Podiatry LV LLC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

Legal business name

PODIATRY LV LLC

Practice address

6440 Sky Pointe Dr Ste 140-197
Las Vegas, NV 89131-4047

Phone

(725) 224-2020

NPI assigned

Jul 13, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Paul Fawson, DPMNPI 1467715557

Title

Owner

Phone

(725) 224-2020

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Paul Fawson, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Castle Pines, CO
  • NPI 1467715557
  NPD Authorized official

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1265050405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 SKY POINTE DR STE 140-197",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891314047",
            "telephone_number": "725-224-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 SKY POINTE DR STE 140-197",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891314047",
            "telephone_number": "725-224-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY LV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "FAWSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "725-224-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janelle Meza Pocasangre, COTA/L
• Alan Holden Pochowski, PA-C
• Maurice Pockey, M.D.
• Delfina Pantaleon Pocop de Escobar
• Podiatry Boutique PLLC
• Amanda Podovich, FNP
• Lance L Poe, DC
• Teresita Mesa Poe
• Tanya Poeller, M.S.
• Patricia Ann Poellnitz

• Primary Podiatric Medicine Podiatrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Primary Podiatric Medicine Podiatrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.