DR. SHIVALI GUPTA (NPI# 1023509502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023509502 |
| Entity Type | Individual |
| Full Name | DR. SHIVALI GUPTA |
| Credential | DO, MPH |
| Practice Address |
620 Shadow Lane Las Vegas NV 89106-4194 |
| Mailing Address |
620 Shadow Ln Las Vegas NV 89106-4194 |
| Practice Telephone | 7023888436 |
| Practice Fax Number | 7023888431 |
| Mailing Telephone | 7023888436 |
| Mailing Fax Number | 7023888431 |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2018-05-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | SL1368 | NV | Allopathic & Osteopathic Physicians |
| Street Address |
620 SHADOW LANE |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89106-4194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184893133 | Tracy Tuyet Tran | Internal Medicine | 620 Shadow Lane, Valley Hospital Medical Center, Las Vegas, NV 89106-4194 | 2008-02-25 |
| 1144886151 | Pacific Vo-vitug | Internal Medicine | 620 Shadow Lane, Las Vegas, NV 89106-4194 | 2019-05-15 |
| 1184280497 | Thomas Lemuel Ilustrisimo | Internal Medicine | 620 Shadow Lane, Las Vegas, NV 89106-4194 | 2019-05-13 |
| 1649835661 | Esther Kim | Internal Medicine | 620 Shadow Lane, Las Vegas, NV 89106-4194 | 2019-05-06 |
| 1710477443 | Alan Alexander Arismendez | Psychiatry & Neurology | 620 Shadow Lane, Las Vegas, NV 89106 | 2018-05-17 |
| 1437649795 | Matthew Christopher Hanewich | Internal Medicine | 620 Shadow Lane, Las Vegas, NV 89106-4194 | 2018-05-12 |
| 1679062186 | Gina Robinson | Internal Medicine | 620 Shadow Lane, Las Vegas, NV 89106-4194 | 2018-05-09 |
| 1740718535 | Priya Ramgopal Nileshwar | Internal Medicine | 620 Shadow Lane, Las Vegas, NE 89106-4194 | 2017-05-24 |
| 1073963583 | Thanh Cao | Internal Medicine | 620 Shadow Lane, Las Vegas, NV 89106-4194 | 2016-06-15 |
| 1275982464 | George Jeung | Internal Medicine | 620 Shadow Lane, Las Vegas, NV 89106-4194 | 2016-06-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555772 | Graciela Miranda Cocorpio | Technician | 820 Rancho Ln Suite #40, Las Vegas, NV 89106 | 2020-10-09 |
| 1679101679 | A Better You Wellness Center | Counselor | 320 W Monroe Street, Las Vegas, NV 89106 | 2020-03-27 |
| 1730725177 | Mariah La'neese Jones | Rehabilitation Practitioner | 400 Shadow Lane Ste 106, Las Vegas, NV 89106 | 2019-11-20 |
| 1417592841 | Lourdes Rita Apumayta-paredes | Technician | 820 Rancho Lane, Suite #40, Las Vegas, NV 89106 | 2019-11-08 |
| 1902456551 | Marisela Pena | Technician | 820 Rancho Ln., 25, Las Vegas, NV 89106 | 2019-09-16 |
| 1992368724 | Amber Nicole Mahajan | Nurse Practitioner | 2020 Wellness Way, Suite 300, Las Vegas, NV 89106 | 2019-04-17 |
| 1568924215 | Arlandrea Tarvins | Behavioral Analyst | 1048 Miller Ave, Las Vegas, NV 89106 | 2019-04-02 |
| 1427510361 | Erik Pennell | Student in an Organized Health Care Education/Training Program | 1542 Pinto Ln, 2nd Floor, Las Vegas, NV 89106 | 2019-04-01 |
| 1245702729 | Bruce Mark Babb | Technician | 820 Rancho Lane Ste #40, Las Vegas, NV 89106 | 2018-12-21 |
| 1639649213 | Antonio Ruiz Pelfort | Technician | 1951 Stella Lake St Suite 36, Las Vegas, NV 89106 | 2018-11-27 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578804787 | Bruce Mcneil Ballard | Orthopaedic Surgery | 2716 Port of Call Dr, Las Vegas, NV 89128-7151 | 2013-03-13 |
| 1366604290 | Daniel T Kokmeyer | Orthopaedic Surgery | 9321 W. Sunset Rd., Las Vegas, NV 89148 | 2008-07-01 |
| 1811178114 | Hugh S Selznick Md Pa | Orthopaedic Surgery | 3006 So Maryland Parkway, 570, Las Vegas, NV 89109 | 2007-11-15 |
| 1386834570 | Vladimir Aleksandrovich Sinkov | Orthopaedic Surgery | 1627 E Windmill Ln Ste 100, Las Vegas, NV 89123-1911 | 2007-07-25 |
| 1215141072 | Richard Michael Dix | Orthopaedic Surgery | 2080 East Flamingo Rd, Suite 301, Las Vegas, NV 89119 | 2007-05-10 |
| 1225175524 | Brian James Carr | Orthopaedic Surgery | 9499 W Charleston Blvd Ste 200, Las Vegas, NV 89117 | 2007-01-30 |
| 1972694230 | David Arthur Kaplan | Orthopaedic Surgery | 4960 N Cimarron Rd, Las Vegas, NV 89149-4752 | 2006-09-28 |
| 1689784852 | Andrew M. Cash | Orthopaedic Surgery | 9339 W Sunset Rd, Ste 100, Las Vegas, NV 89148-4847 | 2006-08-30 |
| 1750311957 | Robert Wayne Patti | Orthopaedic Surgery | 2080 E Flamingo, #301, Las Vegas, NV 89119 | 2006-07-03 |
| 1841229762 | Orthopaedic Specialists of Nevada | Orthopaedic Surgery | 3233 W. Charleston Blvd, Suite 101, Las Vegas, NV 89102 | 2006-07-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.