Neal Marek, DPM Professinal Corporation

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

455-ASC-9 Issued in NV

Legal business name

NEAL MAREK, DPM PROFESSINAL CORPORATION

Practice address

4631 E Charleston Blvd
Suite 105
Las Vegas, NV 89104-5746

Phone

(702) 438-8417

Fax

(702) 453-1962

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Neal A Marek, DPM

Title

President

Phone

(702) 438-8417

Specialties & licenses 1

Addresses

Other names 1

• Ambulatory Surgery Center of Nevada Doing business as

Locations

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821211285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 E CHARLESTON BLVD",
            "address_2": "SUITE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891045746",
            "telephone_number": "702-438-8417",
            "fax_number": "702-453-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4631 E CHARLESTON BLVD",
            "address_2": "SUITE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891045746",
            "telephone_number": "702-438-8417",
            "fax_number": "702-453-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEAL MAREK, DPM PROFESSINAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAREK",
        "authorized_official_first_name": "NEAL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-438-8417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NV",
            "license": "455-ASC-9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ambulatory Surgery Center of Nevada",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jemimah Ndungu
• Nea Dentistry LLC
• Nea Partners
• Jennifer Neace
• Neal a Marek D P M Limited
• Laquanna Neal-Chatman
• Alishea Neal
• Brianna Neal, NP
• Candace Neal
• Cimanique Neal

• Ambulatory Surgical Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Ambulatory Surgical Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.