JOHN J KASTRUP (NPI# 1295840841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295840841 |
| Entity Type | Individual |
| Full Name | JOHN J KASTRUP |
| Credential | M.D. |
| Practice Address |
1505 Wigwam Pkwy #330 Henderson NV 89074-8194 |
| Mailing Address |
7455 W Washington Ave Ste 160 Las Vegas NV 89128-4356 |
| Practice Telephone | 7028780393 |
| Practice Fax Number | 7029330633 |
| Mailing Telephone | 7028780393 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2016-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
12909 | NV | Allopathic & Osteopathic Physicians |
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
MD041982L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 279524800 | 05 | |
| FL | BCBS | 68052 | 01 |
| FL | RAILROAD MEDICARE | P00451374 | 01 |
| Street Address |
1505 WIGWAM PKWY #330 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074-8194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386646859 | Eugene Earl Schnitzler | Pediatrics | 1505 Wigwam Pkwy, #230, Henderson, NV 89074-8194 | 2005-08-12 |
| 1265959977 | Allcare for Women LLC | Obstetrics & Gynecology | 1505 Wigwam Pkwy, Henderson, NV 89074-8194 | 2017-08-23 |
| 1881149771 | New Century Rehabilitation, LLC | Physical Therapist | 1505 Wigwam Pkwy, Suite 240, Henderson, NV 89074-8194 | 2016-08-20 |
| 1760853287 | Melanie Gough | Physical Therapist | 1505 Wigwam Pkwy, Suite 240, Henderson, NV 89074-8194 | 2015-10-09 |
| 1255619177 | Holman Chan | Orthopaedic Surgery | 1505 Wigwam Pkwy, #330, Henderson, NV 89074-8194 | 2011-07-26 |
| 1477864346 | Kevin R Sharif | Orthopaedic Surgery | 1505 Wigwam Pkwy, Suite 330, Henderson, NV 89074-8194 | 2010-06-25 |
| 1083844229 | Amanda Marie Cain | Physical Therapist | 1505 Wigwam Pkwy, #240, Henderson, NV 89074-8194 | 2009-07-22 |
| 1740418391 | Rhea Agbayani | Physical Therapist | 1505 Wigwam Pkwy, Suite 240, Henderson, NV 89074-8194 | 2009-06-22 |
| 1629248349 | Advanced Prosthetics and Orthotics, Inc | Durable Medical Equipment & Medical Supplies | 1505 Wigwam Pkwy, Suite 340, Henderson, NV 89074-8159 | 2008-03-10 |
| 1073700357 | Nicoletta Campagna | Nurse Practitioner | 1505 Wigwam Pkwy, Suite 130, Henderson, NV 89074-8194 | 2007-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349381 | Samuel Taylor Mulford | Physical Therapist | 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 | 2020-06-03 |
| 1407369127 | Brenda Thomas | Dental Hygienist | 234 Polar Morning Place, Henderson, NV 89074 | 2017-11-16 |
| 1174036479 | Gail E Evans Wade | Behavioral Analyst | 1445 Stone Lake Cove, Henderson, NV 89074 | 2017-11-08 |
| 1710400957 | Kimberley Houk | Behavioral Analyst | 20 Avenida Picasso, Henderson, NV 89074 | 2017-07-19 |
| 1760911846 | Colin Ono-moore | Physical Therapist | 3 Rising Sun Ct, Henderson, NV 89074 | 2017-06-12 |
| 1851825764 | Ralph Wieder | Dietitian, Registered | 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 | 2017-04-18 |
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1275994642 | Malyna Lavarias | Behavioral Analyst | 74 N Pecos Rd., Suite C, Henderson, NV 89074 | 2016-03-14 |
| 1144608290 | Matthew Roderick | Acupuncturist | 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 | 2015-05-08 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| Find all providers in zip 89074 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497002471 | Fortune Egbulefu | Orthopaedic Surgery | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2012-08-09 |
| 1720212673 | Parminder S Kang | Orthopaedic Surgery | 2800 E Desert Inn Rd, #100, Las Vegas, NV 89121-3608 | 2009-05-06 |
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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.