Individual provider Active NPI

Laura F Teisch, M.D.

  • Pediatrics Physician
  • Henderson, NV
National Provider Identifier
1043672579
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
19184 Issued in NV
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

Updated by the provider on Dec 9, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200902001238 NV Practitioner - Pediatric Medicine 9638458623 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pokroy Medical Group of Nevada, LTD. Pediatrics CurrentSince Aug 10, 2020 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.

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

Verify at the official NPI Registry.