Provider Demographics
NPI:1447269014
Name:ORTHOPAEDIC INSTITUTE OF HENDERSON LLP
Entity type:Organization
Organization Name:ORTHOPAEDIC INSTITUTE OF HENDERSON LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROD
Authorized Official - Middle Name:D
Authorized Official - Last Name:HOER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-565-6565
Mailing Address - Street 1:10561 JEFFREYS ST
Mailing Address - Street 2:STE 230
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-4266
Mailing Address - Country:US
Mailing Address - Phone:702-565-6565
Mailing Address - Fax:702-990-5255
Practice Address - Street 1:10561 JEFFREYS ST
Practice Address - Street 2:STE 230
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-4266
Practice Address - Country:US
Practice Address - Phone:702-565-6565
Practice Address - Fax:702-990-5255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVCI4251OtherRAILROAD MEDICARE
NV0655010001Medicare NSC