F. Victor Rueckl Dermatology, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

F. VICTOR RUECKL DERMATOLOGY, PLLC

Practice address

8861 W Sahara Ave Ste 290
Las Vegas, NV 89117-4808

Phone

(702) 869-6667

NPI assigned

Aug 26, 2014

Organization subpart

No

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

Authorized official

Name

Katie Rueckl

Title

Office Manager

Phone

(702) 869-6667

Specialties & licenses 2

Addresses

Other names 1

• Lakes Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric D Hilmes, PA-C

  • Medical Physician Assistant
  • Las Vegas, NV
  • NPI 1902050388
  Medicare reassignment

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602806400000",
    "number": "1174923221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8861 W SAHARA AVE STE 290",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891174808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8861 W SAHARA AVE STE 290",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891174808",
            "telephone_number": "702-869-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F. VICTOR RUECKL DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A",
        "authorized_official_last_name": "RUECKL",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-869-6667"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakes Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lakes Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carlos Espina Ezpeleta, M.D.
• Karla Ezpeleta
• Heman Ezra, PT
• F Faris MD LTD
• F. Akioyame Medical Consultant Inc
• F.a.I.T.H. Behavioral Services and Wellness Center
• F.a.I.T.H. Behavioral Services and Wellness Center
• F.R.F. Professional Services
• Pili Faamai
• Alauni Faanu

• Dermatology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dermatology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.