Active NPI
Mark C Handelman MD LTD
- Clinic/Center
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 6880
- Legal business name
- MARK C HANDELMAN MD LTD
- Practice address
- 2585 Box Canyon Dr
Suite 110
Las Vegas, NV 89128-0429 - Phone
- (702) 538-7773
- Fax
- (702) 256-9035
- NPI assigned
- Feb 14, 2007
- Last updated
- Aug 13, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark C Handelman, MD
- Title
- Owner
- Phone
- (702) 538-7773
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 6880 | NV | Primary |
Addresses
Primary practice location
2585 Box Canyon Dr
Suite 110
Las Vegas, NV 89128-0429
Mailing address
2585 Box Canyon Dr
Suite 110
Las Vegas, NV 89128-0429
Phone (702) 538-7773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| V103413 | Other | NV | MEDICARE ID- UNSPECIFIED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2585 Box Canyon Dr
Las Vegas, NV 89128
Phone (702) 538-7773
2585 Box Canyon Dr
Ste 110
Las Vegas, NV 89128
Phone (702) 538-7773
3150 N Tenaya Way
Ste 565
Las Vegas, NV 89128
Phone (702) 254-8900
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1194798132
-
- Obstetrics & Gynecology Physician
- Las Vegas, NV
- NPI 1417940032
-
- Surgery Physician
- Las Vegas, NV
- NPI 1215088935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376352000000",
"number": "1568505295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2585 BOX CANYON DR",
"address_2": "SUITE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280429",
"telephone_number": "702-538-7773",
"fax_number": "702-256-9035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2585 BOX CANYON DR",
"address_2": "SUITE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280429",
"telephone_number": "702-538-7773",
"fax_number": "702-256-9035"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK C HANDELMAN MD LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2013-08-13",
"status": "A",
"authorized_official_last_name": "HANDELMAN",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-538-7773",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NV",
"license": "6880",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID- UNSPECIFIED",
"identifier": "V103413",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
- Lilibeth Mariscotes
- Marjorie Belsky, MD Inc. (Integrated Pain Specialists)
- Mark a Chmiela MD PLLC
- Mark a Perez, M.D., LLC (Better Health Nevada)
- Mark Burroff DO Inc
- Mark D Edington DDS LTD (Modern Dental Care)
- Mark G Hendserson MD PC
- Mark H Steinhauer, MD PC
- Mark I Degen DDS MD LTD (Red Rock Oral & Maxillofacial Surgery Centre)
- Mark J. Collins, D.O., P.C. (The Collins Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.