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

Theddy Richard Blanc

Individual provider General Practice Physician · NPI 1881155497

Theddy Richard Blanc is an Emergency Medicine in Las Vegas, Nevada. Graduated from Nova Southeastern College of Osteo Medicine in 2019, 7 years ago. Practices with Fremont Emergency Services Scherr Ltd, a 141-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
7
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
NV
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

3100 N Tenaya Way
Las Vegas, NV 89128-0436
Phone: (702) 962-9551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence DO3087 (NV)
General Practice Physician Taxonomy 208D00000X · Licence DO3087 (NV)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1881155497
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 27, 2019
Last updated in NPPESMarch 28, 2022
Certification dateMarch 28, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Also practisesGENERAL PRACTICE
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2019 (7 years in practice)
Group practice Fremont Emergency Services Scherr Ltd — 141 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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