NPIMap

Individual provider Active NPI

Gregory Bernard Hoversten, DO

  • Emergency Medicine Physician
  • Henderson, NV
National Provider Identifier
1801877790
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DO1811 Issued in NV
Practice address
22 Via Vasari
Henderson, NV 89011-3661
Phone
(712) 251-0542
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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 DO1811 NV Primary

Addresses

Primary practice location

22 Via Vasari
Henderson, NV 89011-3661

Mailing address

22 Via Vasari
Henderson, NV 89011-3661
Phone (712) 251-0542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO1811NVMDEmergency Medicine Physician
02243IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
First Care Medical Centers LLC Past Accepting new patients
Mercy Medical Services Past Accepting new patients
Alaska Medical Clinics, LLC Past Accepting new patients
Mercy Medical Services Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15729/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1801877790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 VIA VASARI",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890113661",
            "telephone_number": "712-251-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 VIA VASARI",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890113661",
            "telephone_number": "712-251-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVERSTEN",
        "first_name": "GREGORY",
        "middle_name": "BERNARD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "DO1811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.