Individual provider Active NPI

Russell Tad Lauver, DO

  • Emergency Medicine Physician
  • Henderson, NV
National Provider Identifier
1710121710
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DO1676 Issued in NV
Practice address
3001 Saint Rose Pkwy
Henderson, NV 89052-3839
Phone
(702) 616-5815
NPI assigned
Apr 22, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DO1676 NV Primary

Addresses

Primary practice location

3001 Saint Rose Pkwy
Henderson, NV 89052-3839

Mailing address

2040 W Charleston Blvd
Las Vegas, NV 89102-2227
Phone (702) 671-6437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, ND2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180219001277 WY Practitioner - Emergency Medicine 9739342866 Reassigns benefits to 5 organizations
I20200916002916 ND Practitioner - Emergency Medicine 9739342866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Western University of Health Sciences College of Dental Med, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group LLCGroup PAC ID 5092094532, 39 clinicians

Practice addresses (Care Compare)

214 E 23Rd St
Cheyenne, WY 82001-3748
Phone (307) 634-2273

Hospital & facility affiliations

  • Cheyenne Regional Medical Center Hospital, Cheyenne, WY, CCN 530014
  • Community Hospital Hospital, Torrington, WY, CCN 531307

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO1676NVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell County Hospital District Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Healthsource Partners ND LLC Emergency Medicine CurrentSince Sep 11, 2020 Accepting new patients
Ivinson Memorial Hospital CurrentSince Jan 1, 2020 Accepting new patients
Campbell County Hospital District Family Medicine Current Accepting new patients
Campbell County Hospital District Current Accepting new patients
Summit Hospitalist Group LLC CurrentSince Jun 1, 2025 Accepting new patients
Summit Medical Group, LLC Emergency Medicine Current Accepting new patients
Platte Valley Healthcare Project CurrentSince Feb 1, 2024 Accepting new patients
Ivinson Memorial Hospital CurrentSince Jan 1, 2020 Accepting new patients
Campbell County Hospital District CurrentSince Jan 1, 2023 Accepting new patients
Summit Medical Group, LLC Emergency Medicine CurrentSince Jan 19, 2018 Accepting new patients
Community Hospital Family Medicine Current Accepting new patients
Garden County Hospital & Nursing Home Past Accepting new patients

Locations

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

214 E 23rd St
Cheyenne, WY 82001
Phone (307) 324-2221

501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811

255 N 30th St
Laramie, WY 82072
Phone (307) 742-2141

3116 Willett Dr
Laramie, WY 82072
Phone (307) 742-6319

Interoperability endpoints

  • Direct secure messaging: russell.lauver.p1@direct.rwgcrhc.nextgenshare.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1710121710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022227",
            "telephone_number": "702-671-6437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 SAINT ROSE PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523839",
            "telephone_number": "702-616-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUVER",
        "first_name": "RUSSELL",
        "middle_name": "TAD",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-22",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "DO1676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.