NPIMap

Organization Active NPI

Foot & Ankle Surgical Group, LLP

  • Foot & Ankle Surgery Podiatrist
  • Henderson, NV
National Provider Identifier
1891748471
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FOOT & ANKLE SURGICAL GROUP, LLP
Practice address
10561 Jeffreys St
#110
Henderson, NV 89052-4266
Phone
(702) 456-3668
Fax
(702) 456-6688
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Authorized official

Name
Gerald Torgesen, DPMNPI 1942292883
Title
General Partner
Phone
(702) 456-3668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary
Non-Pharmacy Dispensing Site 332900000X 8601 NV
Durable Medical Equipment & Medical Supplies 332B00000X 38610 NV

Addresses

Primary practice location

10561 Jeffreys St
#110
Henderson, NV 89052-4266

Mailing address

10561 Jeffreys St
#110
Henderson, NV 89052-4266
Phone (702) 456-3668

Other identifiers 1

IdentifierTypeStateIssuer
2990162OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040407000297 NV Part B Supplier - Clinic/Group Practice 1759374556 Receives reassigned benefits from 4 practitioners
Practice locations: Henderson, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1891748471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10561 JEFFREYS ST",
            "address_2": "#110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524266",
            "telephone_number": "702-456-3668",
            "fax_number": "702-456-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10561 JEFFREYS ST",
            "address_2": "#110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524266",
            "telephone_number": "702-456-3668",
            "fax_number": "702-456-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE SURGICAL GROUP, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "TORGESEN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "702-456-3668",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NV",
            "license": "8601",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NV",
            "license": "38610",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2990162",
            "state": null
        }
    ],
    "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 Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.