THEODORE POTRUCH MD
NPI 1649225293
Surgery in North Las Vegas, NV
NPI Status: Active since May 23, 2006
Contact Information
2123 CIVIC CENTER DR
NORTH LAS VEGAS, NV
ZIP 89030
Phone: (702) 333-1110
Fax: (702) 685-0744
- Individual
- Male
- Surgery
About THEODORE POTRUCH
This page provides the complete NPI Profile along with additional information for Theodore Potruch, a provider established in North Las Vegas, Nevada with a medical specialization in Surgery. The healthcare provider is registered in the NPI registry with number 1649225293 assigned on May 2006. The practitioner's primary taxonomy code is 208600000X with license number 3310 (NV). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1649225293
- Provider Name
- THEODORE POTRUCH MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2123 CIVIC CENTER DR NORTH LAS VEGAS, NV 89030
- Location Phone
- (702) 333-1110
- Location Fax
- (702) 685-0744
- Mailing Address
- 2123 CIVIC CENTER DR NORTH LAS VEGAS, NV 89030
- Mailing Phone
- (702) 333-1110
- Mailing Fax
- (702) 685-0744
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-23-2006
- Last Update Date
- 03-06-2018
- Code Navigator
A surgeon like Theodore Potruch treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery
- Taxonomy Code
- 208600000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 3310
- License State
- NV
- Taxonomy Description
- A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| V50306 | OTHER (01) | NV | MEDICARE PTAN |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 4 | 9 | 2 | 2 | 5 | 2 | 9 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 8 | 9 | 4 | 2 | 10 | 2 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 8 + 9 + 4 + 2 + 1 + 0 + 2 + 1 + 8 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1649225293 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1669665659 | DR. FELIPE CONTRERAS PHARM.D. Individual | Pharmacist | 2123 CIVIC CENTER DR NORTH LAS VEGAS, NV 89030 (702) 399-9477 |
| 1083807069 | FARMACIA DEL PUEBLO INC Organization | Pharmacy (Community/Retail Pharmacy) | 2123 CIVIC CENTER DR NORTH LAS VEGAS, NV 89030 (702) 399-9477 |
| 1760675748 | DR. CHRISTOPHER MICHAEL TYLER PHARM.D. Individual | Pharmacist | 2123 CIVIC CENTER DR NORTH LAS VEGAS, NV 89030 (702) 399-9477 |
| 1720709397 | JIMMY L MATHIS Individual | Radiology (Diagnostic Ultrasound) | 2123 CIVIC CENTER DR N LAS VEGAS, NV 89030 (702) 772-8063 |
| 1851001291 | JLM IMAGING LLC Organization | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2123 CIVIC CENTER DR NORTH LAS VEGAS, NV 89030 (702) 333-0110 |
| 1326751512 | JLM IMAGING LLC Organization | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2123 CIVIC CENTER DR N LAS VEGAS, NV 89030 (702) 333-0110 |
| 1598447302 | ANGELES MOBILE PHLEBOTOMY LLC Organization | Technician, Pathology (Phlebotomy) | 2123 CIVIC CENTER DR NORTH LAS VEGAS, NV 89030 (702) 379-2396 |
| 1881411445 | ANGELES MEDICAL CENTER LLC Organization | Nurse Practitioner (Psychiatric/Mental Health) | 2123 CIVIC CENTER DR NORTH LAS VEGAS, NV 89030 (702) 333-0110 |
| 1114739125 | ANGELES MEDICAL CENTERS LLC Organization | Obstetrics & Gynecology | 2123 CIVIC CENTER DR NORTH LAS VEGAS, NV 89030 (702) 333-0110 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649225293, enumerated in the NPI registry as an "individual" on May 23, 2006
The provider is located at 2123 Civic Center Dr North Las Vegas, Nv 89030 and the phone number is (702) 333-1110
The provider's speciality is Surgery with taxonomy code 208600000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 23, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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