THEODORE POTRUCH MD
NPI 1649225293
Surgery in North Las Vegas, NV

Q: What is Theodore Potruch's NPI number?

The NPI number for Theodore Potruch is 1649225293. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Q: What is Theodore Potruch's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Theodore Potruch was last updated on March 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 23, 2006

2123 CIVIC CENTER DR, NORTH LAS VEGAS, NV 89030(702) 333-1110(702) 685-0744 Get Directions Write a Review

NPPES record last updated: March 6, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Theodore Potruch Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEODORE POTRUCH MD (NPI 1649225293) is an individual surgery provider in North Las Vegas, Nevada, licensed in Nevada (3310) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1649225293

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameTHEODORE POTRUCHCredential: MD

Location Address2123 CIVIC CENTER DRNorth Las Vegas, NV 89030-6327

Mailing Address2123 Civic Center DrNorth Las Vegas, NV 89030-6327 · (702) 333-1110 · Fax (702) 685-0744

Phone(702) 333-1110

Fax(702) 685-0744

Sole ProprietorNo

Enumeration DateMay 23, 2006

Last NPPES UpdateMarch 6, 2018

✔ NPI 1649225293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in NV · 3310

Definition

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.

2123 CIVIC CENTER DR, North Las Vegas, NV 89030

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Other Identifiers 1

OtherV50306NV · Medicare Ptan

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FARMACIA DEL PUEBLO INC

Pharmacy (Community/Retail Pharmacy)

2123 CIVIC CENTER DR
NORTH LAS VEGAS, NV 89030

Clark County (702) 399-9477

JLM IMAGING LLC

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

2123 CIVIC CENTER DR
N LAS VEGAS, NV 89030

Clark County (702) 333-0110

MARIA ESGUERRA AGNP-C

Nurse Practitioner

2123 CIVIC CENTER DR
NORTH LAS VEGAS, NV 89030

Clark County (702) 333-0110

ANGELES MOBILE PHLEBOTOMY LLC

Technician, Pathology (Phlebotomy)

2123 CIVIC CENTER DR
NORTH LAS VEGAS, NV 89030

Clark County (702) 379-2396

ANGELES MEDICAL CENTERS LLC

Nurse Practitioner (Primary Care)

2123 CIVIC CENTER DR
NORTH LAS VEGAS, NV 89030

Clark County (702) 333-0110

DR. FELIPE CONTRERAS PHARM.D.

Pharmacist

2123 CIVIC CENTER DR
NORTH LAS VEGAS, NV 89030

Clark County (702) 399-9477

JIMMY L MATHIS

Radiology (Diagnostic Ultrasound)

2123 CIVIC CENTER DR
N LAS VEGAS, NV 89030

Clark County (702) 772-8063

INTEGRATED HEALTH CONNECTIONS LLC

Family Medicine

2123 CIVIC CENTER DR
NORTH LAS VEGAS, NV 89030

Clark County (702) 706-4962

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Potruch's NPI number?

The NPI number for Theodore Potruch is 1649225293. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Theodore Potruch located?

Theodore Potruch practices at 2123 Civic Center Dr, North Las Vegas, NV 89030. The listed phone number is (702) 333-1110.

What is Theodore Potruch's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Theodore Potruch was last updated on March 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.