Russell J. Shah MD LTD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

RUSSELL J. SHAH MD LTD

Practice address

2628 W Charleston Blvd
Las Vegas, NV 89102-2176

Phone

(702) 644-0500

Fax

(702) 641-4600

NPI assigned

Mar 3, 2008

Last updated

Mar 4, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Russell J Shah, M.D.NPI 1346324092

Title

Owner

Phone

(702) 644-0500

Specialties & licenses 1

Addresses

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Russell J Shah, MD

  • Neurology Physician
  • Las Vegas, NV
  • NPI 1346324092
  NPD (past) Authorized official
• Dondon Dimailig, APN

  • Nurse Practitioner
  • Las Vegas, NV
  • NPI 1770892945
  NPD (past)
• Edwin Antonio N Favis, APN

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1932342748
  NPD (past)
• Dipti R Shah, MD

  • Nephrology Physician
  • Las Vegas, NV
  • NPI 1023188125
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1033389325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10624 S EASTERN AVE",
            "address_2": "SUITE A-425",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522982",
            "telephone_number": "702-644-0500",
            "fax_number": "702-641-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2628 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022176",
            "telephone_number": "702-644-0500",
            "fax_number": "702-641-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL J. SHAH MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-644-0500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Rushton, DO
• Jason Rusk, PA-C
• Andrew Russ
• Tiffany Nichole Russaw, APRN
• Jon Richard Russe
• Russell Jayne MD LTD (The Retina Center at Las Vegas)
• Angela Russell- Gibbon
• Amber Russell
• Ashley Y Russell
• Betty Grace Russell, LCSW

• Neurological Surgery Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Neurological Surgery Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.