Randa Bascharon,D.O. Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

1103 Issued in NV

Legal business name

RANDA BASCHARON,D.O. INC

Doing business as

Orthopedic & Sports Medicine Institute of Las Vegas

Practice address

7281 W Sahara Ave
Suite 110
Las Vegas, NV 89117-2816

Phone

(702) 947-7790

Fax

(702) 947-7792

NPI assigned

Jun 15, 2006

Last updated

Sep 3, 2010By 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

Randa Amin Bascharon, DONPI 1205883642

Title

Pres, Sec,

Phone

(702) 596-0036

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• ORTHOPEDIC & SPORTS MEDICINE INSTITUTE OF LAS VEGAS Doing business as

Medicare fee-for-service enrollment

Enrolled in NV2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Randa Bascharon, DO, Inc

  dba Orthopedic & Sports Medicine Institute of Las Vegas

  • Non-Pharmacy Dispensing Site
  • Las Vegas, NV
  • NPI 1386966976

  O20100930050037

  Same enrollment

Locations

Practitioners 2

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.

• Randa Amin Bascharon, DO

  • Orthopaedic Surgery Physician
  • Las Vegas, NV
  • NPI 1205883642
  Medicare reassignment NPD Authorized official
• Ada Greenhalgh, PA-C

  • Physician Assistant
  • Las Vegas, NV
  • NPI 1356762801
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1114961539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 S RAINBOW BLVD",
            "address_2": "#393",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033106",
            "telephone_number": "702-596-0036",
            "fax_number": "702-947-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7281 W SAHARA AVE",
            "address_2": "SUITE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172816",
            "telephone_number": "702-947-7790",
            "fax_number": "702-947-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDA BASCHARON,D.O. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "BASCHARON",
        "authorized_official_first_name": "RANDA",
        "authorized_official_middle_name": "AMIN",
        "authorized_official_title_or_position": "PRES, SEC,",
        "authorized_official_telephone_number": "702-596-0036",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NV",
            "license": "1103",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "2OA8358",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NV",
            "license": "1103",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "2OA8358",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100503044",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIF MEDI-CAL ID",
            "identifier": "XTE006922",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ORTHOPEDIC & SPORTS MEDICINE INSTITUTE OF LAS VEGAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maricruz Rand
• Shioban Rand
• Randa Bascharon D.O., Inc (Orthopedic & Sports Medicine Institute of Las Vegas)
• Randa Bascharon D.O., Inc (Orthopedic & Sports Medicine Institute of Las Vegas)
• Randa Bascharon, DO, Inc (Orthopedic & Sports Medicine Institute of Las Vegas)
• Carol Randall
• Evonne Randall
• Khanta Randall
• Peter Raymond Randall, DC
• Saul Joshua Randall, MS CPCI NCC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.