NPIMap

Organization Active NPI

Ear, Nose & Throat Consultants of Nevada

  • Specialist
  • Henderson, NV
National Provider Identifier
1083821714
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
6110 Issued in NV
Legal business name
EAR, NOSE & THROAT CONSULTANTS OF NEVADA
Practice address
3195 Saint Rose Pkwy
Suite 210
Henderson, NV 89052-3501
Phone
(702) 792-6700
Fax
(702) 792-7198
NPI assigned
May 16, 2007
Last updated
Aug 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Authorized official

Name
Dr. Walter Schroeder, MDNPI 1205892650
Title
Managing Partner
Phone
(702) 792-6700

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
Specialist 174400000X 6110 NV Primary

Addresses

Primary practice location

3195 Saint Rose Pkwy
Suite 210
Henderson, NV 89052-3501

Mailing address

3195 Saint Rose Pkwy
Suite 210
Henderson, NV 89052-3501
Phone (702) 792-6700

Other identifiers 2

IdentifierTypeStateIssuer
NV4824OtherNVBCBS GROUP NUMBER
VWJBDYOtherNVMEDICARE INDIVIDUAL CODE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040423001339 NV Part B Supplier - Clinic/Group Practice 9032105952 Receives reassigned benefits from 23 practitioners
Practice locations: Henderson, NV; Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

3195 Saint Rose Pkwy
Ste 210
Henderson, NV 89052
Phone (702) 792-6700

8840 W Sunset Rd
#A
Las Vegas, NV 89148
Phone (702) 792-6700

8840 W Sunset Rd
#B
Las Vegas, NV 89148
Phone (702) 209-3377

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1083821714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3195 SAINT ROSE PKWY",
            "address_2": "SUITE 210",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523501",
            "telephone_number": "702-792-6700",
            "fax_number": "702-792-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 SAINT ROSE PKWY",
            "address_2": "SUITE 210",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523501",
            "telephone_number": "702-792-6700",
            "fax_number": "702-792-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR, NOSE & THROAT CONSULTANTS OF NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "702-792-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "6110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "NV4824",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL CODE",
            "identifier": "VWJBDY",
            "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 Aug 28, 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.