C Parke Podiatry LTD
Podiatry practice in Las Vegas, NV
Registered providerLicense # listed (NV)Medicare-enrolled groupAccepts Medicare assignment
Public-record details
- Address
- 2641 Box Canyon Dr Ste a, Las Vegas, NV 89128
- Phone
- (702) 243-3668
- Listed under
- Practices and organizations, Foot and ankle surgery (registered)
- NPI
- 1164816971
- NPI status
- Active in the NPPES registry
- Provider type
- Organization (practice, clinic or company)
- Registered specialty (self-reported taxonomy)
- Podiatrist, Foot & Ankle Surgery (213ES0103X)
- License number on NPI record
- 2004 (NV)
- Authorized official
- Conan Parke, DPM, Owner
- NPI first issued
- Mar 19, 2015
- Years since NPI first issued
- 11 years (since 2015)
- License state on NPI record
- NV
- NPI record last updated
- Jun 22, 2020
- Medicare group enrollment (CMS)
- Enrolled: listed in CMS Doctors & Clinicians as C Parke Podiatry LTD
- Clinicians in the Medicare group (all specialties, CMS)
- 2
- Podiatrists in the group at this ZIP (CMS)
- 2
- Group Medicare assignment (CMS)
- Accepts the Medicare-approved amount as payment in full
- Other podiatry listings at this street address
- 2
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