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Theodore Potruch, MD
NPI 1649225293 · Surgery Physician · North Las Vegas, NV
Theodore Potruch, MD is a Surgery Physician provider in North Las Vegas, NV (NPI 1649225293).
Provider details
- NPI number
- 1649225293
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 3310 (NV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2123 Civic Center Dr
North Las Vegas, NV 89030-6327
Phone: (702) 333-1110
Fax: (702) 685-0744
Street-level locationGet directions
Mailing address
2123 Civic Center Dr
North Las Vegas, NV 89030-6327
Registry dates
- Enumerated
- 2006-05-23
- Last updated
- 2018-03-06
Frequently asked questions
- What is Theodore Potruch's NPI number?
- Theodore Potruch's National Provider Identifier (NPI) is 1649225293, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Potruch's specialty?
- Theodore Potruch is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Theodore Potruch located?
- Theodore Potruch's practice location on file with NPPES is 2123 Civic Center Dr, North Las Vegas, NV 89030-6327.
- What is Theodore Potruch's phone number?
- The practice phone number listed in the NPPES registry for Theodore Potruch is (702) 333-1110.
- Is Theodore Potruch's NPI active?
- Yes — Theodore Potruch's NPI (1649225293) is active in the NPPES registry as of the last update on 2018-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.