Individual provider Active NPI

Gregory Shoou-Ren Hsu, D.O.

  • Ophthalmology Physician
  • Henderson, NV
National Provider Identifier
1184620742
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
DO702 Issued in NV
Practice address
299 N Pecos Rd
Henderson, NV 89074-1918
Phone
(702) 450-6000
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X DO702 NV Primary

Addresses

Primary practice location

299 N Pecos Rd
Henderson, NV 89074-1918

Mailing address

299 N Pecos Rd
Henderson, NV 89074-1918
Phone (702) 450-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101214000257 NV Practitioner - Ophthalmology 2860563616 Practice locations: Henderson, NV

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
702NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Flamingo Surgery Center, LLC PastSince Apr 30, 2003 Accepting new patients
Fox & Mall, LTD Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227052800000",
    "number": "1184620742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 N PECOS RD",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741918",
            "telephone_number": "702-450-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 N PECOS RD",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741918",
            "telephone_number": "702-450-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSU",
        "first_name": "GREGORY",
        "middle_name": "SHOOU-REN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2008-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "DO702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.