John Marshall Ham, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

13783 Issued in NV

Practice address

1120 Shadow LN
Suite D-100
Las Vegas, NV 89102-2342

Phone

(702) 383-2224

Fax

(702) 383-3035

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: john.ham.p112@direct.aac.nextgenshare.com
• Direct secure messaging: jham13082@direct.umcsn.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oregon Health Sciences University Department of Ophthalmology

  • Eyewear Supplier
  • Portland, OR
  • NPI 1588748248
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1104834639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W CHARLESTON BLVD",
            "address_2": "#215",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022325",
            "telephone_number": "702-671-2395",
            "fax_number": "702-382-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 SHADOW LN",
            "address_2": "SUITE D-100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022342",
            "telephone_number": "702-383-2224",
            "fax_number": "702-383-3035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2450 Fire Mesa St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891289034",
            "country_code": "US",
            "telephone_number": "702-341-8031",
            "fax_number": "702-558-9059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAM",
        "first_name": "JOHN",
        "middle_name": "MARSHALL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OR",
            "license": "MD23440",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NV",
            "license": "13783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287336",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fallon Halverson
• Makayla Halverson
• Gloria Halvorsen
• Kenea Ham-Rauda
• Enu Sub Ham
• Janine Hamada
• Raymond Hamada
• Mohamed Serhan Hamam, M.D.
• Ariana Nicole Hamar-Zarrini
• Avi Albert Hamatian

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.