Eric Joseph Tiesi

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Practice address

8960 W. Tropicana Avenue
Suite 500
Las Vegas, NV 89147-8139

Phone

(702) 739-4263

Fax

(877) 739-3590

NPI assigned

Jun 23, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308787200000",
    "number": "1821384397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8960 W. TROPICANA AVENUE",
            "address_2": "SUITE 500",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478139",
            "telephone_number": "702-739-4263",
            "fax_number": "877-739-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8960 W. TROPICANA AVENUE",
            "address_2": "SUITE 500",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478139",
            "telephone_number": "702-739-4263",
            "fax_number": "877-739-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIESI",
        "first_name": "ERIC",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Surgical Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.