DESERT MOUNTAIN ORTHOPAEDIC & SPORTS MEDICINE (NPI# 1598804130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598804130 |
| Entity Type | Organization |
| Organization Name | DESERT MOUNTAIN ORTHOPAEDIC & SPORTS MEDICINE |
| Practice Address |
1301 Bertha Howe Ave 11 Mesquite NV 89027-7502 |
| Practice Telephone | 7023452600 |
| Practice Fax Number | 7023452603 |
| Mailing Telephone | 7023452600 |
| Mailing Fax Number | 7023452603 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DAVID C KING (DOCTOR,OWNER) |
| Authorized Official Telephone | 7023452600 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
11095 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 924698 | 05 |
| Street Address |
1301 BERTHA HOWE AVE 11 |
| City | MESQUITE |
| State | NV |
| Zip Code | 89027-7502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356342364 | Michael Justin Gorman | Family Medicine | 1301 Bertha Howe Ave, Suite 1, Mesquite, NV 89027-7502 | 2005-08-02 |
| 1851767115 | John Vincent Rider | Occupational Therapist | 1301 Bertha Howe Ave, Suite 7, Mesquite, NV 89027-7502 | 2015-08-20 |
| 1902298243 | Aumbria Health and Aesthetics LLC | Internal Medicine | 1301 Bertha Howe Ave, Ste# 2, Mesquite, NV 89027-7502 | 2015-02-24 |
| 1750782736 | Brenda Sue Siolo | Nurse Practitioner | 1301 Bertha Howe Ave, Ste.1, Mesquite, NV 89027-7502 | 2014-09-10 |
| 1083900716 | Curtis Doug Jensen | Physical Therapist | 1301 Bertha Howe Ave, Suite 7, Mesquite, NV 89027-7502 | 2011-06-21 |
| 1801117239 | Matthew Tameichi Holt | Physical Therapist | 1301 Bertha Howe Ave, Suite 7, Mesquite, NV 89027 | 2010-06-21 |
| 1659695203 | Tracy Lynn Rodgers | Registered Nurse | 1301 Bertha Howe Ave, Ste 2, Mesquite, NV 89027-7502 | 2010-03-24 |
| 1669796314 | Erica Ann Garrett | Registered Nurse | 1301 Bertha Howe Ave, Ste 2, Mesquite, NV 89027-7502 | 2010-03-24 |
| 1124355243 | Advanced Wound Care Consultants LLC | Registered Nurse | 1301 Bertha Howe Ave, Suite 9, Mesquite, NV 89027-7502 | 2009-11-10 |
| 1467787192 | Alfaro Ltd | Specialist | 1301 Bertha Howe Ave, Suite 8, Mesquite, NV 89027-7502 | 2009-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194388439 | Michael Shay Nielson | Occupational Therapist | 1140 W. Pioneer Blvd, Mesquite, NV 89027 | 2019-04-22 |
| 1104330059 | Pinnacle Absolute Care | Pharmacy | 114 N. Sandhill Blvd, Suite B, Mesquite, NV 89027 | 2017-11-29 |
| 1811346901 | Rodney Briggs | Physician Assistant | 1925 Whipple Ave. Ste. 30, Logandale, NV 89027 | 2016-06-08 |
| 1881085843 | Sylvan M. Johnson | Physical Therapist | 340 Falcon Ridge Pkwy # 500, Mesquite, NV 89027 | 2015-02-12 |
| 1326281882 | Gladys Kodjoe | Internal Medicine | 350 Falcon Ridge Pkwy Ste 102, Mesquite, NV 89027 | 2009-04-14 |
| 1316010432 | Mesquite Medical Equipment | Durable Medical Equipment & Medical Supplies | 330 Falcon Ridge Pkwy Ste 400b, Mesquite, NV 89027 | 2006-11-16 |
| 1316982028 | Kyle Devon Andrus | Optometrist | 330 N. Sandhill Blvd, Suite A, Mesquite, NV 89027 | 2006-06-17 |
| 1366409633 | Stephen R Hamilton | Registered Nurse | 1299 Bertha Howe Avenue, Mesquite, NV 89027 | 2006-04-28 |
| 1386642460 | Desert Health Care Facilities, Inc. | Skilled Nursing Facility | 272 Pioneer Blvd, Mesquite, NV 89027 | 2005-07-12 |
| 1205838265 | Marchant Physical Therapy & Wellness, Inc. | Specialist | 340 Falcon Ridge Parkway, Building 500, Mesquite, NV 89027 | 2005-06-02 |
| Find all providers in zip 89027 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1003053828 | William Ralston Mcgee II | Orthopaedic Surgery | 10105 Banburry Cross Dr, # 445, Las Vegas, NV 89144-6646 | 2009-01-15 |
| 1841449345 | Matthew M Ragsdell Do PC | Orthopaedic Surgery | 1681 W Horizon Ridge Pkwy, Henderson, NV 89012-3494 | 2008-09-09 |
| 1659583375 | Chad Michael Hanson | Orthopaedic Surgery | 2800 E Desert Inn Rd, Suite #100, Las Vegas, NV 89121-3608 | 2007-05-04 |
| 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 |
| 1780625525 | Roger Rogalski Md Chtd | Orthopaedic Surgery | 2874 N Carson St, #105, Carson City, NV 89706-0177 | 2006-06-10 |
| 1306898119 | Matthew Nolan Fouse | Orthopaedic Surgery | 2800 E Desert Inn Rd, Suite #100, Las Vegas, NV 89121-3608 | 2006-05-17 |
| 1538123492 | Kyle Edward Swanson | Orthopaedic Surgery | 935 Mica Dr Ste 13, Carson City, NV 89705-7181 | 2006-04-17 |
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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.