MEDICARE: MICHAEL SMITH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1477971364
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL SMITH

Provider Business Mailing Address
First Line	:	2038 PALM ST
Second Line	:	163
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-4830
Country	:	US
Telephone Number	:	702-232-9423
Fax Number	:

Provider Business Practice Location Address
First Line	:	2038 PALM ST
Second Line	:	163
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-4830
Country	:	US
Telephone Number	:	702-232-9423
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2014
Last Update Date	:	06/06/2014

Similar Medicare Providers

1902383391 — RACHEAL UWIMANA
Practice Location Address:

4830 E CHARLESTON BLVD APT 1
LAS VEGAS, NV
89104-6427

Practice Phone: 702-234-9254
Practice Fax:

1013568336 — ANNONCIATA RIBAGIZA
Practice Location Address:

4830 E CHARLESTON BLVD APT 1
LAS VEGAS, NV
89104-6427

Practice Phone: 702-401-9257
Practice Fax:

1538117361 — SOUTHWEST LAS VEGAS SLEEP CENTER
Practice Location Address:

4830 W LONE MOUNTAIN RD
LAS VEGAS, NV
89130-2239

Practice Phone: 702-732-3200
Practice Fax: 702-549-3301

1356389456 — LONE MOUNTAIN MEDICAL CENTRE
Practice Location Address:

4830 W LONE MOUNTAIN RD
LAS VEGAS, NV
89130-2239

Practice Phone: 702-645-8126
Practice Fax: 702-645-2828

1881787695 — JASON T HENNE PT
Practice Location Address:

6856 SCARLET FLAX ST
LAS VEGAS, NV
89148-4830

Practice Phone: 702-281-9265
Practice Fax: 702-446-5149

1033321617 — RONALD J KOHN FAMILY MEDICINE PROFESSIONAL CORP
Practice Location Address:

4830 W LONE MOUNTAIN RD
LAS VEGAS, NV
89130-2239

Practice Phone: 702-645-8555
Practice Fax: 702-645-2828

Directions to “ MICHAEL SMITH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.