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3320 North Buffalo Drive, Ste 107, Las Vegas, NV 89129-7410 | |
| (702) 256-8454 | |
| (702) 256-0387 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 3320 North Buffalo Drive, Las Vegas, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710001961 | NPI | - | NPPES |
| CC1573 | Other | NV | BLUE CROSS BLUE SHIELD |
| 1943324 | Other | NV | UNITED HEALTH CARE |
| 002102006 | Medicaid | NV | |
| 480029166 | Other | NV | RAILROAD MEDICARE |
| 7208106 | Other | NV | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 9804 (Nevada) | Primary |
| Provider Name | John E Cade |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1912096157 PECOS PAC ID: 1557360526 Enrollment ID: I20061220000584 |
| Provider Name | Michael F Kooyman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487645370 PECOS PAC ID: 8123120722 Enrollment ID: I20070918000540 |
| Provider Name | Randy L Gubler |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679587612 PECOS PAC ID: 4284729864 Enrollment ID: I20070927000193 |
| Provider Name | Paul Andrew Fawson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1467715557 PECOS PAC ID: 4880901503 Enrollment ID: I20180620001965 |
| Provider Name | Aniela Cordoba |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518316819 PECOS PAC ID: 0042540551 Enrollment ID: I20190926000967 |
| Mailing Address | Practice Location Address |
|---|---|
3320 North Buffalo Drive, Ste 107, Las Vegas, NV 89129-7410 Ph: (702) 256-8454 | 3320 North Buffalo Drive, Ste 107, Las Vegas, NV 89129-7410 Ph: (702) 256-8454 |
Jon James, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2316 W Charleston, Las Vegas, NV 89102 Phone: 702-877-8330 Fax: 702-870-9876 | |
Nahad Wassel, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3662 E Sunset Rd Ste 115, Las Vegas, NV 89120 Phone: 702-708-2436 Fax: 903-487-2306 | |
Dr. Kenneth Wilford Schmutz, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3777 S Pecos Mcleod, Suite 103, Las Vegas, NV 89121 Phone: 702-434-2023 Fax: 702-434-1976 | |
Nghi-binh Ha Le, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 6070 S Fort Apache Rd Ste 100, Las Vegas, NV 89148 Phone: 702-803-5534 | |
Todd Zang Dpm Ltd Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3920 E Patrick Ln, Las Vegas, NV 89120 Phone: 702-838-8558 Fax: 866-691-8994 | |
Dr. Jason Waite, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1257 Paiute Cir, Las Vegas, NV 89106 Phone: 516-506-8839 |