NPI 1306898119 · live from the CMS NPI Registry
Matthew Nolan Fouse, M.D.
Orthopaedic Surgery, Sports Medicine in Las Vegas, NV. National Provider Identifier 1306898119, active.
NPI record
| NPI | 1306898119 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Sports Medicine 207XX0005X |
| Practice location | 2800 E Desert Inn Rd, Suite #100, Las Vegas, NV 89121 |
| Practice phone | 702-731-1616 |
| Mailing address | Po Box 50509, Henderson, NV 89016 |
| Enumerated | May 17, 2006 |
| Last updated | October 9, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery, Sports Medicine primary | 207XX0005X | 12206 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.