DR. KEVIN REZA GOLSHANI (NPI# 1699041970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699041970 |
| Entity Type | Individual |
| Full Name | DR. KEVIN REZA GOLSHANI |
| Other Name | DR. KAYVON REZA GOLSHANI |
| Credential | M.D. |
| Practice Address |
1505 Wigwam Pkwy Ste 330 Henderson NV 89074-8195 |
| Mailing Address |
7455 W Washington Ave Ste 160 Las Vegas NV 89128-4356 |
| Practice Telephone | 7028780393 |
| Practice Fax Number | 7029024634 |
| Mailing Telephone | 7028780393 |
| Mailing Fax Number | 7029024580 |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2019-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 17929 | NV | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 269854 | MA | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
17929 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1699041970 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7455 W Washington Ave Ste 160, Las Vegas, NV 891284356 | 7028780393 | |
| 800 Washington St, Boston, MA 021111552 | 6176365172 | |
| 3800 Reservoir Rd Nw, Dept of Orthopaedic Surgery, Washington, DC 200072113 | 2024448766 | 2024440272 |
| Street Address |
1505 WIGWAM PKWY STE 330 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074-8195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124339676 | Mark Allen | Orthopaedic Surgery | 1505 Wigwam Pkwy Ste 330, Henderson, NV 89074 | 2010-06-30 |
| 1487045936 | Jason A Zarn | Physician Assistant | 1505 Wigwam Pkwy Ste 330, Henderson, NV 89074-8195 | 2015-02-05 |
| 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 | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295985729 | Ryan J. Grabow, Md, Ltd | Orthopaedic Surgery | 3175 Saint Rose Pkwy, Suite 330, Henderson, NV 89052-3506 | 2008-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154610137 | Olivia J Wang | Orthopaedic Surgery | 10135 W Twain Ave Ste 100, Las Vegas, NV 89147-6721 | 2011-03-30 |
| 1609937911 | Lake Tahoe Orthopaedic Institute, A Watson-swanson Professional Corp | Orthopaedic Surgery | 212 Elks Point Rd Ste 200, Zephyr Cove, NV 89448-8001 | 2006-12-12 |
| 1427150903 | Jonathan Richard Sorelle | Orthopaedic Surgery | 9080 W Post Rd, Suite 200, Las Vegas, NV 89148-2419 | 2006-09-04 |
| 1992714430 | David M Fadell | Orthopaedic Surgery | 4530 S Eastern Ave Ste 1, Las Vegas, NV 89119-6181 | 2006-08-05 |
| 1447270178 | Colby P. Young | Orthopaedic Surgery | 9321 W Sunset Rd, Las Vegas, NV 89148 | 2006-07-19 |
| 1407874035 | James W Vahey | Orthopaedic Surgery | 8585 S Eastern Ave, #100, Las Vegas, NV 89123-2817 | 2006-07-18 |
| 1205862182 | Kent W Gabriel | Orthopaedic Surgery | 704 W Nye Lane, Suite 102, Carson City, NV 89703-1569 | 2006-06-23 |
| 1730146374 | Robert C Gutierrez | Orthopaedic Surgery | 3717 S Rosecrest Cir, Las Vegas, NV 89121-4937 | 2006-04-27 |
| 1801895974 | Daniel Todd Robertson | Orthopaedic Surgery | 935 Mica Dr, Suite 13, Carson City, NV 89705-7268 | 2005-07-20 |
| 1124535323 | Kenny Elias Hanna Md | Orthopaedic Surgery | 7140 Smoke Ranch Rd Ste 150, Las Vegas, NV 89128-3157 | 2018-01-09 |
| 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.