Ruckdeschel Manno, LTD. Dba

Primary specialty

Oncology Clinic/CenterTaxonomy code 261QX0200X

Legal business name

RUCKDESCHEL MANNO, LTD. DBA

Doing business as

Nevada Cancer Institute Medical Group

Practice address

One Breakthrough Way
Las Vegas, NV 89135-3011

Phone

(702) 822-5433

Fax

(702) 944-0471

NPI assigned

Jul 26, 2005

Last updated

Jun 16, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Phillip Manno, M.D.

Title

Interim Director

Phone

(702) 822-5433

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Nevada Cancer Institute Medical Group Doing business as

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308182400000",
    "number": "1922008523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98809",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891938809",
            "telephone_number": "702-822-5433",
            "fax_number": "702-944-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE BREAKTHROUGH WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891353011",
            "telephone_number": "702-822-5433",
            "fax_number": "702-944-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUCKDESCHEL MANNO, LTD. DBA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2011-06-16",
        "status": "A",
        "authorized_official_last_name": "MANNO",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "INTERIM DIRECTOR",
        "authorized_official_telephone_number": "702-822-5433",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506879",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nevada Cancer Institute Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stefanie Lynn Rubio
• Sonnia Rubriche
• Sharon Evonne Ruch, M.D.
• Ronald J Ruchalski
• Ruchi Garg DO PLLC
• Archie Rucker
• Colby R Rucker
• Daniel J Rucker
• Ehraeda Faith-Noelle Rucker, MA, QMHA
• Elleston Craig Rucker, M.D.

• Oncology Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Oncology Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.