Organization Active NPI

Stuart M Feldman DPM a Professional Corporation

  • Podiatrist
  • Henderson, NV
National Provider Identifier
1083630420
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0105 Issued in NV
Legal business name
STUART M FELDMAN DPM A PROFESSIONAL CORPORATION
Practice address
8955 S Pecos Rd
#2-B
Henderson, NV 89074-7157
Phone
(702) 407-2548
Fax
(702) 407-2549
NPI assigned
Jul 15, 2006
Last updated
May 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Authorized official

Name
Dr. Stuart M Feldman, DPMNPI 1568685758
Title
Owner
Phone
(702) 407-2548

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 0105 NV Primary

Addresses

Primary practice location

8955 S Pecos Rd
#2-B
Henderson, NV 89074-7157

Mailing address

PO Box 33729
Las Vegas, NV 89133-3729
Phone (702) 407-2548

Other identifiers 1

IdentifierTypeStateIssuer
002102095MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930087633 NV DME Supplier - Physician - Podiatry 8123007275 Practice locations: Henderson, NV
O20101103001112 NV Part B Supplier - Clinic/Group Practice 8123007275 Receives reassigned benefits from 1 practitioner
Practice locations: Henderson, NV

National Provider Directory

National Provider Directory

Locations

8955 S Pecos Rd
Ste 2B
Henderson, NV 89074
Phone (702) 407-2548

2810 W Charleston Blvd
Ste 53
Las Vegas, NV 89102
Phone (702) 407-2548

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1083630420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33729",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891333729",
            "telephone_number": "702-407-2548",
            "fax_number": "702-407-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8955 S PECOS RD",
            "address_2": "#2-B",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747157",
            "telephone_number": "702-407-2548",
            "fax_number": "702-407-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART M FELDMAN DPM A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-407-2548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NV",
            "license": "0105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002102095",
            "state": "NV"
        }
    ],
    "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 May 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.