Theodore Potruch MD LTD a Professional Corporation

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

THEODORE POTRUCH MD LTD A PROFESSIONAL CORPORATION

Practice address

2020 Goldring Ave
Practice Closed
Las Vegas, NV 89106-4000

Phone

(702) 000-0000

Fax

(702) 000-0000

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

Theodore Potruch, MD

Title

President

Phone

(702) 000-0000

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.

• Joseph P Contino, MD

  • Surgical Oncology Physician
  • Saginaw, MI
  • NPI 1356384499

  Surgery

  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520294400000",
    "number": "1659389989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 GOLDRING AVE",
            "address_2": "PRACTICE CLOSED",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064000",
            "telephone_number": "702-000-0000",
            "fax_number": "702-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 GOLDRING AVE",
            "address_2": "PRACTICE CLOSED",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064000",
            "telephone_number": "702-000-0000",
            "fax_number": "702-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE POTRUCH MD LTD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2018-03-06",
        "status": "A",
        "authorized_official_last_name": "POTRUCH",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-000-0000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Thelen, SLP
• Thema Hospice, Inc.
• Geormesha Lache Thenarse
• Briana Nicole Theocharides
• Theodore M. Thorp M.D., Prof Corp.
• Theodore Potruch, MD
• Scherley Theodore
• Raymond Barrier Theodosis, M.D.
• Dianna Lynn Theokas, AU.D.
• Theracounsel NV, Inc.

• Surgery Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Surgery Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; 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.