Organization Active NPI

Dr Robert J Futoran PC

  • Obstetrics & Gynecology Physician
  • Las Vegas, NV
National Provider Identifier
1932485869
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5253 Issued in NV
Legal business name
DR ROBERT J FUTORAN PC
Practice address
341 N Buffalo Dr Ste D
Las Vegas, NV 89145-0376
Phone
(702) 410-5822
Fax
(702) 483-5507
NPI assigned
Oct 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
Dr. Robert Jay Futoran, MDNPI 1871517490
Title
President
Phone
(702) 410-5822

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 5253 NV Primary

Addresses

Primary practice location

341 N Buffalo Dr Ste D
Las Vegas, NV 89145-0376

Mailing address

9811 W Charleston Blvd Ste 2-691
Las Vegas, NV 89117-7528
Phone (702) 410-5822

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111031000111 NV Part B Supplier - Clinic/Group Practice 0840463295 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

9811 W Charleston Blvd
#2691
Las Vegas, NV 89117

9811 W Charleston Blvd
Ste 2691
Las Vegas, NV 89117

341 N Buffalo Dr
Ste D
Las Vegas, NV 89145
Phone (702) 242-3870

Practitioners & affiliated clinicians

Practitioners 1

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": "1319414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1932485869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9811 W CHARLESTON BLVD STE 2-691",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177528",
            "telephone_number": "702-410-5822",
            "fax_number": "702-483-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 N BUFFALO DR STE D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891450376",
            "telephone_number": "702-410-5822",
            "fax_number": "702-483-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ROBERT J FUTORAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-24",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "FUTORAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-410-5822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "5253",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 29, 2011; 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.