA
3	E47916	MEDICARE UPIN
4	35714	MEDICARE ID-TYPE UNSPECIFIED	ARIZONA	INDIVIDUAL
5	000058097	MEDICARE ID-TYPE UNSPECIFIED	UTAH	GROUP
6	35713	MEDICARE ID-TYPE UNSPECIFIED	ARIZONA	GROUP
7	FB250Z	OTHER	NEVADA	GERALD JONES MEDICARE NV
8	394875	MEDICAID	ARIZONA
9	35664	MEDICARE PIN	NEVADA
10	005809702	MEDICARE ID-TYPE UNSPECIFIED	UTAH	INDIVIDUAL

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: 11/14/2023

NPI Synchronization or Removal

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