Active NPI
Russell Lee Eide, RRT
- Pulmonary Function Technologist
- North Las Vegas, NV
National Provider Identifier
1275977548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Function Technologist
- License
- RC2031
- Practice address
- 6900 Pecos Rd
North Las Vegas, NV 89086-4400 - Phone
- (702) 791-9000
- NPI assigned
- Apr 17, 2013
- Last updated
- Apr 17, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Function Technologist | 225B00000X | RC2031 | NV | Primary |
Addresses
Primary practice location
6900 Pecos Rd
North Las Vegas, NV 89086-4400
Mailing address
6900 North Pecos Road
Las Vegas, NV 89086
Phone (702) 791-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RC2031 | NV | MD | Pulmonary Function Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366156800000",
"number": "1275977548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6900 NORTH PECOS ROAD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89086",
"telephone_number": "702-791-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 PECOS RD",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890864400",
"telephone_number": "702-791-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EIDE",
"first_name": "RUSSELL",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "RRT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-17",
"last_updated": "2013-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "225B00000X",
"taxonomy_group": "",
"desc": "Pulmonary Function Technologist",
"state": "NV",
"license": "RC2031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.