Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Foot & Ankle Surgical Group, LLP

Organization Foot & Ankle Surgery Podiatrist · NPI 1194938936

Foot & Ankle Surgical Group, LLP is a Foot & Ankle Surgery Podiatrist in Boulder City, Nevada. Licensed in Nevada. Registered with an NPI since 2007.

Licensed in
NV
In the registry since
2007
Specialties on file
2
What do these letters mean?
LLP — Limited liability partnership
A form of business registration, not a clinical qualification.

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Practice location Address checks out

999 Adams Blvd #104
Boulder City, NV 89005-2244
Phone: (702) 293-0151
Fax: (702) 456-6688
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 38610 (NV)

Record details

NPI number1194938936
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Stacey — General Partner · (702) 456-3668
Other names Douglas S Stacey, Dpm
NPI enumeratedMay 8, 2007
Last updated in NPPESOctober 6, 2009
Mailing address129 W Lake Mead Pkwy, B-18, Henderson, NV 89015-7055

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