Individual provider Active NPI

Michael Frank Schlaack, M.D.

  • General Practice Physician
  • Henderson, NV
National Provider Identifier
1356410369
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4845 Issued in NV
Practice address
105 N Pecos Rd
Suite 111
Henderson, NV 89074-7324
Phone
(702) 263-4555
Fax
(702) 263-4671
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4845 NV
General Practice Physician 208D00000X 4845 NV Primary

Addresses

Primary practice location

105 N Pecos Rd
Suite 111
Henderson, NV 89074-7324

Mailing address

105 N Pecos Rd
Ste 111
Henderson, NV 89074-7324
Phone (702) 263-4555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051017000928 NV Practitioner - Family PracticePractitioner - Emergency Medicine 0345227112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4845NVMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1356410369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N PECOS RD",
            "address_2": "STE 111",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747324",
            "telephone_number": "702-263-4555",
            "fax_number": "702-263-4671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N PECOS RD",
            "address_2": "SUITE 111",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747324",
            "telephone_number": "702-263-4555",
            "fax_number": "702-263-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLAACK",
        "first_name": "MICHAEL",
        "middle_name": "FRANK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "4845",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NV",
            "license": "4845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.