Active NPI
Thomas Lutz Vater, DO
- Orthopaedic Surgery of the Spine Physician
- Las Vegas, NV
National Provider Identifier
1467441246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 954
- Practice address
- 7455 W Washington Ave
#160
Las Vegas, NV 89128-4337 - Phone
- (702) 878-0393
- Fax
- (702) 258-3724
- NPI assigned
- Oct 14, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 954 | NV | Primary |
| Orthopaedic Trauma Physician | 207XX0801X | 954 | NV |
Addresses
Primary practice location
7455 W Washington Ave
#160
Las Vegas, NV 89128-4337
Mailing address
7455 W Washington Ave
#160
Las Vegas, NV 89128-4337
Phone (702) 878-0393
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100504378 | Medicaid | NV |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 954 | NV | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Las Vegas Neurosurgery Orthopaedics and Rehabilitation LLP | Orthopaedic Surgery of the Spine | Current | Accepting new patients |
Locations
501 S Rancho Dr
Ste I67
Las Vegas, NV 89106
Phone (702) 243-4700
Interoperability endpoints
- tvater12772@direct.umcsn.com
- thomas.vater@lvnora.directbygreenway.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery of the Spine Physician
- Las Vegas, NV
- NPI 1407811417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438300800000",
"number": "1467441246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7455 W WASHINGTON AVE",
"address_2": "#160",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891284337",
"telephone_number": "702-878-0393",
"fax_number": "702-258-3724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7455 W WASHINGTON AVE",
"address_2": "#160",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891284337",
"telephone_number": "702-878-0393",
"fax_number": "702-258-3724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VATER",
"first_name": "THOMAS",
"middle_name": "LUTZ",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-14",
"last_updated": "2015-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "NV",
"license": "954",
"primary": true
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "NV",
"license": "954",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100504378",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.