Active NPI
Tamara Eve Marcus, DPM
- Podiatrist
- Las Vegas, NV
National Provider Identifier
1902995137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 8704
- Practice address
- 2641 Box Canyon Dr
Suite a
Las Vegas, NV 89128-0423 - Phone
- (702) 243-3668
- Fax
- (702) 243-3324
- NPI assigned
- Oct 12, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 8704 | NV | Primary |
Addresses
Primary practice location
2641 Box Canyon Dr
Suite a
Las Vegas, NV 89128-0423
Mailing address
2641 Box Canyon Dr
Suite a
Las Vegas, NV 89128-0423
Phone (702) 243-3668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002102808 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061128000215 | NV | Practitioner - Podiatry | 7517965676 | Practice locations: Las Vegas, NV |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471996800000",
"number": "1902995137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2641 BOX CANYON DR",
"address_2": "SUITE A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280423",
"telephone_number": "702-243-3668",
"fax_number": "702-243-3324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2641 BOX CANYON DR",
"address_2": "SUITE A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280423",
"telephone_number": "702-243-3668",
"fax_number": "702-243-3324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCUS",
"first_name": "TAMARA",
"middle_name": "EVE",
"name_prefix": "Mrs.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2016-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NV",
"license": "8704",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002102808",
"state": "NV"
}
],
"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 Aug 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.