Active NPI
Robert W Shreck MD LTD
- Health Service Clinic/Center
- Henderson, NV
National Provider Identifier
1922201896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 3373
- Legal business name
- ROBERT W SHRECK MD LTD
- Practice address
- 3048 Palatine Terrace Dr
Henderson, NV 89052-3002 - Phone
- (702) 733-8803
- Fax
- (702) 733-7488
- NPI assigned
- Jun 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Shreck, MD
- Title
- President
- Phone
- (702) 733-8803
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 3373 | NV | Primary |
Addresses
Primary practice location
3048 Palatine Terrace Dr
Henderson, NV 89052-3002
Mailing address
2505 Anthem Village Dr
Suite E-334
Henderson, NV 89052-5505
Phone (702) 733-8803
Other names 1
- Shreck Family Health Care
National Provider Directory
National Provider DirectoryLocations
2505 Anthem Village Dr
Ste E334
Henderson, NV 89052
2080 E Flamingo Rd
Ste 312
Las Vegas, NV 89119
Phone (702) 733-8803
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Henderson, NV
- NPI 1265490585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1922201896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2505 ANTHEM VILLAGE DR",
"address_2": "SUITE E-334",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890525505",
"telephone_number": "702-733-8803",
"fax_number": "702-733-7488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3048 PALATINE TERRACE DR",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890523002",
"telephone_number": "702-733-8803",
"fax_number": "702-733-7488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT W SHRECK MD LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SHRECK",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "702-733-8803",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "NV",
"license": "3373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Shreck Family Health Care",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.