DR. GALEN MARK EVERSOLE (NPI# 1508058678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508058678 |
| Entity Type | Individual |
| Full Name | DR. GALEN MARK EVERSOLE |
| Credential | M.D. |
| Practice Address |
301 N Pecos Rd Suite E Henderson NV 89074-1349 |
| Practice Telephone | 7026757100 |
| Practice Fax Number | 7026757101 |
| Mailing Telephone | 7026757100 |
| Mailing Fax Number | 7026757101 |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2012-07-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
12724 | NV | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
83-190 | NM | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
38786 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
301 N PECOS RD SUITE E |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074-1349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962491530 | Marilyn Gail Maschgan | Audiologist | 301 N Pecos Rd, Suite G, Henderson, NV 89074-1349 | 2005-10-17 |
| 1528442282 | Charles Edwin Marriott IIi | Behavioral Analyst | 301 N Pecos Rd, Ste E, Henderson, NV 89074-1349 | 2015-07-13 |
| 1699183939 | Atlas Specialty Pharmacy | Pharmacy | 301 N Pecos Rd, Henderson, NV 89074-1349 | 2014-07-31 |
| 1508009085 | Marilyn G. Maschgan Ltd | Audiologist-Hearing Aid Fitter | 301 N Pecos Rd, Suite G, Henderson, NV 89074-1349 | 2009-04-13 |
| 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 | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063675874 | Allen Robert Anes | Pathology | 20 Anthem Pointe Ct, Henderson, NV 89052-6605 | 2008-07-02 |
| 1144428822 | Harvey Michael Jones | Pathology | 957 Meadow Ln, Henderson, NC 27536-3852 | 2007-07-05 |
| 1013131572 | Henderson Pathology & Cytopathology Services Psc | Pathology | 1305 N Elm St, Henderson, KY 42420 | 2007-04-13 |
| 1376646307 | William P. Heyns Jr. | Pathology | 300 Wilson Street, Henderson, TX 75652-5956 | 2006-09-06 |
| 1063489987 | Primilina A Corpus | Pathology | 1305 N Elm St, Henderson, KY 42420-2783 | 2006-03-01 |
| 1508846346 | Karen M Mitchell | Pathology | 568 Ruin Creek Rd, Suite 5, Henderson, NC 27536-2880 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518324268 | Umbach Medical Group Pllc | Pathology | 7385 S Pecos Rd Ste 103, Las Vegas, NV 89120-3768 | 2016-01-26 |
| 1093064925 | George Thomas Manilla | Pathology | 1275 Hannah Dr, Elko, NV 89801-2523 | 2012-09-06 |
| 1003173089 | Christy L Perez-valles | Pathology | 343 Elm St Ste 206, Reno, NV 89503-4538 | 2012-04-16 |
| 1366626806 | Adele D. Fung | Pathology | Ms 350, Unr Pathology and Laboratory Dept., Reno, NV 89557 | 2007-12-19 |
| 1669549275 | Roger S Ritzlin | Pathology | 1 Manville Medical Sciences Bldg Mail Stop 350, Department of Pathology and Laboratory Medicine, Reno, NV 89557-0001 | 2006-11-29 |
| 1831277342 | Anton P. Sohn | Pathology | Department of Pathology and Laboratory Medicine, 1 Manville Medical Sciences Bldg/ms 350, Reno, NV 89557-0001 | 2006-11-01 |
| 1235221276 | Sierra Pathology Associates, Inc | Pathology | 475 Kirman Ave, Reno, NV 89502-1907 | 2006-09-28 |
| 1427069863 | Christina A. Samathanam | Pathology | 1664 North Virginia Street, Mail Stop 350, Reno, NV 89557 | 2006-08-10 |
| 1730195322 | Patrick Lee Knight | Pathology | 4230 Burnham Avenue, Las Vegas, NV 89119 | 2006-08-01 |
| 1023069788 | Amanda Ashton-sager | Pathology | Renown Medical Center, Sierra Pathology Associates, 1155 Mill Street, Reno, NV 89509 | 2006-05-15 |
| Find all providers with the same taxonomy | ||||
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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.