Jonathan R. Sorelle, MD., PLLC

Key facts

NPI

1134418577

Entity type

Organization (NPI type 2)

Primary specialty

Orthopaedic Hand Surgery Physician 207XS0106X

License

12562 (NV)

Legal business name

JONATHAN R. SORELLE, MD., PLLC

Practice address

9080 W Post Rd
Suite 200
Las Vegas, NV 89148-2419

Phone

(702) 739-4263

Fax

(877) 739-3590

NPI assigned

Apr 6, 2011

Organization subpart

No

Authorized official

Name

Jonathan Sorelle, MD NPI 1427150903

Title

Owner

Phone

(702) 739-4263

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jonathan R. Sorelle, MD., PLLC Non-Pharmacy Dispensing Site · Las Vegas, NV · NPI 1952829673
  NPD tax ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Richard Sorelle, M.D. Orthopaedic Hand Surgery Physician · Las Vegas, NV · NPI 1427150903
  Medicare reassignment Care Compare group NPD Authorized official NV · ORTHOPAEDIC SURGERY
• Matthew Figgins, OTR/L Occupational Therapist · North Las Vegas, NV · NPI 1023656196
  Medicare reassignment Care Compare group NPD NV
• Nancy Jimenez, MD Student in an Organized Health Care Education/Training Program · Warren, MI · NPI 1538747936
  Medicare reassignment Care Compare group NV

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in NV

Medicare enrollment records

National Provider Directory

Tax ID family

Jonathan R Sorelle MD PLLC (2 organizations share this tax ID)

Locations

Specialties & licenses

Addresses

Other identifiers

Other names

• The Minimally Invasive Hand Institute Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 22, 2024.

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1134418577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160036",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327160036",
            "telephone_number": "702-739-4263",
            "fax_number": "877-739-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9080 W POST RD",
            "address_2": "SUITE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482419",
            "telephone_number": "702-739-4263",
            "fax_number": "877-739-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN R. SORELLE, MD., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "SORELLE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-739-4263",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NV",
            "license": "12562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134418577",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Minimally Invasive Hand Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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