KYLE JOHN HANCOCK (NPI# 1134534761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134534761 |
| Entity Type | Individual |
| Full Name | KYLE JOHN HANCOCK |
| Credential | M.D. |
| Practice Address |
2800 E Desert Inn Rd Ste 100 Las Vegas NV 89121-3609 |
| Practice Telephone | 7027311616 |
| Practice Fax Number | 7027344900 |
| Mailing Telephone | 7027311616 |
| Mailing Fax Number | 7027344900 |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2020-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | R-10103 | IA | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
19897 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | NV LICENSE | 19897 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164748729 | Kyle Max Hancock | Psychologist | 246 E 1260 N, Logan, UT 84341-7501 | 2010-04-07 |
| Street Address |
2800 E DESERT INN RD STE 100 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89121-3609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306845649 | Russell T. Nevins | Orthopaedic Surgery | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2005-07-19 |
| 1548871551 | Riley Madison Brashear | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2020-08-13 |
| 1841838570 | Jordan Christensen | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2019-12-12 |
| 1881232635 | Christopher Cummings | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2019-12-11 |
| 1508331083 | Abby Sue Fink | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2018-10-10 |
| 1942788575 | Briannon Marie Yadrick | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2018-08-06 |
| 1326532037 | Janika Sullivan | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2018-06-16 |
| 1427564806 | Elizabeth Ashley Hanks | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2017-12-20 |
| 1629592811 | Alysse A Thummel | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2017-07-28 |
| 1558809079 | Candice D Cliatt | Registered Nurse | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2017-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379117 | Western State Behavioral Health and Psychiatric Services | Psychologist | 3910 Pecos-mcleod Interconnect, Las Vegas, NV 89121 | 2020-09-01 |
| 1962025155 | Arieste Diaz Perez | Clinic/Center | 3777 Pecos-mcleod Interconnect, Suite 101, Las Vegas, NV 89121 | 2020-05-21 |
| 1366071904 | Vanesa Silva | Behavior Technician | 4714 Flamigo Rd, Las Vegas, NV 89121 | 2020-04-06 |
| 1053955732 | Valente Solis Santiago | Technician | 2785 E. Desert Inn Rd Ste. 240, Las Vegas, NV 89121 | 2019-11-05 |
| 1750938981 | Ken Ernst | Rehabilitation Practitioner | Primary Solutions Medical Billing, 4525 S. Sandhill Rd Ste #112, Las Vegas, NV 89121 | 2019-08-22 |
| 1902450455 | Tracey Anora Henry | Counselor | 3675 Pecos Mecleod Ste 900, Las Vegas, NV 89121 | 2019-08-01 |
| 1679127096 | Wilma Guadalupe Nunez | Chore Provider | 2860 East Flamingo, Suite C, Las Vegas, NV 89121 | 2019-07-25 |
| 1487213807 | Karla Susana Ayala | Chore Provider | 2860 E. Flamingo Rd Ste K., Las Vegas, NV 89121 | 2019-06-10 |
| 1447819164 | Jovita Garcia-perez | Chore Provider | 2860 E. Flamingo Suite C, Suite C, Las Vegas, NV 89121 | 2019-06-06 |
| 1164081972 | Maria Isabel Castellanos Gonzalez | Chore Provider | 2860 E. Flamingo Rd Ste K, Las Vegas, NV 89121 | 2019-06-06 |
| Find all providers in zip 89121 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003053828 | William Ralston Mcgee II | Orthopaedic Surgery | 10105 Banburry Cross Dr, # 445, Las Vegas, NV 89144-6646 | 2009-01-15 |
| 1659583375 | Chad Michael Hanson | Orthopaedic Surgery | 2800 E Desert Inn Rd, Suite #100, Las Vegas, NV 89121-3608 | 2007-05-04 |
| 1306898119 | Matthew Nolan Fouse | Orthopaedic Surgery | 2800 E Desert Inn Rd, Suite #100, Las Vegas, NV 89121-3608 | 2006-05-17 |
| 1144208455 | Michael Miao | Orthopaedic Surgery | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2006-01-06 |
| 1598743916 | Mervyn Bruce Fouse | Orthopaedic Surgery | 2800 E Desert Inn Rd, Suite 100, Las Vegas, NV 89121-3608 | 2006-01-05 |
| 1730167255 | Gregory Tharin Bigler | Orthopaedic Surgery | 9499 W Charleston Blvd, Ste 200, Las Vegas, NV 89117-7150 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255330312 | Keith Robert Swanson | Orthopaedic Surgery | 212 Elks Point Rd, Ste 200, Zephyr Cove, NV 89448-8001 | 2005-07-20 |
| 1487653655 | Randy Charles Watson | Orthopaedic Surgery | 212 Elks Point Road, Suite 200, Zephyr Cove, NV 89448 | 2005-07-19 |
| 1841449345 | Matthew M Ragsdell Do PC | Orthopaedic Surgery | 1681 W Horizon Ridge Pkwy, Henderson, NV 89012-3494 | 2008-09-09 |
| 1750502134 | Capitol Orthopedics and Sports Medicine | Orthopaedic Surgery | 755 N Roop St, Number 101, Carson City, NV 89701-3106 | 2007-05-01 |
| 1487788873 | Crovetti Bone and Joint Institute of Southern Nevada | Orthopaedic Surgery | 2779 W Horizon Ridge Pkwy, Ste. 200, Henderson, NV 89052-4380 | 2007-03-15 |
| 1598804130 | Desert Mountain Orthopaedic & Sports Medicine | Orthopaedic Surgery | 1301 Bertha Howe Ave, 11, Mesquite, NV 89027-7502 | 2007-02-06 |
| 1780625525 | Roger Rogalski Md Chtd | Orthopaedic Surgery | 2874 N Carson St, #105, Carson City, NV 89706-0177 | 2006-06-10 |
| 1538123492 | Kyle Edward Swanson | Orthopaedic Surgery | 935 Mica Dr Ste 13, Carson City, NV 89705-7181 | 2006-04-17 |
| 1558360628 | Robert Edward Rupp | Orthopaedic Surgery | 212 Elks Point Rd, Ste 200, Zephyr Cove, NV 89448-8001 | 2005-07-20 |
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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.