Active NPIOrganization

Genesis Wound Care Of Las Vegas, LLC

Preventive Medicine, Undersea and Hyperbaric Medicine in Las Vegas, Nevada

NPI Number1750741740
Practice location
2410 Fire Mesa St, Suite 160, Las Vegas, NV 89128-9016
Fax
702-931-3944
Last updated
March 3, 2016

Genesis Wound Care Of Las Vegas, LLC is a healthcare organization based in Las Vegas, NV. Genesis Wound Care Of Las Vegas, LLC practices in Las Vegas, NV. The NPI Number for Genesis Wound Care Of Las Vegas, LLC is 1750741740. The current practice location address for Genesis Wound Care Of Las Vegas, LLC is 2410 Fire Mesa St, Suite 160, Las Vegas, NV 89128-9016 and can be reached out via phone at 702-518-1534 and via fax at 702-931-3944.

Provider Profile Details

NPI Number
1750741740
Provider Name
Genesis Wound Care Of Las Vegas, LLC
Provider Entity Type
Organization
Address
2410 Fire Mesa St, Suite 160, Las Vegas, NV 89128-9016
Phone Number
702-518-1534
Fax Number
702-931-3944
Organization Subpart
Yes
Parent Organization
Genesis Woundcare
Authorized Official
James Thomas O'Dare · Prinicipal · 856-335-5025
Provider Enumeration Date
March 3, 2016
Last Update Date
March 3, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
2410 Fire Mesa St
Suite 160
Las Vegas, NV 89128-9016
State
Nevada
Zip
89128-9016
Phone Number
702-518-1534
Fax Number
702-931-3944
Las Vegas, NV 89128Get directions →

Provider Business Mailing Address Details

Address
575 N Route 73
Suite A6
West Berlin, NJ 08091-9289
City
West Berlin
State
NJ
Zip
08091-9289
Phone Number
856-335-5025
Fax Number
856-213-9269

License Information

Taxonomy (1)
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Taxonomy (4)
Preventive Medicine, Undersea and Hyperbaric Medicine · 2083P0011X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Genesis Wound Care Of Las Vegas, LLC?

The NPI number of Genesis Wound Care Of Las Vegas, LLC is 1750741740. It was assigned on March 3, 2016 and is currently active in the NPPES registry.

What is the specialty of Genesis Wound Care Of Las Vegas, LLC?

Genesis Wound Care Of Las Vegas, LLC is registered under the primary taxonomy Preventive Medicine, Undersea and Hyperbaric Medicine (code 2083P0011X).

Where does Genesis Wound Care Of Las Vegas, LLC practice?

The practice location is 2410 Fire Mesa St, Suite 160, Las Vegas, NV 89128-9016. The office can be reached at 702-518-1534 (phone) or 702-931-3944 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1750741740 directly on the NPPES registry website.

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