Organization Active NPI

Libby Orthopedic Trauma LLP

  • Orthopaedic Trauma Physician
  • Henderson, NV
National Provider Identifier
1831383611
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
587 Issued in NV
Legal business name
LIBBY ORTHOPEDIC TRAUMA LLP
Practice address
2749 Sunridge Heights Pkwy
Henderson, NV 89052-5044
Phone
(702) 898-9060
Fax
(702) 898-9031
NPI assigned
Sep 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Authorized official

Name
Dr. Eugene Paul Libby, D.O.
Title
Physician
Phone
(702) 898-9060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0801X 587 NV Primary

Addresses

Primary practice location

2749 Sunridge Heights Pkwy
Henderson, NV 89052-5044

Mailing address

2749 Sunridge Heights Pkwy
Henderson, NV 89052-5044
Phone (702) 898-9060

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1831383611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2749 SUNRIDGE HEIGHTS PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525044",
            "telephone_number": "702-898-9060",
            "fax_number": "702-898-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2749 SUNRIDGE HEIGHTS PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525044",
            "telephone_number": "702-898-9060",
            "fax_number": "702-898-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBBY ORTHOPEDIC TRAUMA LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "LIBBY",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "702-898-9060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "NV",
            "license": "587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.