Active NPI
Laura F Teisch, M.D.
- Pediatrics Physician
- Henderson, NV
National Provider Identifier
1043672579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 19184
- Practice address
- 2350 West Horizon Ridge Parkway
Henderson, NV 89052 - Phone
- (702) 564-8556
- Fax
- (702) 564-4485
- NPI assigned
- Mar 23, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 19184 | NV | Primary |
Addresses
Primary practice location
2350 West Horizon Ridge Parkway
Henderson, NV 89052
Mailing address
2350 West Horizon Ridge Parkway
Henderson, NV 89052
Phone (702) 564-8556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pokroy Medical Group of Nevada, LTD. | Pediatrics | Current | Accepting new patients |
| Dignity Health | Past | Accepting new patients | |
| Misch/Hyun/Hodapp Healthcare, LLP | Pediatrics | Past | Accepting new patients |
| Southern Hills Medical Center, LLC | Past | Accepting new patients | |
| Sunrise Hospital and Medical Center, LLC | Past | Accepting new patients |
Locations
770 The City Dr S
Ste 4000
Orange, CA 92868
Phone (800) 463-6628
3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Neonatal-Perinatal Medicine Physician
- Las Vegas, NV
- NPI 1992809412
Pediatrics
-
- General Acute Care Hospital
- Henderson, NV
- NPI 1770626426
-
- Pediatrics Physician
- Henderson, NV
- NPI 1659471431
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1457306359
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1689611774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575849600000",
"number": "1043672579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 WEST HORIZON RIDGE PARKWAY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "89052",
"telephone_number": "702-564-8556",
"fax_number": "702-564-4485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 WEST HORIZON RIDGE PARKWAY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "89052",
"telephone_number": "702-564-8556",
"fax_number": "702-564-4485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEISCH",
"first_name": "LAURA",
"middle_name": "F",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-23",
"last_updated": "2019-12-09",
"certification_date": "2019-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NV",
"license": "19184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.