NV FIDELIS HALVORSON PC (NPI# 1730485475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730485475 |
| Entity Type | Organization |
| Organization Name | NV FIDELIS HALVORSON PC |
| Practice Address |
3960 Howard Hughes Pkwy Suite 500 Las Vegas NV 89169-5972 |
| Practice Telephone | 8774082488 |
| Practice Fax Number | 8667766641 |
| Mailing Telephone | 8774082488 |
| Mailing Fax Number | 8667766641 |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2011-01-27 |
| Authorized Official Name | GLEN ALLEN HALVORSON (CEO) |
| Authorized Official Telephone | 8774082488 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians |
| Street Address |
3960 HOWARD HUGHES PKWY SUITE 500 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89169-5972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669488185 | Richard Scott Lee | Neuromusculoskeletal Medicine & OMM | 3960 Howard Hughes Pkwy, Suite 500, Las Vegas, NV 89169-5972 | 2006-08-01 |
| 1952850786 | Ipmed LLC | Public Health or Welfare | 3960 Howard Hughes Pkwy, Suite 500, Las Vegas, NV 89169-5972 | 2016-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038196 | Tammy E Smith | Home Health | 1500 Karen Ave, 65, Las Vegas, NV 89169 | 2020-09-16 |
| 1457978561 | Damon Lavell Cohran | Counselor | 459 Sierra Vista Dr, 32, Las Vegas, NV 89169 | 2020-07-06 |
| 1912543307 | Josephine R Hernandez | Rehabilitation Practitioner | Firstmed Health and Wellness Center Inc., 3343 S. Eastern Avenue, Las Vegas, NV 89169 | 2019-11-21 |
| 1528602174 | Cindy Pena Jaramillo | Technician | 3376 S. Eaatern Ave, Las Vegas, NV 89169 | 2019-11-06 |
| 1497309967 | Richard Snarr Worthen | Technician | 3175 South Eastern Ave, Las Vegas, NV 89169 | 2019-08-01 |
| 1447718796 | Hope Industries LLC | Chore Provider | 1711 E Desert Inn Rd, Las Vegas, NV 89169 | 2019-03-06 |
| 1609345321 | Diaz Health LLC | Community/Behavioral Health | 5225 West 2nd Street, Las Vegas, NV 89169 | 2018-11-26 |
| 1902371024 | Kevin Burnett | Technician | 1100 Dunmont Apt 202, Las Vegas, NV 89169 | 2018-10-04 |
| 1659865111 | Kimberly Jackson-hampton | Counselor | 335 E Harmon Ave Apt 30, Las Vegas, NV 89169 | 2018-06-19 |
| 1093216350 | Blessed Services LLC | Community/Behavioral Health | 2525 White Street, Las Vegas, NV 89169 | 2018-02-22 |
| Find all providers in zip 89169 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457966293 | Cory Alexander Stattelman | Physical Medicine & Rehabilitation | 5575 N Durango Dr Suite 111, Las Vegas, NV 89113 | 2020-09-09 |
| 1578176889 | Harmony Medicall Spine Sports & Pain Pllc | Physical Medicine & Rehabilitation | 9030 W Sahara Ave # 223, Las Vegas, NV 89117-5744 | 2020-08-26 |
| 1205456803 | Bernard Miller | Physical Medicine & Rehabilitation | 3645 El Camino Rd, Las Vegas, NV 89103-1102 | 2020-04-23 |
| 1346808441 | Zenith Recovery LLC | Physical Medicine & Rehabilitation | 2915 W Charleston Blvd Ste 120, Las Vegas, NV 89102-1974 | 2019-06-03 |
| 1457804239 | Saint Don Niel Bautista Reyes | Physical Medicine & Rehabilitation | 9755 Beach Rose Ct, Las Vegas, NV 89148-5734 | 2016-07-28 |
| 1568834216 | Abba & Sons Inc | Physical Medicine & Rehabilitation | 4903 Vegas Drive, Ste 101, Las Vegas, NV 89108-1204 | 2015-10-21 |
| 1700201746 | Usker Naqvi | Physical Medicine & Rehabilitation | 3835 S Jones Blvd Ste 103, Las Vegas, NV 89103-2283 | 2014-02-27 |
| 1659639912 | Youhans Ghebrendrias | Physical Medicine & Rehabilitation | 840 S Rancho Dr # 4-740, Las Vegas, NV 89106 | 2012-04-24 |
| 1528291010 | Las Vegas West Inc | Physical Medicine & Rehabilitation | 8751 W Charleston Blvd Ste 250, Las Vegas, NV 89117-5484 | 2009-08-31 |
| 1598999088 | Annemarie Elizabeth Gallagher | Physical Medicine & Rehabilitation | 5740 S Eastern Ave Ste 100, Las Vegas, NV 89119-3037 | 2009-05-12 |
| 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.