Timothy Vanderbilt M.D. is an orthopedic with a current address of 4700 Las Vegas Blvd N Nellis Afb NV 8-9191. The NPI is 1548403231, and the license number is 17227 (NV). It was issued on november 4, 2009. The primary taxonomy code for the clinic is 207X00000X. The provider is registered as an individual, and the NPI number was last updated on 01/13/2021.
Timothy Vanderbilt M.D. can be reached by phone at 7026533041, by mail at 4700 Las Vegas Blvd N Nellis Afb NV 8-9191, or by fax at .
Name: Timothy Vanderbilt M.D.
Specialization: Orthopedic
Provider Entity Type: Individual
Is Sole Proprietor: Yes
Gender: Male
Practice Location Address:
4700 Las Vegas Blvd N
Nellis Afb
NV 8-9191
Telephone Number: 7026533041
Fax Number:
Mailing Address:
4700 Las Vegas Blvd N
Nellis Afb
NV 8-9191
Telephone Number: 7026533041
Fax Number:
NPI is an abbreviation for National Provider Identifier. The NPI is a unique 10-digit identification number. The NPI number does not contain personally identifiable information, such as a provider’s specialty or location. The NPI is assigned to individuals or organizations for their lifetime and is unaffected by updates to key provider information, such as a change in practice, location, or specialty.
NPI Number: 1548403231
Enumeration Date: november 4, 2009
Last Update: 01/13/2021
The NPI record includes the health care provider’s taxonomy classification, state license number, and state of licensure. Health care providers choose their own taxonomy codes. Their specialty is determined by their level of education and training. The taxonomy codes do not indicate what services the healthcare provider provides. The levels of the code set are organized in such a way that it is possible to navigate from the generic classification to the most specific level of specialization of a provider.
Primary Taxonomy Code: 207X00000X
License Number: 17227
License State: NV
Other Taxonomy (if any):
207X00000X
55868-20
WI
N
Providers may hold one or more medical licenses in the same state or in different states for different specialties.
Identifier: 1548403231
Code Type: 5
Identifier State: WI
Identifier Issuer:
Other Identifiers (if any):