Individual provider Active NPI

Shepard Urbahn, PA

  • Physician Assistant
  • Henderson, NV
National Provider Identifier
1831662717
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2090 Issued in NV
Practice address
10561 Jeffreys St Ste 211
Henderson, NV 89052-4268
Phone
(702) 990-4530
NPI assigned
Jan 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA2090 NV Primary

Addresses

Primary practice location

10561 Jeffreys St Ste 211
Henderson, NV 89052-4268

Mailing address

10561 Jeffreys St Ste 211
Henderson, NV 89052-4268
Phone (702) 990-4530

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
I20190523002176 NV Practitioner - Physician Assistant 3274876719 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA2090NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fremont Emergency Services Scherr LTD Physician Assistant CurrentSince Aug 15, 2022 Accepting new patients
Claudia K Vogel MD LTD Current Accepting new patients
Fremont Emergency Services Scherr LTD Physician Assistant CurrentSince Aug 15, 2022 Accepting new patients

Locations

10561 Jeffreys St
Ste 211
Henderson, NV 89052
Phone (702) 904-4530

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

3325 S Fort Apache Rd
Las Vegas, NV 89117
Phone (702) 962-0500

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100

3186 S Maryland Pkwy
Ste 410
Las Vegas, NV 89109

10770 Las Vegas Blvd S
Las Vegas, NV 89183
Phone (702) 916-9002

9860 W Skye Cyn Dr
Las Vegas, NV 89166

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

7207 Aliante Pkwy
North Las Vegas, NV 89084
Phone (702) 962-5100

Organizations & group practices 5

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": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1831662717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10561 JEFFREYS ST STE 211",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524268",
            "telephone_number": "702-990-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10561 JEFFREYS ST STE 211",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524268",
            "telephone_number": "702-990-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBAHN",
        "first_name": "SHEPARD",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-03",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA2090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.