Dr. Charles David Ebert , MD
Specialist • Las Vegas, NV
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Charles Ebert has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Charles Ebert, MD was a registered Specialist practicing in Las Vegas, NV. Throughout an active medical career spanning 12 years, Dr. Ebert provided care at the practice location at 2650 N TENAYA WAY until profile deactivation on 2018-06-19.
Practice Location & Contact Primary Location
2650 N Tenaya Way
Ste 208
Las Vegas, NV 891281102
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Las Vegas, NV
Practicing in Las Vegas, NV (310 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Nurse Practitioner
Advanced Practice Registered Nurse
Physician Assistant
PHYSICIANSASSISTANT
Physician Assistant - Medical
Physician Assistant (Certified)
Nurse Practitioner - Family
Family Nurse Practitioner
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 19, 2018
NPI status registered as active in NPPES database
Registered at 2650 N TENAYA WAY, STE 208, LAS VEGAS, NV 891281102 (Tel: 7023602100)
Registered at PO BOX 894830, LOCK BOX 4830, LOS ANGELES, CA 901894830 (Tel: 7024627901)
Recorded as CHARLES EBERT, M.D.
Specialist (License #4953 in NV)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 894830, Lock Box 4830
Los Angeles, CA 901894830
Phone: 7024627901
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