BOULDER FOOT & ANKLE CENTER LTD. NPI 1598890188

NPI Information

NPI: 1598890188
Provider Name: BOULDER FOOT & ANKLE CENTER, LTD.
Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
999 ADAMS BLVD
STE 103
BOULDER CITY, NV
ZIP 89005
Phone: (702) 293-5036
Get Directions

BOULDER FOOT & ANKLE CENTER, LTD. is a primary podiatric medicine podiatrist in Boulder City, NV. BOULDER FOOT & ANKLE CENTER, LTD. NPI is 1598890188. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

999 ADAMS BLVD
STE 103
BOULDER CITY, NV
ZIP 89005-244
Phone: (702) 293-5036
Fax: (866) 409-1683

The provider's authorized official is Wesley W Lyon .
The authorized official title is Owner and has the following contact phone number (702) 293-5036.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 10/12/2011.

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	213EP1101X	Podiatrist	Primary Podiatric Medicine	NV9807	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	480031437	OTHER	NEVADA	RAILROAD MEDICARE
2	U77208	MEDICARE UPIN	NEVADA
3	3976150001	MEDICARE NSC	NEVADA
4	V34345	MEDICARE PIN	NEVADA
5	002102008	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: 11/14/2023

NPI Synchronization or Removal

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