Individual provider Active NPI

Steven Michael Gish, PA-C

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1295255396
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1846 Issued in NV
Practice address
4760 Blue Diamond Rd Ste 110
Las Vegas, NV 89139-7665
Phone
(702) 383-2300
Fax
(702) 562-2816
NPI assigned
Jun 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1846 NV Primary

Addresses

Primary practice location

4760 Blue Diamond Rd Ste 110
Las Vegas, NV 89139-7665

Mailing address

1800 W Charleston Blvd
Las Vegas, NV 89102-2386
Phone (702) 383-2000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170627000608 NV Practitioner - Physician Assistant 1951670470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Medical Center of Southern NevadaGroup PAC ID 7315934429, 388 clinicians

Practice addresses (Care Compare)

1700 Wheeler Peak Dr
Las Vegas, NV 89106-2150
Phone (702) 383-2565

1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone (702) 383-2000

2031 N Buffalo Dr
Las Vegas, NV 89128-0269
Phone (702) 383-3750

4180 S Rainbow Blvd
Las Vegas, NV 89103-3135

5755 E Charleston Blvd
Las Vegas, NV 89142-1004
Phone (702) 383-2273

5785 Centennial Ctr Blvd
Suite 190
Las Vegas, NV 89149-7110
Phone (702) 383-6270

9320 W Sahara Ave
Las Vegas, NV 89117-5351
Phone (702) 383-3850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA1846NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Center of Southern Nevada CurrentSince Sep 4, 2019 Accepting new patients

Locations

525 Marks St
Henderson, NV 89014
Phone (702) 383-6210

4760 Blue Diamond Rd
Ste 110
Las Vegas, NV 89139
Phone (702) 383-2300

1800 W Charleston Blvd
Ste 508
Las Vegas, NV 89102
Phone (702) 383-2688

4180 S Rainbow Blvd
Ste 810
Las Vegas, NV 89103
Phone (702) 383-3626

5785 Centennial Center Blvd
Ste 190
Las Vegas, NV 89149
Phone (702) 383-6270

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

61 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 383-6240

1700 Wheeler Peak Dr
Las Vegas, NV 89106
Phone (702) 383-2565

2031 N Buffalo Dr
Las Vegas, NV 89128
Phone (702) 383-2650

9320 W Sahara Ave
Las Vegas, NV 89117
Phone (702) 383-3633

Organizations & group practices 1

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": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1295255396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022386",
            "telephone_number": "702-383-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 BLUE DIAMOND RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891397665",
            "telephone_number": "702-383-2300",
            "fax_number": "702-562-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GISH",
        "first_name": "STEVEN",
        "middle_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.