Individual provider · Type 1 NPI

Jordan Tyler Shively, DO

Surgery Physician · Las Vegas, NV

NPI number 1194170910 Active

Practice location

8930 W Sunset Rd Ste 300
Las Vegas, NV 89148-5013

Call (702) 228-8834 Map

Other practice locations

  • 20000 Harvard Ave, Warrensville Heights, OH 44122-6805 · (216) 491-7464

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Surgery Physician Primary 208600000XDO2821 (NV)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1194170910

Jordan Tyler Shively, DO's National Provider Identifier is 1194170910, issued on Apr 29, 2016. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Las Vegas, NV. The record was last updated on Jul 1, 2021.