Active NPI
Tammy Kathryn Gephart, DPM
- Foot & Ankle Surgery Podiatrist
- Las Vegas, NV
National Provider Identifier
1841301256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- POD001122
- Practice address
- 6850 N Durango Dr Ste 216
Las Vegas, NV 89149-4597 - Phone
- (702) 851-7287
- Fax
- (702) 224-5653
- NPI assigned
- Aug 31, 2006
- Last updated
- Nov 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 2062 | NV | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | POD001122 | GA | Primary |
Addresses
Primary practice location
6850 N Durango Dr Ste 216
Las Vegas, NV 89149-4597
Mailing address
11401 Snow Leopard Dr
Las Vegas, NV 89138-6211
Phone (248) 819-1770
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 273104170 | Other | GA | COVENTRY HEALTH OF GA |
| 1841301256 | Other | GA | BLUE CROSS BLUE SHIELD OF GA |
| 202I483324 | Other | GA | MEDICARE OF GA |
| 273104170 | Other | GA | HUMANA GROUP HEALTH PLANS |
| 6489180001 | Other | GA | RAILROAD MEDICARE (AUGUSTA, GA) |
| 273104170 | Other | GA | CIGNA |
| 273104170 | Other | GA | AETNA HEALTH PLANS |
| 1811291149 | Other | GA | DMERC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| POD001122 | GA | MD | Foot & Ankle Surgery Podiatrist |
| 2062 | NV | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kisha Murray Dread DPM PC | Past | Accepting new patients | |
| Fhpim, PLC | Past | Accepting new patients | |
| Krishna Podiatry Group of Georgia | Foot & Ankle Surgery | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Foot and Heel Pain Institute of Michigan, PLC
- Podiatrist
- Southfield, MI
- NPI 1629007422
-
dba Family Footcare of Lincoln Park
- Podiatrist
- Southfield, MI
- NPI 1407988223
-
dba Podiatry Group of Georgia
- Foot & Ankle Surgery Podiatrist
- Marietta, GA
- NPI 1730721408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635724800000",
"number": "1841301256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11401 SNOW LEOPARD DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891386211",
"telephone_number": "248-819-1770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6850 N DURANGO DR STE 216",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891494597",
"telephone_number": "702-851-7287",
"fax_number": "702-224-5653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEPHART",
"first_name": "TAMMY",
"middle_name": "KATHRYN",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2021-11-01",
"certification_date": "2021-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NV",
"license": "2062",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "GA",
"license": "POD001122",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY HEALTH OF GA",
"identifier": "273104170",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF GA",
"identifier": "1841301256",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE OF GA",
"identifier": "202I483324",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA GROUP HEALTH PLANS",
"identifier": "273104170",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE (AUGUSTA, GA)",
"identifier": "6489180001",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "273104170",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTH PLANS",
"identifier": "273104170",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "1811291149",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.