CORDELL K HALVERSON (NPI# 1619904729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619904729 |
| Entity Type | Individual |
| Full Name | CORDELL K HALVERSON |
| Credential | MD |
| Practice Address |
105 Mills Ave Suite 100 Las Vegas NM 87701-4169 |
| Practice Telephone | 5054253569 |
| Mailing Telephone | 5054253569 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2008-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 74-173 | NM | Allopathic & Osteopathic Physicians |
| Street Address |
105 MILLS AVE SUITE 100 |
| City | LAS VEGAS |
| State | NM |
| Zip Code | 87701-4169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750374112 | Robert F. Rutschman | Family Medicine | 105 Mills Ave, Suite 400, Las Vegas, NM 87701-4169 | 2005-08-31 |
| 1700237278 | Ryan K Anderson Dpm PC | Durable Medical Equipment & Medical Supplies | 105 Mills Ave, Ste 100, Las Vegas, NM 87701-4169 | 2016-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851884423 | Nueva Vida Counseling and Consulting Services LLC | Community/Behavioral Health | Nueva Vida Counseling & Consulting Services LLC, 1920 7th Street, Las Vegas, NM 87701 | 2018-06-08 |
| 1316475403 | El Centro Family Health | Family Medicine | 475 Legion Dr., Las Vegas, NM 87701 | 2017-06-01 |
| 1700327384 | Anastacia Sena Jaramillo | Psychologist | 126 Silva Ave., Las Vegas, NM 87701 | 2017-03-15 |
| 1013369222 | Home Medical Equipment Specialists,llc | Durable Medical Equipment & Medical Supplies | 514 8th Street, Las Vegas, NM 87701 | 2016-07-12 |
| 1750730826 | John Michael Tourangeau | Social Worker | 1920 7th Street, Las Vegas, NM 87701 | 2016-06-08 |
| 1154705689 | Lindsy Laura Kragt Allen | Podiatrist | 1608 7th St, Las Vegas, NM 87701 | 2015-07-14 |
| 1023409521 | Ambercare Medical Supply | Durable Medical Equipment & Medical Supplies | 1747 N Grand Ave, Las Vegas, NM 87701 | 2015-02-05 |
| 1538561964 | El Centro Family Health | Clinic/Center | 947 Old National Road, Las Vegas, NM 87701 | 2014-09-17 |
| 1164832150 | Plaza Drugs | Pharmacist | 178 Bridge St, Las Vegas, NM 87701 | 2014-04-30 |
| 1043648165 | Open Doors Home Health Care | Home Health | 713 Railroad Ave., Las Vegas, NM 87701 | 2013-10-29 |
| Find all providers in zip 87701 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124664115 | Planned Parenthood of The Rocky Mountains | Obstetrics & Gynecology | 3300 E Flamingo Rd Ste 25, Las Vegas, NV 89121-4398 | 2019-11-25 |
| 1578912515 | Heather Hyland Madden | Obstetrics & Gynecology | 3196 S Maryland Pkwy Ste 410, Las Vegas, NV 89109-2315 | 2016-06-10 |
| 1679937031 | Sarah Amarylis Roadhouse | Obstetrics & Gynecology | 9120 W Post Rd Ste 200, Las Vegas, NV 89148-2427 | 2016-04-11 |
| 1134583727 | Erica Renee Davenport | Obstetrics & Gynecology | 2880 N Tenaya Way Ste 310, Las Vegas, NV 89128-0642 | 2016-04-08 |
| 1346638491 | Kevin Tran | Obstetrics & Gynecology | 1707 W Charleston Blvd Ste 220, Las Vegas, NV 89102-2353 | 2014-12-23 |
| 1679975361 | Wellhealth Medical Group, PC | Obstetrics & Gynecology | 9260 W Sunset Rd Ste 102, Las Vegas, NV 89148-4858 | 2014-09-24 |
| 1245644475 | Javier Humberto Cajina | Obstetrics & Gynecology | 2040 W Charleston Blvd Ste 200, Las Vegas, NV 89102-2248 | 2014-06-16 |
| 1619302684 | Leanne Almario | Obstetrics & Gynecology | 2851 N Tenaya Way Ste 208, Las Vegas, NV 89128-0453 | 2013-09-10 |
| 1316389455 | James Kenneth Hedges | Obstetrics & Gynecology | 805 Noahs Star St, Las Vegas, NV 89145-8609 | 2013-07-17 |
| 1477896702 | Philip Gordon Mclemore Jr. | Obstetrics & Gynecology | 6850 North Durango Drive #401, Las Vegas, NV 89149 | 2013-04-04 |
| Find all providers in LAS VEGAS | ||||
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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.